2020-07-10T14:00:33-05:00 2019-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2018-07-01 470379836 Saint Elizabeth Regional Medical Center SAIN 4022198000 555 South 70th Street Lincoln NE 68510 Jeanette Wojtalewicz CFO CHI Health 2020-07-10 true ANGELA NOEL CPA P01051055 3032989100 2018 2020-09-23 17:36:50Z CHI Health St Elizabeth Cliff Robertson 12809 West Dodge Road Omaaha NE 68154 191266341 false 0928 X www.chihealth.com X 1889 NE Community Service is a core activity for Saint Elizabeth. Essential inpatient and outpatient services are provided as well as specialties in neonatal, burn, cancer, and emergency. 14 10 1725 360 1268178 236839 1140890 997064 214811821 159895244 23651860 27161705 3914197 3094000 243518768 191148013 22032147 58769 0 0 63019637 58976695 0 0 0 130491620 121488654 215543404 180524118 27975364 10623895 577339662 564598798 130673920 120700242 446665742 443898556 X As 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. false false 16759949 14718 40044878 At Saint Elizabeth, our team works to provide you and your referring physician with the information needed for fast and effective treatment. We have met the rigorous requirements of accreditation from the American College of Radiology in CT, MRI, Mammography, Nuclear Medicine and PET/CT imaging. 11419975 7857 21375693 We are recognized for being one of the nation's top hospitals for quickest response times to heart attacks. Our cardiac procedure and surgery success rates exceed state and national averages. We are committed to offering the highest standards of care and expertise from skilled medical professionals specially trained to care for your heart. Our services include: Diagnostic Tests & Procedures Our cardiac team performs the latest procedures for diagnosis and treatment of heart disease, including diagnostic and interventional cardiac catheterization, electrophysiology, non-invasive diagnostic studies and medical cardiac care. Cardiac Rehabilitation Our cardiac rehabilitation program offers medically-monitored exercise and education tailored to your needs for recovery and prevention of future heart issues. Prevention We offer preventive programs including screening, lifestyle management and a smoking cessation program. We encourage you to reduce our risk of heart disease by developing a heart-healthy lifestyle. 9113467 3899 10607723 Our emergency room is staffed 24 hours a day by physicians and nurses who are specially trained in emergency care. We have state-of-the-art technology that assists our expert staff in evaluating, diagnosing and treating any type of illness or injury. We have an accredited Stroke Center and a verified Burn Center, which means that our staff is specially trained to be ready at a moment's notice to treat stroke and burn patients as quickly as possible. We are also recognized as one of the nation's top hospitals for quickest response times to heart attacks. Our cardiac procedure and surgery success rates exceed state and national averages. 101026582 32295 87866950 Other programs 101026582 32295 87866950 138319973 true true false true false false false false true true true false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true X 1 0 true 1725 true true true false false false false false true false false false false false X 14 10 false false false false true true true true true false false true true true true true true true true true false X Jeanette Wojtalewicz 4023434671 12809 West Dodge Road Omaha NE 68154 CLIFF ROBERTSON MD Board Member/CEO CHI Health 1.0 49.0 X X 0 2055384 202344 LARRY BUTLER Treasurer 1.0 11.0 X X 0 0 0 FR JAMES CLIFTON SJ Secretary 1.0 11.0 X X 0 0 0 RICHARD HERINK Board Chair 1.0 12.0 X X 0 0 0 ROBERT LANIK VICE CHAIR 1.0 11.0 X X 0 0 0 JENNIFER BEATY MD BOARD MEMBER 1.0 11.0 X 0 0 0 NATHANIEL BRACKETT MD BOARD MEMBER 1.0 59.0 X 0 0 0 SUSANNE L HRUZA MD BOARD MEMBER 1.0 11.0 X 0 0 0 ANTHONY JONES Board Member 1.0 49.0 X 0 0 0 JASON KRUGER MD BOARD MEMBER 1.0 59.0 X 0 307842 45216 AMY L MCGAHA md BOARD MEMBER 1.0 59.0 X 0 330726 19423 Thomas Murray PHD Board Member 1.0 11.0 X 0 0 0 BARRY SANDSTROM Board Member 1.0 11.0 X 0 0 0 SISTER MAURITA SOUKUP BOARD MEMBER 1.0 12.0 X 0 0 0 Bill T Yates BOARD MEMBER 1.0 11.0 X 0 0 0 DEREK VANCE PRESIDENT 24.0 26.0 X 0 466898 53636 JEANETTE WOJTALEWICZ CFO CHI Health 5.0 45.0 X 0 853951 78360 TIMOTHY PLANTE VP-PATIENT CARE SERVICES 10.0 40.0 X 29158 187465 32576 DONNA HAMMACK CHIEF DEVELOPMENT OFFICER-FOUNDATION 1.0 50.0 X 177069 0 29323 Emily Mannschreck Director - Pharmacy 40.0 10.0 X 147269 36818 35747 Michele Murphy Supervisor - Pharmacy 50.0 1.0 X 174996 663 28623 Helen Sake Pharmacist 50.0 0 X 167461 0 27449 DAN SCHONLAU Former VP Operational Finance NHH, St. Elizabeth 25.0 25.0 X 0 222267 41992 MIKE WATTERS Former VP-SENIOR COUNSEL 5.0 45.0 X 0 326548 24681 STEVE HOUSTON SVP STRATEGY 5.0 45.0 X 0 410126 34991 KIM MOORE FORMER PRESIDENT 0.0 1.0 X 0 357728 10102 NANCY WALLACE FORMER SVP HR CHI HEALTH 5.0 45.0 X 0 466734 35744 CARY WARD MD CHIEF MEDICAL OFFICER/FORMER INTERIM PRESIDENT 5.0 45.0 X 0 623597 42666 695953 6646747 742873 53 true true false WELLTOWER INC 4500 DORR STREET TOLEDO OH 43615 REAL ESTATE INVESTMENT SERVICES 1480765 JE DUNN CONSTRUCTION COMPANY 17110 MARCY ST STE LL01 OMAHA NE 68118 CONSTRUCTION SERVICES 876591 ELECTRONIC SOUND INC 14627 INDUSTRIAL RD OMAHA NE 68144 COMMUNICATION SERVICES 664946 lincoln medical education partnership 4600 Valley Rd 225 Lincoln NE 68510 healthcare education services 656495 AXOS BANK 4350 LA JOLLA VILLAGE DRIVE SUITE 140 SAN DIEGO CA 92122 FINANCIAL SERVICES 527351 34 X 0 0 0 997064 0 0 0 997064 Patient Services 900099 159861414 159861414 0 0 Pharmacy Services 446110 33830 33830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159895244 4846188 0 24085 4822103 0 0 0 0 0 0 0 0 276197 115214 0 0 276197 115214 391411 0 115214 276197 22433845 0 0 118328 22433845 -118328 22315517 0 0 22315517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Durable Medical Equipment 446199 1600692 0 608012 992680 Services Sold 900099 564094 0 406232 157862 Cafeteria 722100 356876 0 0 356876 180927 0 114635 66292 2702589 191148013 159895244 1268178 28987527 X 58769 58769 45371381 43102812 2268569 2305089 2189835 115254 7963286 7565122 398164 3336939 3170092 166847 7023 7023 34313612 27456508 6857104 0 30 30 3469358 3295890 173468 284448 270226 14222 3715562 3529784 185778 98458 93535 4923 20221 19209 1012 635913 635913 7599948 7219951 379997 640880 608836 32044 Unrelated Business Taxes 192000 192000 Medical Supplies 36450929 36450929 Intercompany allocations 31315868 31315868 Repairs and Maintenance 1230355 1168837 61518 1514049 1483695 30354 0 180524118 138319973 42204145 0 124954 57390 125299524 245828557 0 0 40301882 33789901 0 0 0 329555 486421 6829255 6081612 147191 255925 223177097 147820562 76025702 75356535 0 0 314924230 190881553 0 0 0 13357369 11860904 577339662 564598798 12542813 12524347 0 0 8684 8684 0 0 0 0 0 0 0 0 0 118122423 108167211 130673920 120700242 X 446665742 443898556 0 0 0 0 446665742 443898556 577339662 564598798 X 10623895 -13019769 -371312 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 7023 false false false 7023 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $2,060 CATHOLIC HEALTH ASSOCIATION - $1,555 NEBRASKA HOSPITAL ASSOCIATION - $3,408 324502 230716 88624 643842 324502 324502 324502 324502 324502 324502 308194 16308 324502 0.0 1.0 0.0 false true true 179532 179532 119563196 62952531 56610665 1641818 1641818 0 89646078 77126131 12519947 12146473 6100082 6046391 75356535 CHI OIP CHI OIP 190881553 F 190881553 6667 Intercompany Payables 102570174 Environmental Remdeiation Liability 3616665 Pension Liability 483356 Other Current Liabilities 4780 Other Post Employment Benefits 1029429 Prepaid expenses 456140 108167211 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT FUNDS ARE USED FOR SCHOLARSHIPS, MAINTENANCE OF THE WALKING PATH ADJACENT TO SAINT ELIZABETH REGIONAL MEDICAL CENTER, AND OTHER GENERAL PURPOSES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SAINT ELIZABETH REGIONAL MEDICAL CENTER'S financial information is included in the consolidated audited financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's FIN 48 (ASC 740) footnote for the year ended June 30, 2019, reads as follows: "CommonSpirit has established its status as an organization exempt from income taxes under the Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2019 and 2018, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax benefits as of June 30, 2019 and 2018. 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". true true X true X 300 true X true true true false true true 4162 6658649 0 6658649 0.0369 5887 20523624 5456103 15067521 0.0835 0 0 0 0 0.0 0 10049 27182273 5456103 21726170 0.1204 15 68984 1336332 442948 893384 0.0049 9 1302 1467658 367154 1100504 0.0061 1 0 1798322 1751679 46643 0.0003 3 0 13958 0 13958 0.0001 6 450 98352 9840 88512 0.0005 34 70736 4714622 2571621 2143001 0.0119 34 80785 31896895 8027724 23869171 0.1322 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 0 348 0 348 0.0000 2 37 9776 0 9776 0.0001 0 0 0 0 0 0.0 3 37 10124 0 10124 0.0001 true 6049626 0 47201333 58251289 -11049956 X true true LINCOLN CK LEASING LLC ONCOLOGY EQUIPMENT 0.5376 0.0 0.3226 1 1 Saint Elizabeth Regional Medical Center 555 South 70th Street Lincoln NE 68510 http://www.chihealthstelizabeth.com/ 500007 X X X X Saint Elizabeth Regional Medical Center 1 false false true X X X X X X X X 18 true true true true X www.chihealth.com/chna X X true 19 false true false true X 300.0 300.0 X X X X true true X X X true X www.chihealth.com/financial-assistance X www.chihealth.com/financial-assistance X www.chihealth.com/financial-assistance X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. For this CHNA, community stakeholder input was provided through the four Lincoln Lancaster Health Department (LLHD) Community Health Improvement Plan (CHIP) planning groups, which consist of stakeholders serving and representing the key populations: minority, low-income, at-risk, aging, and those affected by violence. Following the four health department led meetings to obtain community input, the CHI Health St. Elizabeth and Nebraska Heart Hospital (NHH) multidisciplinary team (Community Benefit Action Team - CBAT) was convened to validate the needs. Finally, the hospitals' Community Board, represented the hospitals' relationship with the community at-large, provided input to this process. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. CHI Health Nebraska Heart Bryan Health Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. Lincoln Lancaster County Health Department Other input from community organizations Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. The CHNA was presented to the CHI Health Lincoln Community Board. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. The current applicable CHNA and corresponding implementation plan was completed in the tax reporting year 2018. The following outlines the current implementation plan priorities and strategies. This plan was posted publicly on www.chihealth.com/chna. This is a joint plan with CHI Health St. Elizabeth and Nebraska Heart Hospital (NHH). Therefore, only strategies that are led or co-led by CHI Health St. Elizabeth are reported below. Priority Health Needs and Strategies are numbered to align with the published joint Implementation Plan at www.chihealth.com/chna. The community identified the following priorities as top health needs identified in the most recent community health needs assessment: Top Health Needs (from 2018 CHNA): 1. Access to Health Care Services 2. Behavioral Health 3. Chronic Disease 4. Violence & Injury For this plan the hospital prioritized the following health need: Priority Health Need: Access to Care To address this need the hospital will implement the following strategy in 2019-2021: * Engage with community partners and key service providers in existing efforts to improve access points and coordination of healthcare services across the City of Lincoln and Lancaster County. - Engage with the local safety net coalition and explore opportunities to partner and improve access to high-quality, timely, affordable and equitable care among all community members and identify relevant actions and measures of success for identified work (St. Elizabeth) - Identify barriers to effective transitional care for patients discharged from the inpatient/acute setting that puts patients at risk for readmission, and identify partners and strategies to address and identify relevant actions and measures of success for identified work (St. Elizabeth & NHH) - Partner with Aging Partners (Area Agency on Aging) to identify gaps in care specific to the aging and disabled populations and identify relevant actions and measures of success for identified work (St. Elizabeth) - Continue financial and in-kind support to Partnership for Healthy Lincoln (PHL) to address chronic disease and improve healthcare access through the development of clinical quality improvement 9 efforts related to: early prenatal care, maternal depression screening, diabetes management, colon cancer screening - also help to inform future quality improvement initiatives (St. Elizabeth & NHH) - Continue financial and in-kind support of Clinic with a Heart to offer monthly urgent care (St. Elizabeth), specialty care (St. Elizabeth), and hypertension care clinics (NHH) for un/under-insured community members - Participation in the Lincoln Lancaster County Health Department CHIP Access to Care work group to support work around increasing the number of community members connected to a primary care provider (St. Elizabeth & NHH) - Assess the barriers and need for integration of behavioral health services into primary care across the Lincoln-Lancaster County area, and identify strategies for addressing known barriers (St. Elizabeth) The hospital will not address the following health needs for the following reasons: In acknowledging the range of priority health issues that emerged from the CHNA process, CHI Health St. Elizabeth and NHH prioritized the health issue above in order to most effectively focus resources and meaningfully impact the selected health issues. As described in the process above, the hospitals took into consideration existing partnerships, available resources, the hospital's level of expertise, existing initiatives (or lack thereof), potential for impact, and the community's interest in the hospital engaging in that area in order to select the priorities. The following identified needs will not be prioritized in this implementation plan for the following reasons. Behavioral Health - CHI Health St. Elizabeth and NHH have prioritized work to address gaps in access to healthcare services, and access to behavioral health services will be included in these efforts and is an important component driving the need for improvements in access to healthcare services. Therefore, the hospitals did not prioritize this health need in order to focus and maximize impact on another health need area that will indirectly improve the community's approach and capacity for addressing behavioral health. Chronic Disease - The hospitals did not prioritize this health need for work for three key reasons. First, there is a large body of existing efforts in the community that are working to reduce chronic disease and negative impacts associated with such diseases as cancer, heart disease, and stroke. Second, CHI Health St. Elizabeth and NHH will continue to provide annual funding to Partnership for Healthy Lincoln which improves health, wellness, and fitness through programs that increase physical activity and improve nutrition habits on a population level. Third, in order to maximize impact, CHI Health St. Elizabeth and NHH have prioritized access to healthcare services as improving access points, reducing barriers to preventive care, and improving the quality of healthcare. These efforts improves the ability of healthcare services and community partners to address chronic disease on an individual basis. Injury and Violence - This health need was not prioritized in order to focus and meaningfully impact other areas of need. CHI Health St. Elizabeth recently received a one-year grant to explore continued promotion of the evidence-based Second Step language to points of service to youth and families outside of school settings. This work may evolve further and address violence prevention efforts directly, however at this time is primarily in planning stages. Additionally, there is a robust network of partners addressing injury and violence prevention through the Lincoln Lancaster County Health Department Community Health Improvement Plan. CHI Health St. Elizabeth and NHH have long supported and will continue to support through financial and in-kind contributions. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Saint Elizabeth Regional Medical Center. The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) 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 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 CHI 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. 1 Nebraska Surgery Center LLC 625 South 70th Street Lincoln NE 68510 Ambulatory surgical center Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH THE STATE OF NEBRASKA; HOWEVER, SAINT ELIZABETH REGIONAL MEDICAL CENTER VOLUNTARILY PARTICIPATES WITH THE NEBRASKA HOSPITAL HOSPITAL ASSOCIATION'S ANNUAL COMPILATION OF COMMUNITY BENEFIT REPORTS, WHICH ARE PROVIDED TO FEDERAL AND STATE OFFICIALS, LEGISLATORS, AND OTHER INTERESTED PARTIES. Schedule H, 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 thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. * The patient's Family Income must be at or below 300% of the FPG. * The patient must comply with Patient Cooperation Standards as described [in the FAP]. * The patient must submit a completed Financial Assistance application. 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 clinic; * Participation in Women, Infants and Children programs (WIC); * Food stamp eligibility; * Subsidized school lunch program eligibility; * Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); * Low income/subsidized housing is provided as a valid address; or * Patient is deceased with no known estate. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH Lincoln - Partnership for a Healthy Lincoln-provided financial and partnership support as part of the community health improvement plan to PHL, a non-profit health coalition dedicated to improving the health, wellness, and fitness of all those in the community; PHL leads numerous initiatives around school wellness, breastfeeding, community fitness, cancer screening and more. - Clinic with a Heart-provided financial support for infrastructure and program implementation to this faith-inspired organization serving the uninsured and underinsured through a ministry of healthcare. Volunteers provide free healthcare and serve as a gateway to local human service agencies to assist patients in finding permanent healthcare homes. - Madonna Transport-provided financial support for local medical transportation for those who can't afford it. * Health professional education- - Support Graduate Medical Education through partnership with the Lincoln Medical Education Partnership (LMEP), a community-based residency program for medical school graduates interested in family practice and is supported by 350 community physicians who volunteer more than 40,000 hours per year as faculty members. LMEP helps the Lincoln community attract, train and retain new physicians. - Clinical preceptorships and clinical rotations for healthcare professionals - Administration and student onboarding costs for nursing preceptorships and clinicals - Staff time facilitating the small-group ethics case discussions with medical students - Clinical pastoral education - Scholarships for healthcare education - Academic affiliation with Creighton University and its Health Professions Programs, including the School of Medicine, College of Arts & Sciences, School of Dentistry, School of Pharmacy and Health Professions, College of Nursing. - Physician residency and fellowship programs train more than 250 residents and fellows annually * Subsidized health services - CHI Health St. Elizabeth operates a dedicated burn unit. It is the only burn center in Nebraska verified through the American Burn Association and the American College of Surgeons. The St. Elizabeth Regional Burn and Wound Center is internationally recognized for outstanding research and for providing the latest treatments and procedures for serious burns or for wounds that will not heal. * Research- - Unfunded staff support of the National Cancer Institute Community Oncology Research Program (NCORP) - Trauma Informed Care-this was an identified need on the community health improvement plan. CHI Health is partnering to implement staff training for awareness of trauma and its impact and completing a research study on the effectiveness of the training to help build public training and education resources. * Financial and in-kind contributions- - Corporate sponsorships - Tanzania health ministry-CHI Health is a ministry partner with the Machame Lutheran Hospital in Tanzania which provides full service health care in a desperately impoverished area of the country including a full service hospital, pharmacy, hospice outreach, clinics, Clinical Officer School, and the recently established School of Nursing. - Staff service on health related board and coalitions - Participation in and funding of maternal health, substance abuse, food access, violence prevention, cancer and other community health coalitions. - Participation in and sponsorship of mental health coalitions including Voices for Children, Community Alliance Foundation and Project Harmony. - Employee costs of coordinating community events not sponsored by CHI Health (Relay for Life, Blood drives, etc.) - In-kind staff time organizing the donation of items to various non-profit groups and volunteering time at Food Bank of the Heartland and Matt Talbot Kitchen - In-kind donations of space, food and staff time providing strategic planning, facilitation and consulting services for not-for-profit organizations and community groups - In-kind donations (staff time, space, etc.) supporting grants for Behavioral Health, Violence Prevention, and Community Link. - Fresh Start-paid Shopko to fill prescriptions for homeless women living in transitional living. Schedule H, Part I, Line 6a Community benefit report prepared by related organization The 2018 Community Benefit Report for Saint Elizabeth Regional Medical Center was prepared by Alegent Creighton Health, dba CHI Health, a related organization. The Community Benefit Report contains information for several related organizations in Iowa and Nebraska. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using Worksheet 2 to compute the cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. Schedule H, 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. Below are specific examples of work that falls within the definition of community building activities. These activities are critical in helping build social, health, and economic opportunities in our community that ultimately drive health status and quality of life for our residents: * Workforce development-the following activities work to strengthen the community's capacity to promote the health and well-being of our residents by driving entry into healthcare careers: - Healthcare career exploration camp-day camp funded by CHI Health for students grades 10-12 to give them the opportunity to explore a variety of healthcare professions - Presentations to high school students about healthcare careers - Staff time spent with high school and college shadow students - Summer camp/interns-health occupations summer day camp and intern opportunities funded by CHI Health St. Elizabeth to give them the opportunity to explore a variety of healthcare professions * Community and economic development including support of local Chambers of Commerce Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 31.58%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Saint Elizabeth Regional Medical Center does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Saint Elizabeth Regional Medical Center does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of CommonSpirit Health. The consolidated footnote reads as follows: CommonSpirit relies on the results of detailed reviews of historical write-offs and collections in estimating the collectability of accounts receivable. Updates to the hindsight analysis is performed at least quarterly using primarily a rolling eighteen-month collection history and write-off data. Subsequent changes to estimates of the transaction price are generally recorded as adjustments to net patient revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in a third-party payor's ability to pay are recorded as bad debt expense in purchased services and other in the accompanying consolidated statements of operations and change in net assets. Bad debt expense for 2019 was not significant. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Saint Elizabeth Regional Medical Center's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $47,201,333 Total Medicare costs: $58,251,289 Surplus (or Shortfall): $(11,049,956) Saint Elizabeth Regional Medical Center believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization's billing and collections policy applies to all individuals presenting for emergency or other medically necessary care. The policy contains provisions for collecting amounts due from those patients who the organization knows to qualify for financial assistance either through the traditional financial assistance application process or through presumptive eligibility processes. Before engaging in extraordinary collection actions (ECAs) to obtain payment for EMCare, Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether an individual is eligible for Financial Assistance. In no event will an ECA be initiated prior to 120 days from the date the Facility provides the first post-discharge billing statement (i.e., during the Notification Period) unless all reasonable efforts have been made. Hospital Facilities will not refer accounts for collection where the patient has initially applied for Financial Assistance, and the Hospital Facility has not yet made reasonable efforts with respect to the account. 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. Patients who qualify for Medicaid are presumed to qualify for full charity write off. Any charges for days or services written off (excluding Medicaid denials related to timeliness of billing, insufficient medical record documentation, missing invoices, authorization, or eligibility issues) as a result of a Medicaid are booked as charity. Some Medicaid plans offer coverage for a limited or restricted list of services. If a patient is eligible for Medicaid, any charges for days or services not covered by the patient's coverage may be written off to charity without a completed application. This does not include any Share of Cost (SOC) or other patient cost-sharing amounts such as deductibles or copayments, as such costs are determined by the state to be an amount that the patient must pay before the patient is eligible for Medicaid. Health and Human Services (HSS) uses the term "Spend Down" instead of Share of Cost. All collection activities conducted by the Facility, a Designated Supplier, or its third-party collection agents will be in conformance with all federal and state laws governing debt collection practices. All third-party agreements governing collection and recovery activities must include a provision requiring compliance with the hospital facilities' financial assistance and billing and collections policy and indemnification for failures as a result of its noncompliance. This includes, but is not limited to, agreements between third parties who subsequently sell or refer debt of the Hospital Facility. Schedule H, Part V, Section B, Line 16a FAP website - Saint Elizabeth Regional Medical Center: Line 16a URL: www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Saint Elizabeth Regional Medical Center: Line 16b URL: www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Saint Elizabeth Regional Medical Center: Line 16c URL: www.chihealth.com/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The 2018 process included a public review of recent community data through four focus group meetings, to validate top health needs with community stakeholders and update the Lincoln-Lancaster Community Health Improvement Plan (CHIP). LLHD Public Health Informatics and Planning department convened leaders from Bryan Health, CHI Health St. Elizabeth, and NHH to plan an update to the 2015 CHNA. LLHD planned and hosted four focus group meetings (one for each of the four top identified health needs) to review the most current data and re-affirm priority areas as well as re-affirm identified bodies of work to address prioritized needs. Leadership representing CHI Health St. Elizabeth and NHH participated in the focus groups. Following the focus group meetings, an internal Community Benefit Action Team (CBAT) was formed with leadership from both CHI Health St. Elizabeth and NHH to review the outcome of the aforementioned processes, and internally validate the four identified top health needs for the purposes of this CHNA. Finally, hospital leadership from both sites provided a review of the process to the CHI Health Lincoln Community Board, who validated the top needs in the community and provided input to the planning process for the forthcoming Implementation Strategy Plan and work the hospitals will to do address prioritized community health needs. For this CHNA, community stakeholder input was provided through the four LLHD CHIP planning groups, which consist of stakeholders serving and representing the key populations: minority, low-income, at-risk, aging, and those affected by violence. Finally, the hospitals' Community Board provided input to this process and represent the hospitals' interactions with the community at-large. Summary of Assessment Findings Building on the 2015 CHNA for the community, LLHD provided data to community stakeholders through four community focus group sessions in 2018. During these sessions, stakeholders were asked to amend CHIP objectives for the top identified health needs given any changes in the data. In each instance the community made updates to the relevant CHIP objectives and confirmed all four health needs as the top health needs going forward from 2018 due to the following: * Severity * Prevalence * Disparities * Trends * Relevant benchmarks * Impact on other health needs Top identified health needs: 1. Access to Health Care Services 2. Behavioral Health 3. Chronic Disease 4. Violence & Injury Prioritized Health Need: 1. Access to Healthcare Services Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Notification about the availability of Financial Assistance from CHI Hospital Organizations shall be disseminated by various means, which may include, but not be limited to: * Conspicuous publication of notices in patient bills; * Notices posted in emergency rooms, urgent care centers, admitting/registration departments, business offices, and at other public places as a Hospital Facility may elect; and * Publication of a summary of this Policy on the Hospital Facility's website, www.catholichealth.net, and at other places within the communities served by the Hospital Facility as it may elect. Such notices and summary information shall include a contact number and shall be provided in English, Spanish, and other primary languages spoken by the population served by an individual Hospital Facility, as applicable. Referral of patients for Financial Assistance may be made by any member of the CHI 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. In addition, Hospital registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for assistance under the Financial Assistance Policy. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Once it is determined that the patient does not qualify for any third party funding, the patient is verbally notified about the existence of Financial Assistance Application and additional screening takes place by a Hospital employee to determine if the patient is eligible for charity service prior to discharge. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the Financial Assistance Policy, the plain language summary of that policy, and an application for assistance. Hospital registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility for services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for full, partial, or no charity care services. Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether any individual is eligible for Financial Assistance. Schedule H, Part VI, Line 4 Community information For the purpose of the CHNA and future implementation strategy, CHI Health St. Elizabeth considers its primary community to be the City of Lincoln and the surrounding County (Lancaster) which includes 75%-90% of the patients served by the hospitals. Lancaster County also aligns with the defined service area for the local public health department, Lincoln-Lancaster County Health Department (LLHD). Additionally, surrounding counties served by CHI Health Nebraska Heart: Otoe, Johnson, Gage, Saline, Seward, York, Saunders, and Cass have licensed hospitals within the county boundaries. This was validated by an internal multi-disciplinary team [Community Benefit Action Team (CBAT)] representing St. Elizabeth and NHH and aligns with a shared definition agreed upon with community partners including other local health systems. Lancaster County includes residents living in the towns of Bennet, Davey, Denton, Firth, Hallam, Hickman, Lincoln, Malcolm, Panama, Raymond, Roca, Sprague, Waverly, and ten unincorporated villages. Lancaster County covers an area of 839 square miles in southeastern Nebraska, with Lincoln as the largest city and which serves as the Nebraska State Capitol. The 2017 population estimate for Lancaster County was 314,358, with 90% of residents living in the Lincoln urban area. Lincoln Lancaster Total Population is 314,358. Under 5 years: 6.5% Under 18 years: 23.0% 65 and over: 13.5% Female: 49.8% Race/Ethnicity White, NH: 87.2% African American, NH: 4.2% Native American, NH: 0.1% Asian/Pacific Islander, NH: 4.7% Hispanic: 7.1% Foreign born persons (2013-2017): 7.8% A review of the socioeconomic factors shows that Lancaster County, and the State of Nebraska overall have a low unemployment rate. Interestingly, the percent of population ages 25 and over with completion of high school or post-secondary education in Lincoln and Lancaster County is higher than the State, however poverty and unemployment are higher in Lincoln and Lancaster County than the State overall. This could be attributed to the existence of the University of Nebraska Lincoln, located in Lincoln, but is still concerning that there are a larger percentage of individuals and families likely not affiliated with the University affected by poverty. Median Household Income: $55,747 Percent of Persons in Poverty: 11.4% Percent of Children in Poverty: 12% Unemployment Rate: 2.6% High School Graduation Rate: 93.3% Bachelor's Degree or higher: 37.9% Percent of Uninsured under 65: 9.1% Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facility promotes health for the benefit of the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The organization's hospital facility has an open medical staff. Its board of trustees is composed of prominent citizens in the community. Excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. The facility treats persons paying their bills with the aid of public programs like Medicare and Medicaid. All patients presenting at the hospital for emergency and other medically necessary care are treated regardless of their ability to pay for such treatment. CHI Health has a history of centralized community benefit and hospital specific community benefit investments to address community health needs of the particular service area. Examples of how CHI Health furthers its exempt purpose by promoting the health of the community include: * Financial Assistance and Unpaid costs of Medicaid * Community health improvement services- - Community education, classes and programs (burn and wound, community behavioral health support and education, diabetes, cancer, physical activity and healthy eating and cooking) - Support groups (cancer, bereavement, youth, etc.) - Community health fairs and screenings - School based healthcare services - Mental Health Hotline-staff and operate 717-HOPE mental health hotline for anyone in the community to access. This program averages over 5,000 phone calls per month from community members in need. - Parish Nursing Program and Faith Community Health Network-the CHI Health Faith Community Health Network partners with congregations of all faiths to build capacity and support the growth of Health Ministries which promote health, healing and wholeness in the communities served. - 5-4-3-2-1Go! - Healthy lifestyle campaign for kids; operated in schools, out of school settings, clinics, community settings in Douglas, Sarpy, Cass, and Colfax counties in NE. Initial work completed by CHI Health in FY19 and following contractor departure, work was transitioned through a grant to Live Well Omaha for the broader Omaha community strategy in Douglas County as part of a 2-year grant. - Burn Camp-CHI Health St. Elizabeth staff participated in 5-day burn camp with 20 attendees. - Telephone Information Service-health information provided, free of charge, via the telephone to callers of the community. - Pharmacy employees volunteered their time as pharmacists at Clinic with a Heart to serve the underserved. - NICU Follow-up Clinic- St. Elizabeth participates in a program called "TIPS" partially funded by the State of Nebraska for follow-up with families who have graduated from the NICU. The funding covers nursing hours, but does not cover the neurologist time, etc. The purpose of the clinic is to ID neuro-developmental problems that need further care. There is nowhere else to go in Lincoln for this type of post-NICU care and they are not charging for any of the post services. They meet with families at 3/6/12 and 18 months for in-person follow-up visits. - Shriner's Clinic-CHI Health St. Elizabeth surgical services, EVS, radiology and food services staff supported two Shriner's Clinics onsite. - Counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. - Transportation to patients who cannot afford transportation to attend to their medical needs. - Telephone Information Service-health information provided, free of charge, via the telephone to callers of the community. - Support to health coalitions and investments in social and environmental improvement strategies. These are programs, activities and partnerships that improve the health of persons in the community by addressing the determinants of health, which includes the social, economic and physical environment. See specific examples by community below: Regional - Nebraska Appleseed-provided funds to support hunger/food access efforts; this includes summer meals program outreach, enrichment programming at summer meals sites and support to launch state's first SNAP Employment & Training (E&T) third party partnership, which provides job training for SNAP recipients. Also providing funding to support Enroll Nebraska efforts for outreach and education during annual insurance enrollment period. - Alzheimer's Association-provided funds to support the continued offering of free support services for families with a loved one with dementia/alzheimer's. Supports include assistance in finding memory units, appropriate levels of care or specialty providers, caregiver support groups, etc. - Nebraska Breastfeeding Coalition-provided funds that supports the building of coalition infrastructure to include evaluation of existing work and development of long-term strategic plan to secure sustainable funding. Future focus is moving toward strategies that connect breastfeeding and breastfeeding support with mental health. - Nebraska Extension-provided funds to support Double Up food Bucks in Omaha and Lincoln; program for SNAP recipients to receive an additional $1 for every $1 they spend on fruits and vegetables at participating sites; nutrition/cooking education is also provided at all sites. Schedule H, Part VI, Line 6 Affiliated health care system The organization is affiliated with CommonSpirit Health. CommonSpirit Health was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry 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 21 states and comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 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. In fiscal year 2019, CommonSpirit Health provided more than $2.1 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 $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share 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 H, Part VI, Line 7 State filing of community benefit report IA, NE true THE FOUNDATION FOR LINCOLN PUBLIC SCHOOLS PO BOX 82889 LINCOLN NE 68501 363490560 501(C)(3) 14744 AMBULANCE STANDBY GRANT UNITED WAY OF LINCOLN AND LANCASTER COUNTY 238 S 13TH ST LINCOLN NE 68508 470376624 501(C)(3) 10000 GENERAL SUPPORT UNITED STROKE ALLIANCE 2000 W PIONEER PKWY STE 16 PEORIA IL 61615 640954851 501(C)(3) 8000 STROKE CAMP SPONSORSHIP LANCASTER COUNTY MEDICAL SOCIETY 233 S 13TH ST STE 1200 LINCOLN NE 68508 363305032 501(C)(3) 6000 GENERAL SUPPORT 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS INCLUDED IN PART II ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION. GRANTS INCLUDED IN PART III ARE TO INDIVIDUALS NEEDING FINANCIAL ASSISTANCE. PATIENT HARDSHIP CHARGES ARE BILLED DIRECTLY TO SERMC, AND EMPLOYEES ARE REQUIRED TO PROVIDE COPIES OF INVOICES, ETC. FOR EMPLOYEE ASSISTANCE PAYMENT ELIGIBILITY; THESE PROCEDURES ENSURE PROPER USE OF THE FUNDS. true true false false false false false true false CLIFF ROBERTSON MD Board Member/CEO CHI Health 0 1021091 0 870115 0 164178 0 173553 0 28791 0 2257728 0 133018 JASON KRUGER MD BOARD MEMBER 0 307024 0 0 0 818 0 16469 0 28747 0 353058 0 0 AMY L MCGAHA md BOARD MEMBER 0 330100 0 0 0 626 0 16276 0 3147 0 350149 0 0 STEVE HOUSTON SVP STRATEGY 0 315850 0 72105 0 22171 0 16375 0 18616 0 445117 0 0 KIM MOORE FORMER PRESIDENT 0 0 0 0 0 357728 0 0 0 10102 0 367830 0 0 NANCY WALLACE FORMER SVP HR CHI HEALTH 0 356671 0 80543 0 29520 0 16361 0 19383 0 502478 0 0 CARY WARD MD CHIEF MEDICAL OFFICER/FORMER INTERIM PRESIDENT 0 491125 0 109860 0 22612 0 15706 0 26960 0 666263 0 0 DEREK VANCE PRESIDENT 0 344571 0 70128 0 52199 0 25900 0 27736 0 520534 0 0 JEANETTE WOJTALEWICZ CFO CHI Health 0 537238 0 228748 0 87965 0 51400 0 26960 0 932311 0 47128 DAN SCHONLAU Former VP Operational Finance NHH, St. Elizabeth 0 192356 0 26974 0 2937 0 13415 0 28577 0 264259 0 0 MIKE WATTERS Former VP-SENIOR COUNSEL 0 273409 0 31500 0 21639 0 643 0 24038 0 351229 0 0 TIMOTHY PLANTE VP-PATIENT CARE SERVICES 29103 144732 0 28288 55 14445 5454 0 18422 8700 53034 196165 0 0 DONNA HAMMACK CHIEF DEVELOPMENT OFFICER-FOUNDATION 161712 0 14516 0 841 0 11137 0 18186 0 206392 0 0 0 Emily Mannschreck Director - Pharmacy 108100 36818 15054 0 24115 0 10412 0 24511 824 182192 37642 0 0 Michele Murphy Supervisor - Pharmacy 168954 663 0 0 6042 0 1151 0 27446 26 203593 689 0 0 Helen Sake Pharmacist 166780 0 0 0 681 0 9021 0 18428 0 194910 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation During the calendar year 2018, compensation for the top management official was established and paid by Catholic Health Initiatives ("CHI"), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. COMPENSATION FOR THE OTHER OFFICERS OF SAINT ELIZABETH REGIONAL MEDICAL CENTER WAS ESTABLISHED BY THE CHI HEALTH CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment During the calendar year 2018, post-termination payments were addressed in executive employment agreements for Catholic Health Initiatives and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives or Saint Elizabeth Regional Medical Center during the 2017 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: Kim Moore - $360,107 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Cliff Robertson - $139,166 Jeanette Wojtalewicz - $65,054 Schedule J, Part I, Line 7 Non-fixed payments CATHOLIC HEALTH INITIATIVES (CHI) MAINTAINS A VARIABLE PAY PROGRAM FOR MANAGERS AND ABOVE THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL OUTCOMES, QUALITY IMPROVEMENT, AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE BOARD OF STEWARDSHIP TRUSTEES. HOWEVER, ELIGIBLE AWARDS PAYABLE UNDER THIS PROGRAM ARE DEPENDENT ON HITTING MINIMUM LEVELS OF OPERATING MARGIN AND CHARITY CARE LEVELS, UNLESS THE HR COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES USES THEIR DISCRETION TO APPROVE AN EXCEPTION. Form 990, Part III, Line 4d Description of other program services (Expenses $ 101,026,582 including grants of $ 32,295)(Revenue $ 87,866,950) Other programs Form 990, Part V, Line 1c number reported in Box 3 of Form 1096 PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI) ARE MADE BY CHI. CHI FILES THE FORM 1099'S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099'S ISSUED BY CHI ON BEHALF OF CHI HEALTH SAINT ELIZABETH ARE REPORTED TO THE IRS. Form 990, Part VI, Line 16b JOINT VENTURE POLICY CHI HEALTH SAINT ELIZABETH 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 VI, Line 12c CONFLICT OF INTEREST POLICY b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. Notwithstanding the foregoing, at its sole discretion, an entity may reject a person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy. Form 990, Part VI, Line 1a Delegate broad authority to a committee Pursuant to Section 8.1 of the corporation's bylaws, committees, such as the Executive Committee, that are granted authority to act on behalf of the board of directors may include only directors of the corporation. Form 990, Part VI, Line 6 Classes of members or stockholders According to the organization's bylaws of Saint Elizabeth Regional Medical Center, the entity's sole corporate member is CHI Nebraska, a Nebraska non-profit corporation. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body According 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The 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 Saint Elizabeth Regional Medical Center board. * Amendment of the corporate documents of the Saint Elizabeth Regional Medical Center. *Approve removal of a member of the governing body of the Saint Elizabeth Regional Medical Center. * Adoption of long range and strategic plans for the Saint Elizabeth Regional 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 Saint Elizabeth Regional Medical Center. * Removal of a member of the governing body of the Saint Elizabeth Regional Medical Center. * Approval of issuance of debt by Saint Elizabeth Regional Medical Center. * Approval of participation of Saint Elizabeth Regional Medical Center in a joint venture. *Approval of formation of a new corporation by Saint Elizabeth Regional Medical Center. * Approval of a merger involving the Saint Elizabeth Regional Medical Center. * Approval of the sale of all or substantially all of the assets of the Saint Elizabeth Regional Medical Center. * To require the transfer of assets by the Saint Elizabeth Regional Medical Center to Commonspirit Health to accomplish Commonspirit Health'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. Form 990, Part VI, Line 11b Review of form 990 by governing body FOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW AND ARE ABLE TO ASK THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD AND FINANCE COMMITTEE, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization has a conflicts of interest ("COI") policy (the "policy") in place to maintain the integrity of its activities. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization's top management official's compensation was paid by Catholic Health Initiatives ("CHI"), a related organization. CHI had a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges were reviewed annually in comparison to market data. Catholic Health Initiatives used Korn Ferry as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Korn Ferry reviewed both cash and total compensation for overall reasonableness, for adherence to Catholic Health Initiatives' compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review was delivered by Korn Ferry to the CHI HR committee of the Board of Stewardship Trustees annually at their September meeting and minutes shared with the full board at the December meeting. The last review was September 25, 2018. In addition, Korn Ferry completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels were reviewed annually and revised based on market data, where applicable. COMPENSATION FOR THE OTHER OFFICERS OF SAINT ELIZABETH REGIONAL MEDICAL CENTER WAS ESTABLISHED BY THE CHI HEALTH CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees See Form 990, Part VI, Line 15a disclosure. Form 990, Part VI, Line 19 Required documents available to the public The 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. The organization's financial statements are included in CommonSpirit Health's consolidated audited financial statements that are available at www.catholichealthinitiatives.org. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 180927, Related or Exempt Function Revenue: , Unrelated Business Revenue: 114635, Revenue Excluded from Tax Under Sections 512, 513, or 514: 66292; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 17444825, Program Service Expense: 13955860, Management and General Expenses: 3488965, Fundraising Expenses: 0; Purchased Services - Total Expense: 10972114, Program Service Expense: 8783310, Management and General Expenses: 2188804, Fundraising Expenses: 0; Contract Labor - Total Expense: 3639820, Program Service Expense: 2911856, Management and General Expenses: 727964, Fundraising Expenses: 0; Contract Services - Total Expense: 2094275, Program Service Expense: 1675420, Management and General Expenses: 418855, Fundraising Expenses: 0; Consulting - Total Expense: 162578, Program Service Expense: 130062, Management and General Expenses: 32516, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Lincoln CK Leasing Non-Controlling Interest - -349860; Other Changes - -21452; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(c)(3) 3 ACH false ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(c)(3) 3 CHI NEBRASKA false ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CSH false APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH false Arroyo Grande Community Hospital Foundation 345 S Halcyon Rd Arroyo Grande CA 93420 203256066 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Bakersfield Memorial Hospital 420 34TH Street Bakersfield CA 93301 951802779 HOSPITAL CA 501(c)(3) 3 DCC false Barrow Neurological Foundation 350 West Thomas Road Phoenix AZ 85013 860174371 FUNDRAISING AZ 501(c)(3) 7 DH false BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3) Type I SLCHS false BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS false BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE PA 501(c)(3) Type I CSH false BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING FOUNDATION TX 501(c)(3) Type I BRHS false BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 PHYSICIANS TX 501(c)(3) 3 BRHS false BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HOSPITAL TX 501(c)(3) 3 SJSC false BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC false California Hospital Medical Center Foundation 1401 South Grand Avenue Los Angeles CA 90015 954000909 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HOSPITAL ND 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HOSPITAL CO 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HOSPITAL IA 501(c)(3) 3 CSH false CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING FOUNDATION CO 501(c)(3) 7 CHIC false CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 HEALTHCARE CO 501(c)(3) Type I CSH false CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 PHYSICIANS CO 501(c)(3) Type I CHINS false CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 SURGERY CENTER OR 501(c)(3) 10 MMC false CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 HOSPITAL KS 501(c)(3) 3 CSH false CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 FUNDRAISING FOUNDATION MN 501(c)(3) 10 CSH false CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING FOUNDATION NE 501(c)(3) 7 ACH false CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CSH false CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CSH false CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH false CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HOSPITAL GA 501(c)(3) 3 MHCS false CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS false CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CSH false CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CSH false CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CSH false CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CSH false CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(c)(3) 3 CHISVHS false CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC false CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(c)(3) 3 CHISVHS false COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA false Community Hospital of San Bernardino 1805 Medical Center Drive San Bernardino CA 92411 951643373 HOSPITAL CA 501(c)(3) 3 DCC false COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH false COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AH-CMHMV false CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 HOSPITAL KY 501(c)(3) 3 SJHS false Dignity Community Care 185 Berry Street Suite 300 San Francisco CA 94107 815009488 HOSPITAL CO 501(c)(3) 3 NA false DIGNITY HEALTH 185 BERRY STREET STE 300 SAN FRANCISCO CA 94107 941196203 HOSPITAL CA 501(c)(3) 3 CSH false Dignity Health Connected Living 200 Mercy Oaks Drive Redding CA 96003 237115371 Senior Center Services CA 501(c)(3) 7 DH false Dignity Health Foundation 185 Berry Street San Francisco CA 94107 462037641 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation - Inland Empire 2101 N Waterman Avenue San Bernardino CA 92404 237440086 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dignity Health Foundation East Valley 475 South Dobson Road Chandler AZ 85224 742418514 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false Dignity Health HPL Self-Insurance Trust 185 Berry Street San Francisco CA 94107 943006034 Self Insurance CA 501(c)(3) Type I DH false Dignity Health Insurance Nevada Ltd 185 Berry Street San Francisco NV 94107 813800752 Self Insurance NV 501(c)(3) Type I DH false Dignity Health Medical Foundation 3400 Data Drive Rancho Cordova CA 95670 680220314 MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC CA 501(c)(3) Type I DCC false Dignity Health Workers Comp Self-Insurance Trust 185 Berry Street San Francisco CA 94107 946612446 Self Insurance CA 501(c)(3) Type I DH false Dominican Health Services 1555 Soquel Drive Santa Cruz CA 95065 770056778 Community Health System CA 501(c)(3) Type I DH false Dominican Hospital Foundation 1555 Soquel Drive Santa Cruz CA 95065 942450442 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Dominican Oaks Corporation 1555 Soquel Drive Santa Cruz CA 95065 770127719 Operation and management of housing complex to elderly persons CA 501(c)(3) 10 DHS false East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I SLHS false ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HOSPITAL WA 501(c)(3) 3 FHS false FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HOSPITAL KY 501(c)(3) 3 KOH false FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING FOUNDATION KY 501(c)(3) Type I FH false FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC false FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING FOUNDATION WA 501(c)(3) 10 FHS false FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HOSPITAL WA 501(c)(3) 3 CSH false FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3) 10 CSH false FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS false FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CSH false French Hospital Medical Center Foundation 1911 Johnson Avenue San Luis Obispo CA 93401 203256125 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HOSPITAL