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SAINT ELIZABETH REGIONAL MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SAINT ELIZABETH REGIONAL MEDICAL CENTER (EIN 47-0379836)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201611349349304511
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T13:03:37-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470617373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Catholic Health InitiativesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1198 Inverness Drive WestAddressLine1Txt
CityEnglewoodCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470379836EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Elizabeth Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone4022198000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 South 70th StreetAddressLine1Txt
CityLincolnCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68510ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJeanette WojtalewiczPersonNm
Person TitleCFO CHI HealthPersonTitleTxt
Signature2016-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDONALD NEAL JRPreparerPersonNm
PTINP00798244PTIN
Phone3032989100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Cliff RobertsonBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 South 70th StreetAddressLine1Txt
CityLincolnCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68510ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$212,482,640GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.chihealthstelizabeth.com/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1889FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionCommunity service is a core activity for Saint Elizabeth. Essential inpatient and outpatient services are provided as well as specialties in Neonatal, Burn, Cancer and Emergency.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1814TotalEmployeeCnt
Total Volunteers734TotalVolunteersCnt
Total Gross UBI$1,721,464TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$243,953NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,156,509PYContributionsGrantsAmt
CY Contributions Grants$433,581CYContributionsGrantsAmt
PY Program Service Revenue$237,011,045PYProgramServiceRevenueAmt
CY Program Service Revenue$196,701,753CYProgramServiceRevenueAmt
PY Investment Income$10,270,330PYInvestmentIncomeAmt
CY Investment Income$11,358,181CYInvestmentIncomeAmt
PY Other Revenue$3,839,151PYOtherRevenueAmt
CY Other Revenue$3,989,125CYOtherRevenueAmt
PY Total Revenue$254,277,035PYTotalRevenueAmt
CY Total Revenue$212,482,640CYTotalRevenueAmt
PY Grants And Similar Paid$476,543PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,331,182CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,514,807PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$73,092,418CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$154,152,448PYOtherExpensesAmt
CY Other Expenses$125,363,469CYOtherExpensesAmt
PY Total Expenses$235,143,798PYTotalExpensesAmt
CY Total Expenses$221,787,069CYTotalExpensesAmt
PY Revenues Less Expenses$19,133,237PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,304,429CYRevenuesLessExpensesAmt
Total Assets BOY$458,668,207TotalAssetsBOYAmt
Total Assets EOY$436,875,547TotalAssetsEOYAmt
Total Liabilities BOY$90,274,978TotalLiabilitiesBOYAmt
Total Liabilities EOY$81,058,291TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$368,393,229NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$355,817,256NetAssetsOrFundBalancesEOYAmt
MissionSee Schedule OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,540,691ExpenseAmt
Grant$6,399,359GrantAmt
Revenue$81,914,943RevenueAmt
DescAt Saint Elizabeth, our team works to provide you and your referring physician with the information needed for fast and effective treatment. We have met the rigorous requirements of accreditation from the American College of Radiology in CT, MRI, Mammography, Nuclear Medicine and PET/CT imaging.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,784,126ExpenseAmt
Grant$2,823,560GrantAmt
Revenue$36,142,963RevenueAmt
DescOur emergency room is staffed 24 hours a day by physicians and nurses who are specially trained in emergency care. We have state-of-the-art technology that assists our expert staff in evaluating, diagnosing and treating any type of illness or injury. We have an accredited Stroke Center and a verified Burn Center, which means that our staff is specially trained to be ready at a moment's notice to treat stroke and burn patients as quickly as possible. We are also recognized as one of the nation's top hospitals for quickest response times to heart attacks. Our cardiac procedure and surgery success rates exceed state and national averages.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,679,925ExpenseAmt
Grant$4,042,223GrantAmt
Revenue$51,742,446RevenueAmt
DescWe are recognized for being one of the nation's top hospitals for quickest response times to heart attacks. Our cardiac procedure and surgery success rates exceed state and national averages. We are committed to offering the highest standards of care and expertise from skilled medical professionals specially trained to care for your heart. Our services include: Diagnostic Tests & Procedures Our cardiac team performs the latest procedures for diagnosis and treatment of heart disease, including diagnostic and interventional cardiac catheterization, electrophysiology, non-invasive diagnostic studies and medical cardiac care. Cardiac Rehabilitation Our cardiac rehabilitation program offers medically-monitored exercise and education tailored to your needs for recovery and prevention of future heart issues. Prevention We offer preventive programs including screening, lifestyle management and a smoking cessation program. We encourage you to reduce our risk of heart disease by developing a heart-healthy lifestyle.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$192,982,381ExpenseAmt
Grant$10,066,040GrantAmt
Revenue$26,901,401RevenueAmt
DescOther programsDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$192,982,381TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$10,066,040TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$26,901,401TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$213,987,123TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1814EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeanette WojtalewiczBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4023434671PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 West Dodge RoadAddressLine1Txt
CityOmahaCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL DEFREECE
Secretary/Treasurer1.0011.00Yes (X)Yes (X)$0$0$0
RICHARD HERINK
Board Chair1.0011.00Yes (X)Yes (X)$0$0$0
CLIFF ROBERTSON
Board Member/CEO CHI Health1.0059.00Yes (X)Yes (X)$0$1,023,504$178,123
DR Maryanne Stevens RSM
VICE CHAIR1.0011.00Yes (X)Yes (X)$0$0$0
LARRY BUTLER
Board Member1.0011.00Yes (X)$0$0$0
FR JAMES CLIFTON SJ
Board Member1.0011.00Yes (X)$0$0$0
GREGORY HEIDRICK
Board Member1.0059.00Yes (X)$0$2,329$0
Sister Nadine Heimann
Board Member1.0011.00Yes (X)$0$0$0
MARTIN M MANCUSO MD
Board Member1.0059.00Yes (X)$0$391,484$25,633
MICHAEL ROWAN FACHE
Board member/CHI EVP & COO1.0059.00Yes (X)$0$2,500,443$53,656
BARRY SANDSTROM
Board Member1.0011.00Yes (X)$0$0$0
NATHANIEL BRACKETT MD
BOARD MEMBER1.0011.00Yes (X)$0$0$0
SUSANNE L HRUZA
BOARD MEMBER1.0011.00Yes (X)$0$0$0
AMY L MCGAHA
BOARD MEMBER1.0011.00Yes (X)$0$234,004$9,616
NANCY WALLACE
SVP HR CHI HEALTH8.0052.00Yes (X)$0$506,487$0
CARY WARD MD
CHIEF MEDICAL OFFICER24.0036.00Yes (X)$223,975$270,028$76,501
JEANETTE WOJTALEWICZ
CFO CHI Health5.0055.00Yes (X)$0$696,172$98,208
STEVE HOUSTON
SVP STRATEGY8.0052.00Yes (X)$0$281,209$22,650
KIM MOORE
PRESIDENT58.003.00$0$454,810$85,469Yes (X)
MIKE WATTERS
VP-SENIOR COUNSEL3.0057.00$0$312,583$41,629Yes (X)
MICHAEL GERMAN
DIRECTOR OF PHARMACY50.000$145,931$0$23,046Yes (X)
PATRICK GILLES
VP CLINICAL SUPPORT60.000.00$154,519$0$35,415Yes (X)
NANCY GONDRINGER
DIRECTOR PERIOPERATIVE SERVICE50.000$155,567$0$26,351Yes (X)
DONNA HAMMACK
CHIEF DEVELOPMENT OFFICER-FOUNDATION1.0050.00$169,326$0$40,462Yes (X)
ELIZABETH RAETZ
VP NURSING60.000.00$222,898$0$52,309Yes (X)
GREGORY GILLESPIE
VP HUMAN RESOURCES0.0060.00$0$331,318$49,173Yes (X)
CHARLOTTE LIGGETT
VP STRATEGY & PLANNING0.0060.00$0$458,336$43,109Yes (X)
DAN SCHONLAU
VP Operational Finance NHH, St. Elizabeth1.0050.00$3,731$197,122$30,967Yes (X)
AMY HATCHER
VP Divisional Finance0.0060.00$0$205,947$10,194Yes (X)
DOUGLAS KUCERA
VP FINANCE59.001.00$115,461$0$33,771Yes (X)
MICHAEL FERRIS MD
BOARD MEMBER/CHIEF OF STAFF10.0050.00$74,727$52,925$18,824Yes (X)
ROBERT LANIK
Former Board Member/CHI NE President/CEO0.000.00$0$1,396,479$58,032Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,266,135TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,315,180TotReportableCompRltdOrgAmt
Total Other Compensation$1,013,138TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K36IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LINCOLN ANESTHESIOLOGY GRP PC
555 S 70th StLincolnNE68510anesthesiology services$1,513,552
ARAMARK HEALTHCARE
1101 Market StPhiladelphiaPA19107healthcare support services$1,306,928
lincoln medical education partnership
4600 Valley Rd 225LincolnNE68510healthcare education services$564,676
NEBRASKA PULMONARY SPECIALTIES
1500 South 48th St Suite 800LincolnNE68506Healtcare services$498,780
PATHOLOGY MEDICAL SERVICES PC
5440 South St 200LincolnNE68506Laboratory services$471,941
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K91CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$433,581RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$433,581TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services900099$194,786,440$194,786,440$0$0
Equity changes of unconsolidated orgs900099$639,090$639,090$0$0
Rental Income900099$712,505$712,505$0$0
Medical Services621300$383,209$383,209$0$0
Rehab Services Revenue621400$98,025$98,025$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,484TotalRevenueColumnAmt
Related Or Exempt Func Income$82,484RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$196,701,753TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,864,279TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$12,931UnrelatedBusinessRevenueAmt
Exclusion$5,877,210ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,493,902SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,493,902SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,493,902TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,493,902ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Durable Medical Equipment446199$1,383,674$0$1,269,980$113,694
Cafeteria722100$973,600$0$0$973,600
Services Sold900099$1,306,555$0$402,863$903,692

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$325,296TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$61,552UnrelatedBusinessRevenueAmt
Exclusion$263,744ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,989,125OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$212,482,640TotalRevenueColumnAmt
Related Or Exempt Func Income$196,701,753RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,721,464UnrelatedBusinessRevenueAmt
Exclusion$13,625,842ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,238,046TotalAmt
Program Services$8,238,046ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$15,093,136TotalAmt
Program Services$15,093,136ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,377TotalAmt
Program Services$4,838ProgramServicesAmt
Management And General$43,539ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$55,042,762TotalAmt
Program Services$52,328,250ProgramServicesAmt
Management And General$2,714,512ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,907,305TotalAmt
Program Services$2,761,940ProgramServicesAmt
Management And General$145,365ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,022,086TotalAmt
Program Services$10,474,476ProgramServicesAmt
Management And General$547,610ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,071,888TotalAmt
Program Services$3,868,294ProgramServicesAmt
Management And General$203,594ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$396TotalAmt
Management And General$396ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$11,135TotalAmt
Program Services$11,135ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,545,205TotalAmt
Program Services$31,867,387ProgramServicesAmt
Management And General$1,677,818ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,072,632TotalAmt
Program Services$1,019,000ProgramServicesAmt
Management And General$53,632ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,388,574TotalAmt
Program Services$5,119,145ProgramServicesAmt
Management And General$269,429ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,089,674TotalAmt
Program Services$16,235,190ProgramServicesAmt
Management And General$854,484ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,424,876TotalAmt
Program Services$5,153,632ProgramServicesAmt
Management And General$271,244ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$161,343TotalAmt
Program Services$153,276ProgramServicesAmt
Management And General$8,067ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,220TotalAmt
Program Services$25,859ProgramServicesAmt
Management And General$1,361ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,087,037TotalAmt
Program Services$3,087,037ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$4,631,812TotalAmt
Program Services$4,400,221ProgramServicesAmt
Management And General$231,591ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,284,367TotalAmt
Program Services$7,870,149ProgramServicesAmt
Management And General$414,218ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$894,575TotalAmt
Program Services$849,846ProgramServicesAmt
Management And General$44,729ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Unrelated Business Taxes$97,200$97,200
Bad debts$6,671,724$6,671,724
Medical Supplies$35,257,725$35,258$35,222,467
Repairs and maintenance$1,233,339$61,667$1,171,672

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,484,635TotalAmt
Program Services$2,360,403ProgramServicesAmt
Management And General$124,232ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$221,787,069TotalAmt
Program Services$213,987,123ProgramServicesAmt
Management And General$7,799,946ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,203BOYAmt
EOY$1,009,403EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,076,603BOYAmt
EOY$7,539,794EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,352,366BOYAmt
EOY$28,569,549EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,839EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,534,060BOYAmt
EOY$5,487,391EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$250,747BOYAmt
EOY$359,677EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$221,899,972LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$130,269,634LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$94,908,527BOYAmt
EOY$91,630,338EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$289,079,681BOYAmt
EOY$288,396,984EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,464,020BOYAmt
EOY$13,875,572EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$458,668,207BOYAmt
EOY$436,875,547EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,220,375BOYAmt
EOY$13,356,883EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$72,054,603BOYAmt
EOY$67,701,408EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,274,978BOYAmt
EOY$81,058,291EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$368,393,229BOYAmt
EOY$355,817,256EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$368,393,229BOYAmt
EOY$355,817,256EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$458,668,207BOYAmt
EOY$436,875,547EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,304,429ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,048,723NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$222,821OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$11,135GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$11,135TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe portion of organization dues that are related to lobbying are as follows: American Hospital Association - $2,658 Catholic Health Association - $830 Nebraska Hospital Association - $7,647ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,532OtherCostOrOtherBasisAmt
