2018-05-09T11:00:37-05:00 2017-06-30 470617373 catholic health initiatives 198 inverness drive west englewood CO 80112 990 2016-07-01 392031968 NEBRASKA HEART HOSPITAL NEBR 4023283721 7500 S 91ST ST LINCOLN NE 685269772 Jeanette Wojtalewicz CFO, CHI Health 2018-05-04 true ANGELA NOEL CPA P01051055 3032989100 2016 2022-09-23 18:48:47Z CHI Health Nebraska Heart Cliff A Robertson 12809 West Dodge Road Omaha NE 68154 79922091 false 0928 X www.chihealth.com X 2011 NE The Nebraska Heart Hospital is the Midwest's premier facility for cardiac, vascular and thoracic services. The hospital provides patients with inpatient and outpatient care. By focusing care and using technologies that center on the patient, the physicians and staff strive to provide the best treatment for each patient. 14 9 483 17 18 0 1462 680 74606398 79253031 104297 426531 936824 241184 75648981 79921426 2403822 1639979 0 22845696 21844866 0 0 0 36766432 44859870 62015950 68344715 13633031 11576711 159279953 149987987 36305187 15431965 122974766 134556022 X The mission of Catholic Health Initiatives and Nebraska Heart Hospital 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 23514566 813167 39198177 The Nebraska Heart Hospital (NHH) provides a comprehensive program of cardiology services. These services begin with the patient and their family practice or primary care physician, a relationship fundamental in the prevention and treatment of heart disease. The Nebraska Heart Hospital provides an inclusive series of non-invasive and invasive diagnostic testing and practices the most up-to-date interventional therapy in the treatment of heart disease. Cardiologists at the Nebraska Heart Hospital work with patients and referring physicians to assure that a team-based approach is used from diagnosis through treatment and rehabilitation. 13517511 290396 13998335 Surgeons with the Nebraska Heart Institute perform a variety of procedures to treat cardiac, vascular, and thoracic diseases. These surgeries include but are not limited to : Coronary Artery Bypass, TAVR, Transmyocardial Revascularization (TMR), Valvular Procedures, Transplantation, Vascular Disease, Peripheral Angiography, and Vein Clinic. 2392194 153443 7396619 Despite advances in medicine, heart disease remains the leading cause of death in the United States. The Nebraska Heart Hospital Cardiovascular Health and Lipid Clinic is committed to working to prevent the development and progression of coronary and vascular disease using a holistic approach including risk assessment, lifestyle changes and medical treatment. A team of physicians, advanced practice clinicians, nurses and dieticians works to provide personalized risk assessment and a customized plan to decrease your risk of developing cardiovascular disease. 8892882 382973 18659900 Other programs 8892882 382973 18659900 48317153 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true false false false true 0 0 483 true false 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 false true false X Jeanette Wojtalewicz 4023434671 12809 West Dodge Road Omaha NE 68154 LARRY BUTLER Treasurer 1.0 11.0 X X 0 0 0 FR JAMES CLIFTON SJ Secretary 1.0 11.0 X X 0 0 0 RICHARD HERINK MD Board CHAIR 1.0 12.0 X X 0 0 0 CLIFF ROBERTSON MD Board Member/CEO CHI Health 1.0 59.0 X X 0 1824639 167740 SR Maryanne Stevens RSM Board 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 12.0 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 31.0 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 12.0 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 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 5.0 55.0 X 0 962229 81520 KENT HOXMEIER Perfusionist 40.0 0.0 X 168809 13132 29661 Emily Mannschreck PHARMACIST 40.0 0 X 33667 132118 28610 JACQUELLINE MENDOZA VP, Nursing, CV Service Line 50.0 0 X 220169 0 29310 Jamie Prange DIRECTOR-SURGICAL SERVICES 40.0 0 X 163690 0 28114 PATRICIA WILMES Director, Clinical Quality & Director, Support Services 50.0 0 X 118675 143674 11516 705010 7599239 426563 28 false true false Physicians Laboratory Services 7441 O Street Suite 100 Lincoln NE 68510 Medical testing services 114809 Dialysis Center of Lincoln 7910 O Street Lincoln NE 68310 Dialysis Services 110070 2 X 0 0 0 680 0 0 0 680 Patient Services 900099 79054114 79054114 0 0 Services Sold 900099 198917 198917 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 79253031 420482 0 18 420464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6714 0 0 665 6714 -665 6049 0 0 6049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria 722100 232600 0 0 232600 0 0 0 Laboratory Services 621500 2860 0 0 2860 5724 0 0 5724 241184 79921426 79253031 18 667697 3309 3309 1636670 1636670 16777134 11240679 5536455 1050180 703621 346559 2790611 1869710 920901 1226941 822051 404890 1777 1777 5068699 3397219 1671480 0 1183078 792662 390416 266992 178885 88107 924935 619707 305228 26635 17845 8790 4857 3254 1603 2274872 1524164 750708 45334 45334 Medical Supplies 23763402 23763402 Bad debts 1178529 1178529 Intercompany Allocations 9276811 9276811 Repairs and maintenance 527757 353597 174160 316192 211849 104343 0 68344715 48317153 20027562 0 0 0 24003992 37453771 0 0 12682549 11340487 0 0 0 13677 13677 2794066 2632640 337768 0 36894240 13291901 25320721 23602339 0 0 141978 158660 0 74929746 74786413 19055456 0 159279953 149987987 7307873 4929848 0 0 845822 0 0 0 0 0 0 0 0 0 28151492 10502117 36305187 15431965 X 