ND 501(c)(3) 3 SAMC false Glendale Memorial Health Foundation 1420 South Central Avenue Glendale CA 91204 953625651 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CSH false GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH false GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING FOUNDATION OH 501(c)(3) Type I GSH false GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING FOUNDATION NE 501(c)(3) 7 GSH false HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HOSPITAL WA 501(c)(3) 3 FHS false HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING FOUNDATION WA 501(c)(3) 7 HMC false HEALTH FOUNDATION OF KENTUCKYONE INC 1451 HARRODSBURG RD STE D-308 LEXINGTON KY 40504 832170324 FUNDRAISING FOUNDATION KY 501(c)(3) Type II KOH false HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING FOUNDATION MN 501(c)(3) Type I SFMC false HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HOSPITAL WA 501(c)(3) 3 FHS false HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP false JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HOSPITAL KY 501(c)(3) 3 KOH false KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH false KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CSH false LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HOSPITAL MN 501(c)(3) 3 CSH false LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING FOUNDATION ND 501(c)(3) 7 LHC false LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC false LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HOSPITAL ND 501(c)(3) 3 CSH false LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET false MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HOSPITAL TX 501(c)(3) 3 SJSC false MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC false Marian Regional Medical Center Foundation 1400 E Church Street Santa Maria CA 93454 953818027 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false Mark Twain Medical Center 768 Mountain Ranch Road San Andreas CA 95249 680127677 HOSPITAL CA 501(c)(3) 3 NA false MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING FOUNDATION TN 501(c)(3) 7 MHCS false MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HOSPITAL TN 501(c)(3) 3 CSH false MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS false MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HOSPITAL TX 501(c)(3) 3 SLHS false MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HOSPITAL TX 501(c)(3) 3 MHSET false MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET false MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HOSPITAL TX 501(c)(3) 3 MHSET false MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA false MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP false MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP false Mercy Foundation Bakersfield PO Box 119 Bakersfield CA 93302 770201321 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING FOUNDATION IA 501(c)(3) 7 CHI-IA CORP false MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING FOUNDATION OR 501(c)(3) 7 MMC false MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHMH-Corning false MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING FOUNDATION ND 501(c)(3) Type I MHVC false MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING FOUNDATION IA 501(c)(3) Type I AHBMHS false MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HOSPITAL ND 501(c)(3) 3 CSH false MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING FOUNDATION ND 501(c)(3) 7 MHDL false MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HOSPITAL ND 501(c)(3) 3 CSH false Mercy McMahon Terrace 3865 J Street Sacramento CA 95816 680117340 Senior Citizen's Housing/Retirement Communities CA 501(c)(3) 10 DCC false MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HOSPITAL ND 501(c)(3) 3 CSH false MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton IA 50314 421470935 HOSPITAL IA 501(c)(3) 3 CHI-IA CORP false Mercy Medical Center Merced Foundation 301 E 13th Street Merced CA 95340 770035928 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HOSPITAL OR 501(c)(3) 3 CSH false MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING FOUNDATION ND 501(c)(3) Type I MMC false NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false Northland Healthcare Alliance 2223 East Rosser Avenue Bismarck ND 58501 911845296 MANAGEMENT ND 501(c)(3) 7 NCHA false Northridge Hospital Foundation 18300 Roscoe Blvd Northridge CA 91328 237444901 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DCC false OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HOSPITAL ND 501(c)(3) 3 CSH false OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING FOUNDATION ND 501(c)(3) Type I OCH false Pacific Central Coast Health Centers 1400 E Church Street Santa Maria CA 93454 770447575 Clinic CA 501(c)(3) 3 DH false PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET false Port City Operating Company LLC 3400 Data Drive Rancho Cordova CA 95670 465322209 HOSPITAL CA 501(c)(3) 3 DH false PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC false PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC false PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC false PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC false REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 Sylvester Road SW Burien WA 98166 911170040 HOSPITAL WA 501(c)(3) 3 FHS false SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 Senior Center Services CO 501(c)(3) 7 CHIC false SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS false SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING FOUNDATION NJ 501(c)(3) 7 SCHS false SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CSH false SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 3 SCHS false SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING FOUNDATION NE 501(c)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HOSPITAL NE 501(c)(3) 3 SERMC true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING FOUNDATION NE 501(c)(3) 7 SFMC false Saint Francis Memorial Hospital 900 Hyde Street San Francisco CA 94109 941156295 HOSPITAL CA 501(c)(3) 3 DCC false SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HOSPITAL KY 501(c)(3) 3 KOH false SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON KY 40504 611159649 FUNDRAISING FOUNDATION KY 501(c)(3) Type I SJHS false SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING FOUNDATION KY 501(c)(3) 7 SJHS false SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON ND 58601 363418207 FUNDRAISING FOUNDATION ND 501(c)(3) Type I SJHHC false San Gabriel Valley Medical Center Foundation 438 West Las Tunas Drive San Gabriel CA 91776 953430341 INACTIVE CA 501(c)(3) Type I DH false SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING FOUNDATION NE 501(c)(3) Type I AHMHS false Sierra Nevada Memorial-Miners Hospital 155 Glasson Way Grass Valley CA 95945 941439787 HOSPITAL CA 501(c)(3) 3 DCC false SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HOSPITAL MO 501(c)(3) 3 CSH false St Francis Foundation of Santa Barbara 2323 De La Vina St Suite 104 Santa Barbara CA 93105 237137119 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Francis Hospital Support Corporation 601 E Micheltorena Street Santa Barbara CA 93103 770022302 INACTIVE CA 501(c)(3) Type I DH false St Johns Healthcare Foundation 1600 North Rose Avenue Oxnard CA 93030 202865781 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Josephs Foundation (Phoenix) 350 West Thomas Road Phoenix AZ 85013 942941245 FUNDRAISING FOUNDATION AZ 501(c)(3) Type I DH false St Josephs Foundation of San Joaquin 1800 N California Street Stockton CA 95204 510432777 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Mary Medical Center Foundation 1050 Linden Avenue Long Beach CA 90813 237153876 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Mary Professional Building Inc 1050 Linden Avenue Long Beach CA 90813 237373088 INACTIVE CA 501(c)(3) Type I DH false St Marys Medical Center Foundation 450 Stanyan Street San Francisco CA 94117 943336143 FUNDRAISING FOUNDATION CA 501(c)(3) Type I DH false St Rose Dominican Health Foundation 3001 St Rose Parkway Henderson NV 89052 880349432 FUNDRAISING FOUNDATION NV 501(c)(3) Type I DH false ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HOSPITAL ND 501(c)(3) 3 CSH false ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON OR 97801 930391614 HOSPITAL OR 501(c)(3) 3 CSH false ST ANTHONY HOSPITAL FOUNDATION 2801 St Anthony Way PENDLETON OR 97801 930992727 FUNDRAISING FOUNDATION OR 501(c)(3) Type I SAH false ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HOSPITAL AR 501(c)(3) 3 SVIMC false ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HOSPITAL KS 501(c)(3) 3 CSH false ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING FOUNDATION KS 501(c)(3) Type I SCH false ST CLARE COMMONS 12469 Five Point Road TOLEDO OH 43551 270163752 LIVING COMM OH 501(c)(3) 10 FLC false ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 501(c)(4) CSH false ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3) 10 CSH false ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3) 10 SCHS false ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HOSPITAL MN 501(c)(3) 3 CSH false ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING FOUNDATION TX 501(c)(3) Type II SJSC false ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3) 10 SJSC false ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HOSPITAL MD 501(c)(3) 3 CSH false ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIANS TX 501(c)(3) 3 SJSC false ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3) Type I SJMC false ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HOSPITAL TX 501(c)(3) 3 SJSC false ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HOSPITAL TX 501(c)(3) 3 SJSC false ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3) 10 SJSC false ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3) Type I SLHS false ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HOSPITAL MN 501(c)(3) 3 CSH false ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 Fairway St DICKINSON ND 58601 450226429 HOSPITAL ND 501(c)(3) 3 CSH false ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3) 10 FLC false ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HOSPITAL TX 501(c)(3) 3 SLHS false ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HOSPITAL TX 501(c)(3) 3 SLHS false ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HOSPITAL TX 501(c)(3) 3 SLHS false ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HOSPITAL TX 501(c)(3) 3 SLHS false ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING FOUNDATION TX 501(c)(3) 7 SLHS false ST LUKE'S HEALTH SYSTEM CORPORATION PO Box 20269 HOUSTON TX 77225 760536232 MANAGEMENT TX 501(c)(3) Type I CSH false ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HOSPITAL TX 501(c)(3) 3 SLHS false ST LUKE'S PROPERTIES CORPORATION 1213 Hermann Drive Ste 855 HOUSTON TX 77004 760531716 PROPERTY MGMT TX 501(c)(3) Type I SLHS false ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(c)(3) Type I SLCDC-SL false ST MARY'S COMMUNITY HOSPITAL 1301 Grundman Boulevard NEBRASKA CITY NE 68410 470443636 HOSPITAL NE 501(c)(3) 3 CHI NEBRASKA false ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING FOUNDATION NE 