Book Value$179,532BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,091,117OtherCostOrOtherBasisAmt
Depreciation$50,922,370DepreciationAmt
Book Value$66,168,747BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,641,818OtherCostOrOtherBasisAmt
Depreciation$1,282,768DepreciationAmt
Book Value$359,050BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,851,046OtherCostOrOtherBasisAmt
Depreciation$73,322,042DepreciationAmt
Book Value$18,529,004BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,136,459OtherCostOrOtherBasisAmt
Depreciation$4,742,454DepreciationAmt
Book Value$6,394,005BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$91,630,338TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCHI OIPDesc
Book Value$288,396,984BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$288,396,984TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CHI Debt Management Program$63,621,851
Environmental Remediation Liability$3,105,555
Accrued Capital$429,254
Pension Liability$529,949
Unclaimed Property$14,799
FieldValueIRS element (for citing)
Total Liability$67,701,408TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationSaint Elizabeth Regional 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, 2015, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."ExplanationTxt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CarefalseFPGReferenceFreeCareInd
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served3841PersonsServedCnt
Total Community Benefit Expns$7,362,263TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,362,263NetCommunityBenefitExpnsAmt
Total Expense0.0342TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served7197PersonsServedCnt
Total Community Benefit Expns$26,873,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,661,701DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,211,370NetCommunityBenefitExpnsAmt
Total Expense0.0940TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served11038PersonsServedCnt
Total Community Benefit Expns$34,235,334TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,661,701DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,573,633NetCommunityBenefitExpnsAmt
Total Expense0.1282TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served62726PersonsServedCnt
Total Community Benefit Expns$1,386,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$489,974DirectOffsettingRevenueAmt
Net Community Benefit Expns$896,088NetCommunityBenefitExpnsAmt
Total Expense0.0042TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served804PersonsServedCnt
Total Community Benefit Expns$722,525TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$722,525NetCommunityBenefitExpnsAmt
Total Expense0.0034TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served454PersonsServedCnt
Total Community Benefit Expns$668,708TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$668,708NetCommunityBenefitExpnsAmt
Total Expense0.0031TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served63984PersonsServedCnt
Total Community Benefit Expns$2,777,295TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$489,974DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,287,321NetCommunityBenefitExpnsAmt
Total Expense0.0106TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served75022PersonsServedCnt
Total Community Benefit Expns$37,012,629TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,151,675DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,860,954NetCommunityBenefitExpnsAmt
Total Expense0.1388TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served22PersonsServedCnt
Total Community Benefit Expns$663TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$663NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$566TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$566NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served68PersonsServedCnt
Total Community Benefit Expns$2,221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,221NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served90PersonsServedCnt
Total Community Benefit Expns$3,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,450NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,671,724BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$58,882,366ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$76,678,400CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,796,034MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
LINCOLN CK LEASING LLC
ONCOLOGY EQUIPMENT0.53760.00.3226
SUPERIOR MEDICAL IMAGING LLC
OUTPATIENT IMAGING CENTER0.510.00.49
NEBRASKA SURGERY CENTER LLC
AMBULATORY SURGERY CENTER0.3690.00.631
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saint Elizabeth Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Website Addresshttp://www.chihealthstelizabeth.com/WebsiteAddressTxt
State License500007StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saint Elizabeth Regional Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.chihealthstelizabeth.com/images/images/downloads/communityneedsassessment.pdfOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SUPPLEMENTAL INFORMATIONOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.chihealthstelizabeth.com/images/images/downloads/communityneedsassessment.pdfStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.chihealthstelizabeth.com/images/downloads/financialassistancepolicy.pdfFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SUPPLEMENTAL INFORMATIONFAPAppAvailableOnWebsiteURLTxt
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Saint Elizabeth Regional Medical Center. REPRESENTATIVES FROM SAINT ELIZABETH PARTICIPATED IN THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS IN COOPERATION WITH THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT. THE RESULT OF THE MAPP PROCESS IS THE DEVELOPMENT OF A COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE CITY OF LINCOLN AND LANCASTER COUNTY. AS PART OF THE MAPP PROCESS, THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT FORMED A STEERING COMMITTEE. THE 25 MEMBER COMMITTEE IS A BROAD-BASED REPRESENTATION OF THE HEALTH DEPARTMENT'S COMMUNITY PARTNERS AND STAKEHOLDERS. THEIR ROLE IS TO ASSIST THE HEALTH DEPARTMENT IN THE FACILIATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE IDENTIFICATION OF COMMUNITY PRIORITY HEALTH NEEDS, AND IN THE DEVELOPMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. The following organizations were engaged in the process: - CHI Saint Elizabeth Regional Medical Center - Nebraska Heart Hospital - Lincoln Lancaster County Health Department - Aging Partners - Asian Community & Cultural Center - AARP - Bryan Health - Bryan Medical Center - CEDARS Youth Services - CenterPointe - Clinic with a Heart - Community Action Partnership - Community Mental Health Center - E.D. Connections - El Centro de las Americas - Family Health Services - Homestead Rehabilitation - Houses of Hope - Human Services Federation - Indian Center Inc. - Lincoln Council on Alcoholism and Drugs - Lancaster County Emergency Management - Lancaster County Medical Society - Lincoln Community Foundation - Lincoln Police Department - Lincoln Public Schools - Lutheran Family Services - Mothers Against Drunk Drivers - Malone Community Center - Medical Reserve Corps/American Red Cross - Medical Reserve Corps - Nebraska Department of Health & Human Services - Nebraska Hospital Association - Partnership for a Healthy Lincoln - People's City Mission - People's Health Center - Safe Kids of Lincoln Lancaster County - Seniors Foundation - Firespring - Substance Abuse Action Coalition - The Salvation Army - University of Nebraska Lincoln - United Way - Community Action Partnership
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Saint Elizabeth Regional Medical Center. Alegent Creighton Health - NHH and Saint Elizabeth Community Benefits report are part of the consolidated report done by Alegent Creighton Health.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Saint Elizabeth Regional Medical Center. Saint Elizabeth Regional Medical Center conducted the CHNA with the Lincoln-Lancaster County Health Department, Bryan Medical Center and the MAPP Steering Committee.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Saint Elizabeth Regional Medical Center. The MAPP Steering Committee utilized the priority scoring list and results of the state sponsored survey of Lancaster County residents, 2011 Nebraska Community Themes and Strengths Assessments Survey Results to determine the top priority community health needs. Based on the scoring results, the MAPP Steering Committee identified five priority community health needs to be acted on as part of the CHIP. These five issues combined a number of conditions, behaviors, and issues all considered during the community health needs assessment process. As a result, the MAPP Steering Committee made the commitment to focus implementation strategies on the following four priority community health needs. 1. Access to Care 2. Behavioral Health Care 3. Chronic Disease Prevention 4. Injury Prevention 5. Violence Prevention After additional consideration, the MAPP Steering Committee determined that the Violence Prevention priority health issue would be best addressed within both the Behavioral Health Care and Injury Prevention priority health issues. As a result, the MAPP Steering Committee made the commitment to focus implementation strategies on the remaining four priority community health needs. For each of the areas of opportunity identified by the CHNA, Saint Elizabeth's leadership will partner with the community to address the health needs as follows: Access to Care a. Saint Elizabeth Regional Medical Center in partnership with Bryan Health administers the Lincoln ED Connections Program. b. Provide financial support to Health360- a new partnership between Lutheran Family Services of Nebraska and People's Health Center providing affordable behavioral health services, primary health care and an on-site pharmacy. This new clinic helps alleviate appointment wait time and other health concerns that result from limited access to care for Lincoln's underserved c. Saint Elizabeth funds a mid-level practitioner to help build revenue streams for Lincoln's Community Health Center. d. Provided financial assistance to assist with the operation of community health clinics serving the homeless and near homeless population (Saint Monica's, Clinic With a Heart, Peoples Health Center) e. Provided financial support for 7 individuals with Saint Elizabeth's Medication Assistance Program f. Health Hub, which is funded in part by Catholic Health Initiatives, is an innovative holistic program for connecting uninsured patients with health care and other assistance. g. Saint Elizabeth continues to administer patient hardship fund ensures that all individuals are able to receive medically necessary care regardless of their ability to pay. h. Saint Elizabeth Regional Medical Center provided transportation home for patients without any other means. i. Saint Elizabeth Regional Medical Center serves in a leadership capacity as board members for Clinic with a Heart and People's Health Center. j. Partnered/contributed in the Missions of Mercy providing individuals with dental care for a three day weekend. Behavioral Health Care a. Contracts with Blue Valley Behavioral Health, a private organization for behavioral health care referrals. b. Employs a mental health nurse in Saint Elizabeth Emergency Department and developed a screening tool for suicide prevention screenings. c. St. Elizabeth placed several health navigators in many TPN offices to navigate the underserved and patients with chronic conditions d. Saint Elizabeth contributes to Peoples Health Center and Lutheran Family Services in Health 360- an integrated clinic to build to assure that behavioral health is integrated with primary care, specialty care, pharmacy and dentistry. Chronic Disease Prevention a. Support of 25 events serving over 1000 individuals for health screenings. b. Developed a partnership with the Healthy Lincoln Organization. c. Provided 107 mammograms for uninsured women who do not qualify for Nebraska's Every Woman Matters program. d. Provided financial support to Partnership for a Healthy Lincoln, non-profit organization whose mission to implement district-wide wellness policies to decrease obesity and increase fitness in the schools through programs that promote physical activity, good nutrition, and the forming of healthy habits. - Increased the percentage of adults in Lancaster County who reported participating in any leisure time physical activity to 80.3%. - Increased the percentage of 4-8th grade Lincoln Public Schools students passing the district aerobic fitness test to 77.37%. - Increased the percentage of adults in Lancaster County reported consuming fruits and vegetables 5+ per day. - Increased the percent of WIC infants and children who were fully breastfed - Decreased the percentage of adults in Lancaster County that are overweight or obese from 59.3% to 57%. - Decreased the percentage of K-8 grade Lincoln Public Schools students who are obese from 16.8% to 14% by September 1, 2017. - Decreased the prevalence of tobacco use among Lancaster County adults from 21.9% to 18.3%. - Increase the number of adults reporting that they have had their cholesterol checked within the previous 5 years from 69.6% to 74.6%. e. In association with the Partnership for a Healthy Lincoln, Saint Elizabeth Regional Medical Center is one of four large businesses in the community implementing the Lincoln Healthy Beverage Vending Goals. f. The cafeteria at Saint Elizabeth Regional Medical Center offers patients and families healthy eating choices. Injury Prevention a. Partnering with Lincoln Public Schools and Lincoln Fire and Rescue in educating kindergartners about the risks of injury from scalds. The leading causes of burn injuries in young children are hot liquids and steam. - Opened the first and only permanent child passenger safety seat station in Lancaster County. This project was originated to fill a community need to provide car seat checks for young children in our community in which 85-90% of parents incorrectly used safety seats. b. Supports the Nebraska Regional Poison Center, a free, 24-hour emergency telephone service. Violence Prevention a. Saint Elizabeth Foundation secured a 3-year, $315,000 grant from Catholic Health Initiatives Mission and Ministry Fund to support Saint Gianna Homes, a transitional housing program of Catholic Social Services. b. Funds to support a position of an RN health and wellness life coach at Saint Gianna Homes. c. Saint Elizabeth has also provided in-kind support to Saint Gianna Homes such as staff time, office space, project management, medical supplies and equipment, and toys for the children in residence.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - SAINT ELIZABETH REGIONAL MEDICAL CENTER. HUD LOW INCOME GUIDELINES USED
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - SAINT ELIZABETH REGIONAL MEDICAL CENTER. The eligibility criteria for financial assistance also includes the size of the family
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - SAINT ELIZABETH REGIONAL MEDICAL CENTER. A 40% discount is provided based on the average of Managed Care Discounts.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Nebraska Surgery Center LLC
625 South 70th StreetLincolnNE68510Ambulatory surgical center
Superior Medical Imaging LLC
5000 North 26th StreetLincolnNE68521Outpatient diagnostic imaging center

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a How the organization made its community benefit report availableSaint Elizabeth Regional Medical Center 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 7 STATE FILING OF COMMUNITY BENEFIT REPORTTHE COMMUNITY BENEFIT REPORT IS NOT REQUIRED TO BE FILED WITH THE STATE OF NEBRASKA; HOWEVER, SAINT ELIZABETH REGIONAL MEDICAL CENTER VOLUNTARILY PARTICIPATES WITH THE NEBRASKA HOSPITAL HOSPITAL ASSOCIATION'S ANNUAL COMPILATION OF COMMUNITY BENEFIT REPORTS, WHICH ARE PROVIDED TO FEDERAL AND STATE OFFICIALS, LEGISLATORS, AND OTHER INTERESTED PARTIES.
