SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SAINT FRANCIS MEDICAL CENTER (EIN 47-0376601)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201741319349304449
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T16:07:39-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Health Initiatives | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 Inverness Drive West | AddressLine1Txt |
| City | Englewood | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470376601 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Saint Francis Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 3083985407 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2620 W Faidley | AddressLine1Txt |
| City | Grand Island | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68803 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeanette Wojtalewicz | PersonNm |
| Person Title | CFO CHI Health | PersonTitleTxt |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA NOEL CPA | PreparerPersonNm |
| PTIN | P01051055 | PTIN |
| Phone | 3032989100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHI HEalth St Francis | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cliff Robertson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2620 W Faidley | AddressLine1Txt |
| City | Grand Island | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $210,532,221 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | chihealthstfrancis.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1887 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | An acute care hospital providing advanced diagnostic and medical treatment services to central Nebraska. Honoring our Catholic tradition, we care for all in need, regardless of ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1038 | TotalEmployeeCnt |
| Total Volunteers | 263 | TotalVolunteersCnt |
| Total Gross UBI | $31,673 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $990,609 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,109,576 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $159,538,606 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $181,577,932 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,744,166 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,596,380 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,880,589 | PYOtherRevenueAmt |
| CY Other Revenue | $2,056,769 | CYOtherRevenueAmt |
| PY Total Revenue | $172,153,970 | PYTotalRevenueAmt |
| CY Total Revenue | $210,340,657 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,474,154 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,814,902 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,336,871 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $47,797,984 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,060,780 | PYOtherExpensesAmt |
| CY Other Expenses | $99,059,582 | CYOtherExpensesAmt |
| PY Total Expenses | $158,871,805 | PYTotalExpensesAmt |
| CY Total Expenses | $158,672,468 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,282,165 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $51,668,189 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $381,456,831 | TotalAssetsBOYAmt |
| Total Assets EOY | $469,105,135 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,664,997 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $67,818,932 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $365,791,834 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $401,286,203 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $31,787,733 | ExpenseAmt |
| Grant | $2,953,726 | GrantAmt |
| Revenue | $45,394,483 | RevenueAmt |
| Desc | The St. Francis Cancer Treatment Center has served central Nebraska since 1994 and is accredited by the Commission on Cancer from the American College of Surgeons with commendation for excelling in every aspect of cancer care. Here, patients have access to medical and radiation oncology treatment, a dedicated pharmacy, clinical trials, and a cancer rehabilitation team all in one location-a convenience not typically found in other cancer centers. In addition, the highly skilled team provides certified genetics counseling, tobacco cessation counseling, nurse navigation, survivorship services, an educational library, support groups, and educational seminars. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,787,733 | ExpenseAmt |
| Grant | $2,953,726 | GrantAmt |
| Revenue | $45,394,483 | RevenueAmt |
| Desc | St. Francis is equipped with state-of-the-art operating rooms, and the surgeons on staff continue to expand the procedures available across many specialties including orthopedics, neurosurgery, urology, and bariatric and reconstructive surgery. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,787,733 | ExpenseAmt |
| Grant | $2,953,725 | GrantAmt |
| Revenue | $45,394,483 | RevenueAmt |
| Desc | The pathology department at St. Francis offers an array of on-site testing services. We utilize state-of-the-art instrumentation and have a highly skilled staff available 24/7. In addition to our staff of registered medical technologists and phlebotomists, we have three pathologists on site, a qualified histology team, and secretaries who are beyond comparison in efficiency and customer service. Testing capabilities vary from routine screening tests to more specialized testing such as protein electrophoresis. We also have a comprehensive microbiology department operating seven days a week. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,787,733 | ExpenseAmt |
| Grant | $2,953,725 | GrantAmt |
| Revenue | $45,394,483 | RevenueAmt |
| Desc | All other program service revenue | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $31,787,733 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,953,725 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $45,394,483 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $127,150,932 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1038 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jeanette Wojtalewicz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4023434671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 West Dodge Road | AddressLine1Txt |
| City | Omaha | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68154 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL DEFREECE | ||||||||||
| Secretary/Treasurer | 1.0 | 11.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HERINK MD | ||||||||||
| Board Chair | 1.0 | 11.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CLIFF ROBERTSON MD | ||||||||||
| Board Member/CEO CHI Health | 1.0 | 59.0 | Yes (X) | Yes (X) | $0 | $1,505,835 | $179,645 | |||
| SR Maryanne Stevens RSM | ||||||||||
| VICE CHAIR | 1.0 | 11.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LARRY BUTLER | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| FR JAMES CLIFTON SJ | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY HEIDRICK | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Nadine Heimann | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT LANIK | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $342,925 | $13,268 | ||||
| MICHAEL ROWAN FACHE | ||||||||||
| Board member/CHI EVP & COO | 1.0 | 59.0 | Yes (X) | $0 | $3,895,913 | $57,577 | ||||
| BARRY SANDSTROM | ||||||||||
| BOARD MEMBER | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| NATHANIEL BRACKETT MD | ||||||||||
| BOARD MEMBER | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| SUSANNE L HRUZA | ||||||||||
| BOARD MEMBER | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| AMY L MCGAHA md | ||||||||||
| BOARD MEMBER | 1.0 | 11.0 | Yes (X) | $0 | $263,770 | $14,202 | ||||
| Edward R O'Connor Ph d | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| Bill T Yates | ||||||||||
| Board Member | 1.0 | 11.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOAN NEUHAUS | ||||||||||
| CHIEF OPERATIONS OFFICER | 6.0 | 54.0 | Yes (X) | $0 | $1,115,034 | $44,362 | ||||
| CARY WARD MD | ||||||||||
| CHIEF MEDICAL OFFICER | 6.0 | 54.0 | Yes (X) | $0 | $634,091 | $53,201 | ||||
| JEANETTE WOJTALEWICZ | ||||||||||
| CFO CHI Health | 5.0 | 55.0 | Yes (X) | $0 | $874,016 | $82,856 | ||||
| DANIEL MCELLIGOTT | ||||||||||
| PRESIDENT | 40.0 | 1.0 | $0 | $519,207 | $36,099 | Yes (X) | ||||
| NANCY WALLACE | ||||||||||
| SVP HR CHI HEALTH | 15.0 | 45.0 | $0 | $465,368 | $36,239 | Yes (X) | ||||
| STEVE HOUSTON | ||||||||||
| SVP STRATEGY AND TECHNOLOGY | 18.0 | 42.0 | $0 | $396,238 | $41,690 | Yes (X) | ||||
| MIKE WATTERS | ||||||||||
| VP - SENIOR COUNSEL | 1.0 | 59.0 | $0 | $358,800 | $32,338 | Yes (X) | ||||
| BETH A BARTLETT | ||||||||||
| VP - PATIENT CARE SERVICES | 40.0 | 0.0 | $223,347 | $0 | $44,057 | Yes (X) | ||||
| DAVID A CROSS | ||||||||||
| PHARMACIST | 40.0 | 0.0 | $141,965 | $0 | $32,445 | Yes (X) | ||||
| DALE HARTWIG | ||||||||||
| VP of ANCILLARY SVCS | 40.0 | 0.0 | $235,582 | $0 | $25,065 | Yes (X) | ||||
| ROBERT M NORVELL | ||||||||||
| DIRECTOR, ONCOLOGY SERVICES | 40.0 | 0.0 | $141,127 | $0 | $44,758 | Yes (X) | ||||
| DOUGLAS W RICHLING | ||||||||||
| Director-Pharmacy | 40.0 | 0.0 | $144,458 | $0 | $45,481 | Yes (X) | ||||
| MEHMET COPUR | ||||||||||
| PHYSICIAN DIRECTOR-ONCOLOGY | 0.0 | 60.0 | $0 | $727,715 | $37,027 | Yes (X) | ||||
| JOSHUA GORTEMAKER | ||||||||||
| PHYSICIAN - ANESTHESIA | 0.0 | 40.0 | $4,771 | $439,469 | $30,752 | Yes (X) | ||||
| RYAN RAMAEKERS | ||||||||||
| PHYSICIAN - ONCOLOGY | 0.0 | 40.0 | $0 | $475,283 | $25,687 | Yes (X) | ||||
| TRACI RAUCH MD | ||||||||||
| MED DIRECTOR-ANES | 0.0 | 60.0 | $0 | $482,896 | $47,763 | Yes (X) | ||||
| DONNA SANDERS | ||||||||||
| VP of Mission and Community Outreach | 0.0 | 40.0 | $0 | $188,687 | $16,416 | Yes (X) | ||||
| LISA WEBB | ||||||||||
| VP of FINANCE | 2.0 | 58.0 | $0 | $285,078 | $49,303 | Yes (X) | ||||
| MARTIN M MANCUSO MD | ||||||||||
| Board Member | 1.0 | 59.0 | $0 | $152,726 | $16,670 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $891,250 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,123,051 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,006,901 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| AMERISOURCEBERGEN | ||||||
| 27550 NETWORK PL | CHICAGO | IL | 606731275 | INFORMATION MANAGEMENT | $20,260,233 | |
| MEDEFIS INC | ||||||
| 10826 OLD MILL ROAD STE 101 | OMAHA | NE | 68154 | STAFFING | $804,930 | |
| Ambassabor Health | ||||||
| 1240 North 19th Street | Nebraska City | NE | 68410 | post-acute health care | $358,116 | |
| SIEMENS HEALTHCARE DIAGNOSTICS | ||||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | LABORATORY SERVICES | $316,310 | |
| Sampson Construction Company Inc | ||||||
| 440 Regency Parkway | Omaha | NE | 68114 | Construction Services | $313,956 | Suite 131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 53 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,081,957 | RelatedOrganizationsAmt |
| Government Grants | $17,118 | GovernmentGrantsAmt |
| All Other Contributions | $10,501 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,109,576 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Services | 900099 | $174,518,578 | $174,518,578 | $0 | $0 |
| Equity Changes of Unconsolidated orgs | 900099 | $7,059,354 | $7,059,354 | $0 | $0 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $181,577,932 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,522,754 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,473 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,505,281 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $782,036 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $782,036 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $782,036 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $782,036 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,966,590 | SecuritiesAmt |
| Other | $14,107,036 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,966,590 | SecuritiesAmt |
| Other | $14,107,036 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,073,626 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,073,626 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $160,756 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $191,564 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,808 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$30,808 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cafeteria | 722100 | $497,342 | $0 | $0 | $497,342 |
| Child Care | 624410 | $370,971 | $0 | $0 | $370,971 |
