2018-05-09T13:05:10-05:00 2017-06-30 470617373 Catholic Health Initiatives 12809 WEST DODGE ROAD OMAHA NE 68154 990 2016-07-01 470757164 ALEGENT CREIGHTON HEALTH ALEG 4023434323 12809 WEST DODGE ROAD OMAHA NE 68154 Jeanette Wojtalewicz CFO 2018-05-03 true Angela Noel P01051055 4023434413 2016 2022-09-23 18:48:47Z Cliff A Robertson 12809 WEST DODGE ROAD OMAHA NE 68154 614629792 false X WWW.CHIHEALTH.COM X 1992 NE THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. 14 9 3408 623 4916630 0 3462454 3779631 299747411 322177340 7720608 -2930507 265594238 285767532 576524711 608793996 16570347 19420661 0 138395677 137248659 0 0 378158473 420997436 533124497 577666756 43400214 31127240 1049622124 951271297 671181936 545604314 378440188 405666983 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 51304092 3026141 43976454 ALEGENT CREIGHTON HEALTH STAFF ARE FOCUSED ON RESTORING PATIENTS' HEALTH BY USING PERSONALIZED CARE AND STATE-OF-THE-ART TECHNOLOGY. THE DIAGNOSTIC CENTER AT THE HOSPITALS ARE EQUIPPED WITH THE LATEST DIGITAL IMAGING TECHNOLOGY. HEALTHCARE PROVIDERS HAVE MEDICAL INFORMATION AT THEIR FINGER TIPS, SO DIAGNOSIS IS QUICKER AND TREATMENT CAN BE STARTED SOONER. EACH DIAGNOSTIC CENTER OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES INCLUDING BUT NOT LIMITED TO THE FOLLOWING: MRI, CT SCANNING, PET/CT SCAN, ULTRASOUND, MAMMOGRAMS, NUCLEAR MEDICINE, CLINICAL LABORATORY, X-RAY IMAGING, PULMONARY SERVICES, OUTPATIENT LABORATORY TESTING, ANGIOGRAPHY AND RADIOGRAPHY. 11755457 1544875 22450423 ALEGENT CREIGHTON HEALTH OFFERS A WIDE RANGE OF COMPREHENSIVE CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. CARDIAC SERVICES INCLUDE BUT ARE NOT LIMITED TO: HI-TECH DIAGNOSIS AND INTERVENTION, CARDIAC CATHETERIZATION LAB, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, HEART SCANS AND HEART CHECKS, ANGIOPLASTY AND DRUG-ELUTING STENTS. 5352564 1685411 24492719 THE ALEGENT CREIGHTON HEALTH EMERGENCY DEPARTMENTS PROVIDE EXPERT TREATMENT FOR ADULTS AND CHILDREN. WHETHER IT'S A LIFE-THREATENING MEDICAL CONDITION OR HIGH FEVER, EXPERIENCED STAFF IS TRAINED AND READY TO HANDLE A WIDE RANGE OF EMERGENCY SITUATIONS. ALEGENT CREIGHTON HEALTH IS CONSTANTLY WORKING TO FIND NEW AND BETTER WAYS TO MAKE SURE EACH PATIENT RECEIVES THE BEST, MOST EFFICIENT EMERGENCY CARE POSSIBLE. THE EMERGENCY DEPARTMENT CONSISTENTLY SCORES IN THE HIGHEST PERCENTILE FOR QUALITY OF CARE, NURSE AND DOCTOR UNDERSTANDING AND CARING, AS WELL AS THE LEAST AMOUNT OF TIME PATIENTS SPEND WAITING FOR EMERGENCY CARE. 471913574 13164234 191305156 ALEGENT CREIGHTON HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT CREIGHTON HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT CREIGHTON HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE. 471913574 13164234 191305156 540325687 true true false true false false false false false true true true false true true true false true false true true false false false false false true true true true true false false false false false false false false false false false false true true true true false false true 0 0 3408 true true true false false false false false false false false false X 14 9 false false false false true true true true true false false true true true true true true true true true false X JEANETTE WOJTALEWICZ 4023434323 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 MD BOARD CHAIR 1.0 11.0 X X 0 0 0 CLIFF ROBERTSON MD Board Member/CEO CHI Health 5.0 55.0 X X 0 1824639 167740 SR Maryanne Stevens RSM VICE CHAIR 1.0 11.0 X X 0 0 0 NATHANIEL BRACKETT MD BOARD MEMBER 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 ROBERT LANIK Board Member 1.0 11.0 X 0 241288 0 AMY L MCGAHA md BOARD MEMBER 1.0 59.0 X 0 273125 16154 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 1.0 59.0 X 0 4009034 33938 BARRY SANDSTROM Board Member 1.0 11.0 X 0 0 0 Bill T Yates Board Member 1.0 11.0 X 0 0 0 Anthony Jones BOARD MEMBER 1.0 59.0 X 0 0 0 Thomas Murray PHD BOARD MEMBER 1.0 11.0 X 0 0 0 CINDY ALLOWAY FORMER PRESIDENT - LKS & MDL Hospital 56.0 4.0 X 517798 0 28266 KEVIN MILLER PRESIDENT - LKS & MDL HOSPITAL 56.0 4.0 X 186477 0 29149 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 5.0 55.0 X 919987 42242 81520 KATHY BRESSLER CHIEF NURSING OFFICER 60.0 0.0 X 283798 237160 12910 STEVE HOUSTON SVP STRATEGY AND TECHNOLOGY, PLANNING 18.0 42.0 X 380770 0 28666 JOAN NEUHAUS CHI HEALTH SVP COO 15.0 45.0 X 1119221 0 28324 NANCY WALLACE SVP HR CHI HEALTH 15.0 45.0 X 437261 0 28515 CARY WARD MD CHI HEALTH SVP CMO 12.0 48.0 X 705985 0 34697 MIKE WATTERS DIV VP SR COUNSEL 10.0 50.0 X 0 298977 33143 MARIE KNEDLER PRESIDENT - Bergan 4.0 56.0 X 601448 0 23598 KIM MOORE President - St Elizabeth 61.0 X 480764 59484 45029 KEVIN NOKELS PRESIDENT - CUMC 60.0 50.0 X 516513 0 54221 MICHAEL SCHNIEDERS COO/ President - Good Samaritan 60.0 X 562212 34434 34392 ANN SCHUMACHER PRESIDENT - IMC 4.0 57.0 X 497035 0 52132 DEVIN FOX MD CHIEF MEDICAL OFFICER 15.0 45.0 X 327365 41137 27662 PATRICIA MURDOCK-LANGAN MD CHIEF MEDICAL OFFICER 12.0 48.0 X 406246 0 18499 PATRICIA MASEK VP MEDICAL AFFAIRS 19.0 38.0 X 210567 0 24856 ANN OASAN PRESIDENT - UNINET 56.0 2.0 X 0 379666 28369 RICHARD ROLSTON MD ACC CEO 4.0 8.0 X 0 428045 471 8153447 7869231 832251 217 true true false JE DUNN CONSTRUCTION COMPANY 17110 MARCY STE LL01 OMAHA NE 68118 CONSTRUCTION/PROJECT MANAGEMENT 5546887 TENET HEALTHCARE CORPORATION 1445 ROSS AVE STE 1400 DALLAS TX 75202 MEDICAL SERVICES 4408550 MCCARTHY BUILDING COMPANIES 14217 DAYTON CIRCLE STE 8 OMAHA NE 68137 GENERAL CONSTRUCTION 3145561 BANYAN MEDICAL SYSTEMS INC 4106 SOUTH 87TH STREET OMAHA NE 68127 PROFESSIONAL SERVICES 1423041 CERNER HEALTH