Schedule H, Part V, Section B, Line 7 Other website (List URL)http://www.chihealthstelizabeth.com/index.php?option=com_content&view=article&id=845:community-health-needs-assessment-&catid=13:about-us&Itemid=757
Schedule H, Part V, Section B, Line 16b FAP Application form websitehttp://www.chihealthstelizabeth.com/images/images/downloads/financial_assistance_application_form.pdf
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted careSaint Elizabeth Regional Medical Center provides free and discounted care to patients with a financial need. The amount of any such free or discounted care provided by Saint Elizabeth Regional Medical Center takes into consideration the medical necessity of the care, the patient's household size, income, liquid assets, as well as other medical liabilities. When Catholic Health Initiatives (the ultimate parent organization to Saint Elizabeth Regional 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 17 states served by CHI hospitals and health 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 Elizabeth Regional 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 may be seriously detrimental to the patients basic financial well being and survival. Such patients may be extended discounted or free care based upon these extenuating facts and circumstances. Saint Elizabeth Regional Medical Center's eligibility criterion for the application of discounts is based upon 130% of the annually updated HUD Very-Low Income guidelines. The HUD Guidelines take into consideration family incomes that do not exceed 50% of the median family income for a geographic area and utilize a sliding scale approach based upon family income and size.
Schedule H, Part I, Line 7g Subsidized Health ServicesThere are no physician clinics included in subsidized health services in Part I, Line 7g.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation6671724
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. The cost-to-charge ratio for the year ended 6/30/15 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $191,004,000/512,098,000 results in a 37.30% cost-to-charge ratio.
Schedule H, Part II Community Building ActivitiesCHI Saint Elizabeth Medical Center has a history of centralized community benefit investments, as well as hospital specific investments that address community health needs which include community building such as: - Community and economic development including support of local Chambers of Commerce - Sponsorship of community not for profits and fundraising events - Support of the federally qualified healthcare centers - Parish nursing program - Community health fairs, support groups and community education - School based healthcare services - Leadership in and funding of health coalitions including- - DIVERSITY AMBASSADORS and Leadership Committee - Two efforts implemented to ensure patient care is culturally relevant and responsive to diverse patient needs. - PEOPLES HEALTH CENTER - SAINT ELIZABETH REGIONAL MEDICAL CENTER IS A SUPPORTER OF THE PEOPLE'S HEALTH CENTER (PHC) is a Federally Qualified Health Care Center IN LINCOLN, NEBRASKA serving the behavioral, dental and medical care needs of the community's most economically vulnerable. Saint Elizabeth Regional Medical Center funded and arranged PHYSICIAN CALL COVERAGE to support uninterrupted care. - CLINIC WITH A HEART - Funded a portion of operations to ensure more individuals are connected to human service agencies, helping them find a medical home. - NEBRASKA MISSION OF MERCY - PROVIDED funding TO THE NEBRASKA MISSION OF MERCY DENTAL CARE PROGRAM to open free access to CRITICAL DENTAL CARE WHILE PLACING A HIGH PRIORITY ON PATIENTS SUFFERING FROM DENTAL INFECTIONS OR PAIN. IT ALSO PROVIDES BASIC DENTAL EDUCATION AND AWARENESS TO PATIENTS. - PARTNERSHIP FOR A HEALTHY LINCOLN - Provided significant funding of operations to support THE PARTNERSHIP FOR A HEALTHY LINCOLN IN FISCAL YEAR 2013 WITH A $50,000 CONTRIBUTION. THE PARTNERSHIP WORKS ON COMMUNITY WIDE EDUCATION AND POLICY CHANGE TO PROMOTE HEALTH AND FITNESS IN LINCOLN'S SCHOOLS AND AMONG THE CITIZENS OF LINCOLN. - LINCOLN MEDICAL EDUCATION PARTNERSHIP (LMEP) - PROVIDED funding IN SUPPORT TO THE LINCOLN MEDICAL EDUCATION PARTNERSHIP, a COMMUNITYBASED RESIDENCY PROGRAM FOR MEDICAL SCHOOL GRADUATES INTERESTED IN FAMILY PRACTICE AND IS SUPPORTED BY 250 COMMUNITY PHYSICIANS WHO VOLUNTEER MORE THAN 40,000 HOURS PER YEAR AS FACULTY MEMBERS. LINCOLN MEDICAL EDUCATION PARTNERSHIP HELPS THE LINCOLN COMMUNITY ATTRACT, TRAIN AND RETAIN NEW PHYSICIANS. - Community Classes - Free or low cost programs are offered to the community as part of the aligned health needs including examples such as; GRIEF SUPPORT CLASSES, WOMEN'S HEALTH CLASSES, Prevention and coping with DIABETES, ARTHRITIS, SKIN CANCER, SMOKING CESSATION, etc. - HEALTH PROFESSIONAL EDUCATION - TRAINs STUDENTS of PHARMACY, NURSING, AND OTHER MEDICAL PROFESSIONS, AS WELL AS SUPPORTING LINCOLN MEDICAL EDUCATION PARTNERSHIP. SAINT ELIZABETH REGIONAL MEDICAL CENTER BELIEVES HIGHLY TRAINED PERSONNEL PROVIDE QUALITY CARE. In addition, the hospital supports ongoing training and communication of area emergency units.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountCosting methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 37.30%. 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 MethodologySaint Elizabeth Regional Medical Center does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteSaint Elizabeth Regional 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 costsUsing essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Saint Elizabeth Regional Medical Center's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $58,882,366 Total Medicare costs: $76,678,400 Surplus or Shortfall ($17,796,034) Saint Elizabeth Regional Medical Center believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceSaint Elizabeth Regional Medical Center's debt collection policy provides that Saint Elizabeth Regional Medical Center will perform a reasonable review of each inpatient account prior to turning an account for 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 Elizabeth Regional Medical Center's 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 Elizabeth Regional Medical Center community assistance policy is required to be returned immediately by the third-party collection agent to Saint Elizabeth Regional Medical Center for appropriate follow-up. Saint Elizabeth Regional 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 Elizabeth Regional Medical Center: Line 16a URL: http://www.chihealthstelizabeth.com/images/downloads/financialassistancepolicy.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website- Saint Elizabeth Regional Medical Center: Line 16b URL: SEE SUPPLEMENTAL INFORMATION;
Schedule H, Part VI, Line 2 Needs assessmentSERMC was a participant in the COLLABORATIVE CHNA PROCESS COORDINATED THROUGH THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT. A STEERING COMMITTEE WAS FORMED BY THE HEALTH DEPARTMENT TO ASSIST THEM IN THE FACILITATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IDENTIFICATION OF COMMUNITY PRIORITY HEALTH NEEDS, AND IN THE DEVELOPMENT AND IMPLEMENTATION OF STRATEGIES TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS. THE STEERING COMMITTEE FOCUSED THEIR EFFORTS ON ACCESS TO CARE, BEHAVIORAL HEALTH CARE, CHRONIC DISEASE PREVENTION, AND INJURY PREVENTION. WORKING COMMITTEES WERE ESTABLISHED TO FURTHER DEFINE THE NEEDS AND IDENTIFY STRATEGIES TO ADDRESS THOSE NEEDS. SERMC CONTINUES TO WORK CLOSELY WITH COMMUNITY LEADERS ON AN ONGOING BASIS TO DEVELOP MORE IMMEDIATE RESPONSES TO COMMUNITY HEALTH NEEDS. Saint Elizabeth Regional Medical Center has collaborated on this body of work since the beginning of Fiscal Year 2012. The Community Health Needs Assessment Report and the Community Health Needs Assessment Implementation Strategy Report were collectively placed into the Catholic Health Initiatives Nebraska Strategic Plan, as mandated by the Accountable Care Act. These strategies were presented to the Catholic Health Initiatives Nebraska Board and approved in April 2013. The demographic, socioeconomic, and health information included in this Community Health Needs Assessment Report has been obtained from three needs assessments (listed below) recently conducted for the City of Lincoln and Lancaster County, Nebraska. 1. 2012 Community Health Status Assessment conducted by the Lincoln-Lancaster County Health Department. 2. 2011 Nebraska Community Themes and Strengths Assessments Survey conducted by the Nebraska Department of Health and Human Services. 3. 2012 Comprehensive Plan to address appropriate effective and sustainable health care services for the uninsured and Medicaid Populations in Lincoln, Nebraska conducted by Health Management Associations for the Community Health Endowment of Lincoln. Community Survey Results The MAPP Steering Committee made the commitment to focus implementation strategies on the following four priority community health needs. 1. Access to Care 2. Behavioral Health Care 3. Chronic Disease Prevention 4. Injury Prevention
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceSaint Elizabeth Regional Medical Center includes information concerning its financial assistance policy on its website. In addition, Saint Elizabeth Regional Medical Center prominently displays its financial assistance policy in both English and Spanish in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in Saint Elizabeth Regional Medical Center outpatient facilities. In addition, Saint Elizabeth Regional Medical Center registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under Saint Elizabeth Regional Medical Center's financial assistance policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. Saint Elizabeth Regional Medical Center registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Saint Elizabeth Regional Medical Center's staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies.