| Services Sold | 900099 | $267,042 | $0 | $13,632 | $253,410 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,186 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $568 | UnrelatedBusinessRevenueAmt |
| Exclusion | $169,618 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,305,541 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $210,340,657 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $181,577,932 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $31,673 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,621,476 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,814,902 | TotalAmt |
| Program Services | $11,814,902 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,580,478 | TotalAmt |
| Program Services | $31,241,548 | ProgramServicesAmt |
| Management And General | $4,338,930 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,019,790 | TotalAmt |
| Program Services | $1,771,411 | ProgramServicesAmt |
| Management And General | $248,379 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,585,359 | TotalAmt |
| Program Services | $6,664,184 | ProgramServicesAmt |
| Management And General | $921,175 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,612,357 | TotalAmt |
| Program Services | $2,281,426 | ProgramServicesAmt |
| Management And General | $330,931 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,495 | TotalAmt |
| Management And General | $38,495 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,575 | TotalAmt |
| Management And General | $8,575 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,511,936 | TotalAmt |
| Program Services | $15,468,141 | ProgramServicesAmt |
| Management And General | $5,043,795 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300 | TotalAmt |
| Management And General | $300 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,454,346 | TotalAmt |
| Program Services | $1,261,713 | ProgramServicesAmt |
| Management And General | $192,633 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,883 | TotalAmt |
| Program Services | $120,115 | ProgramServicesAmt |
| Management And General | $49,768 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,172,300 | TotalAmt |
| Program Services | $1,878,790 | ProgramServicesAmt |
| Management And General | $293,510 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,950 | TotalAmt |
| Program Services | $76,648 | ProgramServicesAmt |
| Management And General | $40,302 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,223 | TotalAmt |
| Program Services | $6,872 | ProgramServicesAmt |
| Management And General | $10,351 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,215,520 | TotalAmt |
| Program Services | $5,099,076 | ProgramServicesAmt |
| Management And General | $1,116,444 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,975 | TotalAmt |
| Program Services | $602,975 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $35,494,936 | $35,494,936 | |
| Bad debts | $10,958,479 | $10,958,479 | |
| Intercompany Allocations | $17,965,795 | $17,965,795 | |
| Repairs and maintenance | $1,229,225 | $1,073,412 | $155,813 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,102,644 | TotalAmt |
| Program Services | $1,336,304 | ProgramServicesAmt |
| Management And General | $766,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,672,468 | TotalAmt |
| Program Services | $127,150,932 | ProgramServicesAmt |
| Management And General | $31,521,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,102,614 | BOYAmt |
| EOY | $68,763,512 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,474,574 | BOYAmt |
| EOY | $31,142,402 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,721 | BOYAmt |
| EOY | $69,983 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,065,535 | BOYAmt |
| EOY | $1,687,988 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,375 | BOYAmt |
| EOY | $613,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,231,969 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $105,961,373 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,123,090 | BOYAmt |
| EOY | $73,270,596 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,111,902 | BOYAmt |
| EOY | $238,216,161 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $4,117,356 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,488,020 | BOYAmt |
| EOY | $51,223,972 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,456,831 | BOYAmt |
| EOY | $469,105,135 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,173,568 | BOYAmt |
| EOY | $11,585,991 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,232,909 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,491,429 | BOYAmt |
| EOY | $54,000,032 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,664,997 | BOYAmt |
| EOY | $67,818,932 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,787,994 | BOYAmt |
| EOY | $401,282,363 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,840 | BOYAmt |
| EOY | $3,840 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,791,834 | BOYAmt |
| EOY | $401,286,203 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,456,831 | BOYAmt |
| EOY | $469,105,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $51,668,189 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$13,144,353 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,029,467 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $8,575 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $8,575 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 - $1,593 Catholic Health Association - $968 Grand Island Chamber of Commerce - $109 Nebraska Hospital Association - $5,905 |
| 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 - $1,593 Catholic Health Association - $968 Grand Island Chamber of Commerce - $109 Nebraska Hospital Association - $5,905 |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $861,275 | OtherCostOrOtherBasisAmt |
| Book Value | $861,275 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,198,138 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,225,784 | DepreciationAmt |
| Book Value | $35,972,354 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,962,677 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,913,131 | DepreciationAmt |
| Book Value | $34,049,546 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,209,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,822,458 | DepreciationAmt |
| Book Value | $2,387,421 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,270,596 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHI OIP | Desc |
| Book Value | $238,216,161 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $238,216,161 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investments in Unconsolidated Orgs - Controlling Interest | $8,700,791 |
| Investments in Unconsolidated Orgs - Noncontrolling Interest | $2,505,121 |
| Intercompany Receivables | $62,670 |
| Deferred Income Plan | $4,095,288 |
| Other Receivables | $35,860,102 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $51,223,972 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Intercompany Payables | $33,742,194 |
| Environmental Remediation liability | $171,627 |
| Other | $49,922 |
| Unclaimed Property | $33,970 |
| Deferred Gains | $20,002,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,000,032 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Saint Francis Medical Center'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, 2016, 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. As of June 30, 2016, CHI has a deferred tax asset of $96.1 million related to net operating loss (NOL) carryforwards. CHI believes that most of the NOL carryforwards will expire unused and has established a valuation allowance of $91.6 million against the deferred tax asset associated with these NOL carryforwards. 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." | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3118 | PersonsServedCnt |
| Total Community Benefit Expns | $3,940,462 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,940,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0248 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5645 | PersonsServedCnt |
| Total Community Benefit Expns | $12,952,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,695,693 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,257,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0205 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $73,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,096 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 8763 | PersonsServedCnt |
| Total Community Benefit Expns | $16,966,543 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,749,789 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,216,754 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0455 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 5921 | PersonsServedCnt |
| Total Community Benefit Expns | $553,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,778 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $481,603 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 635 | PersonsServedCnt |
| Total Community Benefit Expns | $819,530 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $287,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $532,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0034 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $558,399 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $534,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0034 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 7575 | PersonsServedCnt |
| Total Community Benefit Expns | $605,814 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,052 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $594,762 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0037 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 41 | ActivitiesOrProgramsCnt |
| Persons Served | 14131 | PersonsServedCnt |
| Total Community Benefit Expns | $2,537,124 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $394,396 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,142,728 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0135 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 41 | ActivitiesOrProgramsCnt |
| Persons Served | 22894 | PersonsServedCnt |
| Total Community Benefit Expns | $19,503,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,144,185 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,359,482 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0590 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $262 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $55,309 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,672 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 7 | PersonsServedCnt |
| Total Community Benefit Expns | $258,296 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $258,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0016 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 7 | PersonsServedCnt |
| Total Community Benefit Expns | $313,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,672 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $295,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0019 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,958,479 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $92,926,301 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $65,632,107 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $27,294,194 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAND ISLAND SURGICAL CENTER LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.5 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2620 W FAIDLEY | AddressLine1Txt |
| City | GRAND ISLAND | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | chihealthstfrancis.org | WebsiteAddressTxt |