122974766 134556022 0 0 0 0 122974766 134556022 159279953 149987987 X 11576711 6736 -2191 X false true X true false X false false false false false true 1777 false false false 1777 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $987 CATHOLIC HEALTH ASSOCIATION - $790 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $987 CATHOLIC HEALTH ASSOCIATION - $790 1400000 1400000 22690097 5367460 17322637 0 0 0 11745624 6993231 4752393 1058519 931210 127309 23602339 Intercompany Payables 9409698 Contingent Liabilities 1092419 10502117 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Nebraska Heart Hospital'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." true true X true X 300 true X true true false true true 148 738852 0 738852 0.0110 236 871835 -1259341 2131176 0.0317 10132 404 9728 0.0001 0 384 1620819 -1258937 2879756 0.0429 9 1114 144499 9401 135098 0.0020 6 157 118698 0 118698 0.0018 0 0 0 0 0 0.0 1 0 6134 859 5275 0.0001 3 71 40396 6978 33418 0.0005 19 1342 309727 17238 292489 0.0044 19 1726 1930546 -1241699 3172245 0.0472 0 0 0 0 0 0.0 0 0 0 0 0 0.0 2 2 12737 0 12737 0.0002 1 0 146 0 146 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 9 514 0 514 0.0000 0 0 0 0 0 0.0 4 11 13397 0 13397 0.0002 true 1178529 0 70688354 46662046 24026308 X true true 1 1 Nebraska Heart Hospital 7500 South 91st Street Lincoln NE 68526 http://www.neheart.com h000118 X HEART HOSPITAL Nebraska Heart Hospital 1 false false true X X X X X X X X X 15 true true true true X https://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 , 1 Facility , 1 - Nebraska Heart Hospital. Over 100 individuals representing all sectors of health and community participated in a Mobilizing for Action Through Planning and Partnership (MAPP) process including several leaders from Nebraska Heart Health (NHH). These stakeholders represent low-income, minority populations, medically underserved populations and the aging population. Several specifics methods were used to gain community input on the needs assessment and community health improvement plan. The information gathered from the community informed the health need prioritization process and the community health improvement plan. Online Survey: LLCHD disseminated an online survey in both English and Spanish on the City of Lincoln- Lancaster County website and by sending the link via e-mail to community partners. Hard copies were available for those without access to a computer. The survey asked participants about their perceptions of the public health services and about various aspects of their community related to health. Community Focus Groups were held in collaboration with the State for Lincoln and Lancaster County residents. In addition to the larger focus group, two smaller focus groups were held with senior citizens at a senior center. The focus group gained input from participants on their perceptions of the local health services and about various aspects of their community related to health. Community Engagement Session: The MAPP process included a brainstorming session in order to gather input about events, trends and factors that shape the background conditions in the community. The issues focused on during the engagement session were the growth of Lincoln's population now and in the future, and the changing city landscape and development. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Nebraska Heart Hospital. CHI Health Saint Elizabeth Bryan Health Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Nebraska Heart Hospital. Lincoln Lancaster County Health Department Other input from community organizations Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Nebraska Heart Hospital. The CHNA was presented to the Community Board for Saint Elizabeth's and Nebraska Heart Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Nebraska Heart Hospital. The new CHNA and corresponding implementation plan was completed 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 St. Elizabeth and Nebraska Heart Hospital. Therefore, only strategies that are led or co-led by Nebraska Heart Hospital will be reported here, Priority Health Needs and Strategies are numbered to align with the published joint Implementation Plan at www.chihealth.com/chna. For this plan the hospital prioritized the following community health needs identified in the most recent community health needs assessment: Priority Health Need #3: Chronic Disease To address this need the hospital will implement the following strategies in 2016-2018: - Provide a community tobacco cessation program to help eliminate exposure to secondhand smoke in Lancaster County (NHH) - FY17 Actions and Impact - Trained Certified Tobacco Treatment Specialists (CTTS) and held four sessions of tobacco cessation classes. - Evaluating need and capacity for continued implementation in FY18 and beyond - Provide a Heart Failure Academy (HFA) and other education for individuals with heart failure and their families. (NHH/STE) - FY17 Actions and Impact - Continued to provide Heart Failure Academy (HFA) and developed a pre/post survey for participants to be evaluated in upcoming year. - Provide financial assistance and support to Partnership for a Healthy Lincoln (PHL) to decrease obesity, increase fruit and vegetable consumption, and increase physical activity for both adults and youth in Lancaster County. (NHH/STE) - FY17 Actions and Impact - Provided funding to community coalition to