Schedule H, Part VI, Line 4 Community informationThe community served by Saint Elizabeth Regional Medical Center includes the City of Lincoln and Lancaster County, Nebraska. Lancaster County (289,800 population) includes the City of Lincoln (262,341 population) and the City of Waverly (3,133 population). Difference in population (24,326) includes residents living in the towns of Bennet, Davey, Denton, Firth, Hallam, Hickman, Malcolm, Panama, Raymond, Roca, Sprague and in rural areas of the county. From 2000 to 2010, Lancaster County's population increased by 14.8 percent. The county's population aged 62 or older increased by 27 percent. Year 2010 estimates indicated that 14.8 percent of the population had family incomes below the poverty level. For children under 18, the poverty rate estimate is even higher, at 17.6 percent. Also, 2012 estimates the county's median income as $50,197 in 2010, which is higher than the Nebraska median income estimate of $48,415 and only slightly above the national median income estimate of $50,046. Nearly 93% of Lincoln's adult population has at least a high school education, and 34% of Lincoln residents have a bachelor's degree or higher; compared to the U.S. average of 27%. Lincoln is the home to the University of Nebraska-Lincoln. Lincoln offers a highly educated and motivated labor force. The work ethic and productivity of the Lincoln employees are cited by local employers as two key advantages of doing business in Lincoln. Lancaster County ranks 20th out of 79 ranked counties in the County Health Rankings. Only 12 % of adults in Lancaster County are uninsured. 36% of the county's children qualify for free & reduced lunch. Lincoln was ranked as a five star community for healthcare by Expansion Management. Lincoln was also recently ranked No. 9 by Forbes as one of the top 10 most livable cities in America.
Schedule H, Part VI, Line 5 Promotion of community healthSAINT ELIZABETH REGIONAL MEDICAL CENTER PROVIDES ESSENTIAL HEALTH CARE SERVICES BY MAINTAINING A 260 BED MEDICAL CENTER WITH 44 OUTPATIENT BEDS DESIGNED TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE WHILE EMBRACING TRADITIONS RICH IN SPIRITUALITY. THE REGIONS' MOST INNOVATIVE AND HOLISTIC CARE IS AVAILABLE THROUGH ASSOCIATION WITH MORE THAN 500 PHYSICIANS, MANY OF WHOM WHO ARE BOARD CERTIFIED, AS WELL AS A PHYSICIAN NETWORK OF FAMILY AND SPECIALTY CLINICS IN LINCOLN AND THE SURROUNDING AREAS. IN ADDITION TO THE SERVICES PROVIDED LOCALLY, SAINT ELIZABETH REGIONAL MEDICAL CENTER HAS COMMITTED ITS EXPERTISE IN WOUND CARE TO OTHER COMMUNITIES AND PROVIDERS. A FOCUS ON DELIVERING EXCEPTIONAL PATIENT CARE IN A STATE-OF-THE-ART ENVIRONMENT WITH EXPERIENCED MEDICAL PROFESSIONALS HAS DRIVEN SERMC TO GO BEYOND THE BASICS AND PROVIDE SERVICE LINES DESIGNED TO PROVIDE SPECIALTY CARE IN THE LOCAL COMMUNITY. SAINT ELIZABETH REGIONAL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. SAINT ELIZABETH REGIONAL MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION - A SEAL OF APPROVAL THAT INDICATES THAT SERMC MEETS STRICT PERFORMANCE STANDARDS, PROVIDES HIGH QUALITY PATIENT CARE, AND DEMONSTRATES ACCOUNTABILITY IN THE RAPIDLY CHANGING FIELD OF HEALTHCARE. IT HAS also BEEN RANKED AS A 100 TOP HOSPITAL IN THE NATION FOUR TIMES IN THE "OVERALL" CATEGORY BY THOMPSON REUTERS. SAINT ELIZABETH REGIONAL MEDICAL CENTER ALSO HOLDS THE PRESTIGIOUS DESIGNATION AS A MAGNET HOSPITAL, THE HIGHEST AWARD IN NURSING, BY THE AMERICAN NURSES CREDENTIALING CENTER. SAINT ELIZABETH REGIONAL MEDICAL CENTER EXCELS IN THE TREATMENT AREAS OF NEWBORN AND PEDIATRIC CARE, WOMEN'S HEALTH, CARDIOLOGY, EMERGENCY MEDICINE, ORTHOPEDICS, NEUROSCIENCE, ONCOLOGY, REHABILITATION, AND BURN AND WOUND CARE, AND IS LEADING THE WAY IN PREVENTION AND WELLNESS. NEONATAL INTENSIVE CARE UNIT AND MATERNAL TRANSPORT & OUTREACH EDUCATION PROGRAM extends neonatal services to area rural communities. SAINT ELIZABETH REGIONAL MEDICAL CENTER'S SERVICES ARE PROVIDED TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THE HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT ("ED") 365 DAYS A YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SAINT ELIZABETH REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND PARTICIPATES IN A VARIETY OF PROGRAMS INTENDED TO BENEFIT THE POPULATIONS WITHIN ITS SERVICE AREA, AS WELL AS THE INDIVIDUALS ENTERING INTO THE SERVICE AREA. THESE PROGRAMS INCLUDE MEDICARE, MEDICAID, TRICARE (FORMERLY KNOWN AS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES), WORKERS COMPENSATION, AND OTHER DISCOUNTED HEALTH INSURANCE PROGRAMS. THIS PARTICIPATION PROVIDES ACCESS TO A LOCAL HEALTH CARE PROVIDER FOR THE COMMUNITY. DIVERSITY AT SAINT ELIZABETH REGIONAL MEDICAL CENTER: LINCOLN RANKS AMONG THE TOP 15 SITES FOR REFUGEE RELOCATION IN THE UNITED STATES. THE U.S. OFFICE OF REFUGEE RESETTLEMENT HAS DESIGNATED LINCOLN AS A PREFERRED COMMUNITY FOR NEWLY-ARRIVED REFUGEES. IN ADDITION TO REFUGEES, LINCOLN IS ALSO HOME TO EXISTING ETHNIC MINORITY POPULATIONS. FOR THESE REASONS, LINCOLN IS RICH IN CULTURAL AND ETHNIC DIVERSITY. THIS DIVERSITY POSES NOT ONLY CHALLENGES---MULTIPLE LANGUAGES, CULTURAL DIFFERENCES, ETC--- BUT ALSO EXCITINGOPPORTUNITIES FOR THOSE WILLING TO EMBRACE IT. SAINT ELIZABETH REGIONAL MEDICAL CENTER CHOOSES TO EMBRACE THIS DIVERSITY IN NUMEROUS WAYS. SOME OF THESE WAYS INCLUDE: Financial Assistance - Provide care to the uninsured and underinsured via generous policy, which provides a safety net for vulnerable populations in our community. Interpretive Services - Provided for patients in-person and via using video remote or telephonic tools. The most prevalent languages include: 1) SPANISH; 2) ARABIC; 3) VIETNAMESE; 4) RUSSIAN; 5) SIGN LANGUAGE; 6) KURDISH. INTERPRETERS OF MANY OTHER FOREIGN LANGUAGES WERE ALSO USED INTERMITTENTLY DURING THE YEAR AS NEEDED. DIVERSITY AMBASSADORS and Leadership Committee - Two efforts implemented to ensure patient care is culturally relevant and responsive to diverse patient needs. COMMUNITY BENEFIT APPROACH: PEOPLES HEALTH CENTER - SAINT ELIZABETH REGIONAL MEDICAL CENTER IS A SUPPORTER OF THE PEOPLE'S HEALTH CENTER (PHC) is a Federally Qualified Health Care Center IN LINCOLN, NEBRASKA serving the behavioral, dental and medical care needs of the community's most economically vulnerable. Saint Elizabeth Regional Medical Center funded and arranged PHYSICIAN CALL COVERAGE to support uninterrupted care. CLINIC WITH A HEART - Funded a portion of operations to ensure more individuals are connected to human service agencies, helping them find a medical home. NEBRASKA MISSION OF MERCY - PROVIDED funding TO THE NEBRASKA MISSION OF MERCY DENTAL CARE PROGRAM to open free access to CRITICAL DENTAL CARE WHILE PLACING A HIGH PRIORITY ON PATIENTS SUFFERING FROM DENTAL INFECTIONS OR PAIN. IT ALSO PROVIDES BASIC DENTAL EDUCATION AND AWARENESS TO PATIENTS. PARTNERSHIP FOR A HEALTHY LINCOLN - Provided significant funding of operations to support THE PARTNERSHIP FOR A HEALTHY LINCOLN IN FISCAL YEAR 2013 WITH A $50,000 CONTRIBUTION. THE PARTNERSHIP WORKS ON COMMUNITY WIDE EDUCATION AND POLICY CHANGE TO PROMOTE HEALTH AND FITNESS IN LINCOLN'S SCHOOLS AND AMONG THE CITIZENS OF LINCOLN. LINCOLN MEDICAL EDUCATION PARTNERSHIP (LMEP) - PROVIDED funding IN SUPPORT TO THE LINCOLN MEDICAL EDUCATION PARTNERSHIP, a COMMUNITYBASED RESIDENCY PROGRAM FOR MEDICAL SCHOOL GRADUATES INTERESTED IN FAMILY PRACTICE AND IS SUPPORTED BY 250 COMMUNITY PHYSICIANS WHO VOLUNTEER MORE THAN 40,000 HOURS PER YEAR AS FACULTY MEMBERS. LINCOLN MEDICAL EDUCATION PARTNERSHIP HELPS THE LINCOLN COMMUNITY ATTRACT, TRAIN AND RETAIN NEW PHYSICIANS. Community Classes - Free or low cost programs are offered to the community as part of the aligned health needs including examples such as; GRIEF SUPPORT CLASSES, WOMEN'S HEALTH CLASSES, Prevention and coping with DIABETES, ARTHRITIS, SKIN CANCER, SMOKING CESSATION, etc. HEALTH PROFESSIONAL EDUCATION - TRAINs STUDENTS of PHARMACY, NURSING, AND OTHER MEDICAL PROFESSIONS, AS WELL AS SUPPORTING LINCOLN MEDICAL EDUCATION PARTNERSHIP. SAINT ELIZABETH REGIONAL MEDICAL CENTER BELIEVES HIGHLY TRAINED PERSONNEL PROVIDE QUALITY CARE. In addition, the hospital supports ongoing training and communication of area emergency units.
Schedule H, Part VI, Line 6 Affiliated health care systemSaint Elizabeth Regional Medical Center, 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 101 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 $981 million in charity care and community benefit in the 2015 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. Saint Elizabeth Regional Medical Center operates with its wholly owned affiliates and community partners, along with its fundraising arm, Saint Elizabeth Foundation, to serve the health care needs of the Lincoln, NE communities.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
HEALTH PARTNERS INITIATI
4600 Valley Rd Suite 200LincolnNE68510363832796501(c)(3)$55,000Program support
NEBRASKA SPORTS COUNCIL
PO BOX 29366LincolnNE68529363354207501(c)(3)$50,000Program support
CLINIC WITH A HEART
1701 S 17th St 4gLincolnNE68502202850139501(c)(3)$24,000Program support
AMERICAN HEART ASSOCIATION
7272 Greenville AveDallasTX75231135613797501(c)(3)$20,000Program support
AMERICAN CANCER SOCIETY HIGH PLAINS DIV
1100 PENNSYLVANIA AVEKANSAS CITYMO64105741185665501(c)(3)$14,500Program support
CATHOLIC SOCIAL SERVICES
3700 Sheridan Boulevard Suite 1LincolnNE68506470751554501(c)(3)$11,000Program support
PIUS X HIGH SCHOOL
6000 A StLincolnNE68501470426529501(c)(3)$10,411Program support
MADONNA FOUNDATION
5401 South StreetLincolnNE68506237159940501(c)(3)$10,000Program support
TRI-CITIES MISSION OF ME
908 N HOWARD STE 106Grand IslandNE68803273385904501(c)(3)$10,000Program support
LINCOLN PARKS FDTN
2740 A Street Suite 201LincolnNE68502363853746501(c)(3)$8,834Program support
TeamMates Mentoring Program
6801 O StreetLincolnNE68510470840990501(c)(3)$8,500Program support
GOOD SAMARITAN HOSPITAL foundation
111 W 31ST STREETKEARNEYNE68847470659443501(c)(3)$7,168Program support
THE PHYSICIAN NETWORK
2000 Q STREET 500LINCOLNNE685033610470780857501(c)93)$7,964,448One Care Contribution
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCharity Care and Financial AssistanceGrantTypeTxt
Recipient3841RecipientCnt
Cash Grant$0CashGrantAmt
Non Cash Assistance$15,093,136NonCashAssistanceAmt
Valuation Method UsedbookValuationMethodUsedDesc
Non Cash Assistancereduction or write off of patient servicesNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant FundsGrants included in Part II are to community organizations that engage in activities that benefit the community at large. No consideration is received in exchange for these contributions, as they are considered to be a gift to be used by the recipients in accordance with their charitable purposes. As such, use of the funds given to the grantees is not monitored beyond distribution. Grants included in Part III are to individuals needing financial assistance. Patient hardship charges are billed directly to SERMC, and employees are required to provide copies of invoices, etc. for employee assistance payment eligibility; these procedures ensure proper use of the funds. Scholarship recipients are required to submit a letter certifying his/her admission to a health care career program with the application. The funds are paid directly to the recipients and can be used for tuition, books, supplies, or other expenses that may be incurred with their schooling.