SERVICES INC 2750 E COTTONWOOD PKWY STE 100 SALT LAKE CITY UT 84121 INFORMATION MANAGEMENT 1346000 73 X 0 48900 0 1873016 1403321 454394 0 3779631 Net patient services 900099 271336379 270150494 1185885 0 Management Fees 541610 8411513 8411513 0 0 Pharmacy Services 446110 24062282 0 3222618 20839664 Medical Services 621300 396156 0 53342 342814 Medicare/Medicaid 900099 128487 0 0 128487 17842523 0 0 17842523 322177340 -1054041 0 7310 -1061351 0 0 0 0 0 0 0 0 6378409 0 5703477 0 674932 0 674932 0 104297 570635 2404087 -4280553 0 0 2404087 -4280553 -1876466 0 0 -1876466 0 0 0 0 0 0 0 0 0 0 0 0 229766 132319 97447 0 0 97447 Wellness Services 900099 2017835 1981447 36388 0 Reimbursement of Expenses 900099 277582629 902012 0 276680617 Information Services 517000 827286 779286 48000 0 4567403 0 258790 4308613 284995153 608793996 282224752 4916630 317872983 304413 304413 19116248 19116248 1656751 1656751 110085646 106155277 3930369 2977511 2828635 148876 14857472 14114598 742874 7671279 7287715 383564 110340527 104823501 5517026 4124505 4124505 202747 202747 170199 161689 8510 56687966 48033318 8654648 0 5665287 5382023 283264 15405200 14634940 770260 23522039 22345937 1176102 13132507 12475882 656625 1237500 1175625 61875 197611 187730 9881 6143203 6143203 24617088 23386234 1230854 29445343 27973076 1472267 591692 562107 29585 Bad debts 18870126 17926620 943506 Medical Supplies 35881652 34087569 1794083 Repairs and maintenance 7472176 7098567 373609 Intercompany Allocations 36386054 34566751 1819303 30904014 29351282 1552732 0 577666756 540325687 37341069 0 6647322 6713825 78486979 8487991 0 0 35101542 31285700 0 0 0 0 0 4135438 6628892 4288394 3135310 471904317 158949495 331870438 312954822 9298602 550340 48703586 63072238 45915829 47095772 85074076 85074076 400099918 386272331 1049622124 951271297 45277206 51003900 0 0 1731680 1048626 0 0 0 0 0 14816251 0 0 624173050 478735537 671181936 545604314 X 378440188 405666983 0 0 0 0 378440188 405666983 1049622124 951271297 X 31127240 2252555 -6153000 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 202747 211736 202747 211736 540122940 749185052 540325687 749396788 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 169386 232267 218349 211736 831738 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 3974504 599535 53758 835363 3792434 4220878 427995 -56514 362695 255160 3974504 4068085 657034 24025 528266 4220878 2302076 875156 1722247 831394 4068085 2983028 200542 13256 894750 2302076 0.0 0.0 1.0 false true true 27811201 27811201 183152692 23392405 159760287 2671790 1888424 783366 253064777 131254835 121809942 5203857 2413831 2790026 312954822 CHI OIP CHI OIP CHI OIP 63072238 F 63072238 Other Assets Assets Held for Future Expansion 5068716 Intercompany Receivables 381203615 386272331 Other Liabilities 9997868 Payable from Related Parties 328387383 CHI Debt Program 110560810 Minimum Pension Liability 29452268 Long Term Notes Payable 49902 Accrued Contingent Liabilities 287306 478735537 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE held by CHI Health Foundation to help with the Organizational operations of Alegent Creighton Health. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Alegent Creighton Health'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, 2017 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. Sub-Saharan Africa 1 1 Program Services SCHOOL OF NURSING 251129 1 1 0 0 1 1 251129 0 251129 false false false false false false Schedule F, Part I, Line 3(e) SUB-SAHARAN AFRICA ALEGENT CREIGHTON HEALTH HAS ONE DESIGNATED EMPLOYEE WHO IS THE LIAISON FOR THE HOSPITAL LOCATED IN TANZANIA. THE EMPLOYEE ASSISTS WITH THE PROGRAMS, SERVICES AND ACTIVITIES FOR THE HOUSES FOR HEALTH AND SCHOOL OF NURSING DEPARTMENTS. true true X true X 300 true X true true false true true 0 5392 5616765 0 5616765 0.0101 0 5140 19236886 11936710 7300176 0.0131 0 0 73376 78123 0 0.0 0 10532 24927027 12014833 12916941 0.0231 33 10366 576575 41868 534707 0.0010 12 1044 355083 0 355083 0.0006 0 0 0 0 0 0.0 2 0 18628 2608 16020 0.0000 10 6452 154753 21191 133562 0.0002 57 17862 1105039 65667 1039372 0.0019 57 28394 26032066 12080500 13956313 0.0250 0 0 0 0 0 0.0 0 0 0 0 0 0.0 3 1 1433 0 1433 0.0000 2 0 444 0 444 0.0000 0 0 0 0 0 0.0 1 0 14101 0 14101 0.0000 0 0 0 0 0 0.0 3 36 1638 0 1638 0.0000 0 0 0 0 0 0.0 9 37 17616 0 17616 0.0000 true 18870126 0 83530204 139071498 -55541294 X true true LAKESIDE AMBULATORY SURGICAL CENTER LLC AMBULATORY SURGICAL CENTER 0.52 0.48 LAKESIDE ENDOSCOPY CENTER LLC AMBURLATORY SURGICAL CENTER 0.52 0.48 AH-NORTHWEST IMAGING CENTER LLC DIAGNOSTIC TESTING 0.51 0.49 NEBRASKA SPINE LLC SPINE HOSPITAL 0.51 0.49 BERGAN MERCY SURGICAL CENTER AMBULATORY SURGICAL CENTER 0.6394 0.3606 3 1 CHI HEALTH MIDLANDS 11111 S 84TH ST PAPILLION NE 68046 www.chihealth.com 680001 X X X A 2 CHI HEALTH PLAINVIEW 704 N 3RD STREET PLAINVIEW NE 68769 www.chihealth.com 620002 X X X B 3 CHI HEALTH LAKESIDE 16901 LAKESIDE HILLS COURT OMAHA NE 68130 www.chihealth.com H000106 X X X 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 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 B 2 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 gathered through the assessments described in the methods section and a detailed list of participating stakeholders can be viewed in the CHNA report. Specific populations at higher health risk or that have poorer health outcomes were identified in this community as low-income, Hispanic, Native American, and elderly residents. In addition to using existing relationships with organizations who work with these populations to distribute targeted community surveys, representatives from these organizations also participated in community meetings throughout the assessment process. Representatives of all four special populations were included on invitations to every community meeting, although representatives for the Hispanic and Native American populations did not attend. Through the Professional Research Consultants, Inc. (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 attached. 