501(c)(3) 7 SMCH false ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING FOUNDATION AR 501(c)(3) Type I SVIMC false ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HOSPITAL AR 501(c)(3) 3 CSH false ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 HEALTHCARE AR 501(c)(3) 10 SVIMC false SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 341412964 HEALTHCARE OH 501(c)(3) Type I CSH false SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 455357161 FUNDRAISING FOUNDATION OH 501(c)(3) Type I FLC false THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSIST LIVING OH 501(c)(3) 10 FLC false THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HOSPITAL TX 501(c)(3) 3 SLHS false THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 310537486 HOSPITAL OH 501(c)(3) 3 CSH false THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 501(c)(3) Type I CHI NEBRASKA false TOTAL HEALTHCARE 9100 E Mineral Circle Centennial CO 80112 840927232 HOSPITAL CO 501(c)(3) 3 CHIC false TRINITY HEALTH FOUNDATION 380 SUMMIT AVENUE STEUBENVILLE OH 43952 311329423 FUNDRAISING FOUNDATION OH 501(c)(3) Type I THS false TRINITY HEALTH SYSTEM 380 SUMMIT AVENUE STEUBENVILLE OH 43952 341818681 HEALTHCARE OH 501(c)(3) Type I NA false TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HOSPITAL OH 501(c)(3) 3 SFH false TRI-STATE HEALTH SERVICES INC ONE ROSS PARK BLVD STEUBENVILLE OH 43952 341522484 ASSIST LIVING OH 501(c)(3) 7 THS false UNITY FAMILY HEALTHCARE 815 SE 2ND ST LITTLE FALLS MN 56345 410721642 HOSPITAL MN 501(c)(3) 3 CSH false VILLA NAZARETH INC 801 PAGE DR FARGO ND 58103 450226714 LTERM CARE ND 501(c)(3) 10 CSH false VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA NJ 07871 221768334 HOME HEALTH NJ 501(c)(3) 10 SCHS false AGH Phoenix LLC 220 E Las Colinas Blvd Suite 1000 Irving TX 75039 471584330 Holding Company AZ NA N/A false false American Mercy Home Care LLC 1700 EDISON DR MILFORD OH 45150 830486150 HOME HEALTH OH NA N/A false false Arizona Care Network LLC (ACN LLC) 350 W Thomas Rd Phoenix AZ 85013 454494682 Care Network AZ NA N/A false false Audubon Land Company LLC 630 Southpointe Court 200 COLORADO SPRINGS CO 80906 841513085 Real Estate CO NA N/A false false AVON EMERGENCY AND URGENT CARE CENTER LLC 9100 E Mineral Circle Centennial CO 80112 811727282 HEALTHCARE SRVC CO NA N/A false false BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 Fannin St Ste 1100 HOUSTON TX 77030 472079184 HEALTHCARE SRVC TX NA N/A false false BERGAN MERCY SURGERY CENTER LLC 7710 Mercy Rd Ste 200 OMAHA NE 68124 208671994 AMBUL SURG CTR NE NA N/A false false BERYWOOD OFFICE PROPERTIES LLC 2501 Citico Avenue CHATTANOGA TN 37404 621875199 PHYS OFFICE TN NA N/A false false BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY STE 310 LEXINGTON KY 40504 611386736 DIAGNOSTIC IMAGING KY NA N/A false false CBCC Outsmarting Cancer LLC 6501 Truxtun Avenue Bakersfield CA 93309 461602286 Radiation / Oncology including Cyberknife CA NA N/A false false CENTRAL NEBRASKA REHABILITATION SERVICES LLC 3004 W FAIDLEY AVENUE GRAND ISLAND NE 68803 810653461 Physical Therapy NE NA N/A false false CENTURA-SCA HOLDINGS LLC 569 BROOK VILLAGE STE 901 BIRMINGHAM AL 35209 474823023 OP SURGERY CENTER AL NA N/A false false CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470727942 INVESTMENTS CO NA N/A false false CHICAMSURG Surgery Centers LLC 1A Burton Hills Blvd Nashville TN 37215 465683027 SURGERY CENTER CO NA N/A false false CHICLARKIN VENTURES LLC 9100 E Mineral Circle Centennial CO 80112 474210888 URGENT CARE CO NA N/A false false Colorado Springs CK Leasing LLC 630 Southpointe Court 200 COLORADO SPRINGS CO 80906 262982714 REAL ESTATE CO NA N/A false false Community Mercy Home Care Services of Springfield LLC 1700 EDISON DR MILFORD OH 45150 311746556 HOME HEALTH OH NA N/A false false DE JV LLC 8686 New Trails Drive The Woodlands TX 77381 320496548 Emergency Care NV NA N/A false false DHHP Surgery Centers LLC 1513 S Grand Avenue Ste 350 Los Angeles CA 90015 831847466 SURGERY CA NA N/A false false DHRT Holdings LLC 185 Berry Street Suite 300 San Francisco CA 94107 352484591 Holding Company DE NA N/A false false Dignity- GoHealthUrgent Care Management LLC 5555 Glenridge Connector Suite 700 Atlanta GA 30342 352548698 Management Services DE NA N/A false false Dignity Health at Home LLC 1700 EDISON DR MILFORD OH 45150 824674115 HEALTHCARE SRVC DE NA N/A false false Dignity Health Specialty Pharmacy LLC 185 Berry Street Suite 300 San Francisco CA 94107 320589462 Specialty Pharmacy Services DE NA N/A false false DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC 15305 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 202999237 Surgery TX NA N/A false false DignityUSP NorCal Surgery Centers LLC 15306 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 202468509 SURGERY TX NA N/A false false DIGNITYUSP PHOENIX SURGERY CENTERS LLC 15307 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 134248908 Surgery TX NA N/A false false DignityUSPJohn Muir East Bay Surg Ctrs LLC 15308 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 352584991 SURGERY TX NA N/A false false Dignity-Abrazo Health Network LLC 3030 N Central Avenue Suite 1402 Phoenix AZ 85012 465477985 Management Services AZ NA N/A false false Dominican Magnetic Resonance Imaging Center 1545 Soquel Drive Santa Cruz CA 94065 770095477 Imaging Center CA NA N/A false false Folsom Sierra Endoscopy Center LP 1650 Creekside Drive 1600 Folsom CA 95630 680482416 Endoscopy CA NA N/A false false Franciscan Medical Pavilion Bonney Lake LLC 6622 Wollochet Dr NW Gig Harbor WA 98335 463494108 Real Estate WA NA N/A false false FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 813725123 HEALTHCARE SRVC WA NA N/A false false Good Samaritan Home Care Services of Vincenne IN LLC 1700 EDISON DR MILFORD OH 45150 201792869 HOME HEALTH OH NA N/A false false HC SL VINTAGE I LLC 18000 W SARAH LANE STE 250 BROOKFIELD WI 53045 270453767 PROPERTY HOLDING WI NA N/A false false HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND NE 68802 721546196 LAUNDRY NE NA N/A false false Heartland Oncology LLC 2337 E Crawford St Salina KS 67401 464265403 ONCOLOGY KS NA N/A false false Highline Physical Therapy Group 181 S 333rd Street STE 250 Federal Way WA 98003 911431904 Physical Therapy WA NA N/A false false LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA NE 68130 204267902 AMBUL SURG CTR NE NA N/A false false LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ STE 201 OMAHA NE 68130 205544496 ENDOSCOPY SRVC NE NA N/A false false LINCOLN CK LEASING LLC 555 SOUTH 70TH STREET Lincoln NE 68510 262496856 Real Estate NE SERMC Related 812108 301911 false true 0.5376 Mercy Davis Cancer Center Management Co LLC 2740 M Street Merced CA 95340 943358445 Management of Cancer Center CA NA N/A false false Mercy Rehabilitation Hospital LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 814437201 HEALTHCARE SRVC TX NA N/A false false Military Road Properties LLC 181 S 333rd Street STE 250 Federal Way WA 98003 912067879 Real Estate WA NA N/A false false NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND ST STE 20300 OMAHA NE 68122 270263191 SPINE HOSPITAL NE NA N/A false false NICU Operating CO of Santa Cruz LLC 1555 Soquel Drive Santa Cruz CA 95065 460502935 Neonatal Healthcare CA NA N/A false false NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVE SHERWOOD AR 72120 710799771 AMBUL SURG CTR AR NA N/A false false NSC Channel Islands LLC 3000 Riverchase Galleria Suite 500 Birmingham AL 35244 770418197 Ambulatory surgical center CA NA N/A false false OMG Arizona LLC 130 Sutter Street 2nd Flr San Francisco CA 94104 471708588 Medical Office AZ NA N/A false false ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD CO 80228 371577105 ORTHO HOSPITAL CO NA N/A false false Park Rapids Area Health Care 600 Pleasant Avenue S Park Rapids MN 56470 204926259 HEALTHCARE SRVC MN NA N/A false false Pasadena Urgency Center LLC 4600 E SAM HOUSTON PKWY SOUTH PASADENA TX 77505 812482854 URGENT CARE TX NA N/A false false Patient Transport Services of Columbus Inc 1700 EDISON DR MILFORD OH 45150 264601285 Ambulance OH NA N/A false false PENINSULA RADIATION ONCOLOGY LLC 314 MLK JR WAY STE 11 TACOMA WA 98405 870808610 HEALTHCARE SRVC WA NA N/A false false Penrad Imaging LLC 1390 Kelly Johnson Blvd COLORADO SPRINGS CO 80920 841072619 Medical Imaging CO NA N/A false false Performance Medical Equipment & Respiratory Svsc LLC 19625 62nd Avenue South STE 101 Kent WA 98032 452901632 Holding Company WA NA N/A false false Plaza Surgery Center LP 525 E Plaza Drive Suite 100 Santa Maria CA 93454 770573567 Surgery CA NA N/A false false PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON TX 77002 273280598 HOSPITAL TX NA N/A false false Precision Medicine Alliance LLC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 352569159 Diagnostic Services CO NA N/A false false Pueblo Ambulatory Surgery Center LLC 25 Montebello Rd Pueblo CO 81003 621488737 SURGERY CENTER CO NA N/A false false Radiation Oncology Centers of Ventura County 1700 N ROSE AVENUE SUITE 120 OXNARD CA 93030 770191706 IMAGING CA NA N/A false false RBR Management LLC 91 Corporate Park Drive Suite 120 Henderson NV 89074 271466450 Ambulance NV NA N/A false false Reid-ANC Home Care Services LLC 1700 EDISON DR MILFORD OH 45150 371454747 HOME HEALTH IN NA N/A false false SAINT JOSEPH - SCA HOLDINGS LLC 1451 Harrodsburg RD LEXINGTON KY 40503 453801157 OP SURGERY DE NA N/A false false SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD OH 45150 263330545 HOME HEALTH KY NA N/A false false Santa Cruz Comprehensive Imaging LLC 1661 Soquel Drive Suite G Santa Cruz CA 95065 010550623 Imaging CA NA N/A false false Santa Cruz Land & Building LP 1555 Soquel Drive Santa Cruz CA 95065 770285236 REAL ESTATE CA NA N/A false false Santa Cruz Surgery Center LLC 3003 PAUL SWEET ROAD SANTA CRUZ CA 95065 770194916 SURGERY CA NA N/A false false SMI Imaging LLC 6740 E Camelback Road Suite 101 Scottsdale AZ 85251 264000683 Imaging Center CA NA N/A false false Southeastern Home Care LLC 1700 EDISON DR MILFORD OH 45150 271219638 HOME HEALTH OH NA N/A false false St Joseph's Surgery Center LP 15305 Dallas Parkway Suite 1600 LB 28 Addison TX 75001 201019390 Surgery TX NA N/A false false St Elizabeth Home Care Services LLC 1700 EDISON DR MILFORD OH 45150 261236191 HOME HEALTH KY NA N/A false false ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO NA N/A false false ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTICS TX NA N/A false false ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX NA N/A false false ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON TX 77030 462795726 DIAGNOSTICS TX NA N/A false false Templeton Surgery Center LLC 1310 Las Tablas Road Suite 104 Templeton CA 94365 202246616 Surgery CA NA N/A false false The Medical Pavilion at St John's 1700 Rose Avenue Oxnard CA 93030 770332349 Real Estate CA NA N/A false false THREE SPRING IMAGING LLC 1 Mercado St STE 200A DURANGO CO 81301 813571570 HEALTHCARE SRVC CO NA N/A false false Valley Physicians Surgery Center At Northridge LLC 18330 Roscoe Blvd Northridge CA 91328 800864336 Surgery CA NA N/A false false WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVENUE STE 100 CLIVE IA 50325 205345295 HEALTHCARE SRVC IA NA N/A false false Alegent HealthCreighton St Joseph Managed Care Services Inc 12809 West Dodge Rd Omaha NE 68154 470802396 Managed Care NE NA C Corporation false All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980556913 Insurance CJ NA C Corporation false ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 Healthcare TX NA C Corporation false Alternative Insurance Management Service Inc 3900 OLYMPIC BLVD STE 400 Erlanger KY 41018 841112049 Management Services CO NA C Corporation false AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH NA C Corporation false AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH NA C Corporation false BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 Fitness Club KY NA C Corporation false BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 Health Care TX NA C Corporation false Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga TN 37411 621570736 Healthcare TN NA C Corporation false Captive Management Initiatives Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980663022 Captive Management CJ NA C Corporation false Catholic Health Initiatives Center for Translational Research 198 INVERNESS DRIVE WEST Englewood CO 80112 272269511 Research CO NA C Corporation false CHI St Luke's Health - Memorial Condominium Association Inc 1201 W Frank Ave Lufkin TX 75904 834184717 Condo Assoc TX NA C Corporation false ClearRiver Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464495960 Insurance TN NA C Corporation false Coastal Surgical Specialists Inc 921 Oak Park Blvd Suite 101 Pismo Beach CA 93449 743000596 Healthcare CA NA S Corporation false Comcare Services Inc 5570 DTC Parkway Englewood CO 80111 840904813 Inactive CO NA C Corporation false CONSOLIDATED HEALTH SERVICES 1700 EDISON DR MILFORD OH 45150 311378212 HOME HEALTH OH NA C Corporation false Des Moines Medical Center Inc 1111 6TH AVE Des Moines IA 50314 420837382 Real Estate IA NA C Corporation false Dignity Health Holding Corporation 185 Berry Street Suite 300 San Francisco CA 94107 460675371 Holding Co NV NA C Corporation false Dignity Health Insurance Ltd (Cayman Island corporation) PO Box 1051 KY1-1102 Grand Cayman Islands GRAND CAYMAN CJ KY11001 981065338 Insurance CJ NA C Corporation false Dignity Health Provider Resources Inc 185 Berry Street Suite 300 San Francisco CA 94107 473366764 Health Plan CA NA C Corporation false Diversified Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Health Care TX NA C Corporation false First Initiatives Insurance LTD PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980203038 Insurance CJ NA C Corporation false Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car e C/O CPGUSA 1345 AVE OF THE AMERICAS NEW YORK NY 10105 812174959 Healthcare NY NA C Corporation false Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 232487967 Healthcare CO NA C Corporation false Good Samaritan Outreach Services PO Box 1990 Kearney NE 68848 470659440 Medical Clinic NE NA C Corporation false HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY WA 98001 473451750 Insurance WA NA C Corporation false Health Services of the Pacific Central Coast Inc 1400 E Church Street Santa Maria CA 93454 770074057 Healthcare CA NA C Corporation false Health Systems Enterprises Inc PO BOX 1990 Kearney NE 68848 470664558 MGMT NE NA C Corporation false Healthcare MGMT Services Organization INC 1149 MARKET ST Tacoma WA 98402 911865474 Health Org. WA NA C Corporation false HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464368223 Insurance NE NA C Corporation false Highline Medical Group 1717 S J Street Tacoma WA 98405 911407026 Medical Services WA NA C Corporation false Integrated Medical Services 9250 N 3rd Street Suite 4010 Phoenix AZ 85020 860783428 Multi-specialty physicians group AZ NA C Corporation false KOMG-Louisville Region Inc 201 Abraham Flexner Way Louisville KY 40202 832481198 Healthcare KY NA C Corporation false Management Services Organization of Santa Maria Inc 1400 E Church Street Santa Maria CA 93454 770318135 Health Care Mgmt CA NA C Corporation false Medical Office Building Horizontal Property Regime Inc 300 Werner St Hot Springs AR 71913 710720429 Real Estate AR NA C Corporation false Medquest 1301 15TH AVENUE WEST Williston ND 58801 450392137 Sale of DME ND NA C Corporation false Memorial CV Service Line Management Company LLC 1201 W Frank Ave Lufkin TX 75904 463622849 Heath Care TX NA C Corporation false Mercy Park Apartments LTD 1111 6th AVE Des Moines IA 50314 421202422 Housing IA NA C Corporation false Mercy Services Corp 2700 STEWART PARKWAY Roseburg OR 97471 930824308 Retail Sales OR NA C Corporation false MHI Clinical Services 1201 W Frank Ave Lufkin TX 75904 461967952 Healthcare TX NA C Corporation false Millenium Surgery Center Inc 9300 Stockdale Hwy 200 Bakersfield CA 93311 770513445 Healthcare CA NA S Corporation false Mountain Management Services Inc 6028 Shallowford Rd Chattanooga TN 37421 621570739 MGMT SVC ORG TN NA C Corporation false North Central Health Care Alliance PO Box 5538 Bismark ND 58506 450439894 Healthcare ND NA C Corporation false PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH NA C Corporation false QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710794605 Insurance AR NA C Corporation false QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 Insurance WA NA C Corporation false QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461224037 Admin Services CO NA C Corporation false QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461222808 Holding Co CO NA C Corporation false QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 274075520 Holding Co AR NA C Corporation false QualChoice Life and Health Insurance Company Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710386640 Insurance AR NA C Corporation false QualChoice of Nebraska 2401 S 73rd St Omaha NE 68124 810738827 Inactive NE NA C Corporation false RiverLink Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464380824 Insurance OH NA C Corporation false RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464828332 Insurance KY NA C Corporation false Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 Pharmacy OH NA C Corporation false RUSHWINC Properties Inc 25124 Springfield Court Suite 200 Valencia CA 91355 753160650 Lease negotiations GA NA C Corporation false Saint Clare's Primary Care Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 222441202 Billing Services NJ NA C Corporation false SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood CO 80112 232307408 Healthcare CO NA C Corporation false SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington KY 40503 270164198 Mgmt KY NA C Corporation false SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way WA 98001 421720801 Insurance WA NA C Corporation false St Mary Health Ventures Inc 1050 Linden Avenue Long Beach CA 90813 951912528 Retail Pharmacy CA NA C Corporation false St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR NA C Corporation false St Joseph Development Company Inc 1717 SOUTH J ST Tacoma WA 98405 911480569 Rental WA NA C Corporation false St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston TX 77030 760637138 Holding Co TX NA C Corporation false St Mary's Multi Specialty Clinic 1625 Prater Way Suite 102 Sparks NV 89434 113763590 Healthcare NV NA C Corporation false St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock AR 72205 710710785 Healthcare AR NA C Corporation false StableView Health Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464373713 Insurance KY NA C Corporation false STE Holdings 12809 West Dodge Rd Omaha NE 68154 822383629 Holding Co NE SERMC C Corporation 936428 3048312 1 true Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land TX 77478 454270163 Medical Clinic TX NA C Corporation false Towson Management Inc 7601 OSLER DR Towson MD 21204 521710750 Mgmt Services MD NA C Corporation false TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 Mgmt Services OH NA C Corporation false US HealthWorks Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582420844 Occupational Medical Services CA NA C Corporation false US HealthWorks Medical Group of Alaska LLC 25124 Springfield Court Suite 200 Valencia CA 91355 631219117 Occupational Medical Services AK NA C Corporation false US HealthWorks Medical Group of Arizona Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582625710 Occupational Medical Services AZ NA C Corporation false US HealthWorks Medical Group of Florida Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582654983 Occupational Medical Services FL NA C Corporation false US HealthWorks Medical Group of Georgia Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582625714 Occupational Medical Services GA NA C Corporation false US HealthWorks Medical Group of Kentucky Inc 25124 Springfield Court Suite 200 Valencia CA 91355 473277440 Occupational Medical Services KY NA C Corporation false US HealthWorks Medical Group of Maine Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582654976 Occupational Medical Services ME NA C Corporation false US HealthWorks Medical Group of Ohio Inc 25124 Springfield Court Suite 200 Valencia CA 91355 311540841 Occupational Medical Services OH NA C Corporation false US HealthWorks of Colorado Inc 25124 Springfield Court Suite 200 Valencia CA 91355 811053593 Occupational Medical Services CO NA C Corporation false US HealthWorks of Illinois Inc 25124 Springfield Court Suite 200 Valencia CA 91355 461384805 Occupational Medical Services IL NA C Corporation false US HealthWorks of Indiana Inc 25124 Springfield Court Suite 200 Valencia CA 91355 351991196 Occupational Medical Services IN NA C Corporation false US HealthWorks of Kansas City Inc 25124 Springfield Court Suite 200 Valencia CA 91355 462754415 Occupational Medical Services KS NA C Corporation false US HealthWorks of Minnesota Inc 25124 Springfield Court Suite 200 Valencia CA 91355 452494357 Occupational Medical Services MN NA C Corporation false US HealthWorks of New Jersey Inc 25124 Springfield Court Suite 200 Valencia CA 91355 043323869 Occupational Medical Services NJ NA C Corporation false US HealthWorks of North Carolina Inc 25124 Springfield Court Suite 200 Valencia CA 91355 562029468 Occupational Medical Services NC NA C Corporation false US HealthWorks of Pennsylvania Inc 25124 Springfield Court Suite 200 Valencia CA 91355 582660955 Occupational Medical Services PA NA C Corporation false US HealthWorks of Tennessee Inc 25124 Springfield Court Suite 200 Valencia CA 91355 452697510 Occupational Medical Services TN NA C Corporation false US HealthWorks of Washington Inc 25124 Springfield Court Suite 200 Valencia CA 91355 911173613 Occupational Medical Services WA NA C Corporation false US HealthWorks of Wisconsin Inc 25124 Springfield Court Suite 200 Valencia CA 91355 461384564 Occupational Medical Services WI NA C Corporation false USHW Holding Corporation 25124 Springfield Court Suite 200 Valencia CA 91355 208050895 Occupational Medical Services DE NA C Corporation false USHW of California Inc 25124 Springfield Court Suite 200 Valencia CA 91355 954585828 Occupational Medical Services CA NA C Corporation false USHW of Texas Inc 25124 Springfield Court Suite 200 Valencia CA 91355 742785392 Occupational Medical Services TX NA C Corporation false false false true false false false false false false true false false true true true true false false true SAINT ELIZABETH FOUNDATION C 909706 BOOK