Schedule I, Part III Assistance to IndividualsSaint Elizabeth Regional 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 included in Part II are to community organizations that engage in activities that benefit the community at large. No consideration is received in exchange for these contributions, as they are considered to be a gift to be used by the recipients in accordance with their charitable purposes. As such, use of the funds given to the grantees is not monitored beyond distribution. Grants included in Part III are to individuals needing financial assistance. Patient hardship charges are billed directly to SERMC, and employees are required to provide copies of invoices, etc. for employee assistance payment eligibility; these procedures ensure proper use of the funds. Scholarship recipients are required to submit a letter certifying his/her admission to a health care career program with the application. The funds are paid directly to the recipients and can be used for tuition, books, supplies, or other expenses that may be incurred with their schooling.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CLIFF ROBERTSON
Board Member/CEO CHI Health$0$772,865$0$115,809$0$134,830$0$151,369$0$26,754$0$1,201,627$0$54,120
MICHAEL FERRIS MD
BOARD MEMBER/CHIEF OF STAFF$74,219$52,723$0$0$508$202$5,122$0$0$13,702$79,849$66,627$0$0
ROBERT LANIK
Former Board Member/CHI NE President/CEO$0$337,316$0$525,382$0$533,781$0$42,666$0$15,366$0$1,454,511$0$127,815
MARTIN M MANCUSO MD
Board Member$0$388,633$0$0$0$2,851$0$9,079$0$16,554$0$417,117$0$0
MICHAEL ROWAN FACHE
Board member/CHI EVP & COO$0$1,195,620$0$788,897$0$515,926$0$32,602$0$21,054$0$2,554,099$0$224,413
AMY L MCGAHA
BOARD MEMBER$0$233,848$0$0$0$156$0$8,002$0$1,614$0$243,620$0$0
DOUGLAS KUCERA
VP FINANCE$0$0$0$0$115,461$0$23,502$0$10,269$0$149,232$0$0$0
NANCY WALLACE
SVP HR CHI HEALTH$0$309,173$0$173,948$0$23,366$0$0$0$0$0$506,487$0$0
CARY WARD MD
CHIEF MEDICAL OFFICER$218,588$188,938$0$29,075$5,387$52,015$35,152$19,350$11,922$10,077$271,049$299,455$0$0
JEANETTE WOJTALEWICZ
CFO CHI Health$0$464,487$0$208,308$0$23,377$0$75,918$0$22,290$0$794,380$0$0
STEVE HOUSTON
SVP STRATEGY$0$236,114$0$39,730$0$5,365$0$8,433$0$14,217$0$303,859$0$0
CHARLOTTE LIGGETT
VP STRATEGY & PLANNING$0$253,922$0$65,596$0$138,818$0$36,501$0$6,608$0$501,445$0$0
DAN SCHONLAU
VP Operational Finance NHH, St. Elizabeth$3,731$182,760$0$14,153$0$209$19,857$0$0$11,110$23,588$208,232$0$0
AMY HATCHER
VP Divisional Finance$0$144,291$0$48,584$0$13,072$0$5,618$0$4,576$0$216,141$0$0
KIM MOORE
PRESIDENT$0$325,683$0$79,246$0$49,881$0$69,082$0$16,387$0$540,279$0$13,586
MIKE WATTERS
VP-SENIOR COUNSEL$0$229,154$0$39,598$0$43,831$0$22,685$0$18,944$0$354,212$0$0
GREGORY GILLESPIE
VP HUMAN RESOURCES$0$215,945$0$106,136$0$9,237$0$33,713$0$15,460$0$380,491$0$0
MICHAEL GERMAN
DIRECTOR OF PHARMACY$143,017$0$2,403$0$511$0$21,818$0$1,228$0$168,977$0$0$0
PATRICK GILLES
VP CLINICAL SUPPORT$85,690$0$14,634$0$54,195$0$26,052$0$9,363$0$189,934$0$0$0
NANCY GONDRINGER
DIRECTOR PERIOPERATIVE SERVICE$150,707$0$4,016$0$844$0$18,732$0$7,619$0$181,918$0$0$0
DONNA HAMMACK
CHIEF DEVELOPMENT OFFICER-FOUNDATION$159,606$0$4,353$0$5,367$0$25,867$0$14,595$0$209,788$0$0$0
ELIZABETH RAETZ
VP NURSING$193,189$0$20,507$0$9,202$0$32,539$0$19,770$0$275,207$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationCompensation for the top management official was established and paid by the following related organizations: Catholic Health Initiatives (CHI) and Franciscan Health System (FHS). CHI and FHS 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 paymentPost-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives (a Related Organization) during the 2014 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: DOUGLAS KUCERA - $117,692 ROBERT LANIK - $312,137 CHARLOTTE LIGGETT - $100,917
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planDuring the 2014 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: ROBERT LANIK KIM MOORE CLIFF ROBERTSON MICHAEL ROWAN CARY WARD JEANETTE WOJTALEWICZ During 2014 the following contributions were made by CHI to the deferred compensation plan: KIM MOORE - $29,736 CLIFF ROBERTSON - $113,667 CARY WARD - $19,350 JEANETTE WOJTALEWICZ - $40,766 During 2014 the following distributions were made by CHI from the deferred compensation plan: ROBERT LANIK - $127,815 KIM MOORE - $13,586 CLIFF ROBERTSON - $54,120 MICHAEL ROWAN - $224,413 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 2014 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 2014, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: ROBERT LANIK - $49,415 MICHAEL ROWAN - $266,409
Schedule J, Part I, Line 7 Non-fixed paymentsCATHOLIC 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 (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 MISSION STATEMENTTHE 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 $ 192,982,381 including grants of $ 10,066,040)(Revenue $ 26,901,401) Other programs
Form 990, Part V, Line 1c number reported in Box 3 of Form 1096PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF CATHOLIC HEALTH INITIATIVES (CHI) ARE MADE BY CHI. THEREFORE NO FORM 1099S ARE ISSUED BY St. Elizabeth 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. Elizabeth Medical Center ARE REPORTED TO THE IRS.
Form 990, Part VI, Line 16b JOINT VENTURE POLICYSAINT ELIZABETH REGIONAL 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 COMPENSATION OF ORGANIZATION'S CEOCompensation for the top management official was established and paid by the following related organizations: Catholic Health Initiatives (CHI) and Franciscan Health System (FHS) 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 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 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 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 14, 2015. In addition, 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. FHS USES AN EXTERNAL COMPENSATION FIRM WHO UTILIZES ACTUAL MARKET DATA COMPENSATION FROM SIMILAR INSTITUTIONS WITH COMPARABLE POSITIONS AND COMPENSATION LEVELS AND CONSIDERING THE ORGANIZATION'S GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY EVALUATES AND APPROVES THE EXECUTIVE COMPENSATION ARRANGEMENT FOR EACH EXECUTIVE FOR FAIR MARKET VALUE ALONG WITH OTHER APPLICABLE FACTORS RELIED ON BY THE BOARD'S DETERMINATION. THE SUPPORTING DOCUMENTATION BECOMES PART OF THE MINUTES OF THE MEETING. THIS PROCESS IS COMPLETED YEARLY.
Form 990, Part VI, Line 1a Delegate broad authority to a committeePursuant to Section 8.1 of the corporation's bylaws, committees, such as the Executive Committee, that are granted authority to act on behalf of the board of directors may include only directors of the corporation.
Form 990, Part VI, Line 6 Classes of members or stockholdersAccording to the organization's bylaws of Saint Elizabeth Regional Medical Center, the entity's sole corporate member is CHI Nebraska, a Nebraska non-profit corporation.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAccording to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersThe organization's corporate member is CHI Nebraska. Pursuant to Section 5.4.1 of the organization's bylaws, both CHI Nebraska and Catholic Health Initiatives ("CHI") have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the CHI Nebraska's Board: * Approve members of the Saint Elizabeth Regional Medical Center board. * Amendment of the corporate documents of the Saint Elizabeth Regional Medical Center. *Approve removal of a member of the governing body of the Saint Elizabeth Regional Medical Center. * Adoption of long range and strategic plans for the Saint Elizabeth Regional Medical Center. The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of the Saint Elizabeth Regional Medical Center. * Removal of a member of the governing body of the Saint Elizabeth Regional Medical Center. * Approval of issuance of debt by Saint Elizabeth Regional Medical Center. * Approval of participation of Saint Elizabeth Regional Medical Center in a joint venture. *Approval of formation of a new corporation by Saint Elizabeth Regional Medical Center. * Approval of a merger involving the Saint Elizabeth Regional Medical Center. * Approval of the sale of all or substantially all of the assets of the Saint Elizabeth Regional Medical Center. * To require the transfer of assets by the Saint Elizabeth Regional Medical Center to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5.2 of the organization's bylaws, CHI Nebraska or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate
Form 990, Part VI, Line 11b Review of form 990 by governing bodyCHI NEBRASKA'S (THE ORGANIZATION'S CORPORATE MEMBER) CFO IS RESPONSIBLE FOR REVIEWING THE FINAL TAX RETURN PREPARED BY THE CHI TAX DEPARTMENT FOR ANY POTENTIAL ERRORS, OMISSIONS, OR CLARIFICATIONS NEEDED FOR PROPER PRESENTATION. AFTER THE FINAL CHANGES ARE MADE TO THE FORM 990, THE RETURNS ARE POSTED TO A SECURED BOARD COLLABORATION SITE FOR REVIEW BY THE BOARD MEMBERS. SUBSEQUENT TO DISTRIBUTION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyCatholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. 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. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the Board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board will act as it would in reviewing transactions with unrelated third parties. The transaction is not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesCompensation for other officers is compared to a study completed by HR Advantage and is approved by the President/CEO. Compensation for key employees is compared to a study completed by MSA and is approved by the individual's supervising Vice President. The board of directors also oversees and approves the compensation setting process to ensure reasonableness and compliance with the organization's compensation philosophy.
Form 990, Part VI, Line 19 Required documents available to the publicThe Organization's governing documents and conflict of interest policy are available upon request from the administration department. In addition, the Articles of Incorporation are available from the Nebraska Secretary of State website (http://www.sos.ne.gov/business). The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.CatholicHealthInit.org or at www.DACBOND.org.