| State License | State License Numbers 37001 and LTCH014 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.chihealth.com/chna | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.chihealth.com/chna | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.CHIHEALTH.COM/DOCUMENTS/FINANCIAL_ASSISTANCE_APPLICATION.PDF | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - SAINT FRANCIS MEDICAL CENTER. To obtain feedback from the general public, a community engagement session co-sponsored by Saint Francis and Central District Health Department was held in Hall County to solicit the community's opinion about the important health, social, and environmental issues for the community. These stakeholders represented low-income, minority populations, medically underserved populations and the aging population. A planning specialist with the College of Public Health, Office of Public Practice with the University of Nebraska Medical Center, facilitated the event. The community engagement sessions included a brainstorming session with community stakeholders to review data, narrow down the list of health priorities, and identify threats and opportunities to address the health issue. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - Saint Francis Medical Center. In fiscal year 2016, Saint Francis conducted a Community Health Needs Assessment (CHNA) in partnership with Central District Health Department and with input from numerous community partners. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Saint Francis Medical Center. The CHNA was presented to the Saint Francis Community Board and Patient Family Advisory Council, which includes more than 20 community members. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Saint Francis Medical Center. 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. For this plan the hospital prioritized the following health needs: Priority Health Need #1: Behavioral Health To address this need the hospital will implement the following strategies in 2016-2018: * Expand behavioral health prevention that educates and engages parents of children and youth through the support of Parent University concept in Hall County, NE. Priority Health Need #2: Injury & Violence To address this need the hospital will implement the following strategies in 2016-2018: * Provide SANKOFA and Families and Schools Together (FAST) program at the middle schools in Hall County, NE. * Provide Child Safety education to prevent injury in children of Hall County, NE * Provide fall prevention programs targeted at residents aged 60 and over. Priority Health Need #3: Access to Care To address this need the hospital will implement the following strategies in 2016-2018: * Provide assistance and support of Third City Community Clinic to improve access to healthcare for uninsured and underinsured populations in Hall County. * Support preventive and early detection with health screenings for uninsured/underserved individuals in Hall County Provide convenient mental and physical health care in a school-based health care facility for middle and high schools students in Grand Island, NE. The hospital will not address the following health needs for the following reasons: In acknowledging the range of priority health issues that emerged from the CHNA process, CHI Health Saint Francis prioritized the health issues above in order to most effectively focus resources and meaningfully impact the selected health issues. As described in the process above, the hospitals took into consideration existing partnerships, available resources, the hospital's level of expertise, existing initiatives (or lack thereof), potential for impact, and the community's interest in the hospital engaging in that area in order to select the priorities. The following identified needs will not be prioritized in this implementation plan for the following reasons. Substance Abuse- When looking at the data, this need is not as pressing as other problems. Saint Francis Alcohol and Drug Treatment Center (ADTC) will offer residential and outpatient treatment services for substance use disorders. Culture of Health-This need is being addressed by others in the community. Saint Francis will continue to collaborate with community partners to develop a Culture of Health in the communities served. Maternal, Infant, and Child Health- This was not determined as a priority area based on the considerations above and in order to focus and meaningfully impact other areas of need. There are many other partners working on this in the community. Saint Francis will continue to collaborate through participation in the Hall County Collaborative. Obesity- This was not determined as a priority area based on the considerations above and in order to focus and meaningfully impact other areas of need. There are many other partners working on this in the community. . Saint Francis will continue to collaborate through participation in the Hall County Collaborative. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - Saint Francis Medical Center. US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW-INCOME GUIDELINES ARE USED. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - Saint Francis Medical Center. The organization will not charge individuals who are eligible for financial assistance more than amounts generally billed to those who have insurance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 2116 W FAIDLEY | GRAND ISLAND | NE | 68803 | Outpatient Substance Abuse |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 314 S 14TH | ORD | NE | 68862 | Outpatient Substance Abuse |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 315 S 8TH ST | BROKEN BOW | NE | 68822 | Outpatient Substance Abuse |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 1755 PRARIE VIEW PLACE | KEARNEY | NE | 68847 | Outpatient Substance Abuse |
| SFMC SKILLED NURSING FACILITY | ||||
| 2116 W FAIDLEY | GRAND ISLAND | NE | 68803 | Skilled Nursing Facility |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6b How the community benefit report is made available to the public | Saint Francis produces an annual public community benefit report that is mailed to a core constituency, placed in key places throughout the organization and distributed in community meetings. |
| Schedule H, Part VI, Line 5 Promotion of Community Health | Missouri Valley * Harrison County Home & Public Health-provided funding to Harrison County Home & Public Health (HCHPH) to host a Milk Mob Training (evidence based program) to train community health workers in breastfeeding support. Funding also allowed HCHPH to host R.E.S.P.E.C.T. program at local school assemblies for elementary-age students to learn to recognize bullies as being in danger of child abuse and neglect in their home, and how to help them as a peer. * Healthy Harrison Coalition-provided funding for referrals and vouchers distributed through local agencies such as WIC and West Central Community Action Partnership to families with low access to healthy foods. Vouchers offered participating families transportation to the County Farmer's Market, as well as a $20 voucher for fruits and vegetables. * Health professional education * Clinical preceptorships and clinical rotations for healthcare professionals * Administration of nursing preceptorships and clinical rotations * Clinical pastoral education * Scholarships for healthcare education * Academic affiliation with Creighton University and its Health Professions Programs * Physician residency and fellowship programs training more than 230 residents and fellows annually * Research- * Unfunded staff support of the National Cancer Institute Community Oncology Research Program (NCORP) * Unfunded staff support and expenses for National Cancer Institute Community Cancer Centers Program which provided oncology nurse navigators to individuals after discharge beyond expected or standard discharge planning * Financial and in-kind contributions- * Corporate sponsorships * Tanzania health ministry * Staff service on health related board and coalitions * Participation in and funding of maternal health, breastfeeding, substance abuse, cancer, diabetes and other community health coalitions. * Participation in and sponsorship of mental health coalitions including Kim Foundation, Community Alliance Foundation, Voices for Children, Youth Emergency Service, Project Harmony and El Centro de las Americas. * Employee costs of coordinating community events not sponsored by CHI Health * In-kind donations (staff time, space, etc.) supporting grants for Behavioral Health, Telepsych, Community Link and 54321Go!. * In-kind donations of meeting room space and staff time for not-for-profit organizations and community groups * Community building activities- * 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 * Child safety program- funded staff to participate in grass roots, community based coalition to promote the well-being of children; monthly coalition meets to develop safety/accident prevention activities. Includes cost of paid coordinator, car seat safety checks, donation of child safety seats and related costs of providing community education on child safety. * Physician recruitment-because Grand Island is designated as a medically underserved area (MUA), staff time was spent recruiting well-qualified healthcare providers to serve the health needs of the community. * The primary care and pediatric physician clinics that are part of the parent corporation provide access to care through the system's Financial Assistance Policy and participate in medical student preceptorships that advance the healthcare provider education process. * CHI Health has Open Medical staffs * St. Francis provides tele-health mental health, which expands access to care for Grand Island residents * CHI Health is a joint venture partner in a not-for-profit Hospice inpatient hospital and provides the management support contract. Alegent Creighton Health system is governed by a board of directors primarily comprised of volunteer members of our local community who are leaders in the fields of business, healthcare, accounting and medicine and understand their role in providing strong corporate governance. The Alegent Creighton Health hospitals have full-time emergency departments that are open to the public and provide medical screening examinations and stabilizing treatment within the capabilities and capacities of the hospitals regardless of but not limited to the patient's race, color, sex, age, and/or ability to pay. The hospitals are in compliance with the federal EMTALA regulations. In addition, together with unrelated hospitals in the area, work closely with local fire and rescue departments to ensure that ambulances take patients to the appropriate hospital. This is generally the hospital that is closest geographically with exceptions based on patient preference, patient's physician preference, and capacity or the availability of specialized facilities or programs related to the patient's condition. Finally, the Alegent Creighton Health hospitals maintain detailed procedures regarding when and under what circumstances a patient can be transferred. Under this policy, no patient will be transferred based on race, creed, religion or ability to pay. |
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO SAINT FRANCIS MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 18 STATES SERVED BY CHI HOSPITALS AND HEAL TH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES (FPG), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. SAINT FRANCIS MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. |
| Schedule H, Part I, Line 7g Subsidized Health Services | There are no physician clinics included in subsidized health services. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using Worksheet 2 to compute the cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. |
| Schedule H, Part II Community Building Activities | CHI Health has a history of centralized community benefit investments, as well as hospital specific investments that address community health needs which include support of local health coalitions, investments in partnerships and programs that address top community health needs, participation in local committees and boards tied to top health needs, and investments in many other ways as described in other areas of the Schedule H narrative. Below are specific examples of work that falls within the definition of community building activities. These activities are critical in helping build social, health, and economic opportunities in our community that ultimately drive health status and quality of life for our residents: * Workforce development-the following activities work to strengthen the community's capacity to promote the health and well-being of our residents by driving entry into healthcare careers: * Healthcare career exploration camp-day camp funded by CHI Health for students grades 10-12 to give them the opportunity to explore a variety of healthcare professions * Presentations to high school students about healthcare careers * 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 * Child safety program- funded staff to participate in grass roots, community based coalition to promote the well-being of children; monthly coalition meets to develop safety/accident prevention activities. Includes cost of paid coordinator, car seat safety checks, donation of child safety seats and related costs of providing community education on child safety. * Physician recruitment-because Grand Island is designated as a medically underserved area (MUA), staff time was spent recruiting well-qualified healthcare providers to serve the health needs of the community. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 36.26%. 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 | BAD DEBT ESTIMATES ARE NOT INCLUDED IN COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Saint Francis Medical Center 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 allowance 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 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 on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats substantially all patients without regard to the ability to pay." |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | TO FIGURE MEDICARE COSTS THE MEDICARE GROSS REVENUE (FROM THE FINANCIALS) IS MULTIPLIED BY COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THIS IS THEN SUBTRACTED FROM THE NET MEDICARE REVENUE (ALSO, FROM THE FINANCIALS) TO COME UP WITH THE SHORTFALL. 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: $92,926,301 Total Medicare costs: $65,632,107 Surplus (or Shortfall) $27,294,194 Saint Francis Medical Center believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Saint Francis Medical Center's debt collection policy provides that Saint Francis Medical Center will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through Saint Francis Medical Center community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Saint Francis Medical Center community assistance policy is required to be returned immediately by the third-party collection agent to Saint Francis Medical Center for appropriate follow-up. Saint Francis Medical Center requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: *Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; *Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and *No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. |
| Schedule H, Part V, Section B, Line 16a FAP website | - SAINT FRANCIS MEDICAL CENTER: Line 16a URL: HTTP://WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - SAINT FRANCIS MEDICAL CENTER: Line 16b URL: HTTP://WWW.CHIHEALTH.COM/DOCUMENTS/FINANCIAL_ASSISTANCE_APPLICATION.PDF; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - SAINT FRANCIS MEDICAL CENTER: Line 16c URL: HTTP://WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; |
| Schedule H, Part VI, Line 2 Needs assessment | The process of identifying the community health needs in Hall, Hamilton and Merrick Counties served by Saint Francis focused on the use of data and community input. The process included: * A quantitative data review and analysis of health needs of the community including information on disease prevalence, health indicators, health equity, and mortality. Indicators were selected to align with national benchmarks. * The data was reviewed by the Data Steering Committee, made up of community partners, including review of previous data to analyze trends and comparison to like counties and other benchmarks (e.g., Healthy People 2020) to help prioritize significant health issues. * Community Engagement Sessions were held in Hall, Merrick and Hamilton County. Following the community engagement the process, Saint Francis's CBAT reviewed the methods and findings to confirm hospitals' implementation strategy plan. Saint Francis presented the identified community health needs to their Patient and Family Advisory Committee for input and validation. Summary of Assessment Findings Prior to the community engagement session the Data Steering Committee met to review the data and select top "Areas of Opportunity". These areas were selected based on consideration of various criteria, including: standing in comparison with benchmark data; identified trends; and the magnitude of the issue in terms of the number of persons affected. The following issues were identified to be presented at the Community Engagement Sessions: Behavioral Health/Mental Health Injury and Violence Obesity Maternal, Infant, and Child Health Access to Health Care Substance Abuse At the community engagement session, described above, participants were asked to vote for their top health needs. As part of the discussion, the community added "culture of health" to the priority list in addition to the issues listed above. Taking into consideration the quantitative data review and analysis of health needs of the community, stakeholder's prioritized the health issues using the following set of criteria was size, seriousness, trends, equity, Intervention, values, resources, Impact on a key social. * Behavioral Health/Mental Health * Substance Abuse * Culture of Health * Maternal, Infant, and Child Health * Injury and Violence * Access to Health Care * Obesity |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Notices are posted (in English & Spanish) at all registration areas stating that a Community Assistance Program ("CAP") is available. 1. When a patient presents for services at Saint Francis, and the insurance listed on the account is Self-pay (SP) a CAP application automatically prints with the patient's paperwork. 1a. If the patient is receiving a service that is billable by Saint Francis, they will be given this CAP application and have explained to them what the application is for, how to complete it and whom to contact if they have further questions about what is required to complete the application. 2. When a patient presents for a service/s that is billable by Saint Francis, has insurance coverage and in any way expresses a concern on how they're going to pay their co-pay/deductible/non covered expenses etc. a CAP application will be printed off and explained to them what the application is for, how to complete it and whom to contact if they have further questions about what is required to complete the application. 3. A CAP application can be printed at any time. If someone requests an application, staff may print one from the system, or use a pre-printed blank application. |
| Schedule H, Part VI, Line 4 Community information | For the purpose of the 2016 CHNA and future implementation strategy, Saint Francis defined the communities served as Hall, Hamilton and Merrick counties in Nebraska. These counties include the primary service area and portions of the secondary service area for Saint Francis, thus covering between 75% - 90% of patients served by the hospital. This definition was confirmed by an interdisciplinary team from the hospital [Community Benefit Action Team (CBAT)] and aligns with a shared definition agreed upon with community partners and the local health department, Central District Health Department (CDHD). Specific County Information: Hall County: Between 2010 and 2014, Hall County's population increased by 4.9% or from 58,607 people to 61,492 people. The number of persons from 15 to 24 years of age changed from 7,418 in 2010 to 8,072 in 2014, an increase of 8.8%. Between 2010 and 2014, the White population increased by 3.8%, while the Black population increased by 36.3%. The Hispanic population of any race changed from 13,653 to 15,912, an increase of 16.5%. Median Household Income is $49, 178 Persons in Poverty is 14.7%. Children in Poverty is 19%. Unemployment Rate was 3.8%. High School Graduation Rates was 90%. Some College is 52%. Percent of Population under 65 without insurance is 22%. Percent of Uninsured Children was 7%. Hamilton: Between 2010 and 2014, Hamilton County showed nearly no growth in population size (0.1%). Between 2010 and 2014, the White population decreased by 0.7%, while the Black population increased by 73.7%. The Hispanic population of any race changed from 181 to 269, an increase of 48.6%. Median Household Income is $58,382. Persons in Poverty is 6.9%. Children in Poverty is 10%. Unemployment Rate was 2.9%. High School Graduation Rates was 94%. Some College is 76%. Percent of Population under 65 without insurance is 11%. Percent of Uninsured Children was 7%. Merrick: Between 2010 and 2014, Merrick County's population decreased by 1.0%, or from 7,845 people to 7,766 people. Between 2010 and 2014, the White population decreased by 2.0%, while the Black population increased by 63.6%. The Hispanic population of any race changed from 271 to 313, an increase of 15.5%. Median Household Income is $49,637. Persons in Poverty is 10.4%. Children in Poverty is 15%. Unemployment Rate was 3.7%. High School Graduation Rates was 92%. Some College is 70%. Percent of Population under 65 without insurance is 17%. Percent of Uninsured Children is 6%. |
| Schedule H, Part VI, Line 5 Promotion of community health | 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 (infant care, breastfeeding, car seat safety checks, community behavioral health support, diabetes, cancer, physical activity and healthy eating and cooking) * Support groups (alcohol & drug, breastfeeding, diabetes, cancer, bereavement, youth, etc.) * Community health fairs and screenings * Parish nursing program and faith community outreach * School based healthcare services * 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 body mass index. This program invites the whole family to participate in learning about physical activity, eating healthy, and setting realistic goals as a family. * Childcare-provided the Nutrition & Physical Activity Self-Assessment in Child Care (NAP SACC) Learning Collaborative for child care programs in Douglas, Sarpy and Cass Counties in Nebraska. Ten child care programs sent a total of 30 providers through a series of five workshops to learn about best practices for teaching healthy eating and physical activity habits to young children. * Breastfeeding-provided funding and planning support to host a 5 day training in York, NE for clinic and community healthcare workers to obtain their Certified Lactation Counselor (CLC) designation. CHI Health also provided funds towards the planning of a continuing education event (Beyond Best Practices: Creating a Supportive Environment for Breastfeeding Parents) for clinic and hospital professionals (nurses, medical assistants, dieticians, health coaches/navigators and providers) in addition to support for an online course called Breastfeeding the NICU Infant for hospital-based NICU nursing staff. Eighty professionals were enrolled in February of 2016. * Provided counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. * Provided free temporary housing to low income, out-of-town patients with special needs as well as their families. * Subsidized low income patients' care post-discharge at Ambassador Health in Lincoln, NE. The skilled nursing and therapy staff, focus on transitioning patients safely home from the hospital. Whether it's a planned surgery, an unexpected illness or a traumatic injury, Ambassador Health provides in-patient physical, occupational, speech and respiratory therapy using a team-based approach focused on total-body wellness. * Subsidized low income, non-patient outpatient dialysis treatments in the community to give them the care that they require * 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: Omaha/Council Bluffs Metro * Hope Medical Outreach Coalition-Board service and annual operating subsidy. CHI Health hospitals and physicians are one of three health systems that provide access for the patients of three area federally qualified healthcare centers to specialty physician services and hospital based diagnostics and treatment that are unable to afford medical services. * Metro Area Continuum of Care for the Homeless-Board service and financial support to this coalition addressing homelessness in the service area. * Live Well Omaha-a coalition founded by Alegent Creighton Health (now CHI Health) and the county health department that serves as convener of business, healthcare and community leaders to review health trends and catalyze community action to address health issues. * Live Well Omaha Kids-a community coalition using a collective impact approach to address childhood obesity. * African American Empowerment Network- Support of the Step Up summer jobs program a workforce development initiative serving a typically low-income part of the community. * Community Link-a partnership with Catholic Health Initiatives to improve the health and socioeconomic status of patients by assessing and treating their non-medical needs and barriers, which are important factors of their health. * Violence Prevention-a partnership with Catholic Health Initiatives, Women's Center for Advancement and Creighton University to implement a campus based violence prevention program known as "Green Dot". * Together, Inc.- provided funds to support the newly developed homeless case management project to be housed out of the CUMC emergency department and then at University Campus. The program will connect high utilizers of the emergency department, who are identified as homeless, with a case manager who will then assist them in finding sustainable housing and accessing other resources associated with social determinants of health. * YMCA-provided support of the Omaha Metro YMCA's Strong Community Campaign to provide for youth programming, medically based wellness, and youth and family memberships for low-income community members. * Pottawattamie County Development-provided support for the administration and delivery of The Big Garden project serving families identified by local healthcare agencies as needing support to access healthy foods at low cost. The program builds the family's skill for self-sustaining a garden and year-round preparation, planning, care, and harvest in a personal garden. * Project Extra Mile-provided funding for the evaluation of a clinic based Screening, Brief Intervention & Referral to Treatment (SBIRT) program that was piloted at the CHI Health 161st and Maple clinic, then implemented at the 132nd & West Center CHI Health Clinic. 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. Kearney * Buffalo County Community Health Partners-provided financial support and leadership to this health coalition that is a county-wide effort to address the leading health issues in the county. * Be Well Buffalo County Program-provided funding that supported establishment of Be Well coalition to advocate for a healthy community culture through infrastructure, education and programs to support healthy choices. Grand Island * Third City Community Clinic-provided funding to support the Access to Healthcare project which aims is to be proactive in the treatment and management of chronic disease in low-income and minority patients to 1) ensure a better quality of life for the patient 2) minimize their emergency room visits and hospital admissions to reduce costs to the patients and the healthcare provider(s). Nebraska City * People United for Families-provided financial support for Partners for Otoe County, a non-profit organization dedicated to building a healthy community where every child and family thrives. P4OC collaborates with individuals, organizations, local businesses, institutions, and agencies to take responsibility for improving the health and quality of life in our community. * Growing Great Kids-provided support for this program, which is a program housed out of Southeast District Health Department (SEDHD). The program provides home visiting services delivered by nursing staff, for families at risk for adverse childhood experiences during the prenatal to age 3 timeframe, to offer support in the prenatal time period as well as parenting support and resources as baby grows. |
| Schedule H, Part VI, Line 6 Affiliated health care system | CHI Health Saint Francis, along with its affiliated outpatient facilities, are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 104 hospitals, including four academic medical centers, and 30 critical access facilities; community health service organizations; accredited nursing colleges; home health agencies; and other facilities that span the inpatient and outpatient continuum of care. Together, these facilities provided $1.1 billion in financial assistance and community benefit in the 2016 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared 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. CHI Health Saint Francis operates with its wholly owned affiliates and community partners, along with its fundraising arm, the CHI Health Saint Francis Foundation, to serve the health care needs of the Grand Island, Nebraska communities. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | NE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Financial Assistance | GrantTypeTxt |
| Recipient | 3118 | RecipientCnt |
| Non Cash Assistance | $11,814,902 | NonCashAssistanceAmt |
| Valuation Method Used | Book | ValuationMethodUsedDesc |
| Non Cash Assistance | Reduction or Write-Off of Patient Services | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part II assistance to individuals | Saint Francis Medical Center 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 COMPANIES AND COMMUNITY ORGANIZATIONS WHO 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 RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THE DISTRIBUTION. SAINT FRANCIS MEDICAL CENTER RELIES ON THOSE ORGANIZATIONS TO USE THE GRANTS IN ACCORDANCE WITH EACH ORGANIZATION'S EXEMPT PURPOSE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLIFF ROBERTSON MD | ||||||||||||||
| Board Member/CEO CHI Health | $0 | $790,178 | $0 | $500,149 | $0 | $215,508 | $0 | $139,775 | $0 | $39,870 | $0 | $1,685,480 | $0 | $65,659 |
| MARTIN M MANCUSO MD | ||||||||||||||
| Board Member | $0 | $149,719 | $0 | $0 | $0 | $3,007 | $0 | $10,455 | $0 | $6,215 | $0 | $169,396 | $0 | $0 |
| ROBERT LANIK | ||||||||||||||
| Board Member | $0 | $1 | $0 | $0 | $0 | $342,924 | $0 | $6,636 | $0 | $6,632 | $0 | $356,193 | $0 | $0 |
| MICHAEL ROWAN FACHE | ||||||||||||||
| Board member/CHI EVP & COO | $0 | $1,273,340 | $0 | $1,763,164 | $0 | $859,409 | $0 | $15,775 | $0 | $41,802 | $0 | $3,953,490 | $0 | $242,516 |
| AMY L MCGAHA md | ||||||||||||||
| BOARD MEMBER | $0 | $263,705 | $0 | $0 | $0 | $65 | $0 | $13,149 | $0 | $1,053 | $0 | $277,972 | $0 | $0 |
| JOAN NEUHAUS | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $0 | $597,348 | $0 | $324,078 | $0 | $193,608 | $0 | $17,075 | $0 | $27,287 | $0 | $1,159,396 | $0 | $0 |
| CARY WARD MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $440,912 | $0 | $65,962 | $0 | $127,217 | $0 | $15,775 | $0 | $37,426 | $0 | $687,292 | $0 | $0 |
| JEANETTE WOJTALEWICZ | ||||||||||||||
| CFO CHI Health | $0 | $516,339 | $0 | $229,990 | $0 | $127,687 | $0 | $60,392 | $0 | $22,464 | $0 | $956,872 | $0 | $0 |
| DONNA SANDERS | ||||||||||||||
| VP of Mission and Community Outreach | $0 | $165,738 | $0 | $13,057 | $0 | $9,892 | $0 | $10,708 | $0 | $5,708 | $0 | $205,103 | $0 | $0 |
| LISA WEBB | ||||||||||||||
| VP of FINANCE | $0 | $225,209 | $0 | $15,896 | $0 | $43,973 | $0 | $14,302 | $0 | $35,001 | $0 | $334,381 | $0 | $0 |
| DANIEL MCELLIGOTT | ||||||||||||||
| PRESIDENT | $0 | $352,161 | $0 | $53,706 | $0 | $113,340 | $0 | $15,775 | $0 | $20,324 | $0 | $555,306 | $0 | $36,554 |
| NANCY WALLACE | ||||||||||||||
| SVP HR CHI HEALTH | $0 | $338,407 | $0 | $42,780 | $0 | $84,181 | $0 | $15,039 | $0 | $21,200 | $0 | $501,607 | $0 | $0 |
| STEVE HOUSTON | ||||||||||||||
| SVP STRATEGY AND TECHNOLOGY | $0 | $293,673 | $0 | $36,655 | $0 | $65,910 | $0 | $16,442 | $0 | $25,248 | $0 | $437,928 | $0 | $0 |
| MIKE WATTERS | ||||||||||||||
| VP - SENIOR COUNSEL | $0 | $236,217 | $0 | $31,846 | $0 | $90,737 | $0 | $15,688 | $0 | $16,650 | $0 | $391,138 | $0 | $0 |
| MEHMET COPUR | ||||||||||||||
| PHYSICIAN DIRECTOR-ONCOLOGY | $0 | $721,917 | $0 | $0 | $0 | $5,798 | $0 | $15,775 | $0 | $21,252 | $0 | $764,742 | $0 | $0 |
| JOSHUA GORTEMAKER | ||||||||||||||
| PHYSICIAN - ANESTHESIA | $0 | $411,225 | $4,771 | $25,000 | $0 | $3,244 | $0 | $15,652 | $0 | $15,100 | $4,771 | $470,221 | $0 | $0 |
| RYAN RAMAEKERS | ||||||||||||||
| PHYSICIAN - ONCOLOGY | $0 | $429,263 | $0 | $43,268 | $0 | $2,752 | $0 | $15,775 | $0 | $9,912 | $0 | $500,970 | $0 | $0 |
| TRACI RAUCH MD | ||||||||||||||
| MED DIRECTOR-ANES | $0 | $454,883 | $0 | $25,000 | $0 | $3,013 | $0 | $15,745 | $0 | $32,018 | $0 | $530,659 | $0 | $0 |
| BETH A BARTLETT | ||||||||||||||
| VP - PATIENT CARE SERVICES | $181,018 | $0 | $12,177 | $0 | $30,152 | $0 | $11,502 | $0 | $32,555 | $0 | $267,404 | $0 | $0 | $0 |
| DAVID A CROSS | ||||||||||||||
| PHARMACIST | $136,657 | $0 | $0 | $0 | $5,308 | $0 | $7,575 | $0 | $24,870 | $0 | $174,410 | $0 | $0 | $0 |
| DALE HARTWIG | ||||||||||||||
| VP of ANCILLARY SVCS | $7,972 | $0 | $0 | $0 | $227,610 | $0 | $8,787 | $0 | $16,278 | $0 | $260,647 | $0 | $0 | $0 |
| ROBERT M NORVELL | ||||||||||||||
| DIRECTOR, ONCOLOGY SERVICES | $135,763 | $0 | $4,130 | $0 | $1,234 | $0 | $8,515 | $0 | $36,243 | $0 | $185,885 | $0 | $0 | $0 |
| DOUGLAS W RICHLING | ||||||||||||||
| Director-Pharmacy | $140,149 | $0 | $4,141 | $0 | $168 | $0 | $8,517 | $0 | $36,964 | $0 | $189,939 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Catholic Health Initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH DURING THE 2015 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: ROBERT LANIK - $344,861 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | DURING THE 2015 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 MICHAEL ROWAN Daniel McElligott DURING 2015 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEANETTE WOJTALEWICZ - $44,617 CLIFF ROBERTSON - $124,000 DURING 2015 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $65,659 MICHAEL ROWAN - $242,516 Daniel McElligott - $36,554 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 2015 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 2015, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MICHAEL ROWAN - $313,628 Daniel Mcelligott - $31,509 |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 1 ORGANIZATION'S MISSION | THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 31,787,733 including grants of $ 2,953,725)(Revenue $ 45,394,483) All other program service revenue |
| Form 990, Part V, Line 1c Compliance with backup withholding rules | PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI) ARE MADE BY CHI. THEREFORE NO FORM 1099S ARE ISSUED BY St. Francis Medical Center. CHI FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CHI ON BEHALF OF St. Francis Medical Center ARE REPORTED TO THE IRS. |
| Form 990, Part VI, Line 16b FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES | SAINT FRANCIS MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | 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 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable. For other members of management who were paid under CHI Health for calendar year 2015, CHI Health completes a compensation market study to determine salary. |
| Form 990, Part VI, Line 1a EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY | PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CHI NEBRASKA, A NEBRASKA NONPROFIT CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | IN ACCORDANCE WITH THE ORGANIZATION'S CORPORATION BYLAWS, THE SOLE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE ORGANIZATION'S 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 SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA, AND CATHOLIC HEALTH INITITIAVES (CHI NEBRASKA'S SOLE CORPORATE MEMBER) ("CHI") HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI NEBRASKA BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI NEBRASKA CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SAINT FRANCIS MEDICAL CENTER -AMENDMENT OF THE CORPORATE DOCUMENTS OF SAINT FRANCIS MEDICAL CENTER -APPROVE MEMBERS OF SAINT FRANCIS MEDICAL CENTER'S BOARD -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT FRANCIS MEDICAL CENTER -APPROVAL OF ISSUANCE OF DEBT BY SAINT FRANCIS MEDICAL CENTER -APPROVAL OF PARTICIPATION OF SAINT FRANCIS MEDICAL CENTER IN A JOINT VENTURE -APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT FRANCIS MEDICAL CENTER -APPROVAL OF A MERGER INVOLVING SAINT FRANCIS MEDICAL CENTER -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SAINT FRANCIS MEDICAL CENTER -TO REQUIRE THE TRANSFER OF ASSETS BY THE SAINT FRANCIS MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SAINT FRANCIS MEDICAL CENTER. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND 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 and CHI tax director are 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 | ALL BOARD MEMBERS, OFFICERS, DIRECTORS AND OTHER MEMBERS OF MANAGEMENT OF SAINT FRANCIS MEDICAL CENTER WILL COMPLETE THE "AGREEMENT TO DISCLOSE CONFLICT OF INTEREST AND MAINTAIN CONFIDENTIALITY OF INFORMATION" FORM UPON ASSUMING OFFICE OR EMPLOYMENT, AND ANNUALLY THEREAFTER. IF A POTENTIAL CONFLICT OF INTEREST ARISES BETWEEN ANNUAL DISCLOSURE DATES, THE INDIVIDUAL WILL IMMEDIATELY DISCLOSE RELEVANT INFORMATION TO THE CHIEF EXECUTIVE OFFICER OF SAINT FRANCIS MEDICAL CENTER. BOARDS OF ALL CATHOLIC HEALTH INITIATIVES INSTITUTIONS REQUIRE EACH INSTITUTION TO APPROVE A CONFLICT OF INTEREST POLICY WHICH SHALL NOT BE INCONSISTENT WITH THE CHI CONFLICT OF INTEREST POLICY. THE "POLICY REGARDING CONFLICTS OF INTEREST FOR OFFICERS AND DIRECTORS" FOR SAINT FRANCIS MEDICAL CENTER AND ITS AFFILIATES AND "AGREEMENT TO DISCLOSE CONFLICT OF INTEREST AND MAINTAIN CONFIDENTIALITY OF INFORMATION" FORMS ARE MAINTAINED IN THE EXECUTIVE OFFICE. DISCLOSURE, REVIEW AND INITIAL DETERMINATION: 1. GENERAL OBLIGATION. EACH DIRECTOR 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 THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHEN A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. 2. ANNUAL DISCLOSURE STATEMENT. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT AND CEO AND THE BOARD CHAIR. 3. REVIEW, EVALUATION AND INITIAL DETERMINATION. 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 THIS 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 THIS POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS 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 DIRECTOR OR OFFICER AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS 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 COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OFDIRECTORS. BOARD REVIEW: TRANSACTIONAL CONFLICT OF INTEREST 1. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS EITHER: A. HAS A MATERIAL FINANCIAL INTEREST; OR B. IS A DIRECTOR OR OFFICER OF THE OTHER PARTY OTHER THAN THE CORPORATION'S OWN AFFILIATES. 2. THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS OR 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 THE CORPORATION. OTHER CONFLICTS OF INTEREST: THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICT OF INTEREST (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH THE CORPORATION, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE DIRECTOR OR OFFICER UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION. THE BOARD SHOULD CONSULT WITH A MEMBER OF THE CHI LEGAL RESOURCE GROUP WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. DISCLOSURE BY INTERESTED DIRECTOR: WHEN ANY CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD, THE DIRECTOR OR OFFICER MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE DIRECTOR SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH DIRECTOR OR OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE DIRECTOR OR OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. RECORD OF PROCEEDINGS: MINUTES OF THE BOARD OF DIRECTORS 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 DIRECTOR ABSTAINED FROM VOTING. IMPLEMENTATION AND INTERPRETATION: QUESTIONS REGARDING THE IMPLEMENTATION AND INTERPRETATION OF THIS POLICY SHALL BE REFERRED TO A MEMBER OF THE CHI LEGAL RESOURCE GROUP. POLICY VIOLATIONS: IF THE BOARD REASONABLY BELIEVES THAT A DIRECTOR OR 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 THIS POLICY, THE DIRECTOR OR OFFICER WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE DIRECTOR OR OFFICER, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE DIRECTOR OR OFFICER HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | See Form 990, Part VI, Line 15A disclosure. |
| Form 990, Part VI, Line 19 Required documents available to the public | SAINT FRANCIS MEDICAL CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEATHINT.ORG OR AT WWW.DACBOND.COM THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Miscellaneous Revenue - Total Revenue: 170186, Related or Exempt Function Revenue: , Unrelated Business Revenue: 568, Revenue Excluded from Tax Under Sections 512, 513, or 514: 169618; |
| Form 990, Part IX, Line 11g Other Fees | Other Fees for Services - Total Expense: 20511936, Program Service Expense: 15468141, Management and General Expenses: 5043795, Fundraising Expenses: 0; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CNRS Noncontrolling Interest - -3056274; Other Changes - 26807; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (187 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HEALTHCARE | NE | 501(c)(3 | 3 | ACH | Yes (true) |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT CREIGHTON HEALTH FOUNDATION | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING | NE | 501(c)(3 | 7 | ACH | Yes (true) |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | ||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (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 | Yes (true) |
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | ||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| APPLETREE COURT | ||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(c)(3 | 9 | SFH | Yes (true) |
| BAYLOR ST LUKE'S HEALTH VENTURES | ||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(c)(3 | 9 | SLCHS | Yes (true) |
| BELLEVILLE ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 274005511 | HEALTHCARE | TX | 501(c)(3 | 3 | SHSC | Yes (true) |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(c)(3 | Type I | CHI | Yes (true) |
| BRAZOSPORT HEALTH FOUNDATION INC | ||||||||||
| 129 CIRCLE WAY STE 102 | LAKE JACKSON | TX | 77566 | 760080110 | FUNDRAISING | TX | 501(c)(3 | Type I | BRHS | Yes (true) |
| BRAZOSPORT REGIONAL PHYSICIAN SERVICES | ||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 800240261 | HEALTHCARE | TX | 501(c)(3 | 3 | BRHS | Yes (true) |
| BURLESON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| BURLESON ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | HEALTHCARE | TX | 501(c)(3 | 9 | SJSC | Yes (true) |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(c)(3 | Type I | NA | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DR STE 301 | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DR | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | HEALTHCARE | CO | 501(c)(3 | Type I | CHINS | Yes (true) |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | PHYSICIANS | OR | 501(c)(3 | 9 | MMC | Yes (true) |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CENTER | KS | 501(c)(3 | 3 | CHI | Yes (true) |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | HEALTHCARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| CHI INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(c)(3 | 9 | CHI NS | Yes (true) |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI NEBRASKA | ||||||||||
| 6940 O ST STE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(c)(3 | Type I | CHI | Yes (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 | Yes (true) |
| CHI ST JOSEPH'S CHILDREN | ||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | ||||||||||
| 6624 FANNIN ST | HOUSTON | TX | 77030 | 741161938 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HEALTHCARE | AR | 501(c)(3 | 3 | CHISVHS | Yes (true) |
| CHI ST VINCENT HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(c)(3 | Type II | SVIMC | Yes (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 | Yes (true) |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(c)(2 | GSH | Yes (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 | Yes (true) |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DR | LEXINGTON | KY | 40509 | 611400619 | LT ACH | KY | 501(c)(3 | 3 | SJHS | Yes (true) |
| COVENANT HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232028429 | HOME HEALTH | PA | 501(c)(3 | Type II | CHI NHC | Yes (true) |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(c)(3 | Type I | FH | Yes (true) |
| FRANCISCAN CARE CENTER | ||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(c)(3 | 9 | FHS | Yes (true) |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(c)(3 | 3 | CHI | Yes (true) |
| FRANCISCAN HEALTH VENTURES FKA SJMGROUP | ||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(c)(3 | 9 | CHI | Yes (true) |
| FRANCISCAN LIVING COMMUNITIES | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | HEALTHCARE | OH | 501(c)(3 | Type I | SFH | Yes (true) |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(c)(3 | 9 | FHS | Yes (true) |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(c)(3 | 9 | CHI | Yes (true) |
| GARRISON MEMORIAL HOSPITAL | ||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HEALTHCARE | ND | 501(c)(3 | 3 | SAMC | Yes (true) |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(c)(3 | Type I | CHI | Yes (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 | Yes (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 | Yes (true) |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(c)(3 | 7 | GSH | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 237296923 | FUNDRAISING | OH | 501(c)(3 | 7 | SHP | Yes (true) |
| HARRISON MEDICAL CENTER | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| HARRISON MEDICAL CENTER FOUNDATION | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING | WA | 501(c)(3 | 7 | HMC | Yes (true) |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(c)(3 | Type I | SFMC | Yes (true) |
| HIGHLINE MEDICAL CENTER | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(c)(3 | 7 | CHI-IA CORP | Yes (true) |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(c)(3 | 9 | JHSMH | Yes (true) |
| KENTUCKYONE HEALTH INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(c)(3 | 9 | CHI | Yes (true) |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING | ND | 501(c)(3 | 7 | LHC | Yes (true) |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930821381 | SENIOR LIVING | OR | 501(c)(3 | 9 | MMC | Yes (true) |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| MADISON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| MADONNA MANOR INC | ||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | LIVING ASSIST | KY | 501(c)(3 | 1 | FLC | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(c)(3 | 7 | MHCS | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(c)(3 | 3 | CHI | Yes (true) |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(c)(3 | 9 | MHCS | Yes (true) |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HEALTHCARE | TX | 501(c)(3 | 3 | CHI | Yes (true) |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(c)(3 | Type I | MF-DM IA | Yes (true) |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(c)(3 | 2 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(c)(3 | 7 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING | OR | 501(c)(3 | 7 | MMC | Yes (true) |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | IA | 501(c)(3 | Type I | AHMH-Corning | Yes (true) |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING | ND | 501(c)(3 | Type I | MHVC | Yes (true) |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(c)(3 | Type I | AHBMHS | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(c)(3 | 7 | MHDL | Yes (true) |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI-IA CORP | Yes (true) |
| MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421470935 | PHYSICIANS | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| MERCY MEDICAL CENTER INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(c)(3 | Type I | MMC | Yes (true) |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| North Central Health Care Alliance dba PrimeCare Health Group | ||||||||||
| 401 N 9th St | BISMARCK | ND | 585014507 | 450439894 | HEALTHCARE | ND | 501(c)(3 | 9 | NHCA | Yes (true) |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(c)(3 | Type I | OCH | Yes (true) |
| PINEYWOODS MEDICAL DEVELOPMENT CORP | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| PROVIDENCE CARE CENTER | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | HEALTHCARE | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| PROVIDENCE CARE CENTERS | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341826099 | HOLDING CO | OH | 501(c)(3 | Type II | FLC | Yes (true) |
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | ||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| PUEBLO STEPUP | ||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE | ||||||||||
| 12844 MILITARY RD S | TUKWILA | WA | 98168 | 911170040 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (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 | Yes (true) |