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 Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Group A. The new CHNA and corresponding implementation plan was completed in in the tax reporting year 2015. The following outlines the current implementation plan priorities and strategies. This plan was posted publicly on www.chihealth.com/chna. This is a joint plan with CHI Health Creighton University Medical Center Bergan Mercy, CHI Health Immanuel, CHI Health Lakeside, and CHI Health Midlands. Therefore, only strategies that are led or co-led by CHI Health Lakeside and CHI Health Midlands are reported below. Priority health needs and strategies are numbered to align with the published joint implementation plan at www.chihealth.net/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: * 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: * Create education and support infrastructure for families of teens at risk for suicide or dealing with a loss from suicide in Sarpy and Cass Counties. (MIDLANDS) * Continue administrative and financial support to Tobacco Free Sarpy (TFS) to reduce tobacco use in Sarpy and Cass Counties. (MIDLANDS) * 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) Priority Health Need #3: Access to Care To address this need the hospital will implement the following strategies in 2016-2018: * Plan and host local health fair to offer low-to-no-cost screenings and education to encourage disease management and behavior change for participants in the Douglas, Sarpy and Cass County areas. (MIDLANDS) * Provide immunization services to qualifying individuals through the hosting of regular, on-going immunization clinics in Bellevue and Papillion, NE. (MIDLANDS) * Provide qualified school nurses to parochial schools in Sarpy/Cass Counties where school would otherwise not have nurse available to students and families (MIDLANDS) Priority Health Need #4: Nutrition, Physical Activity & Weight Status (Childhood 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. (SYSTEM/LAKESIDE/MIDLANDS) * Promote healthy lifestyles through 5-4-3-2-1 Go! campaign for children ages 5 to 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 to 5 in the Omaha Metro Area. (SYSTEM) Priority Health Need #5: Dementia To address this need the hospital will implement the following strategies in 2016-2018: * Engage in existing coalition work to support those affected by dementiarelated illness with a priority of support for lowincome elderly (LAKESIDE) Priority Health Need #6: 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/CUMC/BERGAN) * Provide case management to patients entering the Emergency Department who identify as homeless to assist in finding permanent housing. (SYSTEM/CUMC/BERGAN) The hospital will not address the following health needs for the following reasons: Heart disease and stroke was a priority identified on the community health needs assessment that CHI Health Lakeside and CHI Health Midlands is not directly addressing. However, through the joint implementation plan in partnership with CHI Health Immanuel and CHI Health Creighton University Medical Center-Bergan Mercy strategies addressing heart disease and stroke are identified and are being addressed within the community by CHI Health Creighton University Medical Center-Bergan Mercy and CHI Health Immanuel. 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. 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. 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. Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - Group B. Community input was gathered through the assessments described in the methods section and a detailed list of participating stakeholders can be viewed in the CHNA report. Specific populations at higher health risk or that have poorer health outcomes were identified in this community as low-income, Hispanic, Native American, and elderly residents. In addition to using existing relationships with organizations who work with these populations to distribute targeted community surveys, representatives from these organizations also participated in community meetings throughout the assessment process. Representatives of all four special populations were included on invitations to every community meeting, although representatives for the Hispanic and Native American populations did not attend. Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - Group b. Antelope Memorial Hospital Avera Creighton Hospital Avera St. Anthony's Hospital Brown County Hospital Cherry County Hospital CHI Health Plainview Niobrara Valley Hospital Osmond General Hospital Rock County Hospital West Holt Memorial Hospital Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Group B. The North Central District Health Department conducted the CHNA while other organizations participated in the CHNA process. Please see CHNA report for complete list of participating partners. Schedule H, Part V, Section B, Line 7 Facility B, 1 Facility B, 1 - Group B. The CHNA was shared with the CHI Health Plainview community board along with the local health department. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Group B. The new CHNA and corresponding implementation plan was completed in in the tax reporting year 2015. The following outlines the current implementation plan priorities and strategies. This plan was posted publicly on www.chihealth.com/chna. For this plan the hospital prioritized the following health needs: Priority Health Need 1: Nutrition, Physical Activity, and Weight To address this need the hospital will implement the following strategies in 2016-2018: * Develop and promote healthy lifestyles through 5-4-3-2-1 Go! campaign in children ages 5 to 12 years old attending schools across the North Central District in Nebraska. * Continue and expand to two lab fairs a year, at a subsidized price, for those in Pierce County with limited access to healthcare services. Priority Health Need 2: Behavioral Health To address this need the hospital will implement the following strategies in 2016-2018: * Increase the overall awareness of existing and potential resources among community stakeholders through an established behavioral health community coalition. * Provide community-wide training on mental health and substance use to stakeholders such as healthcare workers, law enforcement, EMTs, pastors, school personnel, and elder care workers. * Increase access to mental health providers in the community that may include support of medication management services, increased use of tele-psych, and education of community healthcare providers on behavioral health. The hospital will not address the following health needs for the following reasons: In acknowledging the range of priority health issues that emerged from the CHNA process, CHI Health Plainview prioritized the health issues above in order to most effectively focus resources and meaningfully impact the selected health issues. As described in the process above, the hospital took into consideration health disparities, in order to select the priorities. The following identified needs will not be prioritized in this implementation plan for the following reasons. Access to Healthcare Services. By providing care as a critical access hospital, CHI Health Plainview allows for increased access to services along with providing charity care to for patients who are low income. Increased access to behavioral health services is also being addressed in the priority area chosen. Aging Population & Related Illnesses. Due to resources and hospital capacity, this priority will not be a focus for the hospital. The hospital will participate in any Health Department efforts around this priority through partnering and attending work group meetings. Housing and Environmental Health. This priority is currently being addressed by other organizations within the community. Chronic Disease. CHI Health will continue to perform existing work around chronic disease and will address some of this priority through the work around obesity, nutrition, and physical activity. Safety. 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. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - Group B. 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. 7 ACH-PLAINVIEW RURAL HEALTH CLINIC 704 N 3RD STREET PLAINVIEW NE 68769 RURAL HEALTH CLINIC LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLAZA OMAHA NE 68130 ENDOSCOPY CENTER LAKESIDE AMBULATORY SURGICAL CENTER LLC 17031 LAKESIDE HILLS DR OMAHA NE 68130 AMBULATORY SURGICAL CENTER BERGAN MERCY SURGERY CENTER LLC 7710 MERCY RD OMAHA NE 68124 AMBULATORY SURGICAL CENTER NEBRASKA SPINE HOSPITAL LLC 6901 N 72ND STREET OMAHA NE 68122 SPINE HOSPITAL ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC 3606 N 156TH ST OMAHA NE 68116 DIAGNOSTIC IMAGING CENTER CHI HEALTH QUICK CARE LLC 12809 W DODGE RD OMAHA NE 68154 QUICK CARE CHI HEALTH AMBULATORY SURGERY CENTER AT MIDLANDS 11111 S 84TH ST PAPILLION NE 68046 AMBULATORY SURGICAL CENTER CHI HEALTH CLINIC PLAINVIEW 704 NORTH 3RD ST PLAINVIEW NE 68769 RURAL HEALTH CLINIC CHI HEALTH LAKESIDE IMAGING CENTER 17201 Lakeside Hills Pl STE 107 Omaha NE 68130 DIAGNOSTIC IMAGING CENTER CHI HEALTH NURSING HOME NETWORK 12809 West Dodge Rd OMAHA NE 68154 HOME CARE AND HOSPICE CHI HEALTH WEST OMAHA IMAGING CENTER 17201 WRIGHT ST STE 100 OMAHA NE 68130 DIAGNOSTIC IMAGING CENTER 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 I, Line 7 Bad Debt Expense excluded from financial assistance calculation 18870126 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 -PRESENTATION TO GIRL SCOUT TROOP ON HEALTHCARE CAREERS *COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE *STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY PARTNERS TO BUILD CAPACITY TO ADDRESS HEALTH AND SOCIAL NEEDS OF THE COMMUNITY *STAFF PAID TIME PARTICIPATING IN PARK CLEANUP THROUGH THE ORGANIZATION KEEP OMAHA BEAUTIFUL TO DECREASE LITTER AND IMPROVE THE ENVIRONMENT *TOBACCO FREE SARPY COALITION-PROVIDE IN-KIND STAFF TIME, SPACE AND RESOURCES TO THE COALITION. THE MISSION OF TOBACCO FREE SARPY COUNTY IS TO PROMOTE AND ADVOCATE FOR HEALTHY TOBACCO-FREE LIFESTYLES THROUGH PUBLIC POLICY, EDUCATION AND ENFORCEMENT. GOALS ARE TO REDUCE EXPOSURE TO SECONDHAND SMOKE, REDUCE HEALTH DISPARITIES RELATED TO TOBACCO USE IN SARPY COUNTY, REDUCE YOUTH ACCESS TO TOBACCO AND REDUCE TOBACCO USE WITHIN SARPY COUNTY. 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 48.86%. 