Form 990, Part VIII, Line 2f Other Program Service RevenueOther Program Service Revenue - Total Revenue: 82484, Related or Exempt Function Revenue: 82484, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Miscellaneous Revenue - Total Revenue: 325296, Related or Exempt Function Revenue: , Unrelated Business Revenue: 61552, Revenue Excluded from Tax Under Sections 512, 513, or 514: 263744;
Form 990, Part IX, Line 11g Other FeesMedical Professionals - Total Expense: 11212573, Program Service Expense: 10651944, Management and General Expenses: 560629, Fundraising Expenses: ; Clinical Engineering - Total Expense: 3789237, Program Service Expense: 3599775, Management and General Expenses: 189462, Fundraising Expenses: ; Laboratory Serivces - Total Expense: 1075702, Program Service Expense: 1021917, Management and General Expenses: 53785, Fundraising Expenses: ; Cafeteria Services - Total Expense: 717129, Program Service Expense: 681273, Management and General Expenses: 35856, Fundraising Expenses: ; Contracted Services - Total Expense: 1997271, Program Service Expense: 1897407, Management and General Expenses: 99864, Fundraising Expenses: ; Revenue Recovery Center - Total Expense: 7838033, Program Service Expense: 7446131, Management and General Expenses: 391902, Fundraising Expenses: ; Intercompany - Total Expense: 1404684, Program Service Expense: 1334450, Management and General Expenses: 70234, Fundraising Expenses: ; Other - Total Expense: 5510576, Program Service Expense: 5234490, Management and General Expenses: 276086, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesLincoln CK Leasing Non-controlling Interest - -85874; TN Retirement Loss - -136947;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (184 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RDOMAHANE68154470765154HEALTHCARENE501(c)(33ACHYes (true)
ALEGENT CREIGHTON HEALTH
12809 W DODGE RDOMAHANE68154470757164HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586FUNDRAISINGNE501(c)(37ACHYes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RDOMAHANE68124470484764HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STMISSOURI VALLEYIA51555420776568HEALTHCAREIA501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND STOMAHANE68122470376615HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH STSCHUYLERNE68661470399853HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841420782518HEALTHCAREIA501(c)(33CHI NEBRASKAYes (true)
ALVERNA APARTMENTS
300 SE 8TH AVELITTLE FALLSMN56345411351177LTERM CAREMN501(c)(39CHIYes (true)
APPLETREE COURT
601 OAK STBRECKENRIDGEMN56520411850500SENIOR LIVINGMN501(c)(39SFHYes (true)
BELLEVILLE ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802274005511HEALTHCARETX501(c)(33SHSCYes (true)
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVEDES MOINESIA50314420725196LTERM CAREIA501(c)(39CHI-IA CORPYes (true)
BORNEMANN HEALTHCARE CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603232187242HEALTHCAREPA501(c)(3Type ICHIYes (true)
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTHCARETX501(c)(33SJSCYes (true)
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931HEALTHCARETX501(c)(39SJSCYes (true)
CARRINGTON HEALTH CENTER
800 N 4TH STCARRINGTONND58421450227311HEALTHCAREND501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112470617373HEALTHCARECO501(c)(3Type INAYes (true)
CATHOLIC HEALTH INITIATIVES - COLORADO
188 INVERNESS DRIVE WEST STE 500ENGLEWOODCO80112840405257HEALTHCARECO501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVEDES MOINESIA50314420680448HEALTHCAREIA501(c)(33CHIYes (true)
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DR STE 301COLORADO SPRINGSCO80919840902211FUNDRAISINGCO501(c)(37CHICYes (true)
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRCOLORADO SPRINGSCO80919270930004FUNDRAISINGCO501(c)(3Type ICHIYes (true)
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112460992796HEALTHCARECO501(c)(3Type ICHINSYes (true)
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWYROSEBURGOR97471263946191PHYSICIANSOR501(c)(39MMCYes (true)
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530480543724SURGERY CENTERKS501(c)(33CHIYes (true)
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY SFARGOND58104271966847HEALTHCAREMN501(c)(39CHIYes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112271050565HEALTHCARECO501(c)(3Type ICHIYes (true)
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400ERLANGERKY41018202741651HEALTHCAREKY501(c)(3Type ICHIYes (true)
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112451261716HEALTHCARECO501(c)(39CHI NSYes (true)
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112452532084HEALTHCARECO501(c)(3Type ICHIYes (true)
CHI NEBRASKA
6940 O ST STE 200LINCOLNNE68510363233121HEALTHCARENE501(c)(3Type ICHIYes (true)
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NWALBUQUERQUENM87102710897107COMMUNITYNM501(c)(3Type ICHIYes (true)
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
6624 FANNIN STHOUSTONTX77030741161938HEALTHCARETX501(c)(33SLHSYes (true)
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913710236913HEALTHCAREAR501(c)(33CHISVHSYes (true)
CHI ST VINCENT HOT SPRINGS
300 WERNER STHOT SPRINGSAR71913261125064HOLDING COAR501(c)(3Type IISVIMCYes (true)
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
1 MERCY LANE STE 201HOT SPRINGSAR71913261125131HEALTHCAREAR501(c)(33CHISVHSYes (true)
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206237419853HOLDING COOH501(c)(2GSHYes (true)
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH STMISSOURI VALLEYIA51555421294399FUNDRAISINGIA501(c)(3Type IAH-CMHMVYes (true)
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRLEXINGTONKY40509611400619LT ACHKY501(c)(33SJHSYes (true)
COVENANT HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112232028429HOME HEALTHPA501(c)(3Type IICHI NHCYes (true)
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVEENUMCLAWWA98022910715805HEALTHCAREWA501(c)(33FHSYes (true)
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004611345363HEALTHCAREKY501(c)(33KOHYes (true)
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RDBARDSTOWNKY40004562351341FUNDRAISINGKY501(c)(3Type IFHYes (true)
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RDTOLEDOOH43623341931806HEALTHCAREOH501(c)(39FLCYes (true)
FRANCISCAN FOUNDATION
1717 SOUTH J STTACOMAWA98405911145592FUNDRAISINGWA501(c)(39FHSYes (true)
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STTACOMAWA98405910564491HEALTHCAREWA501(c)(33CHIYes (true)
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAYTACOMAWA98402431882377PHYSICIANSMO501(c)(39CHIYes (true)
FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE ATOLEDOOH43623341892096HEALTHCAREOH501(c)(3Type ISFHYes (true)
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200TACOMAWA98402911939739HEALTHCAREWA501(c)(39FHSYes (true)
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVESOUTH MILWAUKEEWI53172391093829HEALTHCAREWI501(c)(39CHIYes (true)
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEASTGARRISONND58540450227752HEALTHCAREND501(c)(33SAMCYes (true)
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112201536108MINISTRIESCO501(c)(3Type ICHIYes (true)
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311778403EDUCATIONOH501(c)(32GSHYes (true)
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206311206047FUNDRAISINGOH501(c)(3Type IGSHYes (true)
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848470379755HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STKEARNEYNE68847470659443FUNDRAISINGNE501(c)(37GSHYes (true)
GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON
110 N MAIN ST STE 500DAYTONOH45402237296923FUNDRAISINGOH501(c)(37SHPYes (true)
HARRISON MEDICAL CENTER
2520 CHERRY AVEBREMERTONWA98310910565546HEALTHCAREWA501(c)(33FHSYes (true)
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVEBREMERTONWA98310911197626FUNDRAISINGWA501(c)(37HMCYes (true)
HEALTH SET
2420 W 26TH AVE STE 460DDENVERCO80211841102943LOW INC CARECO501(c)(37CHICYes (true)
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRBRECKENRIDGEMN56520760761782FUNDRAISINGMN501(c)(3Type ISFMCYes (true)
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166910712166HEALTHCAREWA501(c)(33FHSYes (true)
HOUSE OF MERCY
1111 6TH AVEDES MOINESIA50314421323808SHELTERIA501(c)(37CHI-IA CORPYes (true)
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029768HEALTHCAREKY501(c)(33KOHYes (true)
KENTUCKYONE HEALTH MEDICAL GROUP INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611352729HEALTHCAREKY501(c)(39JHSMHYes (true)
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611029769HEALTHCAREKY501(c)(39CHIYes (true)
LAKEWOOD HEALTH CENTER
600 MAIN AVE SBAUDETTEMN56623410758434HEALTHCAREMN501(c)(33CHIYes (true)
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE SBAUDETTEMN56623411893795FUNDRAISINGND501(c)(37LHCYes (true)
LINUS OAKES INC
2700 STEWART PKWYROSEBURGOR97471930821381SENIOR LIVINGOR501(c)(39MMCYes (true)
LISBON AREA HEALTH SERVICES
905 MAIN STLISBONND58054820558836HEALTHCAREND501(c)(33CHIYes (true)
LUFKIN VISION ACQUISITIONS
PO BOX 1447LUFKINTX75901820563768PROPERTY MGMTTX501(c)(3Type III-FIMHSETYes (true)
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTHCARETX501(c)(33SJSCYes (true)
MADONNA MANOR INC
2344 AMSTERDAM ROADVILLA HILLSKY51017610654635LIVING ASSISTKY501(c)(31FLCYes (true)
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVECHATTANOOGATN37404621839548FUNDRAISINGTN501(c)(37MHCSYes (true)
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVECHATTANOOGATN37404620532345HEALTHCARETN501(c)(33CHIYes (true)
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500CHATTANOOGATN37411030417049HEALTHCARETN501(c)(39MHCSYes (true)
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447LUFKINTX75902750755367HEALTHCARETX501(c)(33CHIYes (true)
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447LUFKINTX75902760436439HEALTHCARETX501(c)(33MHSETYes (true)
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447LUFKINTX75902752663904HEALTHCARETX501(c)(33MHSETYes (true)
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVELUFKINTX95904752721155PHYSICIANSTX501(c)(3Type III-FIMHSETYes (true)
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447LUFKINTX95902752492741HEALTHCARETX501(c)(33MHSETYes (true)
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVEDES MOINESIA50314426076069AUXILIARYIA501(c)(3Type IMF-DM IAYes (true)
MERCY CLINICS INC
1111 6TH AVEDES MOINESIA50314421193699PHYSICIANSIA501(c)(39CHI-IA CORPYes (true)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVEDES MOINESIA50314421511682EDUCATIONIA501(c)(32CHI-IA CORPYes (true)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVEDES MOINESIA50314237358794FUNDRAISINGIA501(c)(37CHI-IA CORPYes (true)
MERCY FOUNDATION INC
2700 STEWART PKWYROSEBURGOR97471936088946FUNDRAISINGOR501(c)(37MMCYes (true)
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841421461064FUNDRAISINGIA501(c)(3Type IAHMH-CorningYes (true)
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVDVALLEY CITYND58072450435338FUNDRAISINGND501(c)(3Type IMHVCYes (true)
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRCOUNCIL BLUFFSIA51503421178204FUNDRAISINGIA501(c)(3Type IAHBMHSYes (true)
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NEDEVILS LAKEND58301450227012HEALTHCAREND501(c)(33CHIYes (true)
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NEDEVILS LAKEND58301352367360FUNDRAISINGND501(c)(37MHDLYes (true)
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVDVALLEY CITYND58072450226553HEALTHCAREND501(c)(33CHIYes (true)
MERCY MEDICAL CENTER
1301 15TH AVE WESTWILLISTONND58801450231183HEALTHCAREND501(c)(33CHIYes (true)