| SAINT CLARE'S COMMUNITY CARE INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(c)(3 | Type II | SCHS | Yes (true) |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(c)(3 | 7 | SCHS | Yes (true) |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(c)(3 | Type II | CHI | Yes (true) |
| SAINT CLARE'S HOSPITAL INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(c)(3 | 3 | SCHS | Yes (true) |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(c)(3 | 7 | SERMC | Yes (true) |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(c)(3 | 3 | SERMC | Yes (true) |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(c)(3 | 7 | SFMC | Yes (true) |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611334601 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| SAINT JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(c)(3 | Type I | SJHS | Yes (true) |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(c)(3 | Type I | SJHHC | Yes (true) |
| SAMARITAN BEHAVIORAL HEALTH INC | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45417 | 020633634 | HEALTHCARE | OH | 501(c)(3 | 7 | SHP | Yes (true) |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 311107411 | HEALTHCARE | OH | 501(c)(3 | Type I | CHI | Yes (true) |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING | NE | 501(c)(3 | Type I | AHMHS | Yes (true) |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HEALTHCARE | MO | 501(c)(3 | 3 | CHI | Yes (true) |
| SL AUGUSTA CORP | ||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | 760226623 | TITLE HOLDING | TX | 501(c)(2 | SLPC | Yes (true) | |
| ST ALEXIUS MEDICAL CENTER | ||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(c)(3 | Type I | SAH | Yes (true) |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(c)(3 | 3 | SVIMC | Yes (true) |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(c)(3 | 3 | CHI | Yes (true) |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(c)(3 | Type I | SCH | Yes (true) |
| ST CLARE COMMONS | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 270163752 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(c)(4 | CHI | Yes (true) | |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO RD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(c)(3 | 9 | SCHS | Yes (true) |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930412495 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH FOUNDATION OF BRYAN TEXAS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING | TX | 501(c)(3 | Type I | SJSC | Yes (true) |
| ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | HEALTHCARE | TX | 501(c)(3 | 9 | SJSC | Yes (true) |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HEALTHCARE | MD | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH PHYSICIAN ASSOCIATES | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 521311775 | PHYSICIANS | MD | 501(c)(3 | Type I | SJMC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH PARTNERS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH SERVICES CORPORATION | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(c)(3 | Type I | SFH | Yes (true) |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| ST LEONARD | ||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260274448 | MANAGEMENT | TX | 501(c)(3 | Type I | SLHS | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HEALTHCARE | TX | 501(c)(3 | 3 | SLCDC | Yes (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 | Yes (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 | Yes (true) |
| ST LUKE'S COMMUNITY HEALTH SERVICES | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S FOUNDATION | ||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING | TX | 501(c)(3 | 7 | SLHS | Yes (true) |
| ST LUKE'S HEALTH SYSTEM CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536232 | MANAGEMENT | TX | 501(c)(3 | Type I | CHI | Yes (true) |
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S MEDICAL GROUP | ||||||||||
| 6624 FANNIN ST | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(c)(3 | 3 | SLHS | Yes (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 | Yes (true) |
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760531716 | PROPERTY MGMT | TX | 501(c)(3 | Type I | SLHS | Yes (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 | Yes (true) |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(c)(3 | 7 | SMCH | Yes (true) |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(c)(3 | Type I | SVIMC | Yes (true) |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(c)(3 | 9 | SVIMC | Yes (true) |
| SYLVANIA FRANCISCAN HEALTH | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 341412964 | HEALTHCARE | OH | 501(c)(3 | Type I | CHI | Yes (true) |
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 455357161 | FUNDRAISING | OH | 501(c)(3 | Type I | FLC | Yes (true) |
| THE COMMONS OF PROVIDENCE | ||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| THE COMMUNITY HOSPITAL OF BRAZOSPORT | ||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 741385192 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (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 | Yes (true) |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(c)(3 | Type I | CHI NEBRASKA | Yes (true) |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(c)(3 | 3 | CHIC | Yes (true) |
| TRINITY HEALTH FOUNDATION | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 311329423 | FUNDRAISING | OH | 501(c)(3 | Type I | THS | Yes (true) |
| TRINITY HEALTH SYSTEM | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341818681 | HEALTHCARE | OH | 501(c)(3 | Type I | SFH | Yes (true) |
| TRINITY HEALTH SYSTEM GROUP | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 300752920 | HEALTHCARE | OH | 501(c)(3 | 3 | THS | Yes (true) |
| TRINITY HOSPITAL HOLDING COMPANY | ||||||||||
| 380 SUMMIT AVENUE | STEUBENVILLE | OH | 43952 | 341842025 | HEALTHCARE | OH | 501(c)(3 | 3 | THS | Yes (true) |
| TRINITY HOSPITAL TWIN CITY | ||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HEALTHCARE | OH | 501(c)(3 | 3 | CHI | Yes (true) |
| TRI-STATE HEALTH SERVICES INC | ||||||||||
| ONE ROSS PARK BLVD | STEUBENVILLE | OH | 43952 | 341522484 | ASSIST LIVING | OH | 501(c)(3 | THS | Yes (true) | |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(c)(3 | 9 | CHI | Yes (true) |
| VISITING NURSE ASSOCIATION OF ST CLARE'S INC | ||||||||||
| 191 WOODPORT RD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(c)(3 | 9 | SCHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alegent Health Northwest Imaging Center LLC | ||||||||||||||
| 3606 N 156th St | OMAHA | NE | 68116 | 061786985 | OP Diagnostics | NE | ACH | Related | -$7,263 | $485,853 | false | $0 | Yes (true) | 0.51 |
| Audubon Land Company LLC | ||||||||||||||
| 5390 N Academy Blvd STE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | Real Estate | CO | CHIC | Related | $250,214 | $23,193,712 | false | $0 | false | 0.5 |
| AVON EMERGENCY AND URGENT CARE CENTER LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 811727282 | HEALTHCARE SRVC | CO | CHIC | Related | $0 | $0 | false | $0 | Yes (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 | $0 | false | $0 | Yes (true) | 0.65 |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 Mercy Rd Ste 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | Related | $709,407 | $1,953,385 | false | $0 | false | 0.58 |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | Related | $127,778 | $958,445 | false | $0 | Yes (true) | 0.63 |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | SJHS | Related | $312,944 | $3,261,145 | false | $0 | false | 0.65 |
| CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 462945938 | PRACTICE MGMT SRVC | DE | CHI | Related | -$572,758 | $28,961,482 | false | $0 | Yes (true) | 0.8 |
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146 4502 N SECOND AVE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | na | Related | -$33,398 | $156,208 | false | $0 | Yes (true) | 1.0 |
| CENTRAL NEBRASKA REHABILITATION SERVICES LLC | ||||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | Physical Therapy | NE | SFMC | Related | $2,441,607 | $3,412,341 | false | $0 | false | 0.51 |
| CENTURA-SCA HOLDINGS LLC | ||||||||||||||
| 569 BROOK VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 474823023 | OP SURGERY CENTER | AL | CHIC | Related | $525,814 | $1,305,299 | false | $0 | Yes (true) | 0.65 |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | Unrelated | $332,023,271 | $6,703,637,716 | false | $515,470 | Yes (true) | 1.0 |
| CHI ST LUKE'S HEALTH EMERGENCY CENTER LLC | ||||||||||||||
| 6624 Fannin St Ste 1100 | HOUSTON | TX | 77030 | 810743412 | URGENT CARE | TX | SLHS | Related | $0 | $0 | false | $0 | Yes (true) | 0.65 |
| CHICAMSURG Surgery Centers LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 465683027 | SURGERY CENTER | CO | CHIC | Related | $0 | $0 | false | $0 | false | 0.51 |
| CHICLARKIN VENTURES LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 474210888 | URGENT CARE | CO | CHIC | Related | $0 | $0 | false | $0 | Yes (true) | 0.87 |
| Colorado Springs CK Leasing LLC | ||||||||||||||
| 8770 W Bryn Mawr Ste 1370 | CHICAGO | IL | 60631 | 262982714 | REAL ESTATE | CO | CHIC | Related | $599,151 | $425,148 | false | $0 | Yes (true) | 0.4 |
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | SL HOSP-VINTAGE | Related | $1,365,254 | $375,590,761 | false | $0 | false | 0.51 |
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | na | Related | $256,166 | $3,371,484 | false | $0 | false | 1.0 |
| Heartland Oncology LLC | ||||||||||||||
| 2337 E Crawford St | SALINA | KS | 67401 | 464265403 | ONCOLOGY | KS | SCH | Related | -$457,809 | $1,985,911 | false | $0 | false | 0.51 |
| HIGHLINE IMAGING LLC | ||||||||||||||
| PO BOX 184 | BRUSH PRAIRIE | WA | 98606 | 200460005 | DIAGNOSTIC IMAGING | WA | HMC | Related | $65,074 | $1,408,012 | false | $0 | false | 0.8 |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | Related | $4,111,597 | $2,474,455 | false | $0 | false | 0.54 |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | Related | $670,348 | $721,021 | false | $0 | false | 0.51 |
| LINCOLN CK LEASING LLC | ||||||||||||||
| 6003 Old Cheney Rd | Lincoln | NE | 68516 | 262496856 | Real Estate | NE | SERMC | Related | $488,450 | $230,998 | false | $0 | false | 0.54 |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | Related | $10,386,143 | $19,795,974 | false | $0 | false | 0.51 |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | Related | $163,900 | $1,280,229 | false | $0 | false | 0.57 |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | THC | Related | $9,902,290 | $2,561,198 | false | $0 | false | 0.6 |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | FHS | Related | $343,465 | $2,173,284 | false | $0 | false | 0.6 |
| Penrad Imaging | ||||||||||||||
| 1390 Kelly Johnson Blvd | COLORADO SPRINGS | CO | 80920 | 841072619 | Medical Imaging | CO | CHIC | Related | $1,160,221 | $2,168,695 | false | $0 | false | 0.7 |
| PMC HOSPITAL LLC | ||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | SL CDC-PMC | Related | $5,287,747 | $67,411,280 | false | $0 | Yes (true) | 0.51 |
| PRAIRIE HEALTH VENTURES LLC | ||||||||||||||
| 421 S 9TH ST STE 102 | LINCOLN | NE | 68508 | 204962103 | TECH SRVC | NE | AH-IMC | Related | $1,126,606 | $2,905,862 | false | $0 | Yes (true) | 0.66 |
| Pueblo Ambulatory Surgery Center LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 621488737 | SURGERY CENTER | CO | CHIC | Related | -$155,230 | $107,312 | false | $0 | false | 0.51 |
| Saint JOSEPH - PAML LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 452116736 | MGMT SVCS | KY | SJHS | Related | $57,681 | $589,808 | false | $0 | Yes (true) | 0.63 |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 Harrodsburg RD | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | Related | $0 | $0 | false | $0 | Yes (true) | 0.51 |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | JHSMH | Related | $5,517,685 | $7,112,135 | false | $0 | false | 1.0 |
| SCA Premier Surgery Center of Louisville LLC | ||||||||||||||
| 200 Abraham Flexner Way | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JHSMH | Related | -$177,796 | $2,205,015 | 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 | -$82,977 | $14,572,659 | false | $0 | false | 0.51 |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911352698 | MED OFFICE | WA | FHS | Related | $265,442 | $1,984,098 | 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 | $611,532 | $1,117,217 | 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 | $277,867 | $42,485,184 | false | $0 | Yes (true) | 0.51 |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | SLHSH | Related | -$76,879 | $1,171,971 | false | $0 | Yes (true) | 0.51 |
| Superior Medical Imaging LLC | ||||||||||||||
| 5000 North 26th ST | LINCOLN | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | $9,528 | $402,804 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179539 | SURGERY CENTER | KY | SJHS | Related | $187,315 | $2,777,419 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 Abraham Flexner Way | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JHSMH | Related | $11,207 | $803,899 | false | $0 | Yes (true) | 0.51 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (69 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alegent HealthCreighton St Joseph Managed Care Services Inc | |||||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 470802396 | Managed Care | NE | CHI Nebraska | C Corporation | $8,129,445 | $5,108,822 | 1 | Yes (true) | |||||||
| All Saints Insurance Company SPC Ltd | |||||||||||||||||||
| 980556913 | Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc | |||||||||||||||||||
| 2801 FRACNISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | Healthcare | TX | SJSC | C Corporation | $204,115 | $535,165 | 1 | Yes (true) | |||||||
| Alternative Insurance Management Service Inc | |||||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | Erlanger | KY | 41018 | 841112049 | Management Services | CO | CHI | C Corporation | $0 | $6,056,338 | 1 | Yes (true) | |||||||
| AMERICAN NURSING CARE Inc | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C Corporation | $91,903,143 | $55,758,044 | 1 | Yes (true) | |||||||
| AMERIMED INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C Corporation | $21,464,273 | $12,744,198 | 1 | Yes (true) | |||||||
| BC HOLDING COMPANY INC | |||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | Fitness Club | KY | JHSMH | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| BrazoSport Health Alliance | |||||||||||||||||||
| 1 WEST WAY COURT | LAKE JACKSON | TX | 77566 | 760518376 | Health Care | TX | BRHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Caduceus Medical Associates INC | |||||||||||||||||||
| 5600 Brainerd Road Ste 500 | Chattanooga | TN | 37411 | 621570736 | Healthcare | TN | MHCS | C Corporation | $0 | $1,008 | 1 | Yes (true) | |||||||
| Captive Management Initiatives Ltd | |||||||||||||||||||
| 980663022 | Captive Management | CHI | C Corporation | $29,750 | $112,461 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Carmona-DeSoto Building Horizontal Property Regime Inc | |||||||||||||||||||
| 300 Werner St | Hot Springs | AR | 71913 | 710771076 | Healthcare | AR | CHI-SVHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Catholic Health Initiatives Center for Translational Research | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 272269511 | Research | CO | CIRI | C Corporation | $510,763 | $3,054,989 | 1 | Yes (true) | |||||||
| CHI St Luke's Health Baylor College of Medicine Medical Center Condominium | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 465079545 | Condo Assoc | TX | CHI-SLHBCM | C Corporation | $0 | $0 | 1 | Yes (true) | Assoc | ||||||
| ClearRiver Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464495960 | Insurance | TN | PHPSI | C Corporation | -$186,666 | $6,973,984 | 1 | Yes (true) | |||||||
| Comcare Services Inc | |||||||||||||||||||
| 5570 DTC Parkway | Englewood | CO | 80111 | 840904813 | Inactive | CO | CHIC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C Corporation | $247,400 | $51,845,030 | 1 | Yes (true) | |||||||
| Des Moines Medical Center Inc | |||||||||||||||||||
| 1111 6TH AVE | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corporation | $71,628 | $1,151,078 | 0.93 | Yes (true) | |||||||
| Diversified Health Resources Inc | |||||||||||||||||||
| 100 MEDICAL DRIVE | LAKE JACKSON | TX | 77566 | 760222679 | Health Care | TX | BRHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| East Texas Clinical Services Inc | |||||||||||||||||||
| 2801 Via Fortuna 500 | Austin | TX | 78746 | 454736213 | Healthcare | TX | MHSET | C Corporation | $0 | $16,782 | 1 | Yes (true) | |||||||
| First Initiatives Insurance LTD | |||||||||||||||||||
| 980203038 | Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Franciscan Services Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corporation | $318,497 | $11,891,645 | 1 | Yes (true) | |||||||
| Good Samaritan Outreach Services | |||||||||||||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470659440 | Medical Clinic | NE | CHI Nebraska | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| HarvestPlains Health of Iowa | |||||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | FEDERAL WAY | WA | 98001 | 473451750 | Insurance | WA | QCHPS | C Corporation | $2,182 | $3,002,182 | 1 | Yes (true) | |||||||
| Health Systems Enterprises Inc | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 470664558 | MGMT | NE | GSH | C Corporation | $84,269 | $1,115,210 | 1 | Yes (true) | |||||||
| Healthcare MGMT Services Organization INC | |||||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| HeartlandPlains Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464368223 | Insurance | NE | PHPSI | C Corporation | $1,755,860 | $3,679,133 | 1 | Yes (true) | |||||||
| Highline Medical Group | |||||||||||||||||||
| 15811 AMBUAN Blvd SW STE A | Burien | WA | 98166 | 911407026 | Medical Services | WA | HMC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Medquest | |||||||||||||||||||
| 1301 15TH AVENUE WEST | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MMC Williston | C Corporation | $677,839 | $1,583,325 | 1 | Yes (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 | Yes (true) | |||||||
| Mercy Park Apartments LTD | |||||||||||||||||||
| 1111 6th AVE | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corporation | $1,888,173 | $2,376,812 | 1 | Yes (true) | |||||||
| Mercy Services Corp | |||||||||||||||||||
| 2700 STEWART PARKWAY | Roseburg | OR | 97471 | 930824308 | Retail Sales | OR | MMC | C Corporation | $2,502,051 | $1,446,108 | 1 | Yes (true) | |||||||
| MHI Clinical Services | |||||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 461967952 | Healthcare | TX | MHSET | C Corporation | $10,063,699 | $1,339,619 | 1 | Yes (true) | |||||||
| Mountain Management Services Inc | |||||||||||||||||||
| 6028 Shallowford Rd | Chattanooga | TN | 37421 | 621570739 | MGMT SVC ORG | TN | MHCS | C Corporation | $31,344,101 | $6,237,932 | 1 | Yes (true) | |||||||
| Nazareth Assurance Company | |||||||||||||||||||
| 030304831 | Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C Corporation | $9,010,987 | $6,688,783 | 1 | Yes (true) | |||||||
| PhysicianHealth System Network | |||||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| QCA Health Plan Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710794605 | Insurance | AR | QCHI | C Corporation | $104,106,960 | $86,204,029 | 1 | Yes (true) | |||||||
| QualChoice Advantage | |||||||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 473433912 | Insurance | WA | QCPS | C Corporation | $2,767 | $3,502,767 | 1 | Yes (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 | $17,917,443 | $64,152,898 | 1 | Yes (true) | |||||||
| QualChoice Health Inc (fka CollabHealth Managed Solutions Inc) | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461222808 | Holding Co | CO | CHI | C Corporation | $2,010,400 | -$2,237,656 | 1 | Yes (true) | |||||||
| QualChoice Holdings Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 274075520 | Holding Co | AR | PHPS | C Corporation | $0 | $10,190 | 1 | Yes (true) | |||||||
| QualChoice Life and Health Insurance Company Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710386640 | Insurance | AR | QCH | C Corporation | $19,949,469 | $19,444,633 | 1 | Yes (true) | |||||||
| QualChoice of Nebraska | |||||||||||||||||||
| 2401 S 73rd St | Omaha | NE | 68124 | 810738827 | Insurance | NE | QCH | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| RiverLink Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464380824 | Insurance | OH | PHPS | C Corporation | $2,069,874 | $3,679,879 | 1 | Yes (true) | |||||||
| RiverLink Health of Kentucky Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464828332 | Insurance | KY | PHPS | C Corporation | $1,590,037 | $5,958,786 | 1 | Yes (true) | |||||||
| Ross Park Pharmacy Inc | |||||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341832654 | Pharmacy | OH | THS | C Corporation | $1,104,611 | $2,024,431 | 1 | Yes (true) | |||||||
| Saint Clare's Primary Care Inc | |||||||||||||||||||
| 66 FORD RD | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corporation | $499,042 | $1,183,247 | 1 | Yes (true) | |||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||||
| 40 W FOURTH ST STE 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| SJH Services Corporation | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corporation | $2,007,370 | $2,441,286 | 1 | Yes (true) | |||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | Lexington | KY | 40503 | 270164198 | Mgmt | KY | SJHS | C Corporation | $41 | $0 | 1 | Yes (true) | |||||||
| SLMT Parking Inc | |||||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637140 | Parking | TX | SLHS | C Corporation | $3,345,698 | $205,200 | 1 | Yes (true) | |||||||
| SoundPath Health Inc | |||||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | Federal Way | WA | 98001 | 421720801 | Insurance | WA | PHPS | C Corporation | $138,106,211 | $32,840,909 | 1 | Yes (true) | |||||||
| St Alexius Health Services Inc | |||||||||||||||||||
| 900 East Broadway Avenue | Bismarck | ND | 58501 | 450402812 | Healthcare | ND | SAMC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| St Anthony Development Company | |||||||||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | SAH | C Corporation | $1,541,465 | $2,192,287 | 1 | Yes (true) | |||||||
| St Joseph Development Company Inc | |||||||||||||||||||
| 1717 SOUTH J ST | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corporation | $3,758,845 | $12,828,493 | 1 | Yes (true) | |||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||||
| 1401 HARRODSBURG RD BLDG B70 | Lexington | KY | 40504 | 611079899 | Mgmt | KY | SJHS | C Corporation | $200,108 | $1,137,660 | 0.85 | Yes (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 | Yes (true) | |||||||
| St Luke's Anesthesiology Associates | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 461517163 | Medical Clinic | TX | CHI-SLH | C Corporation | $0 | $0 | 1 | Yes (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 | 0.6 | Yes (true) | |||||||
| St Luke's Health System Holdings Inc | |||||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637138 | Holding Co | TX | SLHS | C Corporation | $2,163,924 | $4,389,084 | 1 | Yes (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 | Yes (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 | Yes (true) | |||||||
| St Vincent Community Health Services Inc | |||||||||||||||||||
| TWO ST VINCENT CIRCLE | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corporation | $4,033,444 | $16,764,150 | 1 | Yes (true) | |||||||
| StableView Health Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464373713 | Insurance | KY | PHPS | C Corporation | $301,615 | $5,787,296 | 1 | Yes (true) | |||||||
| Sugar Land Doctor Group | |||||||||||||||||||
| 1317 Lake Point Parkway | Sugar Land | TX | 77478 | 454270163 | Medical Clinic | TX | SLCDC-SL | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 900064009 | Condo Assoc | TX | CHI-SLH | C Corporation | $0 | $0 | 1 | Yes (true) | uilding Comdominium Association | ||||||
| Towson Management Inc | |||||||||||||||||||
| 7601 OSLER DR | Towson | MD | 21204 | 521710750 | Mgmt Services | MD | FSI | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| TRINITY MANAGEMENT SERVICES ORGANIZATION | |||||||||||||||||||
| 380 SUMMIT AVE | STEUBENVILLE | OH | 43952 | 341471026 | Mgmt Services | OH | THS | C Corporation | -$76,969 | $259,991 | 1 | Yes (true) | |||||||
| Vintage Doctor Group | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | Medical Clinic | TX | CHI-SLH | C Corporation | $0 | $0 | 1 | Yes (true) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Saint Francis Medical Center Foundation | ||
| C | $931,372 | FMV |
| Central Nebraska Rehabilitation Services | ||
| A | $51,452 | FMV |
| Central Nebraska Rehabilitation Services | ||
| L | $3,804,588 | FMV |