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 Creighton Health 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 Creighton Health 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 Creighton Health'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: $83,530,204 Total Medicare costs: $139,071,498 Shortfall: ($55,541,294) Alegent Creighton Health 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 MIDLANDS: Line 16a URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: Line 16a URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - CHI HEALTH MIDLANDS: Line 16b URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: Line 16b URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - CHI HEALTH MIDLANDS: Line 16c URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: 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 was accomplished by using data and community input from processes led by Professional Research Consultants, Inc. * 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 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 attached for more in-depth details regarding the CHNA process. The process of identifying the community health needs across Pierce County was accomplished by utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) strategy led by the North Central District Health Department (NCDHD). * North Central District Health Department (NCDHD) is a state-approved district health department that serves nine rural Nebraska counties-Antelope, Boyd, Brown, Cherry, Holt, Keya Paha, Knox, Pierce, and Rock. NCDHD has been state-approved as a multi-county public health department, a government body at the county level, since December 2001, providing education and services to the nine-county area. NCDHD completed a Community Health Needs Assessment for all nine counties within their district. * Ionia Research- Joseph Nitzke, PhD- North Central District Health Department and the partnering district hospitals contracted with Dr. Joseph Nitzke for data collection, compilation, analysis, and presentation for this community health assessment process. Facilitated by public health leaders, MAPP is a community-driven strategic planning approach used to improve community health through applying strategic thinking to prioritize public health issues and identify the resources to address them. This approach utilized both primary and secondary data collected throughout the process. Primary data included four MAPP assessments and secondary data consisted of public health, vital statistics, and other data collection. The assessment also incorporates a broad range of both qualitative and quantitative data. The quantitative data is primary (as derived from the North Central District Health Department Community Health Survey) and secondary (as derived from statistics from large datasets, as well as hospital-specific data); these resources allow for trend analysis and comparisons to both state and national levels. Qualitative data input is also derived from the North Central District Health Department Community Health Survey and focus group meetings. More information regarding the process can be found in the CHNA attached. 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 Lakeside and CHI Health Midlands are 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." 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 Omaha Metro 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 highest rates of high school graduation and residents with some college education. 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 least populated of the four counties as well as, the least diverse of the four counties with 97% of the population being Non-Hispanic White. Cass County has the second highest median household income, the second highest unemployment rate, the second highest high school graduation and some college education, and the 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%) in the Omaha Metro Area, lowest median household income, the highest unemployment rate, and the lowest percentage of the population having some college education. 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 CHI Health Plainview is located in Plainview, NE and largely serves the Pierce County area. Pierce County was identified as the community for this CHNA, as it is the primary service area for CHI Health Plainview. Plainview, NE is located 141 miles from Omaha, NE and 100.6 miles from Sioux City, IA. According to the most recent census estimates, Pierce County is 100% rural, encompasses 573 square miles and has 7,208 residents. Pierce County: 24.9% of residents were below the age of 18 in 2014 18% residents were over the age of 65 in 2014 Pierce County median household income: $52,178 Hispanic Population: According to the data Pierce County's Hispanic population accounts for only 1.6% of the population while non-Hispanic white residents account for 98.4% of the population 26.39% of Pierce County residents live below the 200% FPL County unemployment rate is 2.9% High School graduation rate is 94.2% Uninsured population living in Pierce County is 8.08% 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 (CPR, car seat safety checks, community behavioral health support and education, diabetes, cancer, physical activity and healthy eating and cooking) -Support groups (cancer, bereavement, youth, etc.) -Community health fairs and screenings -School based healthcare services -Sarpy/Cass County School Nurse & Immunization Program-provided staff and funding for two nurses serving six faith-based schools. The schools serve more than 1,850 students in the Greater Omaha Area. Nursing staff conduct important health screenings and immunization tracking to ensure accurate management of health-related documents for the student body. The nursing staff also leads health and wellness initatives for the school such as 54321Go!, Healthy Families, seat belt safety and coordination for safety programs such as the DARE program. The nurses also promote dental health and provide referrals to other services to address mental health issues. -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. -Childcare-CHI Health provided funding to increase capacity of Nebraska Extension Nutrition & Physical Activity Self-Assessment in Child Care (NAP SACC) program to provide training and technical assistance for child care programs in Douglas, Sarpy and Cass Counties in Nebraska. -Breastfeeding-planned and funded the Beyond Best Practices: Creating a Supportive Environment for Breastfeeding Parents conference for clinic and hospital professionals (nurses, medical assistants, dieticians, health coaches/navigators and providers), as well as community based health care workers (WIC dieticians, WIC clinicians, and community and federally qualified health center clinic members). Additionally, provided funding to the Nebraska Breastfeeding Coalition to plan and implement a Certified Lactation Counselor Training for 75 individuals, and an IBCLC Exam Prep course for 25 individuals, as well as to develop a breastfeeding toolkit for worksites and clinics to support promotion of breastfeeding in these spaces. -Heart & Sole Walking Program-incentives funded for participants who complete the heart healthy walking program within their faith organization. -Provided support to pregnant teens to ensure healthy pregnancy, and continued effort to complete high school degree. -SANE Program-purchased equipment needed for conducting best practice examinations and collection of evidence for potential prosecution of perpetrator. Funds also supported the SANE coordinator and one SANE nurse to attend a national conference to continue their education around nationally recognized practices in the field. -Funded a program evaluation of an existing school-based mental health program serving high-risk youth in high poverty areas to ensure quality, effective practices and identify opportunities for program improvement. -Registration for 15 community healthcare professionals to attend the Dementia Care Conference -Provided counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. -Provided support and office space to the Legal Aid of Nebraska to assist individuals with legal matters. -Provided transportation to patients who cannot afford transportation to attend to their medical needs. -Provided interpreting and translation services to Limited English Proficiency (LEP) groups whose numbers fall below the required threshold in the community. -Provide 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. Specific examples for 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. -Together, Inc.-provided funds to support the newly developed homeless case management project to be housed out of the CUMC emergency department and then at University Campus. The program connects high utilizers of the emergency department, who are identified as homeless, with a case manager who will then assist them in finding sustainable housing and accessing other resources associated with social determinants of health. -One World Community Health-partnership for Baby's Health and Safety between One World and CHI Health to provide education around safe sleep, safe ride, and breastfeeding to expecting mothers, and provide car seats and pack-n-plays as incentive for participation in education program. -Building Healthy Futures-provided support for research to study and create culturally relevant trauma-informed care for refugee populations to be utilized by front-line care providers. -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. -The 712 Initiative-provided support to administer programming by The Big Garden agency at the Creektop Community Garden in Council Bluffs, for low-income individuals to build technical skills and capacity for gardening and thereby improving their healthy food access. -Mills County Public Health-provided funding for Family Matters Substance Abuse Prevention Project Schedule H, Part VI, Line 6 Affiliated health care system The organization is affiliated with Catholic Health Initiatives (CHI). 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 17 states and comprises 101 hospitals, including 4 academic health centers and 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 2017, CHI provided more than $1.2 billion in financial assistance and community benefit - a more than 10% increase over the previous year -- for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled more than $2.1 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $15.5 billion in fiscal year 2017, has total assets of approximately $21.9 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 Mount St Francis 7665 Assisi Hts Colorado Springs CO 80919 840405261 501(C ) (3) 10000 General Support Sisters of Mercy of the Americas 7262 Mercy Rd Attn West Midwest Community Omaha NE 68124 262400800 501(C ) (3) 10000 General Support Nebraska Synod elca 6757 Newport Ave STE 200 Omaha NE 68152 363514308 501(C ) (3) 73131 General Support Clinic With a Heart 1701 S 17th Street 4G Lincoln NE 68502 202850139 501(C ) (3) 15000 General Support Buffalo County Community Health Partners 1755 Prairie View PL Kearney NE 68845 205852415 501(C ) (3) 35000 General Support CHI HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 501(C)(3) 39902 GENERAL SUPPORT ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 N 72ND STREET OMAHA NE 68122 470376615 501(C)(3) 121380 GENERAL SUPPORT 7 0 FINANCIAL ASSISTANCE 5392 19090315 BOOK REDUCTION OR WRITE-OFF OF PATIENT SERVICES WOW/CARE SUPPORT 168 5933 BOOK PROVIDING NECESSITIES FOR INPATIENTS SCHOLARSHIPS 19 20000 Schedule I, Part III FINANCIAL ASSISTANCE ALEGENT CREIGHTON HEALTH 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 III SCHOLARSHIPS TO INDIVIDUALS LAKESIDE AND MIDLANDS PROVIDED 19 SCHOLARSHIPS DURING FISCAL YEAR 2017 TO STUDENTS INTERESTED IN THE HEALTHCARE INDUSTRY. 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. ALEGENT CREIGHTON HEALTH ONLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH THE SAME MISSION and PURPOSE AS THE ALEGENT CREIGHTON HEALTH SYSTEM. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION. true true false false false false false true false CLIFF ROBERTSON MD Board Member/CEO CHI Health 0 829993 0 808133 0 186513 0 148918 0 18822 0 1992379 0 163181 ROBERT LANIK Board Member 0 0 0 0 0 241288 0 0 0 0 0 241288 0 238436 AMY L MCGAHA md BOARD MEMBER 0 272114 0 500 0 511 0 15117 0 1037 0 289279 0 0 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 0 1345828 0 2064833 0 598373 0 15900 0 18038 0 4042972 0 244488 RICHARD ROLSTON MD ACC CEO 0 0 0 0 0 428045 0 0 0 471 0 428516 0 0 CINDY ALLOWAY FORMER PRESIDENT - LKS & MDL Hospital 385322 0 89386 0 43090 0 15900 0 12366 0 546064 0 1 0 KEVIN MILLER PRESIDENT - LKS & MDL HOSPITAL 149827 0 26849 0 9801 0 10608 0 18541 0 215626 0 0 0 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 521281 0 361604 0 37102 42242 63028 0 18492 0 1001507 42242 58320 0 PATRICIA MASEK VP MEDICAL AFFAIRS 164101 0 38570 0 7896 0 12027 0 12829 0 235423 0 0 0 ANN OASAN PRESIDENT - UNINET 0 295549 0 60688 0 23429 0 15685 0 12684 0 408035 0 0 KATHY BRESSLER CHIEF NURSING OFFICER 99777 47515 61212 0 122809 189645 4432 0 8478 0 296708 237160 0 58164 STEVE HOUSTON SVP STRATEGY AND TECHNOLOGY, PLANNING 297811 0 61058 0 21901 0 15900 0 12766 0 409436 0 0 0 JOAN NEUHAUS CHI HEALTH SVP COO 599911 0 435293 0 84017 0 15900 0 12424 0 1147545 0 2 0 NANCY WALLACE SVP HR CHI HEALTH 342547 0 70537 0 24177 0 15761 0 12754 0 465776 0 0 0 CARY WARD MD CHI HEALTH SVP CMO 500046 0 163373 0 42566 0 15900 0 18797 0 740682 0 19862 0 MIKE WATTERS DIV VP SR COUNSEL 0 242783 0 15514 0 40680 0 15900 0 17243 0 332120 0 0 DEVIN FOX MD CHIEF MEDICAL OFFICER 273965 41109 49340 0 4060 28 0 15900 0 11762 327365 68799 0 0 PATRICIA MURDOCK-LANGAN MD CHIEF MEDICAL OFFICER 342449 0 60152 0 3645 0 15900 0 2599 0 424745 0 0 0 MARIE KNEDLER PRESIDENT - Bergan 454054 0 98228 0 49166 0 15900 0 7698 0 625046 0 4115 0 KIM MOORE President - St Elizabeth 374881 0 86494 0 19389 59484 14861 17868 12300 0 507925 77352 0 59484 KEVIN NOKELS PRESIDENT - CUMC 405974 0 94515 0 16024 0 35424 0 18797 0 570734 0 0 0 MICHAEL SCHNIEDERS COO/ President - Good Samaritan 423447 0 98733 0 40032 34434 15900 0 18492 0 596604 34434 34434 0 ANN SCHUMACHER PRESIDENT - IMC 390232 0 90779 0 16024 0 34652 0 17480 0 549167 0 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. 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 2016 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: Richard Rolston - $428,250 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE 2016 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MARKET BASED ORGANIZATION CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN CHI'S SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON ROBERT LANIK MICHAEL ROWAN CINDY ALLOWAY JEANETTE WOJTALEWICZ KATHY BRESSLER JOAN NEUHAUS CARY WARD MARIE KNEDLER KIM MOORE KEVIN NOKELS MICHAEL SCHNIEDERS ANN SCHUMACHER DURING 2016 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $133,018 JEANETTE WOJTALEWICZ - $47,128 KIM MOORE - $17,868 KEVIN NOKELS - $19,524 ANN SCHUMACHER - $18,752 DURING 2016 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $163,181 ROBERT LANIK - $238,436 MICHAEL ROWAN - $244,488 JEANETTE WOJTALEWICZ - $58,320 KATHY BRESSLER - $58,164 JOAN NEUHAUS - $2 CARY WARD - $19,862 MARIE KNEDLER - $4,115 KIM MOORE - $59,484 MICHAEL SCHNIEDERS - $34,434 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAD MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, YEARS OF SERVICE OR MORE THAN 5 YEARS OF PLAN PARTICIPATION WERE ELIGIBLE TO RECEIVE THEIR 2016 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 2016, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MICHAEL ROWAN - $338,873 CINDY ALLOWAY - $18,464 JOAN NEUHAUS - $54,254 MARIE KNEDLER - $20,291 MICHAEL SCHNIEDERS - $20,395 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 $ 471,913,574 including grants of $ 13,164,234)(Revenue $ 191,305,156) ALEGENT CREIGHTON HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT CREIGHTON HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT CREIGHTON HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE. 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. THEREFORE NO FORM 1099S ARE ISSUED BY Alegent Creighton Health. 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 Creighton Health ARE REPORTED TO THE IRS. Form 990, Part VI, Line 16a WRITTEN POLICY FOR JOINT VENTURE AGREEMENTS ALEGENT CREIGHTON HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER,CHI'S SYSTEM WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Form 990, Part VI, Line 12c CONFLICT OF INTEREST POLICY (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 CHI Nebraska IS THE SOLE MEMBER OF ALEGENT Creighton Health. 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 Creighton Health board. * Amendment of the corporate documents of Alegent Creighton Health. *Approve removal of a member of the governing body of Alegent Creighton Health. * Adoption of long range and strategic plans for Alegent Creighton Health. 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 Alegent Creighton Health. * Removal of a member of the governing body of Alegent Creighton Health. * Approval of issuance of debt by Alegent Creighton Health. * Approval of participation of Alegent Creighton Health in a joint venture. *Approval of formation of a new corporation by Alegent Creighton Health. * Approval of a merger involving Alegent Creighton Health. * Approval of the sale of all or substantially all of the assets of Alegent Creighton Health. * To require the transfer of assets by Alegent Creighton Health 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 Department AND THE LOCAL CHIEF FINANCIAL OFFICER. AFTER INCORPORATION OF ANY CHANGES RESULTING FROM THIS REVIEW, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD A WEEK IN ADVANCE OF THE FINANCE COMMITTEE MEETING. THE FORM 990 IS REVIEWED AT THE FINANCE COMMITTEE MEETING AND THE CHIEF FINANCIAL OFFICER IS PRESENT AT THE MEETING TO ANSWER QUESTIONS. 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 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 * Employees at the level of manager and above (through 6/21/17) 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. The disclosures will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. 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. For other members of management who were paid under CHI Health for calendar year 2016, CHI Health completes a compensation market study to determine salary. 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.CATHOLICHEALTHINIT.ORG. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 17842523, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 17842523; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 4567403, Related or Exempt Function Revenue: , Unrelated Business Revenue: 258790, Revenue Excluded from Tax Under Sections 512, 513, or 514: 4308613; Form 990, Part XI, Line 9 Other changes in net assets or fund balances BENEFIT PLAN ACCRUAL ADJUSTMENT - 1234419; MEDICAL STAFF ACTIVITY ADJUSTMENT - -6667; CAPITAL RESOURCE POOL CONTRIBUTIONS - -9658614; TRANSFER FROM AFFILIATE - 2285371; OTHER CHANGES IN NET ASSETS - -7509; CHI HEALTH QUICK CARE LLC 12809 WEST DODGE ROAD OMAHA NE 68154 203437352 EXPRESS CARE CLINIC NE 1848722 337117 ALEGENT CREIGHTON HEALTH CHI HEALTH PARTNERS LLC 12809 WEST DODGE ROAD OMAHA NE 68154 ACCOUNTABLE CARE ORGANIZATION NE 78 3742 ALEGENT CREIGHTON HEALTH 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 BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3) 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501(c)(3) 10 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(c)(3) Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 129 CIRCLE WAY STE 102 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 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3) Type I NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD 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 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(c)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 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 MN 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 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 6940 O ST STE 200 LINCOLN 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 1 MERCY LANE STE 201 HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3) 3 CHISVHS true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(1) 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 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(c)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(c)(3) Type I CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 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 MO 501(c)(3) 10 CHI true FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3) Type II SFH 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 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3) 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 200 ABRAHAM FLEXNER WAY 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 ND 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 300417049 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 1111 6TH AVE DES MOINES 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) 8 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 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(c)(3) 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 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) 6 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) 2 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 ONE SAINT JOSEPH DRIVE 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 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3) Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 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 MO 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 1601 SE COURT AVE PENDLETON OR 97801 930391614 HEALTHCARE OR 501(c)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVE 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 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 270163752 LIVING COMM OH 501(c)(3) 10 FLC true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 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) 8 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 30 WEST 7TH 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 77030 261947374 HEALTHCARE TX 501(c)(3) 3 SLHS true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HEALTHCARE TX 501(c)(3) 3 SLCDC true ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HEALTHCARE TX 501(c)(3) 3 SLHS true ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING TX 501(c)(3) 7 SLHS true ST LUKE'S HEALTH SYSTEM CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536232 MANAGEMENT TX 501(c)(3) Type I CHI true ST 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