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTHCAREIA501(c)(33CHI-IA CORPYes (true)
MERCY MEDICAL CENTER INC
2700 STEWART PKWYROSEBURGOR97471930386868HEALTHCAREOR501(c)(33CHIYes (true)
MERCY MEDICAL FOUNDATION
1301 15TH AVE WESTWILLISTONND58801450381803FUNDRAISINGND501(c)(3Type IMMCYes (true)
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVEDES MOINESIA50314421470935PHYSICIANSIA501(c)(39CHI-IA CORPYes (true)
NEBRASKA HEART HOSPITAL
7500 S 91ST STLINCOLNNE68526392031968HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
NORTH CENTRAL HEALTH CARE ALLIANCE DBA PRIMECARE HEALTH GROUP
401 N 9th StBISMARCKND585014507450439894HEALTHCAREND501(c)(39NHCAYes (true)
OAKES COMMUNITY HOSPITAL
1200 N 7TH STOAKESND58474450231675HEALTHCAREND501(c)(33CHIYes (true)
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STOAKESND58474710966606FUNDRAISINGND501(c)(3Type IOCHYes (true)
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447LUFKINTX75902752493116PROPERTY MGMTTX501(c)(3Type III-FIMHSETYes (true)
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625HEALTHCAREOH501(c)(39FLCYes (true)
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099HOLDING COOH501(c)(3Type IIFLCYes (true)
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVESANDUSKYOH44870341896807LIVING COMMOH501(c)(39FLCYes (true)
PUEBLO STEPUP
1925 E ORMAN AVE STE G52PUEBLOCO81004841234295COMMUNITYCO501(c)(37CHICYes (true)
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
12844 MILITARY RD STUKWILAWA98168911170040HEALTHCAREWA501(c)(33FHSYes (true)
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DR STE 450COLORADO SPRINGSCO80906841183335LTERM CARECO501(c)(37CHICYes (true)
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RDDENVILLENJ07834222876836HEALTHCARENJ501(c)(3Type IISCHSYes (true)
SAINT CLARE'S FOUNDATION INC
25 POCONO RDDENVILLENJ07834222502997FUNDRAISINGNJ501(c)(37SCHSYes (true)
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RDDENVILLENJ07834223639733MANAGEMENTNJ501(c)(3Type IICHIYes (true)
SAINT CLARE'S HOSPITAL INC
25 POCONO RDDENVILLENJ07834223319886HEALTHCARENJ501(c)(33SCHSYes (true)
SAINT ELIZABETH FOUNDATION
555 S 70TH STLINCOLNNE68510470625523FUNDRAISINGNE501(c)(37SERMCYes (true)
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH STLINCOLNNE68510363233120HEALTHCARENE501(c)(33SERMCYes (true)
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH STLINCOLNNE68510470379836HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEYGRAND ISLANDNE68803470376601HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802470630267FUNDRAISINGNE501(c)(37SFMCYes (true)
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STBEREAKY40403260152877FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202611334601HEALTHCAREKY501(c)(33KOHYes (true)
SAINT JOSEPH HOSPITAL FOUNDATION INC
ONE SAINT JOSEPH DRIVELEXINGTONKY40504611159649FUNDRAISINGKY501(c)(3Type ISJHSYes (true)
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741260438748FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRMOUNT STERLINGKY40353272884584FUNDRAISINGKY501(c)(37SJHSYes (true)
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STDICKINSONND58601363418207FUNDRAISINGND501(c)(3Type ISJHHCYes (true)
SAMARITAN BEHAVIORAL HEALTH INC
601 S EDWIN C MOSES BLVDDAYTONOH45417020633634HEALTHCAREOH501(c)(37SHPYes (true)
SAMARITAN HEALTH PARTNERS
110 N MAIN ST STE 500DAYTONOH45402311107411HEALTHCAREOH501(c)(3Type ICHIYes (true)
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STSCHUYLERNE68661363630014FUNDRAISINGNE501(c)(3Type IAHMHSYes (true)
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112440545809HEALTHCAREMO501(c)(33CHIYes (true)
SL AUGUSTA CORP
PO BOX 20269HOUSTONTX77225760226623TITLE HOLDINGTX501(c)(2SLPCYes (true)
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUEBISMARCKND58501450226711HEALTHCAREND501(c)(33CHIYes (true)
ST ANTHONY HOSPITAL
1601 SE COURT AVEPENDLETONOR97801930391614HEALTHCAREOR501(c)(33CHIYes (true)
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVEPENDLETONOR97801930992727FUNDRAISINGOR501(c)(3Type ISAHYes (true)
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRMORRILTONAR72110710245507HEALTHCAREAR501(c)(33SVIMCYes (true)
ST CATHERINE HOSPITAL
401 EAST SPRUCE STGARDEN CITYKS67846480543721HEALTHCAREKS501(c)(33CHIYes (true)
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STGARDEN CITYKS67846200598702FUNDRAISINGKS501(c)(3Type ISCHYes (true)
ST CLARE COMMONS
5942 RENAISSANCE PLACE STE ATOLEDOOH43623270163752LIVING COMMOH501(c)(39FLCYes (true)
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WESTENGLEWOODCO80112930433692HEALTHCAREOR501(c)(4CHIYes (true)
ST FRANCIS HOME
2400 ST FRANCIS DRBRECKENRIDGEMN56520410729978LTERM CAREMN501(c)(39CHIYes (true)
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RDDENVILLENJ07834222536017ELDERLY CARENJ501(c)(39SCHSYes (true)
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRBRECKENRIDGEMN56520410695598HEALTHCAREMN501(c)(33CHIYes (true)
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WESTENGLEWOODCO80112930412495HEALTHCAREOR501(c)(33CHIYes (true)
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISINGTX501(c)(3Type ISJSCYes (true)
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150LANCASTERPA17602232342997HEALTHCAREPA501(c)(3Type ICHIYes (true)
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594HEALTHCARETX501(c)(39SJSCYes (true)
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE RD PO BOX 316READINGPA19603232649362FUNDRAISINGPA501(c)(3Type ISJRHNYes (true)
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030520591461HEALTHCAREMD501(c)(33CHIYes (true)
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE RD PO BOX 316READINGPA19603208544021HEALTHCAREPA501(c)(39BHCYes (true)
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212HUNT VALLEYMD21030521311775PHYSICIANSMD501(c)(3Type ISJMCYes (true)
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE RD PO BOX 316READINGPA19603231352211HEALTHCAREPA501(c)(33CHIYes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVEBRYANTX77802463265423HEALTHCARETX501(c)(33SJSCYes (true)
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161MANAGEMENTTX501(c)(3Type ISFHYes (true)
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVEPARK RAPIDSMN56470410695603HEALTHCAREMN501(c)(33CHIYes (true)
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STDICKINSONND58601450226429HEALTHCAREND501(c)(33CHIYes (true)
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LIVING COMMOH501(c)(39FLCYes (true)
ST LEONARD FOUNDATION
8100 CLYO ROADCENTERVILLEOH45458320102715FUNDRAISINGOH501(c)(37SLEOYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030260274448MANAGEMENTTX501(c)(3Type ISLHSYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505HOUSTONTX77030273733278HEALTHCARETX501(c)(33SLCDCYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505HOUSTONTX77030261947374HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505HOUSTONTX77030260335902HEALTHCARETX501(c)(33SLCDCYes (true)
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100HOUSTONTX77030760536234HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855HOUSTONTX77004453811485FUNDRAISINGTX501(c)(37SLHSYes (true)
ST LUKE'S HEALTH SYSTEM CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760536232MANAGEMENTTX501(c)(3Type ICHIYes (true)
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505HOUSTONTX77030263734606HEALTHCARETX501(c)(33SLHSYes (true)
ST LUKE'S MEDICAL GROUP
6624 FANNIN STHOUSTONTX77030760458535PHYSICIANSTX501(c)(33SLHSYes (true)
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760531713PROPERTY MGMTTX501(c)(3Type ICHI-SLHYes (true)
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN ST STE 1100HOUSTONTX77030760531716PROPERTY MGMTTX501(c)(3Type ISLHSYes (true)
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505HOUSTONTX77030454120549PROPERTY MGMTTX501(c)(3Type ISLCDC-SLYes (true)
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENEBRASKA CITYNE68410470443636HEALTHCARENE501(c)(33CHI NEBRASKAYes (true)
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENEBRASKA CITYNE68410470707604FUNDRAISINGNE501(c)(37SMCHYes (true)
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205510169537FUNDRAISINGAR501(c)(3Type ISVIMCYes (true)
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710236917HEALTHCAREAR501(c)(33CHIYes (true)
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710830696HEALTHCAREAR501(c)(39SVIMCYes (true)
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200MAUMEEOH43537341412964HEALTHCAREOH501(c)(3Type ICHIYes (true)
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200MAUMEEOH43537455357161FUNDRAISINGOH501(c)(3Type IFLCYes (true)
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSIST LIVINGOH501(c)(39FLCYes (true)
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 WCINCINNATIOH45206310537486HEALTHCAREOH501(c)(33CHIYes (true)
THE PHYSICIAN NETWORK
2000 Q ST STE 500LINCOLNNE68503470780857PHYSICIANSNE501(c)(3Type ICHI NEBRASKAYes (true)
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST STE 500ENGLEWOODCO80112840927232HEALTHCARECO501(c)(33CHICYes (true)
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HEALTHCAREOH501(c)(33SFHYes (true)
UNITY FAMILY HEALTHCARE
815 SE 2ND STLITTLE FALLSMN56345410721642HEALTHCAREMN501(c)(33CHIYes (true)
VILLA NAZARETH INC
801 PAGE DRFARGOND58103450226714LTERM CAREND501(c)(39CHIYes (true)
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RDSPARTANJ07871221768334HOME HEALTHNJ501(c)(39SCHSYes (true)
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY STE 170THE WOODLANDSTX77384274499340PHYSICIANSTX501(c)(39SLCHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Alegent Health Northwest Imaging Center LLC
3606 N 156th StOMAHANE68116061786985OP DiagnosticsNEACHRelated-$147,872$429,431false$0Yes (true)0.51
Audubon Ambulatory Surgery Center LLC
3030 North Circle DrCOLORADO SPRINGSCO80909841482638AMBUL SURG CTRCOCHICRelated$3,069,333$3,517,273false$0Yes (true)0.561
Audubon Land Company LLC
5390 N Academy Blvd STE 300COLORADO SPRINGSCO80918841513085Real EstateCOCHICRelated$116,620$10,842,022false$0false0.694
AVANTAS LLC
11128 JOHN GALT BLVD STE 400OMAHANE68137392045003Staffing of NursesNEAHBMHSRelated$270,464$4,883,491false-$449,169false0.95
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200OMAHANE68124208671994AMBUL SURG CTRNEACHRelated$262,283$2,676,707false$0false0.6357
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRelated$77,646$976,529false$0Yes (true)0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310LEXINGTONKY40504611386736DIAGNOSTIC IMAGINGKYSJHSRelated$216,144$3,219,211false$0false0.65
CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC
198 INVERNESS DRIVE WESTENGLEWOODCO80112462945938PRACTICE MGMT SRVCDECHIRelated-$572,398$4,681,573false$0Yes (true)0.8
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146 4502 N SECOND AVEKEARNEYNE68848470692112HEALTHCARE SRVCNEnaRelated-$49,959$152,789false-$22,980Yes (true)1
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUEGRAND ISLANDNE68803810653461Physical TherapyNESFMCRelated$2,441,607$3,412,341false$0false0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUnrelated$0$0false$0Yes (true)1
CHICAMSURG Surgery Centers LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112465683027SURGERY CENTERCOCHICRelated$0$0false$0false0.51
CHICLARKIN VENTURES LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112474210888URGENT CARECOCHICRelated$0$0false$0Yes (true)0.87
Colorado Springs CK Leasing LLC
8770 W Bryn Mawr Ste 1370CHICAGOIL60631262982714REAL ESTATECOCHIRelated$120,659$1,039,682false$0Yes (true)0.66
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045270453767PROPERTY HOLDINGWISL HOSP-VINTAGERelated$1,365,254$55,596,761false$0false0.51
