2019-05-13T10:00:38-05:00 2018-06-30 470617373 CATHOLIC HEALTH INITIATIVES 12809 WEST DODGE ROAD OMAHA NE 68154 990 2017-07-01 470484764 Alegent Health-Bergan Mercy Health System ALEG 4023434323 7500 MERCY ROAD OMAHA NE 68124 Jeanette Wojtalewicz CFO 2019-05-13 true ANGELA NOEL P01051055 4023434413 2017 2019-02-21 02:37:17Z Cliff A Robertson 12809 WEST DODGE ROAD OMAHA NE 68154 706302585 false X www.chihealth.com X 1961 NE THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. THE ORGANIZATION WAS, FOR THE YEAR ENDED 6/30/18, AFFILIATED WITH CATHOLIC HEALTH INITIATIVES ("CHI"). FOLLOWING THE CLOSE OF THE 6/30/2018 TAX YEAR, ON 2/1/19, IN CONNECTION WITH THE ALIGNMENT OF THE CATHOLIC MINISTRIES OF CHI AND DIGNITY HEALTH, CHI CHANGED ITS NAME TO COMMONSPIRIT HEALTH. 16 10 3871 350 2166537 789282 5238209 5311947 696315634 672489381 17250446 11964355 8847571 5925426 727651860 695691109 117150825 92896112 0 188172095 181902854 0 0 398848122 360423895 704171042 635222861 23480818 60468248 1050098343 1068516788 288799688 251515475 761298655 817001313 X THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. false false 86158322 14961067 107423939 Alegent Health-BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS Offer patients THE MOST COMFORTABLE AND COMPREHENSIVE operating room SERVICES. 60869570 16797048 120606708 BERGAN MERCY MEDICAL CENTER IS EQUIPPED WITH THE LATEST TECHNOLOGIES IN THE DIAGNOSTIC CENTER. THE CENTER IS COMPLETELY DIGITAL SO PATIENTS ARE NEVER WAITING ON FILMS. FEMALE PATIENTS CAN COUNT ON EXPERT IMAGING TESTS INCLUDING ULTRASOUND, BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND DIGITAL MAMMOGRAPHY. THERE ARE A WIDE RANGE OF AVAILABLE TESTS AT THE DIAGNOSTIC CENTER THAT INCLUDE THE FOLLOWING: DIGITAL MAMMOGRAPHY, MRI AND OPEN MRI, CT, PET CT AND CARDIAC CT, 64-SLICE CT, FLUOROSCOPY, PULMONARY FUNCTION TESTING, ULTRASOUND, CARDIOVASCULAR IMAGING, PHLEMBOTOMY, NUCLEAR MEDICINE, DIGITAL IMAGING, EEG, EKG AND EMG, STRESS TESTING AND ARTERIOGRAM. 30195322 7335385 52669769 BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS OFFER A WIDE RANGE OF CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM PROVIDES A COMPREHENSIVE RANGE OF CARDIAC SERVICES, INCLUDING BUT NOT LIMITED TO: VASCULAR AND CARDIAC SURGERY, HEART SCANS AND HEART CHECKS, CARDIAC REHABILITATION, VASCULAR ULTRASOUND, NUCLEAR STRESS TESTS, DUAL SOURCE CT SCANNER AND ANGIOPLASTY. IN 2006, MERCY HOSPITAL OPENED A NEW STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB, ALLOWING PHYSICIANS TO PERFORM PROCEDURES SUCH AS HEART CATHETERIZATIONS, CORONARY INTERVENTIONS INCLUDING BALLOON ANGIOPLASTY AND STENTING, AS WELL AS IMPLANTATION OF PACEMAKERS AND DEFIBRILLATORS. 434745562 53802612 386315260 BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS PROVIDE A LARGE RANGE OF HOSPITAL SERVICES INCLUDING BUT NOT LIMITED TO: EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS. 434745562 53802612 386315260 611968776 true true false true false false false false true true true false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false false true true false false false true 0 0 3871 true true true false false false false false true false false false X 16 10 false false false false true true true true true false false true true true true true true true true false X JEANETTE WOJTALEWICZ 4023434671 12809 WEST DODGE ROAD OMAHA NE 68154 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 11.0 X X 0 0 0 ROBERT LANIK VICE CHAIR 1.0 11.0 X X 0 5552 0 CLIFF ROBERTSON MD Board Member/CEO CHI Health 5.0 55.0 X X 0 1894789 178116 NATHANIEL BRACKETT MD BOARD MEMBER/PHYSICIAN 1.0 59.0 X 0 0 0 GREGORY HEIDRICK MD Board Member 1.0 11.0 X 0 0 0 Sister Nadine Heimann Board Member 1.0 11.0 X 0 0 0 SUSANNE L HRUZA MD BOARD MEMBER 1.0 11.0 X 0 0 0 Anthony Jones BOARD MEMBER 1.0 59.0 X 0 0 0 AMY L MCGAHA md BOARD MEMBER 1.0 59.0 X 0 281768 18715 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 11.0 X 0 0 0 Bill T Yates Board Member 1.0 11.0 X 0 0 0 JASON KRUGER MD BOARD MEMBER 1.0 59.0 X 0 354358 36032 JENNIFER BEATY MD BOARD MEMBER 1.0 11.0 X 0 0 0 MARIE KNEDLER PRESIDENT 55.0 5.0 X 0 517374 26414 KEVIN NOKELS President CUMC 55.0 5.0 X 0 496199 69175 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 8.0 52.0 X 0 814598 88953 THOMAS BAKER RN-NURSE PRACTITIONER 50.0 0 X 172601 2100 11750 MARY MCNITT CHIEF NURSING EXECUTIVE 50.0 0.0 X 191100 0 35513 Tressa Myers Supervisor - Nursing 50.0 0.0 X 164529 0 31891 KEVIN SCHWEDHELM VP-PATIENT CARE SERVICES 50.0 0 X 183429 0 23317 MATTHEW WALTERS SENIOR MEDICAL PHYSICIST 50.0 0.0 X 221369 1301 14106 JOSEPH HOAGBIN MD FORMER KEY EMPLOYEE 28.0 32.0 X 0 368449 33045 PATRICIA MASEK FORMER KEY EMPLOYEE 19.0 41.0 X 0 182503 29105 KEVIN REAGAN MD FORMER KEY EMPLOYEE 55.0 5.0 X 0 345565 22578 Tim Schnack FORMER KEY EMPLOYEE 9.0 51.0 X 0 266279 31499 MIKE WATTERS FORMER KEY EMPLOYEE 3.0 57.0 X 0 340401 41411 STEVE HOUSTON FORMER OFFICER 18.0 42.0 X 0 351874 32789 JOAN NEUHAUS FORMER OFFICER 15.0 45.0 X 0 772991 29598 NANCY WALLACE FORMER OFFICER 15.0 45.0 X 0 402179 33496 CARY WARD MD FORMER OFFICER 6.0 54.0 X 0 592959 40285 933028 7991239 827788 167 true true false JE DUNN CONSTRUCTION CO 17110 MARCY STREET STE LL01 OMAHA NE 68118 CONSTRUCTION/PROJECT MANAGEMENT 37232715 NOLL HEALTHCARE NETWORK 12905 W DODGE ROAD OMAHA NE 68154 STAFFING SOLUTIONS 4828760 MCCARTHY HOLDINGS INC 14217 Dayton Cir 8 OMAHA NE 68137 GENERAL CONSTRUCTION 4654336 SERENAGROUP INC 175 DERBY ST HINGHAM MA 02043 MEDICAL SERVICES (WOUND CARE) 1979813 AMN HEALTHCARE 12400 HIGH BLUFF DR SAN DIEGO CA 92130 HEALTH CARE CONSULTING 1507894 70 X 0 47671 0 675615 4582125 6536 0 5311947 Net patient services 900099 654558668 654558668 0 0 Laboratory Services 621500 13662580 12452056 1210524 0 Services Sold 900099 2916101 0 0 2916101 Medical Services 621300 1080646 0 41706 1038940 Pharmacy Services 446110 266434 0 0 266434 4952 4952 0 0 672489381 2183852 0 16003 2167849 0 0 0 0 0 0 0 0 11398590 0 10393087 0 1005503 0 1005503 0 0 1005503 9778825 1678 0 0 9778825 1678 9780503 0 0 9780503 0 0 0 0 0 0 0 0 0 0 0 0 334380 218389 115991 0 0 115991 Cafeteria 722100 4099368 0 678642 3420726 Maintenance Services 811000 87691 0 3802 83889 0 0 0 0 616873 0 215860 401013 4803932 695691109 667015676 2166537 21196949 X 446329 446329 92449783 92449783 142979520 135830544 7148976 7005481 6655207 350274 21439247 20162218 1277029 10478606 9954676 523930 25448035 24175633 1272402 23706 23706 271986 258387 13599 79391606 74134211 5257395 0 483 459 24 10881715 10337629 544086 3768314 3060244 708070 344292 327077 17215 20759 19721 1038 6228266 6228266 24274265 23060552 1213713 2382214 2263103 119111 Unrelated Business Taxes 698 698 Intercompany Allocations 83389927 79220431 4169496 Medical Supplies 81946360 81946360 Bad debts 29688103 29688103 12363166 11725439 637727 0 635222861 611968776 23254085 0 10183878 0 10712401 7655846 0 0 65494408 85425033 0 0 0 0 0 10801900 11110171 760670 56701 706526905 371039468 346798507 335487437 0 0 134349602 80319255 0 0 0 470996977 548462345 1050098343 1068516788 51941681 40598138 0 0 2209699 2013228 0 0 0 0 0 0 0 0 0 234648308 208904109 288799688 251515475 X 761269440 816972098 29215 29215 0 0 761298655 817001313 1050098343 1068516788 X 60468248 -4924020 158430 X false true X true false X false false false false false true 23706 false false false 23706 false 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: Iowa Hospital Association - $11,953 Nebraska Hospital Association - $5,391 American Hospital Association - $3,390 Catholic Health Association - $2,972 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: Iowa Hospital Association - $11,953 Nebraska Hospital Association - $5,391 American Hospital Association - $3,390 Catholic Health Association - $2,972 540558 279784 1140 160268 661214 501624 132323 79 93468 540558 930499 256895 -1880 683890 501624 896842 87493 4430 58266 930499 856084 204112 -2682 160672 896842 0.0 0.0 1.0 false true true 9841413 9841413 341821104 145322468 196498636 1867004 1641698 225306 329763331 211948127 117815204 23234053 12127175 11106878 335487437 CHI OIP CHI OIP 80319255 F 80319255 Intercompany Receivables 548462345 548462345 150000 Other Current Liabilities Environmental Remediation Liability Long-Term Debt - CHI CUMC Long Term Liabilities Long-Term Liabilities Other Post Employment Benefits Deferred Gain on Sale/Leaseback Accrued Contingent Liabilities Intercompany Payables Other Current Liabilities 1195573 Environmental Remediation Liability 1734894 Long-Term Debt - CHI 126448011 Long-Term Liabilities 63467595 Other Post Employment Benefits 39031 Deferred Gain on Sale/Leaseback 15869005 208904109 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE INTENDED TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Alegent Health-Bergan Mercy Health System's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2018 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually 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 0 11526 23312605 0 23312605 0.0385 0 24506 108557959 63793332 44764627 0.0739 0 0 2284356 2502566 0 0.0 0 36032 134154920 66295898 68077232 0.1124 32 15513 1822032 36058 1785974 0.0029 14 2754 1025381 0 1025381 0.0017 0 0 0 0 0 0.0 2 0 38057 5851 32206 0.0001 14 3312 587890 29509 558381 0.0009 62 21579 3473360 71418 3401942 0.0056 62 57611 137628280 66367316 71479174 0.1180 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 337 4497 0 4497 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 2 0 95 0 95 0.0000 3 82 11683 0 11683 0.0000 0 0 0 0 0 0.0 6 419 16275 0 16275 0.0000 true 29688103 0 132906851 295948890 -163042039 X true true 3 1 CHI HEALTH CUMC - BERGAN MERCY 7500 MERCY ROAD OMAHA NE 68124 WWW.CHIHEALTH.COM 260001 X X X A 2 CHI HEALTH MERCY COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 WWW.CHIHEALTH.COM 780105H X X X A 3 LASTING HOPE RECOVERY CENTER 415 S 25TH AVENUE OMAHA NE 68131 WWW.CHIHEALTH.COM 260001 X X BEHAVIORAL HEALTH HOSPITAL A A false false true X X X X X X X X X 15 true true true true X www.chihealth.com/chna X X true 16 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 A, 1 Facility A, 1 - Group A. Community input was collected through several processes with both the TriWest Group Assessment and the PRC Community CHNA. A full list of organizations who provided input and the mechanism through which their input was collected can be found in the complete versions of the TriWest Group Assessment and the PRC Community CHNA. Through the PRC CHNA process, input was gathered from several individuals whose organizations work with low-income, minority populations (including African-American, American Indian, Asian, asylees, Bhutanese, Burmese, Caucasian/White, child welfare system, children, disabled, elderly, ESL, hearing-impaired, Hispanic, homeless, immigrants/refugees, interracial families, Karen, LGBT, low-income, Medicaid, mentally ill, Middle Eastern, minorities, Muslim refugees, Nepali refugees, non-English speaking, North and South Omaha, residents of the suburbs, retired, rural, single-parent families, Somalian, Southeast Asian, Sudanese, teen pregnancy, underserved, undocumented, uninsured/ underinsured, veterans, Vietnamese, women and children, working professionals), or other medically underserved populations (including African-Americans, AIDS/HIV, autistic, Caucasian/white, children (including those with incarcerated parents and those of parents with mental illness), disabled, domestic abuse and sexual assault victims, elderly, ex-felons and recently incarcerated, Hispanic, homeless, immigrants/refugees, lack of transportation, LGBT, low-income, Medicaid/Medicare, mentally ill, minorities, non-English speaking, North and South Omaha, prenatal, substance abusers, undocumented, uninsured/underinsured, veterans, WIC clients, women and children, young adults). This input was gathered primarily through the key informant survey as described in the process section of the full CHNA report. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Group A. CHI Health Nebraska Medicine Methodist Health System Schedule H, Part V, Section B, Line 6b Facility A, 1 Facility A, 1 - Group A. Douglas County Health Department Live Well Omaha Pottawattamie County Public Health Department/VNA Sarpy/Cass County Department of Health and Wellness Mills County Public Health Department Region 6 Behavioral Healthcare Behavioral Health Support Foundation Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - Group A. Shared with hospital Patient Family Advisory Council/Community Board in July/August 2016 Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Group A. The CHNA and corresponding implementation plan were completed in the tax reporting year 2016. The following outlines the current implementation plan priorities and strategies. This plan was posted publically on www.chihealth.com/chna. This is a joint plan with CHI Health Creighton University Medical Center-Bergan Mercy, Lasting Hope Recovery Center, CHI Health Immanuel, CHI Health Lakeside, and CHI Health Midlands. Therefore, only strategies that are led or co-led by CHI Health Creighton University Medical Center-Bergan Mercy and Lasting Hope Recovery Center 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 through primary and secondary data from key informant interviews: Top Health Needs (from 2015 CHNA): 1. Access to Health Services 2. Cancer 3. Dementia & Alzheimer's Diseases 4. Diabetes 5. Heart Disease & Stroke 6. Injury & Violence 7. Mental Health 8. Nutrition, Physical Activity & Weight 9. Respiratory Diseases 10. Sexually Transmitted Diseases 11. Substance Abuse For this plan the hospital prioritized the following health needs: Priority Health Need #1: Violence Prevention To address this need the hospital will implement the following strategies in 2016-2018: * Develop and implement a hospital-based violence prevention program for adult patients presenting to Emergency Department with injuries due to violent crime. (CUMCBERGAN) * Continue development, implementation, and expansion of the Sexual Assault Nurse Examiner (SANE) program for women who present to the Emergency Department due to sexual assault and domestic violence. (CUMCBERGAN) * Develop internal and external programs around prevention, identification, and care for victims of human trafficking across the Omaha Metro Area. (CUMCBERGAN) * Establish infrastructure across multiple sectors to develop and implement trauma informed practice, as measured by 30 training programs established and implemented across sectors in the Omaha Metro Area. (SYSTEM) Priority Health Need #2: Behavioral Health To address this need the hospital will implement the following strategies in 2016-2018: * Develop and implement a community-wide youth behavioral health system of care in the Omaha Metro area through the engagement of key community stakeholders. (SYSTEM) * Provide Douglas County residents with access to integrated healthcare services (primary care, behavioral health, and pharmacy) through the health systems adoption of the SAMHSA Standard Framework for Level of Integrated Healthcare. (SYSTEM) * Provide crisis stabilization for people who seek inpatient hospitalization but do not meet emergency department admission criteria across all age groups in the CHI Health Mercy Council Bluffs Service Area (Pottawattamie & Mills Counties) * To improve care coordination and communication across systems for all ages in the CHI Health Mercy Council Bluffs Service Area (Pottawattamie & Mills Counties) * Expand adult and adolescent detox services and programs in the CHI Health Mercy Council Bluffs Service Area (Pottawattamie & Mills Counties) Priority Health Need #3: Nutrition, Physical Activity & Weight Status (Obesity) To address this need the hospital will implement the following strategies in 2016-2018: * Offer Healthy Families Program to families with children identified in the 85th percentile of body mass index or above in the Omaha Metro Area and in Pottawattamie and Mills Counties, IA. (SYSTEM/LAKESIDE/MIDLANDS) * Promote healthy lifestyles through 5-4-3-2-1 Go! campaign for children ages 5-12 years old in Douglas, Sarpy, and Cass Counties. (SYSTEM/MIDLANDS) * Develop and implement collective impact model for Live Well Omaha Kids Coalition. (SYSTEM) * Through community partnerships, offer the evidence-based Nutrition and Physical Activity Self-Assessment in Child Care (NAP SACC) program for early childhood professionals in order to support the development of good nutrition and physical activity habits in children ages 0-5 in the Omaha Metro Area. (SYSTEM) * Offer the Big Garden programming to low income or uninsured/underinsured families in Pottawattamie County, IA. Priority Health Need #4: Heart Disease and Stroke To address this need the hospital will implement the following strategies in 2016-2018: * Implement community walking program (Heart & Sole) for those at high risk of heart disease or stroke. (BERGAN) * Implement stroke outreach program at Siena/Francis house for homeless population. (BERGAN) Priority Health Need #5: Social Determinants of Health While not addressed as a community priority through the CHNA data, during the implementation planning process, it was identified and prioritized as a top health need due to its indirect effect on the top health needs identified as part of the CHNA. To address this need the hospital will implement the following strategies in 2016-2018: * Launch and expand the Community Link program to screen patients for basic social needs and refer them to the appropriate community resources as part of their clinic visit. (SYSTEM/CUMCBERGAN) * Provide case management to patients entering the Emergency Department who identify as homeless to assist in finding permanent housing. (SYSTEM/CUMCBERGAN) Priority Health Need #6: Maternal and Child Health To address this need the hospital will implement the following strategies in 2016-2018: * Maintain and enhance programming with the Council Bluffs Teen Pregnancy Task Force for pregnant and parenting youth in Council Bluffs Schools. * Explore and implement evidence-based interventions to prevent and reduce substance use during pregnancy in Pottawattamie and Mills Counties, IA. * Provide support to Mills County Public Health to increase capacity for the Family Matters substance abuse program, in order to serve the family unit, as well as each individual member of the family to mitigate the impact of substance use on the individuals and family overall. Priority Health Need #7: Injury Prevention To address this need the hospital will implement the following strategies in 2016-2018: * Develop education and injury prevention outreach activities in Pottawattamie and Mills County based on leading causes of trauma. * Provide time and resources to outreach efforts around the Stop the Bleed campaign to educate and equip schools and community sites on how to stop hemorrhaging in victims of accident or trauma, prior to EMS arrival and transport to a local hospital. In addition to the priorities areas and work being completed by the hospitals, CHI Health Creighton University Medical Center Bergan Mercy shares a tax ID with Lasting Hope Recovery Center, therefore priorities and work completed there are reported on this Schedule H form. The following strategies have been identified around Behavioral Health: * Improve insufficient access to care for patients in need of Behavioral Health services across the Region 6 area * Provide a comprehensive psychiatric emergency system to the Omaha Metro Area * Improve psychiatric workforce shortage across the Omaha Metro Area The hospital will not address the following health needs for the following reasons: Dementia/Alzheimer's diseases were priorities identified on the community health needs assessment that CHI Health Creighton University Medical Center-Bergan Mercy is not directly addressing. However, through the joint implementation plan in partnership with CHI Health Immanuel, CHI Health Lakeside, and CHI Health Midlands, strategies addressing dementia/Alzheimer's diseases were identified and are being addressed within the community by CHI Health Lakeside and CHI Health Immanuel and CHI Health Midlands, respectively. Access to Healthcare Services. Lack of healthcare insurance has been a contributing factor to access of healthcare issues, however with recent Iowa Medicaid expansion, the CBAT felt data available was not accurately representing the levels of uninsured. Low socioeconomic status for Pottawattamie and the rural nature of Mills County presents additional challenges related to accessing healthcare services. As CHI Health Mercy does not have the resources to address transportation, Mercy will support efforts to improve access to transportation services, but will not be the lead efforts in this health need area. Cancer. CHI Health will continue to perform existing cancer outreach throughout the community but did not feel cancer should be a top priority based on the considerations above and in order to focus and meaningfully impact other areas of need. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - GROUP A. Diabetes. CHI Health will continue performing diabetes outreach and education across the Omaha Metro Area while also addressing diabetes within the priority access to care. Notably, the area of nutrition, physical activity, and weight is a priority which relates to several root causes for diabetes and other chronic disease. Respiratory Diseases. This was not determined as a priority area based on the considerations above and in order to focus and meaningfully impact other areas of need. Sexually Transmitted Disease. There is extensive existing work by community partners currently taking place around sexually transmitted diseases across the Omaha Metro area. Therefore, this is not an area that CHI Health prioritized. CHRONIC DISEASES. THIS HEALTH NEED WAS NOT SELECTED FOR WORK IN AN EFFORT TO MAXIMIZE EXISTING RESOURCES AND STAFF TIME TO ADDRESS NEEDS OR ROOT CAUSES WHICH HAVE THE POTENTIAL TO IMPACT THIS HEALTH NEED. OBESITY WAS SELECTED FOR WORK IN AN EFFORT TO INDIRECTLY ADDRESS CHRONIC DISEASES SUCH AS CARDIOVASCULAR AND CEREBROVASCULAR DISEASE, CANCER, DIABETES, AND CHRONIC LOWER RESPIRATORY DISEASE. ENVIRONMENTAL HEALTH. THESE ISSUES REQUIRE SPECIAL EXPERTISE IN THE AREA OF WATER QUALITY, RADON AWARENESS AND FOOD SAFETY. THE HOSPITAL DOES NOT HAVE EXPERTISE IN THIS AREA THEREFORE, ENVIRONMENTAL NEEDS RELATED TO THE CHNA WILL NOT BE PRIORITIZED FOR WORK BY CHI HEALTH MERCY COUNCIL BLUFFS. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Group A. 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. 3 ALEGENT HEALTH HOSPICE 703 ROSARY DRIVE CORNING IA 50041 LICENSED HOSPICE ALEGENT HEALTH HOSPICE 7070 SPRING STREET OMAHA NE 68106 LICENSED HOSPICE CHI HEALTH AMBULATORY SERVICES 601 N 30TH ST OMAHA NE 68131 AMBULATORY SERVICE FACILITY Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA 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 4 COMMUNITY INFORMATION (CONTINUED) CHI Health Mercy Council Bluffs also considered factors known to influence health including household income, poverty, unemployment rates and educational attainment for the community served by the hospital. Pottawattamie County has a lower graduation rate (88%) than Mills County (93%), and those over the age of 25 who hold a bachelor's degree or higher are comparable across Pottawattamie and Mills, however both Counties falling below the State; (62%, 62% and 69% respectively). Poverty rates in Pottawattamie County and Mills County are comparable or lower than state, (12.3%, 9.7% and 12.2% respectively), although the City of Council Bluffs has a higher rate of those living in poverty at 16.2%. Child poverty rates in Pottawattamie County are significantly higher than Mills County and the State of Iowa (17.5%, 12.7% and 15.5% respectively). Data at the city level (Council Bluffs) was difficult to acquire in all indicators, however Council Bluffs has approximately 12% of its families living in poverty compared to 11.5% in the United States overall. Median household income is at $51,939 for Pottawattamie County, but drops to $45,204 for the City of Council Bluffs. Income is considerably higher for Mills County with $65,160 being the median household income. The State of Iowa median household income is at $52,716. Unemployment is even with the State of Iowa for both Pottawattamie and Mills, with rates being at 4.2%, 4.3% and 4.3% respectively. Uninsured rates are slightly higher in Pottawattamie County with 11% of the population not having insurance; Mills County is at 8% uninsured and Iowa overall is at 10%. The City of Council Bluffs is comparable to Mills County and the State of Iowa with 8.1% of the population without insurance. Aside from the City of Council Bluffs these two Counties are primarily rural, with large portions of agricultural land. Both Counties are situated along Interstate 20 and have access to Interstate 80 offering a strong transportation infrastructure. Gaming is also a primary industry in Council Bluffs with there being three hotel casinos that offer various forms of entertainment and gambling. From this industry grew the Iowa West Foundation which seeks proposals for funding around economic development and healthy families. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH *Visiting Nurses Association-provided funds for a free 6-week Cooking Matters class at CHI Health Lakeside that teaches families the basics in regards to nutrition education and cooking healthy options. Funds also provide produce CSAs to three different Cooking Matters classes held in Western Douglas County. *Sarpy/Cass Health Department-provided funds to support the implementation of the Nutrition Environment Measurements Survey which helps understand the healthy food availability in the community and inform efforts to improve access; Funds also support the Chronic Disease Management Program which is an evidence-based program to help individuals with chronic disease learn how to manage and improve their health status. *Provided support for NAPSACC, an evidence-based program to improve healthy eating and physical activity practices and policies in early childhood programs, part of the Douglas County CHIP objectives. *Latino Center of the Midlands-provided support for building of community garden on-site. *Big Garden-provided support for farmer's market tours and community education focused on low-income residents. *The 712 Initiative-provided funding which supports oversight of on-site programming and technical assistance for families at the Council Bluffs Creaktop Community Garden. Classes conducted during growing season, as well as off-season classes around food prep, storage, and garden planning. Schedule H, Part I, Line 6a Community benefit report prepared by related organization Alegent Creighton Health Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 29688103 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 -Ralston High School Academy-provided health occupation shadowing to 20 students 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 21.55%. 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 Alegent Health-Bergan Mercy Health System 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 Alegent Health-Bergan Mercy Health System does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented in the consolidated statement of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats all patients without regard to the ability to pay. 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. Alegent Health-Bergan Mercy Health System'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: $132,906,851 Total Medicare costs: $295,948,890 Surplus or Shortfall: ($163,042,039) Alegent Health-Bergan Mercy Health System 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 A - CHI HEALTH CUMC - BERGAN MERCY: Line 16a URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHI HEALTH CUMC - BERGAN MERCY: Line 16b URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHI HEALTH CUMC - BERGAN MERCY: Line 16c URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment The process of identifying the community health needs across the Omaha Metro Area and Region 6 was accomplished by using data and community input from processes led by two main agencies: * The TriWest Group (TriWest) was hired in 2014 by The Behavioral Health Support Foundation, an existing group of local philanthropists within Omaha, to assess the mental health system in Omaha and across Region 6. This request was in response to mental health and substance abuse being identified as a top community health need through community key informants and supporting information gathered during the 2011 CHNA. The study had several key aims: to analyze the gaps in the Region 6 area, to confirm what community agencies were reporting as needs, to formulate workgroups around the identified gaps, to hire a project manager to oversee the plans around the gaps, and to implement process changes to improve and enhance mental health care for adults in the region. TriWest has led or participated in behavioral health system assessments in several other communities in the United States, resulting in recommendations to improve the coordination and availability of services shown to promote mental health recovery. * Professional Research Consultants, Inc. (PRC) is a third-party agent contracted by local health systems and local health departments ( see list below) to conduct the CHNA for a four-county area, referred to as the Omaha Metro Area that includes Douglas, Sarpy, and Cass Counties, Nebraska, and Pottawattamie County, Iowa. PRC is a nationally recognized healthcare consulting firm with extensive experience conducting CHNAs across the United States since 1994. Along with several other community stakeholders, CHI Health was an active key health partner working with PRC to design, implement, and review the data. The Omaha Metro Area CHNA, conducted by PRC, utilized both primary and secondary data collected through the PRC Community Health Survey (primary); Online Key Informant Survey (primary); and public health, vital statistics, and other data collection (secondary). TriWest collected qualitative and quantitative data to identify service gaps and barriers to effective care coordination in their study through key informant interviews and other methods. Please reference the complete CHNA and TriWest study attached for more in-depth details regarding the process. The process of identifying the community health needs in the two counties served by CHI Health Mercy Council Bluffs was accomplished by using data and community input from processes led by three main agencies: 1. The process of identifying the community health needs across the Omaha Metro Area was accomplished by using data and community input from processes led by Professional Research Consultants, Inc. PRC is a third-party agent contracted by local health systems and local health departments ( see list in Mercy Council Bluffs CHNA) to conduct the Community Health Needs Assessment for a four-county area, referred to as the Omaha Metro Area that includes Douglas, Sarpy, and Cass Counties, Nebraska, and Pottawattamie County, Iowa. PRC is a nationally recognized healthcare consulting firm with extensive experience conducting CHNAs across the United States since 1994. Along with several other community stakeholders, CHI Health was an active key health partner working with PRC to design, implement, and review the data. The Omaha Metro Area CHNA, conducted by PRC, utilized both primary and secondary data collected through the PRC Community Health Survey (primary); Online Key Informant Survey (primary); and public health, vital statistics, and other data collection (secondary). Please reference the complete CHNA for more in-depth details regarding the CHNA process. 2. The process of identifying the community health needs across Pottawattamie County was led by the Pottawattamie County Public Health Agency (PCPH) which is managed by the Visiting Nurse Association (VNA). Following the release of the results from the process above conducted by Professional Research Consultants, Inc., the VNA validated results and processes used through input from key community stakeholders. Under the direction of a five-member volunteer Board of Health, Administrator Jo Lightner of VNA Pottawattamie County is responsible for conducting the County's CHNA as well as meeting the health needs of the County. The Pottawattamie County CHNA Report can be found in the Appendix section of the CHI Health Mercy Council Bluffs CHNA. 3. The process of identifying the community health needs in Mills County was led by the Mills County Public Health Agency by reviewing secondary data and collecting primary data through the hosting of two key stakeholder meetings which included representation from multiple community organizations to review and validate the data, as well as prioritize the top health needs in the community. MCPH is a local subsidiary of the Iowa Department of Public Health, and offers various public services. MCPH is based out of Glenwood Iowa, and is led by Administrator, Sheri Bowen. The Mills County CHNA Report can be found in the Appendix section of the CHI Health Mercy Council Bluffs CHNA. Following completion of these community processes, the Mercy Council Bluffs Hospital Community Benefit Action Team (CBAT) conducted a review of these three assessments and the methods used to understand the data available and processes for data collection. The CBAT was able to verify that 1) the information available effectively outlined the most important health needs for the Hospital's service area, and 2) the processes had taken into account input from the broad community as well as stakeholders representing important populations and disparities in health. For a listing of CBAT members see the CHI Health Mercy Council Bluffs CHNA report posted online at www.CHIHealth.com/CHNA. 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 CHI Health Creighton University Medical Center - Bergan Mercy is located in Omaha, NE and largely serves the Omaha Metro Area that consists of Douglas, Sarpy, and Cass Counties in Nebraska and Pottawattamie County in Iowa. These four counties were identified as the community for this CHNA, as they encompass the primary service for CHI Health hospitals located in the Omaha Metro Area, thus covering between 75% and 90% of patients served. These counties are considered to be and referred to as the "Omaha Metro Area." In addition, Lasting Hope Recovery Center serves the Omaha Metro area but also has service reach that aligns with the local behavioral health region (Region 6), which encompasses Washington and Dodge Counties (as shown on the Map below), but does not include Pottawattamie County. For the current CHNA, LHRC was engaged in two processes to identify the community health needs, as described below. Although the Omaha based CHI Health hospitals define their community as the four county Omaha Metro Area, since LHRC is a behavioral health focused facility, the community definition is aligned with Region 6 Behavioral Health service area of Dodge, Washington, Douglas, Sarpy, and Cass counties. These five counties are considered the primary service area for LHRC. The Omaha Metro Area is a largely Non-Hispanic White population (81.3%) with a total population of nearly 800,000 residents. Douglas and Sarpy Counties were identified as the most diverse among the four counties, while Cass County has the largest percentage of population over the age of 65 years (16.1%). Douglas County: identified as the most diverse county in the service area, Douglas County's population largely consists of 81.3% Non-Hispanic White residents, 12% Hispanic residents, and 11.6% Black or African American residents. Population: 543,244 residents 25.8% of population is below 18 years of age and 11.5% are 65 years or older Median household income is $53,444 Persons in poverty is 14% Children in poverty is 18% Unemployment rate is 3.6 High School graduation rate is 89.3% 72% of residents have some college education 12.44% of the population is uninsured, with 4.8% of children (under the age of 19) being uninsured Sarpy County: As the second most populated county, Sarpy County's population largely consists of 89.7% Non-Hispanic White residents, 8.3% Hispanic, and 4.5% Black or African American. Sarpy County boasts the highest median household income, lowest unemployment rate, and the second highest rate for high school graduation Population: 172,193 residents 28.2% of population is below 18 years of age and 10.2% are 65 years or older Median household income is $70,121 Persons in poverty is 5.3% Children in poverty is 7% Unemployment rate is 3.2 High School graduation rate is 95.2% 80% of residents have some college education 7.16% of the population is uninsured, with 4.32% of children (under the age of 19) being uninsured Cass County: Cass County is the second least diverse of the counties with 97% of the population being Non-Hispanic White. Cass County has the highest unemployment rate, the highest high school graduation and the second highest percentage of children who are uninsured. Population: 25,512 residents 24.6% of population is below 18 years of age and 16.1% are 65 years or older Median household income is $65,560 Persons in poverty is 6.9% Children in poverty is 10% Unemployment rate is 4 High School graduation rate is 94.7% 75% of residents have some college education 7.16% of the population is uninsured, with 5.77% of children (under the age of 19) being uninsured Pottawattamie County: the only county in Iowa, Pottawattamie County's population consists of 88.7% of the population being Non-Hispanic White, 7.2% Hispanic, and 1.6% Black or African American. Pottawattamie has the lowest percentage of women (40.9%). Population: 93,128 residents 23.7% of population is below 18 years of age and 15.7% are 65 years or older Median household income is $51,939 Persons in poverty is 12.3% Children in poverty is 18% Unemployment rate is 4.2 High School graduation rate is 89.6% 62% of residents have some college education 10.73% of the population is uninsured, with 3.88% of children (under the age of 19) being uninsured Dodge County: Dodge County is relatively diverse with 85.7% of residents being Non-Hispanic White, 11.3% Hispanic and 1.2% being Black or African American. Dodge County has the lowest median household income between the six counties and the second highest percentage of persons living in poverty. Dodge County also has the lowest percentage of residents with some college education and the highest percentage of uninsured children. Population: 36,706 residents 23.5% of population is below 18 years of age and 19% are 65 years or older Median household income is $47,991 Persons in poverty is 12.9% Children in poverty is 17% Unemployment rate is 3.5 High School graduation rate is 86% 55% of residents have some college education 12.21% of the population is uninsured, with 5.91% of children (under the age of 19) being uninsured Washington County: As the least populated of the six counties, Washington County is the least diverse with 97.4% Non-Hispanic White residents, 2.5% Hispanic residents, and 0.8% Black or African American residents. Washington County also has the second highest median household income of the six counties and one of the highest high school graduation rates. Population: 20,248 residents 23.8% of population is below 18 years of age and 16% are 65 years or older Median household income is $68,207 Persons in poverty is 7.4% Children in poverty is 9% Unemployment rate is 3.7 High School graduation rate is 93% 75% of residents have some college education 7.04% of the population is uninsured, with 4.5% of children (under the age of 19) being uninsured CHI Health Council Bluffs resides in Council Bluffs, Iowa on the western edge of Pottawattamie County, IA bordering the major metropolitan area of Omaha, NE to the west. The Omaha and Council Bluffs Metro Area is made up of four Counties: Pottawattamie in Iowa, and Cass, Douglas, and Sarpy in Nebraska. The Hospital's primary and secondary service area includes portions of Pottawattamie, Harrison and Mills Counties. These three counties cover between 75% - 90% of patients served by CHI Health Mercy. Another CHI Health entity, CHI Health Missouri Valley (formerly known as Community Memorial Hospital), is located in Harrison County, IA, and is concurrently completing a CHNA and related implementation strategy, therefore CHI Health Mercy selected Pottawattamie and Mills Counties as the focus for their CHNA. Specific County Information: * Pottawattamie County covers approximately 960 square miles including 16 communities. Council Bluffs is primarily a metropolitan area and makes up 67% of the Pottawattamie County population while the remaining communities are more rural in nature. There are 14 towns in Pottawattamie County, outside of Council Bluffs. * Mills County covers approximately 440 square miles including 8 rural communities. There are 7 incorporated towns in Mills County. Population data for Pottawattamie and Mills Counties show a primarily Non-Hispanic White population, however Pottawattamie County also has a slightly higher Hispanic population than Mills County and the State of Iowa. The estimated Hispanic population in Pottawattamie County has risen slightly from 6.6% in 2010 to 7.2% in 2014. Pottawattamie County is the larger of the two counties with a total population of 93,128 and a population density of 98 persons per square mile. The City of Council Bluffs makes up the majority of residents with a population of 62,245 and population density of 1,518 persons per square mile. Mills County is much smaller and more rural in comparison with a total county population of 14,831 people and a density of 34 persons per square mile. Population Details - Pottawattamie County: 23.7% of population is below 18 years of age 15.7% of population is 65 or older 40.9% of population is female 1.6% of population is Non-Hispanic African American 0.7% of population is American Indian or Alaskan Native 0.8% of population is Asian 0.1% of population is Native Hawaiian/Other Pacific Islander 7.2% of population is Hispanic 88.7% of population is Non-Hispanic White Population Details - Mills County: 24.1% of the population below 18 years of age. 13.5% of population is 65 or older 51.3% of population is female 1.9% of population is Non-Hispanic African American 0.6% of population is American Indian or Alaskan Native 0.8% of population is Asian <0.1% of population is Native Hawaiian/Other Pacific Islander 8.5% of population is Hispanic 90.9% of population is Non-Hispanic White Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facility(ies) promote 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(ies) have 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(ies) treat 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 (community behavioral health support and education, diabetes, cancer, smoking cessation, physical activity and healthy eating and cooking) -Support groups (cancer, bereavement, youth, etc.) -Community health fairs and screenings -School based healthcare services -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. -Healthy Families-this program is a free, 8-week health and nutrition program for families with a child between the ages of 4-18 who has been identified in the top 85th percentile of their weight. This program invites the whole family to participate in learning about physical activity, eating healthy, and setting realistic goals as a family. -5-4-3-2-1Go!-this program is an evidence-based healthy kids countdown message which CHI health supports through technical assistance and resources for parents and schools to teach kids to learn and practice every day to be healthy and active. -Support ongoing Stop the Bleed community training providing necessary skills to handle mass shootings/injuries through funding to create kits containing necessary supplies to treat victims of violence. -RN provided support to pregnant teens in school, in order to support safe and healthy pregnancy, as well as promoting continuing education as a teen mom through high school. -Siena Francis Homeless Shelter-hospital provides staff and supplies for stroke education and screening at local homeless shelter. -Subsidized low income individuals' outpatient dialysis treatments in the community to give them the care that they require -Counseling services, free of charge, to discharged Lasting Hope Recovery Center patients who needed to be seen within 7 days of discharge but couldn't get appointments. -Image Recovery Center-free services offered by the CHI Health Image Recovery Center which is a comprehensive hospital-based appearance enhancement program available to cancer patients. Image Recovery is an integral part of oncology treatment services at CHI Health and is designed to help patients prepare for appearance changes they will experience due to chemotherapy, radiation therapy or surgery. -Integrated School Based Mental Health Program-provides licensed mental health practitioners to four high risk elementary schools in Omaha and one middle school and high school in Council Bluffs to perform mental health assessment and allow for direct access to behavioral health services, whereas access could be identified as a barrier. Practitioners also provide training to teachers and other school staff around de-escalation techniques and how to work with a student in crisis. -Psych Community Support Program-includes three different services; a community drop in location, a Peer Support program and a Community Support program. The programs provide a lot of supportive interaction, social facilitation, supportive groups, etc. for individuals that have chronic and severe mental illness. -Counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. -Support and office space provided to the Legal Aid of Nebraska to assist individuals with legal matters. -Transportation to patients who cannot afford transportation to attend to their medical needs. -Interpreting and translation services to Limited English Proficiency (LEP) groups whose numbers fall below the required threshold in 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: *Milkworks- provided community breastfeeding initiatives support for community-based coalitions in outer NE that are established in partnership with their local hospital, and provides breastfeeding support to moms in their area. *Hunger Free Heartland- provided funds to support Breakfast For All Task Force which is a collaboration of NE nonprofits working to align strategies and advocacy efforts to improve child hunger issues including school breakfast and summer meals. *Alzheimer's Association-provided funds to support the ongoing work of the MedicAlert Program. Individuals diagnosed with dementia, and their families, receive bracelets for free containing contact information to assist in reuniting or notifying either party when necessary (ex. wandering, car accident, etc.). Omaha/Council Bluffs Metro: *Hope Medical Outreach Coalition-Personnel support and annual operating subsidy. CHI Health hospitals and physicians are one of three health systems that provide access for the patients of three area federally qualified healthcare centers to specialty physician services and hospital based diagnostics and treatment that are unable to afford medical services. *Metro Area Continuum of Care for the Homeless-Financial support to this coalition addressing homelessness in the service area. *Live Well Omaha-a coalition founded by CHI Health (formerly Alegent Health) and the county health department that serves as convener of business, healthcare and community leaders to review health trends and catalyze community action to address health issues. *Live Well Omaha Kids-a community coalition using a collective impact approach to address childhood obesity. *Community Link-a partnership with Catholic Health Initiatives to improve the health and socioeconomic status of patients by assessing and treating their non-medical needs and barriers, which are important factors of their health. *Violence Prevention-a partnership with Catholic Health Initiatives, Women's Center for Advancement and Creighton University to implement a campus based violence prevention Plan known as "Green Dot". *African American Empowerment Network- Support of the Step Up summer jobs program, a workforce development and violence prevention initiative serving a typically low-income part of the community. *Metropolitan Area Planning Agency-provided support for MAPA ROI transit study to determine the costs and benefits from increased investments in transit project throughout the Omaha-Council Bluffs metro. *United Way-provided funding to support increased access to physical and behavioral health services in the community. *Omaha Bridges Out of Poverty-provided support for Bridges Out of Poverty programming and training to support and train those in poverty on resources and skills to break the cycle of poverty in their family. *Mills County Public Health-provided funding for Family Matters Substance Abuse Prevention Project to support families dealing with substance abuse in Mills County-supports fathers, mothers, and children separately and as a whole family unit through regular gatherings. *City Sprouts-provided funds to support at-risk youth summer internship program as well as funds to support technical assistance and supplies for the CHI Health University Campus community garden *Together-provided support for Horizons Program that provides eligible households with outreach, case management, and assistance in obtaining benefits, which may include: Health Care Services, Daily Living Services, Personal Finance Planning Services, Transportation Services, Fiduciary and Payee Services, Legal Services, Child Care Services, and Housing Counseling Services. Schedule H, Part VI, Line 6 Affiliated health care system The organization was, for the year ended 6/30/18, affiliated with Catholic Health Initiatives ("CHI"). Following the close of the 6/30/2018 tax year, on 2/1/19, in connection with the alignment of the Catholic ministries of CHI and Dignity Health, CHI changed its name to CommonSpirit Health. The narrative below reflects the activities of the organization's affiliate, CHI, as of and for the year ended 6/30/18: CHI, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation's largest nonprofit health systems, Englewood, Colorado-based CHI serves as the Parent company of the system. It operates in 18 states and comprises 100 hospitals, including two academic health centers, major teaching hospitals as well as 29 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2018, CHI provided more than $1.1 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 $2.0 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $14.98 billion in fiscal year 2018, has total assets of approximately $20.6 billion. CHI provides strategic planning and management services as well as centralized "share services" for the MBOs. 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 MBOs. The cost savings achieved through CHI's centralization enable MBOS 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 CHI HEALTH FOUNDATION 12809 WEST DODGE RD OMAH NE 68154 470648586 501(C)(3) 246329 GENERAL SUPPORT ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 470376615 501(C)(3) 200000 BOOK DAVINCI ROBOT GENERAL SUPPORT 2 0 SCHOLARSHIPS 5 6500 FINANCIAL ASSISTANCE 11526 92383628 BOOK REDUCTION OR WRITE-OFF OF PATIENT SERVICES WOW/CARE SUPPORT 519 59655 BOOK PATIENT SUPPORT Schedule I, Part IV GRANTS OR ASSISTANCE PROVIDED ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS' ACCOUNTS RECEIVABLE. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS. THE BERGAN MERCY AUXILIARY TEEN SCHOLARSHIP PROGRAM WAS SET UP IN 1986 BY BERGAN MERCY. THE PURPOSE OF THE SCHOLARSHIP PROGRAM IS TO PROVIDE COLLEGE SCHOLARSHIPS TO TEEN VOLUNTEERS WHO HAVE VOLUNTEERED THEIR SERVICES AT BERGAN MERCY MEDICAL CENTER. IN ORDER TO RECEIVE A SCHOLARSHIP IN THIS PROGRAM, THE APPLICANT MUST BE AN ACTIVE VOLUNTEER THROUGHOUT ALL THE YEARS THEY DO SERVICE, INCLUDING THEIR SENIOR YEAR. IF A STUDENT IS TO DROP OUT OF THE PROGRAM OR IS TO BE DISMISSED, THEY ARE NOT ELIGIBLE FOR THE SCHOLARSHIPS. true true false false false false false true false CLIFF ROBERTSON MD Board Member/CEO CHI Health 0 876868 0 868956 0 148965 0 152751 0 25365 0 2072905 0 124000 AMY L MCGAHA md BOARD MEMBER 0 281173 0 0 0 595 0 16033 0 2682 0 300483 0 0 JASON KRUGER MD BOARD MEMBER 0 326110 0 27555 0 693 0 15977 0 20055 0 390390 0 0 STEVE HOUSTON FORMER OFFICER 0 311844 0 17966 0 22064 0 16075 0 16714 0 384663 0 0 JOAN NEUHAUS FORMER OFFICER 0 467801 0 245946 0 59244 0 16075 0 13523 0 802589 0 0 NANCY WALLACE FORMER OFFICER 0 357611 0 20235 0 24333 0 15931 0 17565 0 435675 0 0 CARY WARD MD FORMER OFFICER 0 500133 0 27366 0 65460 0 16075 0 24210 0 633244 0 0 MARIE KNEDLER PRESIDENT 0 442146 0 28146 0 47082 0 16075 0 10339 0 543788 0 0 KEVIN NOKELS President CUMC 0 407734 0 29227 0 59238 0 44965 0 24210 0 565374 0 33836 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 0 534695 0 212544 0 67359 0 64743 0 24210 0 903551 0 44617 JOSEPH HOAGBIN MD FORMER KEY EMPLOYEE 0 344256 0 11761 0 12432 0 15549 0 17496 0 401494 0 0 PATRICIA MASEK FORMER KEY EMPLOYEE 0 168261 0 7900 0 6342 0 12840 0 16265 0 211608 0 0 KEVIN REAGAN MD FORMER KEY EMPLOYEE 0 167400 0 11532 0 166633 0 13471 0 9107 0 368143 0 0 Tim Schnack FORMER KEY EMPLOYEE 0 252752 0 8633 0 4894 0 15836 0 15663 0 297778 0 0 MIKE WATTERS FORMER KEY EMPLOYEE 0 252820 0 54028 0 33553 0 16161 0 25250 0 381812 0 0 THOMAS BAKER RN-NURSE PRACTITIONER 172406 2100 0 0 195 0 11186 0 564 0 184351 2100 0 0 MARY MCNITT CHIEF NURSING EXECUTIVE 180936 0 6070 0 4094 0 12382 0 23131 0 226613 0 0 0 Tressa Myers Supervisor - Nursing 164442 0 0 0 87 0 9588 0 22303 0 196420 0 0 0 KEVIN SCHWEDHELM VP-PATIENT CARE SERVICES 173307 0 6040 0 4082 0 11404 0 11913 0 206746 0 0 0 MATTHEW WALTERS SENIOR MEDICAL PHYSICIST 221161 1301 0 0 208 0 13326 0 780 0 235475 1301 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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 ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM 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 Post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) 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 (a Related Organization) during the 2017 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: Kevin Reagan - $164,030 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE 2017 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. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEANETTE WOJTALEWICZ CLIFF ROBERTSON MARIE KNEDLER KEVIN NOKELS CARY WARD JOAN NEUHAUS DURING 2017 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEANETTE WOJTALEWICZ - $48,668 CLIFF ROBERTSON - $136,676 KEVIN NOKELS - $29,516 DURING 2017 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $124,018 JEANETTE WOJTALEWICZ - $44,623 KEVIN NOKELS - $36,626 CARY WARD - $42,848 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS AGE, YEARS OF SERVICE OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2017 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2017, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MARIE KNEDLER - $22,414 JOAN NEUHAUS - $41,644 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 $ 434,745,562 including grants of $ 53,802,612)(Revenue $ 386,315,260) BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS PROVIDE A LARGE RANGE OF HOSPITAL SERVICES INCLUDING BUT NOT LIMITED TO: EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS. Form 990, Part V, Line 1c PAYMENTS TO VENDORS PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF Catholic Health Initiatives (CHI) ARE MADE BY CHI. CHI FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CHI ON BEHALF of ALEGENT Health-Bergan Mercy Health System ARE REPORTED TO THE IRS. Form 990, Part VI, Line 12c CONFLICT OF INTEREST POLICY (CONTINUED) The Board Chair or designee shall make such 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 will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make 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, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such 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 within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize 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 Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. 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 shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize 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.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the 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 of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: 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. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose either an actual or potential conflict of interest, or all material facts surrounding an actual or possible conflict as required by the COI Policy, the Trustee or Corporate Officer will be given an opportunity to explain such alleged failure to disclose. After hearing the response of the Trustee or Corporate Officer, the Board will conduct such additional investigation as may be appropriate. If the Board determines that the Trustee or Corporate Officer has in fact failed to disclose as required by the COI Policy, the Board shall take appropriate disciplinary or corrective action. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM IS CHI NEBRASKA. 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 Catholic Health Initiatives ("CHI") have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the CHI Nebraska's Board: * Approve members of the Alegent Health- Bergan Mercy Health System. * Amendment of the corporate documents of the Alegent Health- Bergan Mercy Health System. *Approve removal of a member of the governing body of the Alegent Health- Bergan Mercy Health System. * Adoption of long range and strategic plans for the Alegent Health- Bergan Mercy Health System. The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of the Alegent Health- Bergan Mercy Health System. * Removal of a member of the governing body of the Alegent Health- Bergan Mercy Health System. * Approval of issuance of debt by Alegent Health- Bergan Mercy Health System. * Approval of participation of Alegent Health- Bergan Mercy Health System in a joint venture. *Approval of formation of a new corporation by Alegent Health- Bergan Mercy Health System. * Approval of a merger involving the Alegent Health- Bergan Mercy Health System. * Approval of the sale of all or substantially all of the assets of the Alegent Health- Bergan Mercy Health System. * To require the transfer of assets by the Alegent Health- Bergan Mercy Health System to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5.2 of the organization's bylaws, CHI Nebraska or CHI 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 CATHOLIC HEALTH INITIATIVES, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE CHI 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 Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy (the "Policy") in place to maintain the integrity of all of its activities. The Policy applies to CHI Board of Stewardship Trustees and members of its committees; all CHI Entity board and board committee members; all CHI employees; and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. Each Person must 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 where the Person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. Among the factors that should be considered in determining whether a conflict exists are the nature and magnitude of the opportunity, transaction or arrangement, the degree to which it is related to CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of independence of the decision-making process), the unique nature of the opportunity, transaction or arrangement, the existence of other viable alternatives and the quality of those alternatives, and what is customary and reasonable in the health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG staff, as appropriate. This plan will include documentation of the C-CIRC's determinations and recommendations. As necessary, reports to an appropriate governmental agency or sponsor will be made according to the relevant appendices to this Policy to provide required information regarding how the conflict of interest will be managed, reduced, or eliminated. Designated CHI Entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI 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. The C-CIRC will determine whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a potential or actual conflict of interest exists that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing Person be allowed to participate in the activity or transaction subject to restrictions as outlined in a written COI management plan. All determinations of conflicts of interest will be reported as required by law, regulations, and CHI policy. If a Person, other than a board or board committee member or corporate officer, required to complete a COI disclosure 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 following steps should be followed. Within a reasonable period of time after receiving notice of the C-CIRC's decision, the Person must present the matter to the Person's immediate direct manager or supervisor (or in the case of a Researcher, to [fill in the title or position to whom Researchers report]) and request reconsideration, submitting at that time any new or additional information that may support or recommend reconsideration. If the Person's manager individually or in consultation with the manager's Vice President (or higher if the manager is a Vice President) finds that new information supporting reconsideration has been presented, the manager will contact local or National CRP staff, as appropriate, and request that the matter be re-presented to the C-CIRC. The C-CIRC will be reconvened for this purpose and, following such reconsideration, issue a final determination. This appeals process is intended to be narrowly applied, as Persons seeking conflict of interest exemptions or exceptions are expected to offer all available information supporting an exemption or exception at the time the matter is first presented to the C-CIRC. Management of actual or potential conflicts of interest of board or board committee members and corporate officers will be determined by the appropriate board, as reflected in the Policy. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Each Trustee and Corporate Officer must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. In any situation when a Trustee or Corporate Officer is in doubt, full disclosure should be made to permit an impartial and objective determination. A written record of the disclosure will be made. In addition to the ongoing disclosure obligation, all Trustees and Corporate Officers shall complete a COI disclosure questionnaire on an annual basis. A copy of the COI Policy shall be available to Trustees and Corporate Officers. Definitions of terms used in the disclosure questionnaire/form shall also be included. Each Trustee and Corporate Officer must promptly complete the COI disclosure. COI disclosures that involve no disclosures of conflicts of interest will not require review. Disclosures of perceived, potential or actual conflicts of interest on the COI questionnaire involving financial interests will be reviewed by National or Regional LSG. (Continued on Schedule O) Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group 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 is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 11, 2017. In addition, Korn Ferry Hay Group 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 have been reviewed annually since and revised based on market data, where applicable. COMPENSATION FOR THE OTHER OFFICERS OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM 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 DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A. 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 WEBSITE WWW.SOS.NE.GOV/BUSINESS. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINITIATIVES.ORG. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 4952, Related or Exempt Function Revenue: 4952, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 616873, Related or Exempt Function Revenue: , Unrelated Business Revenue: 215860, Revenue Excluded from Tax Under Sections 512, 513, or 514: 401013; Form 990, Part IX, Line 11g Other Fees Other Fees for Services - Total Expense: 38764935, Program Service Expense: 35538874, Management and General Expenses: 3226061, Fundraising Expenses: 0; Consulting - Total Expense: 141965, Program Service Expense: 134867, Management and General Expenses: 7098, Fundraising Expenses: ; Contract Services - Total Expense: 8021254, Program Service Expense: 7620191, Management and General Expenses: 401063, Fundraising Expenses: ; Contract Labor - Total Expense: 3491016, Program Service Expense: 3316465, Management and General Expenses: 174551, Fundraising Expenses: ; Purchased Services - Total Expense: 28972436, Program Service Expense: 27523814, Management and General Expenses: 1448622, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Adj for Med Staff Beg Balance - 73917; Other Changes in Net Assets - 84513; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3) 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3) 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3) 10 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3) 10 SFH true 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 true BAYLOR ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 5837 Winwood Dr Johnston IA 50131 420725196 LTERM CARE IA 501(c)(3) 10 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232187242 HEALTHCARE CO 501(c)(3) Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 1 West Way Ct LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3) Type I BRHS true BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3) 3 BRHS true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3) 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3) 10 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - COLORADO 9100 East Mineral Circle Centennial CO 80112 840405257 HEALTHCARE CO 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 1150 Kelly Johnson Blvd 204 COLORADO SPRINGS CO 80920 270930004 FUNDRAISING CO 501(c)(3) Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3) Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3) 10 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE ND 501(c)(3) 10 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3) Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3) Type I CHI true CHI LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH true CHI Memorial Hospital - Georgia 100 GROSS CRESCENT CIRCLE FORT OGLETHORPE GA 30742 822748395 HEALTHCARE GA 501(c)(3) 3 MHCS true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3) 10 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3) Type I CHI true CHI NEBRASKA 12809 West Dodge Road Omaha NE 68510 363233121 HEALTHCARE NE 501(c)(3) Type I CHI true CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3) Type I CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3) Type I CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST 1100 HOUSTON TX 77030 741161938 HEALTHCARE TX 501(c)(3) 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3) 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3) Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3) 3 CHISVHS true COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(4) GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3) Type I AH-CMHMV true CONTINUING CARE HOSPITAL One Saint Joseph Drive LEXINGTON KY 40504 611400619 LT ACH KY 501(c)(3) 3 SJHS true East Texas Clinical Services 2801 VIA FORTUNA SUITE 500 AUSTIN TX 78746 454736213 HEALTHCARE TX 501(c)(3) Type I MHSET true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1455 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3) Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3) 10 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3) 10 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3) 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS WA 501(c)(3) 10 CHI true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3) 10 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3) 10 CHI true GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3) 3 SAMC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3) Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3) Type I GSH true GOOD SAMARITAN HOSPITAL 110 N MAIN ST STE 500 DAYTON OH 45402 310536981 HEALTHCARE OH 501(c)(3) 3 SHP true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3) 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3) 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3) 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3) 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3) Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3) 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 250 E Liberty St Ste 500 LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 100 E Liberty St Ste 800 LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3) 10 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3) Type II CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3) 3 CHI true LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING MN 501(c)(3) 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3) 10 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3) 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3) Type I MHSET true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3) 3 SJSC true MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3) 10 FLC true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3) 10 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3) 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3) 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3) Type I MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3) 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3) Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3) 10 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3) Type I AHMH-Corning true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3) Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3) Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3) 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 204 N 4th Ave E Newton IA 50314 421470935 PHYSICIANS IA 501(c)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3) Type I MMC true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true North Central Health Care Alliance dba PrimeCare Health Group 401 N 9th St BISMARCK ND 585014507 450439894 HEALTHCARE ND 501(c)(3) 7 NHCA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3) Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3) Type I MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3) 10 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3) Type II FLC true PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3) 10 FLC true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3) 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 16251 Sylvester Road SW Burien WA 98166 911170040 HEALTHCARE WA 501(c)(3) 3 FHS true SET OF COLORADO SPRINGS INC 9100 E Mineral Circle Centennial CO 80112 841183335 LTERM CARE CO 501(c)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3) 10 SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3) 10 CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(c)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HEALTHCARE KY 501(c)(3) 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC 701 Bob Olink Dr 200 LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(c)(3) Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(c)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 2500 Fairway Street DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3) Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 110 N MAIN ST STE 500 DAYTON OH 45402 020633634 HEALTHCARE OH 501(c)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(c)(3) Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(c)(3) Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE CO 501(c)(3) 3 CHI true ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HEALTHCARE ND 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL 2801 St Anthony Way PENDLETON OR 97801 930391614 HEALTHCARE OR 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 2801 St Anthony Way PENDLETON OR 97801 930992727 FUNDRAISING OR 501(c)(3) Type I SAH true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HEALTHCARE AR 501(c)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HEALTHCARE KS 501(c)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING KS 501(c)(3) Type I SCH true ST CLARE COMMONS 12469 Five Point Road TOLEDO OH 43551 270163752 LIVING COMM OH 501(c)(3) 10 FLC true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE CO 501(c)(4) CHI true ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3) 10 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3) 10 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING TX 501(c)(3) Type II SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HEALTHCARE MD 501(c)(3) 3 CHI true ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3) Type I SJMC true ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HEALTHCARE TX 501(c)(3) 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3) 10 SJSC true ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3) Type I SFH true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(c)(3) 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 2500 Fairway St DICKINSON ND 58601 450226429 HEALTHCARE ND 501(c)(3) 3 CHI true ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3) 10 FLC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HEALTHCARE TX 501(c)(3) 3 SLCDC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 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