promote healthy eating and active living for youth and adults in Lincoln and Lancaster County. - Initiatives include: - Support to Lincoln Public Schools (LPS) to write and implement wellness policies to decrease obesity and increase fitness - Support to the Lincoln Community Breastfeeding Initiative (LCBI) - PHL and The Physician Network (TPN) Implementing the 80% by 2018 campaign to promote colorectal cancer screening in Lincoln, Lancaster County, and across the state. Priority Health Need #4: Injury & Violence To address this need the hospital will implement the following strategies in 2016-2018: - Provide Lancaster County middle schools with Second Step, a violence prevention program (NHH/STE) - FY17 Actions and Impact - Second Step, an evidence-based social emotional learning curriculum is being implemented in select LPS sites, and district is looking at implementation across the district and in after-school settings. - CHI Health St. Elizabeth taking part in Regional Prevention Coordination through Region V (RPC) to prevent substance abuse for all ages. - Working to align violence and behavioral health work and connect with local coalitions and partners to build sustainability. - Provide after school creative programs at the middle school. Specifically, digital storytelling and painting as a means of sharing emotions and then hold community events(s) to showcase creative works and to educate the community on violence prevention. (NHH/STE) - FY17 Actions and Impact - Signed agreement with art provider to implement programming to use art and digital media to learn, process, and express emotion in healthy and non-violent ways. - Creative programming has been critical to the success with this age group, and increases engagement from desired audience after school in a way that youth learn. - Art projects completed with 2 pilot sites - Tested health based programming in support of Second Steps themes at summer out-of-school program site including CPR and First Aid training provided by Nebraska Heart Hospital and CHI Health St. Elizabeth team members. - A meditation and positive thinking class was also piloted at the summer out-of-school program location. - Create a community culture that supports violence prevention through engaging community organizations in education and programing. (STE/NHH) - FY17 Actions and Impact - CHI Health St. Elizabeth providing coordinator to convene local stakeholders in a coalition to identify avenues of violence prevention across the community. Community Priorities not addressed by the Hospital: Access to Care and Behavioral Health Access to Care and Behavioral Health were two priorities identified on the community health needs assessment that NHH Hospital is not directly addressing. However, through the joint implementation plan NHH partners with CHI Health St. Elizabeth on a Community Benefit Action Team (CBAT) to jointly lead and inform all implementation plan work for both hospitals. CHI Health St. Elizabeth is addressing Access to Care and Behavioral Health and therefore these needs are being addressed within this community by CHI Health. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Nebraska Heart Hospital. 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. 0 Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE 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 1178529 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 of 39.99%. 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 * 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 * Mentored 2 students with the Work and Gain Experience in the Summer(WAGES) program through the Nebraska State Department of Blind and Visually Impaired which improves employment opportunities for these individuals 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 ORGANIZATON'S COST/CHARGE RATIO OF 39.99%. 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 Nebraska Heart Hospital 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 Nebraska Heart Hospital 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. Nebraska Heart Hospital'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: $70,688,354 Total Medicare costs: $46,662,046 Surplus (Shortfall): $24,026,308 Nebraska Heart Hospital 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 - Nebraska Heart Hospital: Line 16a URL: www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Nebraska Heart Hospital: Line 16b URL: www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Nebraska Heart Hospital: Line 16c URL: www.chihealth.com/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The process of identifying the community health needs in Lancaster County served by NHH was accomplished by using data and community input through the Mobilizing for Action through Planning and Partnership (MAPP) Process, and support through the Saint Elizabeth/NHH Community Benefit Action Team (CBAT). The MAPP process 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. The LLHD MAPP process included stakeholders from across the community representing all of the local health service agencies and several community agencies representing the population served in Lancaster County. NHH staff participated on both the Steering Committee and several Work Groups as part of both the assessment and planning process. The MAPP process included several assessments that collected and reviewed both primary and secondary data: * Community Health Status Assessment: This process involved collecting data on core indicators and selecting additional key indicators tailored to the community. - County Health Rankings - Behavioral Risk Factors Surveillance System Data - Youth Risk Behavior System Data - Vital Statistics Data - US Census Bureau - Lincoln Lancaster County Health Department * Community Themes & Strengths Assessment: This assessment involved community dialogue and focus groups; a community survey; key stakeholder interviews; and reporting the results and identified challenges and opportunities. * Forces of Change Assessment/Community Engagement Sessions: This assessment involved a brainstorming session to gather input about events, trends and factors that shape the background conditions in the community. * Following completion of these assessments and community engagement opportunities, the MAPP Steering Committee met to review the data and applied scoring criteria to rank and prioritize the top health needs for Lancaster County. Summary of Assessment Findings The Lincoln-Lancaster County MAPP Steering Committee scored a list of 80 potential health priority issues on the basis of seven criteria. The seven scoring criteria included: 1. Magnitude/Size of the Problem 2. Comparison with State Results 3. Historical Trends 4. Economic/Social Impact 5. Changeability 6. Capacity of the Local Public Health System 7. Readiness/Political Will As a result, the following health needs were ranked in the upper quartile: Highest Ranked Issues as Scored Upper Quartile *Diabetes (overall & minorities) STIs (Chlamydia & Gonorrhea) Excessive and Binge Drinking *Falls (elderly) *Food Insecurity *Substance Abuse (including prescription drugs) *Heart Disease *Smoking (adults and youth) *Dental Caries *Breast Cancer Mortality *LBW Babies (African Americans) *Child Abuse/Neglect *Uninsured/Access (including behavioral health & dental) Distracted Driving Obesity (adults and youth) Mental Health Hypertension Inadequate Prenatal Care Colorectal Cancer Screening Physical Inactivity Violence/Abuse Suicide (15-24) The Steering Committee then determined that in order to create a plan that was achievable and measurable, further prioritization was needed. Through discussion, four issues were prioritized: access to care (including access to dental care and some mental health services); behavioral health issues including substance abuse and suicide; chronic disease prevention; and injury prevention including violence/abuse. These broad categories encompass most of the issues scored high on the list except for STDs (Chlamydia and Gonorrhea), maternal and child health issues (inadequate prenatal care and LBW babies), and food insecurity. However, STDs and food insecurity are the focus of other efforts by the public health and health community; and food insecurity is also a community wide effort of many non-profit agencies. Prioritized Community Health Needs 1. Access to Care (including access to dental care/mental health services) 2. Behavioral Health (including substance abuse and suicide) 3. Chronic Disease Prevention 4. Injury Prevention (including violence/abuse) Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Notification about the availability of Financial Assistance from CHI Hospital Organizations shall be disseminated by various means, which may include, but not be limited to: * Conspicuous publication of notices in patient bills; * Notices posted in emergency rooms, urgent care centers, admitting/registration departments, business offices, and at other public places as a Hospital Facility may elect; and * Publication of a summary of this Policy on the Hospital Facility's website, www.catholichealth.net, and at other places within the communities served by the Hospital Facility as it may elect. Such notices and summary information shall include a contact number and shall be provided in English, Spanish, and other primary languages spoken by the population served by an individual Hospital Facility, as applicable. Referral of patients for Financial Assistance may be made by any member of the CHI Hospital Organization non-medical or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. In addition, Hospital registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for assistance under the Financial Assistance Policy. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Once it is determined that the patient does not qualify for any third party funding, the patient is verbally notified about the existence of Financial Assistance Application and additional screening takes place by a Hospital employee to determine if the patient is eligible for charity service prior to discharge. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the Financial Assistance Policy, the plain language summary of that policy, and an application for assistance. Hospital registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility for services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for full, partial, or no charity care services. Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether any individual is eligible for Financial Assistance. Schedule H, Part VI, Line 4 Community information For the purpose of the CHNA and future implementation strategy, Nebraska Heart Hospital considers its primary community to be the City of Lincoln and the surrounding County (Lancaster) which includes 75%-90% of the patients served by the hospitals. This was determined by an interdisciplinary team from Nebraska Heart Health [Community Benefit Action Team (CBAT)] and aligns with a shared definition agreed upon with community partners including other local health systems and the health department. Lancaster County includes residents living in the towns of Bennet, Davey, Denton, Firth, Hallam, Hickman, Lincoln, Malcolm, Martell, Panama, Raymond, Roca, Sprague, Walton, and Waverly. Lancaster County covers an area of 839 square miles in southeastern Nebraska with a population density of 360 persons per square mile (2014). Lincoln Lancaster Total Population is 301,795. Under 5 years 20,219 5 - 14 years 39,085 15 - 24 years 56,538 25 - 44 years 79,768 45 - 64 years 69,624 65 - 84 years 31,329 85 and older 5,232 Gender Female: 151,024 Male: 150,771 Race/Ethnicity White, NH: 249,985 African American, NH: 11,080 Native American, NH: 1,769 Asian/Pacific Islander, NH: 12,265 2+ Races, NH: 6,889 Hispanic: 19,807 Minority: 51,810 A review of the socioeconomic factors shows that the City of Lincoln, Lancaster County, and the State of Nebraska overall have a low unemployment rate. Despite this, a notable portion of the population lives in poverty. Poverty estimates for 2013 indicated that 14.0% of the overall population and 16% of children are below the poverty level. In comparison, 12.9%of families in Nebraska had an income level that was below the poverty threshold. Nearly half of students (43.4%) enrolled in the Lincoln Public Schools qualified for free and reduced meals. Median Household Income is $51,916 Percent of Persons in Poverty is 14.0% Percent of Children in Poverty is 16% Unemployment Rate is 2.9% High School Graduation Rate is 86% Some College was 75% Percent of Uninsured adults age 65 and older is 15% Percent of Uninsured Children under 19 years is 5% Schedule H, Part VI, Line 5 Promotion of community health The organization's hospital facility promotes health for the benefit of the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The organization's hospital facility has an open medical staff. Its board of trustees is composed of prominent citizens in the community. Excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. The facility treats persons paying their bills with the aid of public programs like Medicare and Medicaid. All patients presenting at the hospital for emergency and other medically necessary care are treated regardless of their ability to pay for such treatment. CHI Health has a history of centralized community benefit and hospital specific community benefit investments to address community health needs of the particular service area. Examples of how CHI Health furthers its exempt purpose by promoting the health of the community include: * Financial Assistance and Unpaid costs of Medicaid * Community health improvement services- - Community education, classes and programs (heart disease, 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 - 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. - Provided counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. - 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. See specific examples by community below: Lincoln - Partnership for a Healthy Lincoln-provided financial and partnership support as part of the community health improvement plan to PHL, a non-profit health coalition dedicate to improving the health, wellness, and fitness of all those in our community. - Clinic with a Heart-in addition to staffing free clinics each month, provided financial support for infrastructure and program implementation to this free clinic serving the uninsured and underinsured. 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 NE true Financial Assistance 148 1636670 BOOK REDUCTION OR WRITE-OFF OF PATIENT SERVICES. Schedule I, Part III PROCEDURES FOR Grant to indiviudals CHI HEALTH NEBRASKA HEART RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION. false 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 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 0 521281 0 361604 0 79344 0 63028 0 18492 0 1043749 0 58320 KENT HOXMEIER Perfusionist 154911 13132 500 0 13398 0 0 10957 0 18704 168809 42793 0 0 Emily Mannschreck PHARMACIST 33667 107138 0 14103 0 10877 0 9892 0 18718 33667 160728 0 0 JACQUELLINE MENDOZA VP, Nursing, CV Service Line 183370 0 33381 0 3418 0 12425 0 16885 0 249479 0 0 0 Jamie Prange DIRECTOR-SURGICAL SERVICES 136026 0 16755 0 10909 0 10239 0 17875 0 191804 0 0 0 PATRICIA WILMES Director, Clinical Quality & Director, Support Services 101555 103825 0 35248 17120 4601 5709 0 5807 0 130191 143674 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 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 MBO CEOS/PRESIDENTS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEANETTE WOJTALEWICZ CLIFF ROBERTSON ROBERT LANIK MICHAEL ROWAN DURING 2016 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEANETTE WOJTALEWICZ - $47,128 CLIFF ROBERTSON - $133,018 DURING 2016 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: JEANETTE WOJTALEWICZ - $58,320 CLIFF ROBERTSON - $163,181 ROBERT LANIK - $238,436 MICHAEL ROWAN - $244,488 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS AGE, YEARS OF SERVICE OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 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 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 $ 8,892,882 including grants of $ 382,973)(Revenue $ 18,659,900) Other programs Form 990, Part VI, Line 15a PROCESS FOR DETERMINING CEO'S COMPENSATION Compensation for the top management official was established and 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. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS Of the Articles REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 6 Classes of members or stockholders ACCORDING TO THE BYLAWS OF NEBRASKA HEART HOSPITAL, THE ENTITY'S SOLE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: - APPROVE MEMBERS OF THE NEBRASKA HEART HOSPITAL BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE NEBRASKA HEART HOSPITAL - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE NEBRASKA HEART HOSPITAL. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE NEBRASKA HEART HOSPITAL - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - APPROVAL OF ISSUANCE OF DEBT BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF PARTICIPATION OF THE NEBRASKA HEART HOSPITAL IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF A MERGER INVOLVING THE NEBRASKA HEART HOSPITAL - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE NEBRASKA HEART HOSPITAL - TO REQUIRE THE TRANSFER OF ASSETS BY THE NEBRASKA HEART HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 11b Review of form 990 by governing body Following the preparation of the form 990 by tax analysts of Catholic Health Initiatives, a related organization, the return is reviewed by the CHI tax director and the local chief financial officer. After incorporation of any changes resulting from this review, 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 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 15b Process to establish compensation of other employees EXECUTIVE COMPENSATION PAID BY THE FILING ORGANIZATION WAS SET BY THE EXECUTIVE COMMITTEE, UTILIZING COMPARABILITY STUDIES COMPLETED BY HR ADVANTAGE TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. 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. 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 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 5724, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5724; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other Changes - -2191; Form 990, Part VI, Line 12c Conflict of Interest Policy 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. 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 LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HEALTHCARE TX 501(c)(3) 3 SLHS true ST LUKE'S MEDICAL GROUP 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3) 3 SLHS true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531713 PROPERTY MGMT TX 501(c)(3) Type I CHI-SLH true ST LUKE'S PROPERTIES CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531716 PROPERTY MGMT TX 501(c)(3) Type I SLHS true ST LUKE'S SUGAR LAND PROPERTIES CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 454120549 PROPERTY MGMT TX 501(c)(3) Type I SLCDC-SL true ST MARY'S COMMUNITY HOSPITAL 1314 3RD AVE NEBRASKA CITY NE 68410 470443636 HEALTHCARE NE 501(c)(3) 3 CHI NEBRASKA true ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVE NEBRASKA CITY NE 68410 470707604 FUNDRAISING NE 501(c)(3) 7 SMCH true ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 510169537 FUNDRAISING AR 501(c)(3) Type I SVIMC true ST VINCENT INFIRMARY MEDICAL CENTER TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710236917 HEALTHCARE AR 501(c)(3) 3 CHI true ST VINCENT MEDICAL GROUP TWO ST VINCENT CIRCLE LITTLE ROCK AR 72205 710830696 HEALTHCARE AR 501(c)(3) 10 SVIMC true SYLVANIA FRANCISCAN HEALTH 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 341412964 HEALTHCARE OH 501(c)(3) Type I CHI true SYLVANIA FRANCISCAN HEALTH FOUNDATION 1715 INDIAN WOOD CIR 200 MAUMEE OH 43537 455357161 FUNDRAISING OH 501(c)(3) Type I FLC true THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSIST LIVING OH 501(c)(3) 10 FLC true THE COMMUNITY HOSPITAL OF BRAZOSPORT 100 MEDICAL DRIVE LAKE JACKSON TX 77566 741385192 HEALTHCARE TX 501(c)(3) 3 SLHS true THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 310537486 HEALTHCARE OH 501(c)(3) 3 CHI true THE HEART INSTITUTE OF DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 300502367 HEALTHCARE OH 501(c)(3) 10 CHS true THE PHYSICIAN NETWORK 2000 Q ST STE 500 LINCOLN NE 68503 470780857 PHYSICIANS NE 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450226714 LTERM CARE ND 501(c)(3) 10 CHI true VISITING NURSE ASSOCIATION OF ST CLARE'S INC 191 WOODPORT RD SPARTA NJ 07871 221768334 HOME HEALTH NJ 501(c)(3) 8 SCHS true Alegent Health Northwest Imaging Center LLC 3606 N 156th St OMAHA NE 68116 061786985 OP Diagnostics NE ACH Related -7263 485853 false 0 true 0.51 Audubon Land Company LLC 630 Southpointe Court 200 COLORADO SPRINGS CO 80906 841513085 Real Estate CO CHIC Related 330065 9984045 false 0 false 0.73 AVON EMERGENCY AND URGENT CARE CENTER LLC 9100 E Mineral Circle Centennial CO 80112 811727282 HEALTHCARE SRVC CO CHIC Related -1002190 6646607 false 0 true 0.77 BAYLOR CHI ST LUKES HEALTH SERVICES LLC 6624 Fannin St Ste 1100 HOUSTON TX 77030 472079184 HEALTHCARE SRVC TX SLHS Related 0 3250000 false 0 true 0.65 BERGAN MERCY SURGERY CENTER LLC 7710 Mercy Rd Ste 200 OMAHA NE 68124 208671994 AMBUL SURG CTR NE ACH Related 1308113 2778497 false 0 false 0.51 BERYWOOD OFFICE PROPERTIES LLC 2501 Citico Avenue CHATTANOGA TN 37404 621875199 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false 0 false 0.6 Penrad Imaging 1390 Kelly Johnson Blvd COLORADO SPRINGS CO 80920 841072619 Medical Imaging CO CHIC Related 532329 2145214 false 0 false 0.7 PMC HOSPITAL LLC 3100 MAIN ST STE 500 HOUSTON TX 77002 273280598 HOSPITAL TX SL CDC-PMC Related 3486396 60785684 false 0 true 0.51 PRAIRIE HEALTH VENTURES LLC 421 S 9TH ST STE 102 LINCOLN NE 68508 204962103 TECH SRVC NE AH-IMC Related 1101304 5330749 false 0 true 0.66 Pueblo Ambulatory Surgery Center LLC 25 Montebello Rd Pueblo CO 81003 621488737 SURGERY CENTER CO CHIC Related -83926 147188 false 0 false 0.51 Saint JOSEPH - PAML LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 452116736 MGMT SVCS KY SJHS Related -382945 203858 false 0 true 0.63 SAINT JOSEPH - SCA HOLDINGS LLC 1451 Harrodsburg RD LEXINGTON KY 40503 453801157 OP SURGERY DE SJHS Related 0 0 false 0 true 0.51 SAINT JOSEPH-ANC HOME CARE SERVICES 1700 EDISON DR MILFORD OH 45150 263330545 HOME HEALTH KY JHSMH Related 1820204 8702616 false 0 false 1 SCA Premier Surgery Center of Louisville LLC 200 Abraham Flexner Way LOUISVILLE KY 40202 721386840 SURGERY CENTER KY JHSMH Related -75509 1599003 false 0 false 0.51 ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD STE 300 COLORADO SPRINGS CO 80918 263134100 REAL ESTATE CO CHIC Related 245362 13709940 false 0 false 0.59 ST FRANCIS MEDICAL CENTER ASSOCIATES 1717 SOUTH J ST TACOMA WA 98405 911352698 MED OFFICE WA FHS Related 98 0 false 0 false 0.61 ST LUKE'S DIAGNOSTIC CATH LAB LLP 6624 FANNIN ST STE 800 HOUSTON TX 77030 710959365 DIAGNOSTICS TX SLHS HOLDINGS Related 668977 653674 false 0 false 0.57 ST LUKE'S LAKESIDE HOSPITAL LLC 6624 FANNIN STE 2505 HOUSTON TX 77030 300427437 HOSPITAL TX SL CDC-W Related 1519959 35885295 false 0 true 0.51 ST LUKE'S THE WOODLANDS SLEEP CENTER LLC 6624 FANNIN STE 800 HOUSTON TX 77030 462795726 DIAGNOSTICS TX SLHSH Related -97480 1146543 false 0 true 0.51 Superior Medical Imaging LLC 5000 North 26th ST LINCOLN NE 68521 262884555 OP Diagnostics NE SERMC Related 9528 402804 false 0 true 0.51 SURGERY CENTER OF LEXINGTON LLC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 621179539 SURGERY CENTER KY SJHS Related 55400 3649989 false 0 true 0.51 SURGERY CENTER OF LOUISVILLE LLC 200 Abraham Flexner Way LOUISVILLE KY 40202 621179537 SURGERY CENTER KY JHSMH Related 216645 1681716 false 0 true 0.51 FRANCISCAN SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 813725123 HEALTHCARE SRVC WA FHS Related 0 3878 false 0 true 0.51 THREE SPRING IMAGING LLC 1 Mercado St STE 200A DURANGO CO 81301 811174301 HEALTHCARE SRVC CO CHIC Related 0 0 false 0 true 0.51 Alegent HealthCreighton St Joseph Managed Care Services Inc 12809 West Dodge Rd Omaha NE 68154 470802396 Managed Care NE CHI Nebraska C Corporation 9007610 6374176 1 true All Saints Insurance Company SPC Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980556913 Insurance CJ CHI C Corporation 0 0 1 true ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc 2801 FRACNISCAN DRIVE BRYAN TX 77802 742466914 Healthcare TX SJSC C Corporation 255816 596751 1 true Alternative Insurance Management Service Inc 3900 OLYMPIC BLVD STE 400 Erlanger KY 41018 841112049 Management Services CO CHI C Corporation 0 6053478 1 true AMERICAN NURSING CARE Inc 1700 EDISON DR MILFORD OH 45150 311085414 HOME HEALTH OH CHS C Corporation 87072744 60223692 1 true AMERIMED INC 1700 EDISON DR MILFORD OH 45150 311158699 HOME HEALTH OH ANC C Corporation 19796409 16432699 1 true BC HOLDING COMPANY INC 1850 BLUEGRASS AVE LOUISVILLE KY 40215 311542851 Fitness Club KY JHSMH C Corporation 0 0 1 true BrazoSport Health Alliance 1 WEST WAY COURT LAKE JACKSON TX 77566 760518376 Health Care TX BRHS C Corporation 146745 35529 1 true Caduceus Medical Associates INC 5600 Brainerd Road Ste 500 Chattanooga TN 37411 621570736 Healthcare TN MHCS C Corporation 0 1008 1 true Captive Management Initiatives Ltd PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980663022 Captive Management CJ CHI C Corporation 3500 120502 1 true Carmona-DeSoto 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Health Resources Inc 100 MEDICAL DRIVE LAKE JACKSON TX 77566 760222679 Health Care TX BRHS C Corporation 22921 182538 1 true East Texas Clinical Services Inc 2801 Via Fortuna 500 Austin TX 78746 454736213 Healthcare TX MHSET C Corporation 44581192 35638866 1 true First Initiatives Insurance LTD PO BOX 10073 APO Georgetown GRAND CAYMAN CJ KY11001 980203038 Insurance CJ CHI C Corporation 0 0 1 true Franciscan Services Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 232487967 Healthcare CO CHI C Corporation 0 13121352 1 true Good Samaritan Outreach Services PO Box 1990 Kearney NE 68848 470659440 Medical Clinic NE CHI Nebraska C Corporation 448704 238478 1 true HarvestPlains Health of Iowa 32129 Weyerhaeuser Way S STE 201 FEDERAL WAY WA 98001 473451750 Insurance WA QCHPS C Corporation 2707777 3405918 1 true Health Systems Enterprises Inc PO BOX 1990 Kearney NE 68848 470664558 MGMT NE GSH C Corporation 90144 1266555 1 true Healthcare MGMT Services Organization INC 1149 MARKET ST Tacoma WA 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WA FHS C Corporation 0 0 1 true HeartlandPlains Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464368223 Insurance NE PHPSI C Corporation 6332841 4591181 1 true Highline Medical Group 1717 S J Street Tacoma WA 98405 911407026 Medical Services WA HMC C Corporation 0 0 1 true Medquest 1301 15TH AVENUE WEST Williston ND 58801 450392137 Sale of DME ND MMC Williston C Corporation 476061 1341631 1 true Memorial CV Service Line Management Company LLC 1201 W Frank Ave Lufkin TX 75904 463622849 Heath Care TX MHSET C Corporation 0 0 1 true Mercy Park Apartments LTD 1111 6th AVE Des Moines IA 50314 421202422 Housing IA CHI-IA Corp C Corporation 1012298 3213761 1 true Mercy Services Corp 2700 STEWART PARKWAY Roseburg OR 97471 930824308 Retail Sales OR MMC C Corporation 718096 44781 1 true MHI Clinical Services 1201 W Frank Ave Lufkin TX 75904 461967952 Healthcare TX MHSET C Corporation 8216376 1714060 1 true Mountain Management Services Inc 6028 Shallowford Rd Chattanooga TN 37421 621570739 MGMT SVC ORG TN MHCS C Corporation 9959066 2332098 1 true PATIENT TRANSPORT SERVICES INC 1700 EDISON DR MILFORD OH 45150 311100798 HOME HEALTH OH ANC C Corporation 9129926 6575470 1 true PhysicianHealth System Network 1149 MARKET ST Tacoma WA 98402 911746721 Health Org. WA FHS C Corporation 0 0 1 true QCA Health Plan Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710794605 Insurance AR QCHI C Corporation 220347460 75215779 1 true QualChoice Advantage 32129 WEYERHAEUSER WAY S STE 201 FEDERAL WAY WA 98001 473433912 Insurance WA QCPS C Corporation 12065527 5101872 1 true QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461224037 Admin Services CO QCHI C Corporation 70645496 188158578 1 true QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) 198 INVERNESS DRIVE WEST Englewood CO 80112 461222808 Holding Co CO CHI C Corporation 2722 -97729832 1 true QualChoice Holdings Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 274075520 Holding Co AR PHPS C Corporation 0 10190 1 true QualChoice Life and Health Insurance Company Inc 12615 Chenal Parkway STE 300 Little Rock AR 72211 710386640 Insurance AR QCH C Corporation 133112090 51130374 1 true QualChoice of Nebraska 2401 S 73rd St Omaha NE 68124 810738827 Insurance NE QCH C Corporation 0 0 1 true RiverLink Health 198 INVERNESS DRIVE WEST Englewood CO 80112 464380824 Insurance OH PHPS C Corporation 9313011 5354348 1 true RiverLink Health of Kentucky Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464828332 Insurance KY PHPS C Corporation 8544070 6502040 1 true Ross Park Pharmacy Inc 380 SUMMIT AVE STEUBENVILLE OH 43952 341832654 Pharmacy OH THS C Corporation 1100838 1680883 1 true Saint Clare's Primary Care Inc 66 FORD RD Denville NJ 07834 222441202 Billing Services NJ SCCC C Corporation 0 651958 1 true SAMARITAN FAMILY CARE INC 40 W FOURTH ST STE 1700 Dayton OH 45402 311299450 Healthcare OH SHP C Corporation 0 0 1 true SJH Services Corporation 198 INVERNESS DRIVE WEST Englewood CO 80112 232307408 Healthcare CO FSI C Corporation 0 1598610 1 true SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR STE 160 Lexington KY 40503 270164198 Mgmt KY SJHS C Corporation 0 0 1 true SLMT Parking Inc 6624 Fannin STE 800 Houston TX 77030 760637140 Parking TX SLHS C Corporation 1721167 -1156530 1 true SoundPath Health Inc 32129 Weyerhaeuser Way S STE 201 Federal Way WA 98001 421720801 Insurance WA PHPS C Corporation 198821947 55632834 1 true St Alexius Health Services Inc 900 East Broadway Avenue Bismarck ND 58501 450402812 Healthcare ND SAMC C Corporation 0 0 1 true St Anthony Development Company 1415 Southgate Pendleton OR 97801 931216943 Athletic Club OR SAH C Corporation 1610317 2059282 1 true St Joseph Development Company Inc 1717 SOUTH J ST Tacoma WA 98405 911480569 Rental WA FSI C Corporation 4387694 34715309 1 true St Luke's 6620 Main Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355517 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Anesthesiology Associates 6624 Fannin STE 1100 Houston TX 77030 461517163 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true St Luke's Episcopal Hospital Physician Hospital Organization Inc 6720 Bertner MC4-262 Houston TX 77030 760377932 PHO TX CHI-SLH C Corporation 0 0 1 true St Luke's Health System Holdings Inc 6624 Fannin STE 800 Houston TX 77030 760637138 Holding Co TX SLHS C Corporation 3216555 38523789 1 true St Luke's Medical Arts Center I Condominium Association 6624 Fannin STE 1100 Houston TX 77030 300355518 Condo Assoc TX SLPC C Corporation 0 0 1 true St Luke's Medical Tower Condominium Association 6624 Fannin STE 1100 Houston TX 77030 760298751 Condo Assoc TX SLMTC C Corporation 0 0 1 true St Vincent Community Health Services Inc TWO ST VINCENT CIRCLE Little Rock AR 72205 710710785 Healthcare AR SVIMC C Corporation 844897 27995529 1 true StableView Health Inc 198 INVERNESS DRIVE WEST Englewood CO 80112 464373713 Insurance KY PHPS C Corporation 1645346 5436439 1 true Sugar Land Doctor Group 1317 Lake Point Parkway Sugar Land TX 77478 454270163 Medical Clinic TX SLCDC-SL C Corporation 0 0 1 true The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B uilding Comdominium Association 6624 Fannin STE 1100 Houston TX 77030 900064009 Condo Assoc TX CHI-SLH C Corporation 0 0 1 true Towson Management Inc 7601 OSLER DR Towson MD 21204 521710750 Mgmt Services MD FSI C Corporation 0 0 1 true TRINITY MANAGEMENT SERVICES ORGANIZATION 380 SUMMIT AVE STEUBENVILLE OH 43952 341471026 Mgmt Services OH THS C Corporation 11470832 192509 1 true Vintage Doctor Group 6624 Fannin STE 1100 Houston TX 77030 Medical Clinic TX CHI-SLH C Corporation 0 0 1 true false false true false false false false false false false false false false true true false false false false