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNEnaRelated$317,516$3,231,655false$98,557false1
Heartland Oncology LLC
2337 E Crawford StSalinaKS67401464265403ONCOLOGYKSSCHRelated$0$0false$0false0.51
HIGHLINE IMAGING LLC
PO BOX 184BRUSH PRAIRIEWA98606200460005DIAGNOSTIC IMAGINGWAHMCRelated$65,074$1,408,012false$0false0.8
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEACHRelated$3,533,817$1,380,299false$0false0.5393
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEACHRelated$1,590,148$895,940false$0false0.5096
LINCOLN CK LEASING LLC
6003 Old Cheney RdLincolnNE68516262496856Real EstateNESERMCRelated$488,450$230,998false$0false0.5376
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STOMAHANE68122270263191SPINE HOSPITALNEACHRelated$13,895,341$16,839,322false$0false0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRelated$141,898$0false$0false0.5745
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOTHCRelated$9,103,000$2,202,895false$0false0.6
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11TACOMAWA98405870808610HEALTHCARE SRVCWAFHSRelated$278,198$2,753,330false$0false0.6
Penrad Imaging
1390 Kelly Johnson BlvdCOLORADO SPRINGSCO80920841072619Medical ImagingCOCHICRelated-$9,742$2,091,440false$0false0.7
PMC HOSPITAL LLC
3100 MAIN ST STE 500HOUSTONTX77002273280598HOSPITALTXSL CDC-PMCRelated$5,287,747$67,411,280false$0Yes (true)0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST STE 102LINCOLNNE68508204962103TECH SRVCNEAH-IMCRelated$0$0false$0Yes (true)0.6575
Pueblo Ambulatory Surgery Center LLC
188 INVERNESS DRIVE WEST 500ENGLEWOODCO80112621488737SURGERY CENTERCOCHICRelated$0$0false$0false0.51
Saint JOSEPH - PAML LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202452116736MGMT SVCSKYSJHSRelated$60,881$406,070false$0Yes (true)0.625
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RDLEXINGTONKY40503453801157OP SURGERYDESJHSRelated$0$0false$0Yes (true)0.51
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRMILFORDOH45150263330545HOME HEALTHKYJHSMHRelated$7,722,504$1,056,144false$0false1
SCA Premier Surgery Center of Louisville LLC
200 Abraham Flexner WayLOUISVILLEKY40202721386840SURGERY CENTERKYJHSMHRelated-$177,796$2,205,015false$0false0.51
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOCHICRelated-$217,802$12,693,252false$0false0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STTACOMAWA98405911352698MED OFFICEWAFHSRelated$265,783$1,961,020false$0false0.6108
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800HOUSTONTX77030710959365DIAGNOSTICSTXSLHS HOLDINGSRelated$611,532$1,117,217false$0false0.6145
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505HOUSTONTX77030300427437HOSPITALTXSL CDC-WRelated$277,867$42,485,184false$0Yes (true)0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800HOUSTONTX77030462795726DIAGNOSTICSTXSLHSHRelated-$76,879$1,171,971false$0Yes (true)0.51
Superior Medical Imaging LLC
5000 North 26th STLINCOLNNE68521262884555OP DiagnosticsNESERMCRelated$0$0false$0Yes (true)0.51
SURGERY CENTER OF LEXINGTON LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202621179539SURGERY CENTERKYSJHSRelated$187,315$2,777,419false$0Yes (true)0.51
SURGERY CENTER OF LOUISVILLE LLC
200 Abraham Flexner WayLOUISVILLEKY40202621179537SURGERY CENTERKYJHSMHRelated$11,207$803,899false$0Yes (true)0.51

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line2RelatedOrganizationName/BusinessNameLine2Txt
Alegent HealthCreighton St Joseph Managed Care Services Inc
12809 West Dodge RdOmahaNE68154470802396Managed CareNECHI NebraskaC Corporation-$3,506,547$6,404,8771Yes (true)
All Saints Insurance Company SPC Ltd
InsuranceCHIC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS
2801 FRACNISCAN DRIVEBRYANTX77802742466914HealthcareTXSJSCC Corporation$204,115$535,1651Yes (true)
Alternative Insurance Management Service Inc
3900 OLYMPIC BLVD STE 400ErlangerKY41018841112049Management ServicesCOCHIC Corporation$7,902$6,274,9931Yes (true)
AMERICAN NURSING CARE Inc
1700 EDISON DRMILFORDOH45150311085414HOME HEALTHOHCHSC Corporation$0$01Yes (true)
AMERIMED INC
1700 EDISON DRMILFORDOH45150311158699HOME HEALTHOHANCC Corporation$0$01Yes (true)
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851Fitness ClubKYJHSMHC Corporation$0$01Yes (true)
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500ChattanoogaTN37411621570736HealthcareTNMHCSC Corporation$0$1,0081Yes (true)
Captive Management Initiatives Ltd
980663022Captive ManagementCHIC Corporation$38,500$164,4551Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
Carmona-DeSoto Building Horizontal Property Regime Inc
300 Werner StHot SpringsAR71913710771076HealthcareARCHI-SVHSC Corporation$0$01Yes (true)
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WESTEnglewoodCO80112272269511ResearchCOCIRITrust$207$1,241,2591Yes (true)
CGH REALTY COMPANY INC
2500 Bernville RdReadingPA19603232326801Real EstatePASJHMC Corporation$9,432$57,0961Yes (true)
CHI St Luke's Health Baylor College of Medicine Medical Center Condominium
6624 Fannin STE 1100HoustonTX77030465079545Condo AssocTXCHI-SLHBCMC Corporation$0$01Yes (true)Assoc
ClearRiver Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464495960InsuranceTNPHPSIC Corporation$36,560$6,936,5591Yes (true)
Comcare Services Inc
5570 DTC ParkwayEnglewoodCO80111840904813InactiveCOCHICC Corporation$0$01Yes (true)
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRMILFORDOH45150311378212HOME HEALTHOHCHIC Corporation$0$01Yes (true)
Des Moines Medical Center Inc
1111 6TH AVEDes MoinesIA50314420837382Real EstateIACHI-IA CorpC Corporation$66,600$1,084,1620.9298Yes (true)
East Texas Clinical Services Inc
2801 Via Fortuna 500AustinTX78746454736213HealthcareTXMHSETC Corporation$0$16,7821Yes (true)
First Initiatives Insurance LTD
980203038InsuranceCHIC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
Franciscan Services Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112232487967HealthcareCOCHIC Corporation$0$11,732,0071Yes (true)
Good Samaritan Outreach Services
PO Box 1990KearneyNE68848470659440Medical ClinicNECHI NebraskaC Corporation$0$01Yes (true)
Health Systems Enterprises Inc
1700 EDISON DRMILFORDOH45150470664558MGMTNEGSHC Corporation$117,378$1,101,8451Yes (true)
Healthcare MGMT Services Organization INC
1149 MARKET STTacomaWA98402911865474Health Org.WAFHSC Corporation$0$01Yes (true)
HeartlandPlains Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464368223InsuranceNEPHPSIC Corporation$16,717$3,317,2191Yes (true)
Highline Medical Group
15811 AMBUAN Blvd SW STE ABurienWA98166911407026Medical ServicesWAHMCC Corporation$4,004,636$7,896,7931Yes (true)
Medquest
1301 15TH AVENUE WESTWillistonND58801450392137Sale of DMENDMMC WillistonC Corporation$680,617$2,138,6551Yes (true)
Mercy Park Apartments LTD
1111 6th AVEDes MoinesIA50314421202422HousingIACHI-IA CorpC Corporation$1,871,589$2,272,5981Yes (true)
Mercy Services Corp
2700 STEWART PARKWAYRoseburgOR97471930824308Retail SalesORMMCC Corporation$2,365,469$1,363,6821Yes (true)
MHI Clinical Services
1201 W Frank AveLufkinTX75904461967952HealthcareTXMHSETC Corporation$0$01Yes (true)
Mountain Management Services Inc
6028 Shallowford RdChattanoogaTN37421621570739MGMT SVC ORGTNMHCSC Corporation$30,454,753$7,395,2651Yes (true)
Nazareth Assurance Company
030304831InsuranceCHIC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRMILFORDOH45150311100798HOME HEALTHOHANCC Corporation$0$01Yes (true)
PhysicianHealth System Network
1149 MARKET STTacomaWA98402911746721Health Org.WAFHSC Corporation$0$01Yes (true)
Prominence Health Plan Services Inc (fka CollabHealth Plan Services Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461224037Admin ServicesCOPHIC Corporation$5,403,442$38,272,6071Yes (true)
Prominence Health Inc (fka CollabHealth Managed Solutions Inc)
198 INVERNESS DRIVE WESTEnglewoodCO80112461222808Holding CoCOCHIC Corporation$0$23,806,7071Yes (true)
QCA Health Plan Inc
12615 Chenal Parkway STE 300Little RockAR72211710794605InsuranceARQCHIC Corporation$0$64,017,2781Yes (true)
QualChoice Holdings Inc
12615 Chenal Parkway STE 300Little RockAR72211274075520Holding CoARPHPSC Corporation$0$10,1901Yes (true)
QualChoice Life and Health Insurance Company Inc
12615 Chenal Parkway STE 300Little RockAR72211710386640InsuranceARQCHC Corporation$0$7,484,4801Yes (true)
RiverLink Health
198 INVERNESS DRIVE WESTEnglewoodCO80112464380824InsuranceOHPHPSC Corporation$18,330$3,418,3301Yes (true)
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464828332InsuranceKYPHPSC Corporation$28,342$5,528,6761Yes (true)
Saint Clare's Primary Care Inc
66 FORD RDDenvilleNJ07834222441202Billing ServicesNJSCCCC Corporation$1,080,457$1,584,9581Yes (true)
SAMARITAN FAMILY CARE INC
40 W FOURTH ST STE 1700DaytonOH45402311299450HealthcareOHSHPC Corporation$0$01Yes (true)
SFH ASSURANCE LTD
981056892InsuranceSFHC Corporation$0$01Yes (true)PO BOX 10073 APOGeorgetownGRAND CAYMANCJKY11001CJ
SJH Services Corporation
198 INVERNESS DRIVE WESTEnglewoodCO80112232307408HealthcareCOFSIC Corporation$0$01Yes (true)
SJL PHYSICIAN MANAGEMENT SERVICES INC
200 Abraham Flexner WayLouisvilleKY40202270164198MgmtKYSJHSC Corporation$51,739$01Yes (true)
SLMT Parking Inc
6624 Fannin STE 800HoustonTX77030760637140ParkingTXSLHSC Corporation$3,907,811$14,848,1621Yes (true)
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201Federal WayWA98001421720801InsuranceWAPHPSC Corporation$152,264,069$31,407,6751Yes (true)
St Alexius Health Services Inc
900 East Broadway AvenueBismarckND58501450402812HealthcareNDSAMCC Corporation$0$1,2631Yes (true)
St Anthony Development Company
1415 SouthgatePendletonOR97801931216943Athletic ClubORSAHC Corporation$1,570,570$2,201,4731Yes (true)
St Joseph Development Company Inc
1717 SOUTH J STTacomaWA98405911480569RentalWAFSIC Corporation$0$01Yes (true)
ST JOSEPH OFFICE PARK ASSOCIATION
1451 HARRODSBURG RD STE D202LexingtonKY40504611079899MgmtKYSJHSC Corporation$0$00.85Yes (true)
St Luke's 6620 Main Condominium Association
6624 Fannin STE 1100HoustonTX77030300355517Condo AssocTXSLPCC Corporation$0$01Yes (true)
St Luke's Anesthesiology Associates
6624 Fannin STE 1100HoustonTX77030461517163Medical ClinicTXCHI-SLHC Corporation$4,178,843$2,295,4691Yes (true)
St Luke's Episcopal Hospital Physician Hospital Organization Inc
6720 Bertner MC4-262HoustonTX77030760377932PHOTXCHI-SLHC Corporation$550,615$00.6Yes (true)
St Luke's Health System Holdings Inc (fka SLEHS Holdings Inc)
6624 Fannin STE 800HoustonTX77030760637138Holding CoTXSLHSC Corporation$1,919,866$25,724,8021Yes (true)
St Luke's Medical Arts Center I Condominium Association
6624 Fannin STE 1100HoustonTX77030300355518Condo AssocTXSLPCC Corporation$0$01Yes (true)
St Luke's Medical Tower Condominium Association
6624 Fannin STE 1100HoustonTX77030760298751Condo AssocTXSLMTCC Corporation$0$01Yes (true)
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLELittle RockAR72205710710785HealthcareARSVIMCC Corporation$4,570,363$16,185,4311Yes (true)
StableView Health Inc
198 INVERNESS DRIVE WESTEnglewoodCO80112464373713InsuranceKYPHPSC Corporation$28,342$5,528,6761Yes (true)
Sugar Land Doctor Group
1317 Lake Point ParkwaySugar LandTX77478454270163Medical ClinicTXSLCDC-SLC Corporation$788,883$991,1341Yes (true)
The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B
6624 Fannin STE 1100HoustonTX77030900064009Condo AssocTXCHI-SLHC Corporation$0$01Yes (true)uilding Comdominium Association
Towson Management Inc
7601 OSLER DRTowsonMD21204521710750Mgmt ServicesMDFSIC Corporation$0$01Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAINT ELIZABETH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$433,581InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt