SAINT FRANCIS MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SAINT FRANCIS MEDICAL CENTER (EIN 47-0376601)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201521349349304042
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T15:59:47-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470376601 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 3083985407 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2620 W Faidley | AddressLine1 |
| City | Grand Island | City |
| State | NE | State |
| ZIP Code | 68803 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANETTE WOJTALEWICZ | PersonNm |
| Person Title | CFO CHI HEALTH | PersonTitleTxt |
| Signature | 2015-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Angela Lea | PreparerPersonNm |
| PTIN | P01051055 | PTIN |
| Phone | 3032989100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHI HEALTH ST FRANCIS | BusinessNameLine1 |
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFF ROBERTSON | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 West Dodge Road | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 68154 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $177,233,534 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CHIHEALTHSTFRANCIS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1887 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | AN ACUTE CARE HOSPITAL PROVIDING ADVANCED DIAGNOSTIC AND MEDICAL TREATMENT SERVICES TO CENTRAL NEBRASKA. HONORING OUR CATHOLIC TRADITION, WE CARE FOR ALL IN NEED, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1265 | TotalEmployeeCnt |
| Total Volunteers | 442 | TotalVolunteersCnt |
| Total Gross UBI | $60,742 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$68,393 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,865,020 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,599,067 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $157,538,024 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $164,949,025 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,496,008 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,487,523 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,162,996 | PYOtherRevenueAmt |
| CY Other Revenue | $2,006,012 | CYOtherRevenueAmt |
| PY Total Revenue | $172,062,048 | PYTotalRevenueAmt |
| CY Total Revenue | $177,041,627 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $334,866 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $132,072 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $52,600,969 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,173,376 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $99,824,388 | PYOtherExpensesAmt |
| CY Other Expenses | $105,537,766 | CYOtherExpensesAmt |
| PY Total Expenses | $152,760,223 | PYTotalExpensesAmt |
| CY Total Expenses | $156,843,214 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,301,825 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,198,413 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $331,558,806 | TotalAssetsBOYAmt |
| Total Assets EOY | $373,897,864 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,350,474 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,034,227 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $319,208,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $356,863,637 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $122,327,927 | ExpenseAmt |
| Grant | $132,072 | GrantAmt |
| Revenue | $164,922,726 | RevenueAmt |
| Desc | SEE SCHEDULE H | Desc |
| Total Program Service Expenses | $122,327,927 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1265 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NE | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jeanette Wojtalewicz | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4023434671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 West Dodge Road | AddressLine1 |
| City | Omaha | City |
| State | NE | State |
| ZIP Code | 68154 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CLIFF ROBERTSON | ||||||||||
| Board Member/CEO CHI Health | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $761,591 | $100,446 | |||
| MICHAEL DEFREECE | ||||||||||
| Secretary/Treasurer | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HERINK | ||||||||||
| Board Chair | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD J VIERK | ||||||||||
| Vice Chair | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BARRY SANDSTROM | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR MARYANNE STEVENS RSM | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| FR JAMES CLIFTON SJ | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY HEIDRICK | ||||||||||
| Board Member | 1.00 | 12.00 | Yes (X) | $0 | $0 | $0 | ||||
| H KEITH SCHMODE | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY BUTLER | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTIN M MANCUSO MD | ||||||||||
| Board Member | 1.00 | 59.00 | Yes (X) | $0 | $416,092 | $25,222 | ||||
| MICHAEL ROWAN FACHE | ||||||||||
| Board member/CHI EVP & COO | 1.00 | 59.00 | Yes (X) | $0 | $2,769,716 | $258,055 | ||||
| PAUL EDGETT III | ||||||||||
| Board Member/CHI SVP | 1.00 | 54.00 | Yes (X) | $0 | $1,126,594 | $94,198 | ||||
| RICHARD HACHTEN II | ||||||||||
| Board Member/ACH President & CEO | 1.00 | 48.00 | Yes (X) | $0 | $4,316,298 | $67,124 | ||||
| ROBERT LANIK | ||||||||||
| Board member/CHI NE PRESIDENT/CEO | 1.00 | 59.00 | Yes (X) | $0 | $1,314,093 | $48,200 | ||||
| SISTER NADINE HEIMANN | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL MCELLIGOTT | ||||||||||
| PRESIDENT | 40.00 | 1.00 | Yes (X) | $0 | $433,089 | $78,351 | ||||
| JEANETTE WOJTALEWICZ | ||||||||||
| CFO CHI Health | 5.00 | 55.00 | Yes (X) | $0 | $499,985 | $59,878 | ||||
| AMY HATCHER | ||||||||||
| VP Divisional Finance | 1.00 | 39.00 | $0 | $361,979 | $29,782 | Yes (X) | ||||
| DALE HARTWIG | ||||||||||
| VP of ANCILLARY SVCS | 40.00 | 0 | $242,610 | $0 | $39,247 | Yes (X) | ||||
| LISA WEBB | ||||||||||
| VP of FINANCE | 40.00 | 7.00 | $218,584 | $17,044 | $16,004 | Yes (X) | ||||
| MICHAEL S HEIN | ||||||||||
| VP OF MEDICAL AFFAIRS | 40.00 | 0 | $342,205 | $0 | $39,388 | Yes (X) | ||||
| STEPHEN LEURCK | ||||||||||
| INTERIM VP MEDICAL AFFAIRS | 40.00 | 0.00 | $298,799 | $0 | $0 | Yes (X) | ||||
| BETH A BARTLETT | ||||||||||
| QUALITY & RISK MANAGMENT DIRECTOR | 40.00 | 0 | $134,324 | $0 | $37,288 | Yes (X) | ||||
| CRAIG VINCENT | ||||||||||
| PHYSICIAN-ANESTHESIA | 1.00 | 40.00 | $393 | $394,264 | $44,500 | Yes (X) | ||||
| DAVID A CROSS | ||||||||||
| PHARMACIST | 40.00 | 0 | $137,375 | $0 | $26,794 | Yes (X) | ||||
| FRANCINE SPARBY | ||||||||||
| VP of PATIENT CARE SERVICES | 40.00 | 0.00 | $137,058 | $0 | $14,569 | Yes (X) | ||||
| GREGORY S BALFANY | ||||||||||
| LEAN/SIX SIGMA PEF IMPRV DIR | 40.00 | 0.00 | $72,878 | $64,981 | $34,580 | Yes (X) | ||||
| DONNA SANDERS | ||||||||||
| VP of Mission and Community Outreach | 0.00 | 40.00 | $0 | $175,816 | $26,032 | Yes (X) | ||||
| JOSHUA GORTEMAKER | ||||||||||
| PHYSICIAN - ANESTHESIA | 0.00 | 40.00 | $0 | $391,675 | $43,764 | Yes (X) | ||||
| MEHMET COPUR | ||||||||||
| PHYSICIAN DIRECTOR-ONCOLOGY | 0.00 | 60.00 | $0 | $703,454 | $35,606 | Yes (X) | ||||
| RYAN RAMAEKERS | ||||||||||
| PHYSICIAN - ONCOLOGY | 0.00 | 40.00 | $0 | $437,915 | $38,632 | Yes (X) | ||||
| TRACI RAUCH | ||||||||||
| MED DIRECTOR-ANES | 0.00 | 60.00 | $0 | $454,065 | $38,896 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,584,226 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,638,651 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,196,557 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERISOURCEBERGEN | |||||
| 27550 NETWORK PL | CHICAGO | IL | 606731275 | INFORMATION MANAGEMENT | $8,968,295 |
| UNMC PHYSICIANS | |||||
| 987400 NEBRASKA MEDICAL CENTER | OMAHA | NE | 68198 | MEDICAL SERVICES | $254,345 |
| EXECUTIVE HEALTH RESOURCES | |||||
| 15 CAMPUS BOULEVARD | NEWTOWN SQUARE | PA | 19073 | PHYSICIAN ADVISORS | $235,989 |
| MEDEFIS INC | |||||
| 10826 OLD MILL ROAD STE 101 | OMAHA | NE | 68154 | STAFFING | $226,643 |
| SIEMENS HEALTHCARE DIAGNOSTICS | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | LABORATORY SERVICES | $166,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,238,028 | RelatedOrganizationsAmt |
| Government Grants | $361,039 | GovernmentGrantsAmt |
| Total Contributions | $1,599,067 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $157,288,121 | $157,288,121 | |
| EQUITY CHANGES OF UNCONSOLIDATED ORGS | 900099 | $6,966,230 | $6,939,931 | $26,299 |
| RENTAL INCOME | 900099 | $630,858 | $630,858 | |
| $0 | ||||
| $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,816 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,816 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $164,949,025 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,443,066 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$13,076 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,456,142 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,025,061 | SecuritiesAmt |
| Other | $48,847 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $29,452 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,025,061 | SecuritiesAmt |
| Other | $19,395 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,044,457 | TotalRevenueColumnAmt |
| Exclusion | $4,044,457 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $162,723 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $162,456 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $267 | TotalRevenueColumnAmt |
| Exclusion | $267 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722100 | $940,255 | $940,255 | |
| SERVICES SOLD | 900099 | $357,240 | $309,721 | $47,519 |
| FINANCIAL SERVICES | 541200 | $277,691 | $277,691 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $430,559 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $430,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,005,745 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $177,041,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164,922,726 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $60,742 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,459,092 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,072 | TotalAmt |
| Program Services | $132,072 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,357 | TotalAmt |
| Management And General | $711,357 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,884,158 | TotalAmt |
| Program Services | $33,849,318 | ProgramServicesAmt |
| Management And General | $4,034,840 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,120,975 | TotalAmt |
| Program Services | $1,860,153 | ProgramServicesAmt |
| Management And General | $260,822 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,714,358 | TotalAmt |
| Program Services | $6,765,702 | ProgramServicesAmt |
| Management And General | $948,656 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,742,528 | TotalAmt |
| Program Services | $2,395,106 | ProgramServicesAmt |
| Management And General | $347,422 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,168,686 | TotalAmt |
| Program Services | $9,282,857 | ProgramServicesAmt |
| Management And General | $2,885,829 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,532 | TotalAmt |
| Management And General | $275,532 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,518,347 | TotalAmt |
| Program Services | $10,312,443 | ProgramServicesAmt |
| Management And General | $3,205,904 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,922 | TotalAmt |
| Management And General | $314,922 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,828,166 | TotalAmt |
| Program Services | $3,938,177 | ProgramServicesAmt |
| Management And General | $889,989 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,661,167 | TotalAmt |
| Program Services | $6,830,878 | ProgramServicesAmt |
| Management And General | $2,830,289 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,228,822 | TotalAmt |
| Program Services | $1,927,675 | ProgramServicesAmt |
| Management And General | $301,147 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,643 | TotalAmt |
| Program Services | $98,074 | ProgramServicesAmt |
| Management And General | $51,569 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,524 | TotalAmt |
| Program Services | $8,189 | ProgramServicesAmt |
| Management And General | $12,335 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,761,220 | TotalAmt |
| Management And General | $14,761,220 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,032,915 | TotalAmt |
| Program Services | $5,769,650 | ProgramServicesAmt |
| Management And General | $1,263,265 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,947 | TotalAmt |
| Program Services | $782,947 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $32,538,120 | $32,538,120 | |
| BAD DEBTS | $2,406,592 | $2,406,592 | |
| REPAIRS AND MAINTENANCE | $2,463,306 | $2,151,064 | $312,242 |
| RECRUITMENT AND RELOCATION | $420,389 | $420,389 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,966,468 | TotalAmt |
| Program Services | $1,278,910 | ProgramServicesAmt |
| Management And General | $687,558 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,843,214 | TotalAmt |
| Program Services | $122,327,927 | ProgramServicesAmt |
| Management And General | $34,515,287 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,364 | BOYAmt |
| EOY | $116,979 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,921,367 | BOYAmt |
| EOY | $12,207,870 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,763,312 | BOYAmt |
| EOY | $27,851,360 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,881 | BOYAmt |
| EOY | $29,439 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,734 | BOYAmt |
| EOY | $68,891 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,457,931 | BOYAmt |
| EOY | $1,352,820 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,201,364 | BOYAmt |
| EOY | $3,047,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $193,775,805 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $110,512,181 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,063,994 | BOYAmt |
| EOY | $83,263,624 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,898,063 | BOYAmt |
| EOY | $235,650,939 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,055,796 | BOYAmt |
| EOY | $10,308,723 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,558,806 | BOYAmt |
| EOY | $373,897,864 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,240,586 | BOYAmt |
| EOY | $12,153,942 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,206 | BOYAmt |
| EOY | $36,620 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,102,682 | BOYAmt |
| EOY | $4,843,665 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,350,474 | BOYAmt |
| EOY | $17,034,227 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,159,229 | BOYAmt |
| EOY | $356,819,280 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,049,103 | BOYAmt |
| EOY | $44,357 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,208,332 | BOYAmt |
| EOY | $356,863,637 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,558,806 | BOYAmt |
| EOY | $373,897,864 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,198,413 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $20,446,849 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$2,989,957 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $19,833 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,833 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i | FormAndLineReferenceDesc |
| Explanation | THE PORTION OF ORGANZIATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: NEBRASKA HOSPITAL ASSOCIATION - $5,385; GRAND ISLAND AREA CHAMBER OF COMMERCE - $6,221; AMERICAN CANCER SOCIETY $5,500; AHA - $2,027; CHA - $700. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,321,624 | OtherCostOrOtherBasisAmt |
| Book Value | $1,321,624 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,341,407 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,671,873 | DepreciationAmt |
| Book Value | $38,669,534 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $105,310,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,964,020 | DepreciationAmt |
| Book Value | $42,346,791 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,801,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,876,288 | DepreciationAmt |
| Book Value | $925,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $83,263,624 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CHI OIP - FIXED INCOME | $114,768,804 | F |
| CHI OIP - EQUITY SECURITIES | $120,882,135 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $235,650,939 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $4,604,455 |
| ENVIRONMENTAL REMEDIATION LIABILITY | $164,638 |
| OTHER | $41,755 |
| UNCLAIMED PROPERTY | $31,162 |
| UNREDEEMED GIFT CERTIFICATES | $1,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,843,665 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | SAINT FRANCIS MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2014 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 H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6208 | PersonsServedCnt |
| Total Community Benefit Expns | $4,298,203 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,298,203 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10709 | PersonsServedCnt |
| Total Community Benefit Expns | $14,899,609 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,228,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,671,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04320 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $96,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,889 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$20,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 16917 | PersonsServedCnt |
| Total Community Benefit Expns | $19,294,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,345,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,949,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 23 | ActivitiesOrProgramsCnt |
| Persons Served | 9043 | PersonsServedCnt |
| Total Community Benefit Expns | $486,463 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $415,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1921 | PersonsServedCnt |
| Total Community Benefit Expns | $830,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $250,465 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $579,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 126 | PersonsServedCnt |
| Total Community Benefit Expns | $734 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,081,246 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $143,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $937,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 62284 | PersonsServedCnt |
| Total Community Benefit Expns | $561,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $561,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 36 | ActivitiesOrProgramsCnt |
| Persons Served | 73374 | PersonsServedCnt |
| Total Community Benefit Expns | $2,960,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $465,272 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,494,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01620 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 36 | ActivitiesOrProgramsCnt |
| Persons Served | 90291 | PersonsServedCnt |
| Total Community Benefit Expns | $22,254,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,810,430 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,444,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08730 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $34,377 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $3,999 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $75,022 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 12 | PersonsServedCnt |
| Total Community Benefit Expns | $625,285 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $625,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00400 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 12 | PersonsServedCnt |
| Total Community Benefit Expns | $738,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,699 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $717,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,406,592 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $45,503,032 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $54,735,788 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,232,756 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAND ISLAND SURGICAL CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.5 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2620 W FAIDLEY | AddressLine1 |
| City | GRAND ISLAND | City |
| State | NE | State |
| ZIP Code | 68803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | CHIHEALTHSTFRANCIS.ORG | WebsiteAddressTxt |
| State License | STATE LICENSE NUMBERS 37001 AND LTCH014 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT FRANCIS MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.chihealthstfrancis.org | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.whychihealth.com | OtherWebsiteURLTxt |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | false | FPGUsedDeterEligFreeCareInd |
| FPG Used Determ Elig Dscnt Care | false | FPGUsedDetermEligDscntCareInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V Sec B, Line 3, Community Served by Needs Assessment | (1) - SAINT FRANCIS MEDICAL CENTER: TOWN HALL FORUMS, KEY INFORMANT INTERVIEWS, SURVEYS; FOCUS GROUPS AND CONVERSATIONS WITH SPECIAL FOCUS ON THOSE IMPACTED BY DISPARITIES WERE HELD AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.; |
| Schedule H, Part V Sec B, Line 7, Needs not addressed in Needs Assessment | (1) - SAINT FRANCIS MEDICAL CENTER : SAINT FRANCIS MEDICAL CENTER CONTINUES TO WORK WITH COMMUNITY PARTNERS ON OTHER IDENTIFIED COMMUNITY NEEDS BUT DECIDED NOT TO LIST THE FOLLOWING IN ITS IMPLEMENTATION PLAN: - SUBSTANCE ABUSE WITH AN EMPHASIS ON ALCOHOL, TOBACCO, MARIJUANA AND METHAMPHETAMINE (THE SFMC ALCOHOL AND DRUG TREATMENT CENTER WORKS WITH REGION III, THE CENTRAL NEBRASKA COUNCIL ON ALCOHOL AND ADDICTIONS AND PROJECT MILE.) - MENTAL HEALTH BEHAVIOR DISORDERS (SFMC PARTNERS WITH CRANE RIVER CLINIC, MID-PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES AND RICHARD H. YOUNG HOSPITAL, PART OF GOOD SAMARITAN HOSPITAL IN KEARNEY, TO PROVIDE SERVICES). - DIABETES AS AN EMERGING HEALTH PROBLEM (SFMC PROVIDES CLINICAL DIABETES COUNSELING AND PARTNERS WITH CHAMPS THROUGH ITS SCREENING PROGRAM TO ADDRESS BLOOD PRESSURE, GLUCOSE AND CHOLESTEROL ISSUES). AT THIS TIME, SAINT FRANCIS MEDICAL CENTER AND THE COMMUNITY LACK THE RESOURCES TO IMPLEMENT AN IMMEDIATE AND COMPREHENSIVE PLAN TO ADDRESS THE SUBSTANCE ABUSE ISSUE. THE HOSPITAL WILL CONTINUE TO WORK THROUGH THE GRAND ISLAND COLLABORATIVE AND COMMUNITY PARTNERS TO DEVELOP A PLAN THAT CAN PROVIDE MEASURABLE IMPROVEMENTS IN THE PREVENTION AND TREATMENT OF SUBSTANCE ABUSE. WHILE THE PROBLEM CONTINUES AS A GROWING ISSUE IN OUR COMMUNITY, SOME PROGRAMS ARE IN PLACE FOR PREVENTION AND TREATMENT. SAINT FRANCIS MEDICAL CENTER AND THE COMMUNITY ALSO LACK THE CAPACITY TO IMPLEMENT AN IMMEDIATE AND COMPREHENSIVE PLAN TO ADDRESS BEHAVIORAL HEALTH IN THE COMMUNITY. GRAND ISLAND, WHICH HAS A SHORTAGE OF PSYCHIATRISTS, RELIES ON A CLINIC SUPPORTED BY SAINT FRANCIS MEDICAL CENTER, AND THE MID-PLAINS CENTER FOR BEHAVIORAL SERVICES AND NUMEROUS COUNSELING SERVICES IN THE COMMUNITY TO SUPPORT BEHAVIORAL HEALTHCARE. ADDITIONAL CLIENTS ARE REFERRED TO THE RICHARD H. YOUNG HOSPITAL IN KEARNEY FOR SERVICES. SAINT FRANCIS MEDICAL CENTER ALSO IS WORKING TOWARD THE IMPLEMENTATION OF BEHAVIORAL HEALTH COUNSELING VIA THE NEBRASKA TELEHEALTH NETWORK. HOWEVER, ADDITIONAL RESOURCES ARE NEEDED TO PROVIDE ADEQUATE SERVICES. DIABETES, A CHRONIC CONDITION OFTEN ASSOCIATED WITH THE LATINO DIETARY AND CULTURAL BEHAVIORS, WAS SINGULARLY IDENTIFIED IN BOTH OF THE COMMUNITY NEEDS ASSESSMENTS, IS A PROBLEM THAT ALREADY IS BEING ADDRESSED COMPREHENSIVELY IN OTHER PARTS OF THE SFMC IMPLEMENTATION PLAN. THROUGH ITS SCREENING AND EDUCATION PROGRAM AND THE CHAMP NUTRITION AND FITNESS PROGRAM, AT-RISK RESIDENTS CAN BE IDENTIFIED AND REFERRED FOR PREVENTION TO PREVENT OBESITY, WHICH LEADS TO DIABETES. IN ADDITION, SEVERAL NUTRITION AND DIABETES-SPECIFIC PROGRAMS ARE UNDERWAY IN THE COMMUNITY TO ADDRESS DIABETES. ; |
| Schedule H, Part V Sec B, Line 10, Used federal poverty guidelines (FPG) to determine eligibility | (1) - SAINT FRANCIS MEDICAL CENTER: US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW-INCOME GUIDELINES ARE USED.; |
| Schedule H, Part V Sec B, Line 11, Eligibility for Discounted Care | (1) - SAINT FRANCIS MEDICAL CENTER: US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW-INCOME GUIDELINES ARE USED.; |
| Schedule H, Part V Sec B, Line 20d, How amounts charged to FAP-eligible patients were determined | (1) - SAINT FRANCIS MEDICAL CENTER: A PROMPT PAY DISCOUNT IS OFFERED TO ALL PATIENTS WHO ARE CONSIDERED 100% SELF-PAY AND FAIL TO QUALIFY FOR ANY FEDERAL, STATE OR LOCAL ASSISSTANCE PROGRAMS. PAYMENTS ON THE SELF-PAY ACCOUNTS MUST MEET THE AGREED UPON DATE IN ORDER TO RECEIVE THE DISCOUNT.; |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 2116 W FAIDLEY | GRAND ISLAND | NE | 68803 | OUTPATIENT SUBSTANCE ABUSE |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 314 S 14TH | ORD | NE | 68862 | OUTPATIENT SUBSTANCE ABUSE |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 315 S 8TH ST | BROKEN BOW | NE | 68822 | OUTPATIENT SUBSTANCE ABUSE |
| SAINT FRANCIS MEDICAL CENTER ADTC | ||||
| 1755 PRARIE VIEW PLACE | KEARNEY | NE | 68847 | OUTPATIENT SUBSTANCE ABUSE |
| SFMC SKILLED NURSING FACILITY | ||||
| 2116 W FAIDLEY | GRAND ISLAND | NE | 68803 | SKILLED NURSING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c, Eligibility criteria for free or discounted care | WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO SAINT FRANCIS MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 18 STATES SERVED BY CHI HOSPITALS AND 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 FRANCIS MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES. |
| SCHEDULE H, PART I, LINE 6A, PREPARED COMMUNITY BENEFIT REPORT | SAINT FRANCIS MEDICAL CENTER PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. |
| Schedule H, Part I, Line 7, Costing Methodology used to calculate financial assistance | A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING WORKSHEET 2 TO COMPUTE THE COST-TO CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. WORKSHEET 2 WAS UTILIZED TO COMPUTE THE COST-TO-CHARGE RATIO FOR THE YEAR ENDED 6/30/14 USING THE FOLLOWING FORMULA: OPERATING EXPENSE (LESS NON-PATIENT CARE ACTIVITIES, MEDICARE PROVIDER TAXES, COMMUNITY BENEFIT EXPENSE AND COMMUNITY BUILDING EXPENSE) DIVIDED BY GROSS PATIENT REVENUE (LESS GROSS CHARGES FOR COMMUNITY BENEFIT PROGRAMS). BASED ON THAT FORMULA, $17,541,578/$39,366,244 RESULTS IN A 39.25% COST-TO-CHARGE RATIO. |
| Schedule H, Part I, Line 7, col(f), Bad Debt Expense excluded from financial assistance calculation | 2,406,592 |
| Schedule H, Part III, Line 2, Bad debt expense - methodology used to estimate amount | BAD DEBT IS ESTIMATED BASED ON THE REVIEW OF ACTUAL BAD DEBT WRITEOFFS, NET OF RECOVERIES, AS A PERCENTAGE OF GROSS REVENUE. ALL DISCOUNTS AND PAYMENTS ON THE PATIENT ACCOUNTS ARE NETTED AGAINST THE PATIENT ACCOUNT PRIOR TO THE ACCOUNT GOING TO COLLECTIONS. ACCOUNTS ARE HELD BY A COLLECTION AGENCY FOR 150 DAYS AND RETURNED UNLESS A PAYMENT PLAN IS IN PLACE OR THE ACCOUNT WAS TURNED OVER TO LEGAL FOR PROCESSING. ONCE THE ACCOUNTS ARE RETURNED FROM COLLECTIONS, THE REMAINING BALANCE IS WRITTEN OFF TO BAD DEBT. |
| Schedule H, Part III, Line 3, Bad Debt Expense Methodology | BAD DEBT ESTIMATES ARE NOT INCLUDED IN COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 4, Bad debt expense - financial statement footnote | SAINT FRANCIS MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS SUBSTANTIALLY ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY." |
| Schedule H, Part III, Line 8, Community benefit & methodology for determining medicare costs | TO FIGURE MEDICARE COSTS THE MEDICARE GROSS REVENUE (FROM THE FINANCIALS) IS MULTIPLIED BY COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THIS IS THEN SUBTRACTED FROM THE NET MEDICARE REVENUE (ALSO, FROM THE FINANCIALS) TO COME UP WITH THE SHORTFALL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL MEDICARE REVENUE: $45,503,032 TOTAL MEDICARE COSTS: $54,735,788 SURPLUS OR SHORTFALL $(9,232,756) SAINT FRANCIS MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS. |
| Schedule H, Part III, Line 9b, Collection practices for patients eligible for financial assistance | SAINT FRANCIS MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT SAINT FRANCIS MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH [INSERT ENTITY NAME] COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE SAINT FRANCIS MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SAINT FRANCIS MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. SAINT FRANCIS MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; *NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND *NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT. |
| SCHEDULE H, PART VI, NEEDS ASSESSMENT AND COMMUNITY INFORMATION | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE SAINT FRANCIS MEDICAL CENTER WAS FOUNDED BY THE SISTERS OF SAINT FRANCIS OF COLORADO SPRINGS WITH THE ASSISTANCE FROM A LOCAL CITIZEN'S COMMITTEE IN 1883 IN AN EFFORT TO ADDRESS THE LACK OF MEDICAL FACILITIES IN CENTRAL NEBRASKA. FOLLOWING LOCAL FUNDRAISING EFFORTS, THE DOORS OPENED IN 1887, AND 216 PATIENTS WERE TREATED THE FIRST YEAR. EARLY HOSPITAL RECORDS SHOW SAINT FRANCIS CARING FOR A DIVERSE COMMUNITY OF IMMIGRANTS: GERMAN, NORWEGIAN, SWEDISH AND FRENCH, OFFERING HOPE AND HEALING TO ALL, ESPECIALLY THE POOR. TODAY, SAINT FRANCIS MEDICAL CENTER HAS GROWN INTO A REGIONAL HEALTHCARE FACILITY PROVIDING SPECIALTY MEDICAL SERVICES AND HIGH-TECH HEALTH TREATMENT. AT THE SAME TIME, SAINT FRANCIS MEDICAL CENTER IS FAITHFULLY COMMITTED TO ITS MISSION OF CARING FOR ALL PEOPLE IN NEED, AND WORKING TO IMPROVE THE HEALTH OF THE PEOPLE IT SERVES AND THE COMMUNITY IT CALLS HOME. THE ORGANIZATION IS A PART OF CATHOLIC HEALTH INITIATIVES, A NATIONAL NONPROFIT HEALTH SYSTEM WITH HEADQUARTERS IN ENGLEWOOD, COLO. THE FAITH-BASED SYSTEM OPERATES IN 18 STATES AND COMPRISES 92 HOSPITALS, INCLUDING FOUR ACADEMIC HEALTH CENTERS, AND 24 CRITICAL-ACCESS FACILITIES; COMMUNITY HEALTH-SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME-HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TO ENSURE THE ORGANIZATION CONTINUES TO MEET THE NEEDS OF OUR COMMUNITY, SAINT FRANCIS MEDICAL CENTER HAS A COMMUNITY COUNCIL WHICH CONSISTS OF KEY STAKEHOLDERS IN THE COMMUNITY. THIS COMMITTEE MEETS BIMONTHLY AND IS INFORMED OF KEY METRICS IN QUALITY OF CARE AND PATIENT SATISFACTION. THIS COMMITTEE IS EDUCATED ON GENERAL HOSPITAL OPERATIONS AND PROVIDES ESSENTIAL INPUT INTO SAINT FRANCIS' COMMUNITY NEEDS ASSESSMENT AND DETERMINING THE PRIORITIES FOR COMMUNITY BENEFIT FUNDING. SAINT FRANCIS MEDICAL CENTER OPERATES A 24-HOUR EMERGENCY ROOM, 365 DAYS A YEAR. SAINT FRANCIS MEDICAL CENTER PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. SAINT FRANCIS PROUDLY CARRIES ON A TRADITION OF SERVING OUR COMMUNITY. EACH YEAR, OUR ORGANIZATION COMMITS FUNDING AND THE TIME AND TALENT OF OUR WORKFORCE TO DEVELOPING AND SUPPORTING INNOVATIVE SOLUTIONS THAT BUILD A HEALTHIER COMMUNITY. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT HAVE A DIRECT BENEFIT TO THE INDIVIDUALS SERVED AS WELL AS BENEFITTING THE LARGER SOCIETY BY REDUCING THE BURDENS ON GOVERNMENT RESOURCES. FOR EXAMPLE, IF SAINT FRANCIS MEDICAL CENTER DID NOT SERVE ALL PEOPLE IN NEED AND PROVIDE CHARITY CARE, THE BURDEN WOULD LIKELY FALL ON TAX SUPPORTED INSTITUTIONS. SAINT FRANCIS MEDICAL CENTER IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. NEEDS ASSESMENT THE STRATEGIC PLANNER AND GRANTS DEVELOPMENT COORDINATOR WORKED TO GATHER DATA AVAILABLE FROM PLANNED NEEDS ASSESSMENT REPORTS COMPILED BY BOTH SAINT FRANCIS MEDICAL CENTER AND THE CENTRAL DISTRICT HEALTH DEPARTMENT WITH A FOCUS ON HALL COUNTY, THE PRIMARY COUNTY SERVED BY SAINT FRANCIS MEDICAL CENTER. ADDITIONAL DATA AND INFORMATION WERE TAPPED FROM OTHER COMMUNITY RESOURCES, INCLUDING CHILD WELL BEING INDICATORS AND COMPILED HEALTH RANKINGS AND DATA. THE INFORMATION WAS THEN EXAMINED TO DETERMINE HALL COUNTY'S LEADING HEALTH PRIORITIES. THE SAINT FRANCIS MEDICAL CENTER ADMINISTRATIVE COUNCIL PRIORITIZED THE COMMUNITY NEEDS. HOW THE ASSESSMENT WAS CONDUCTED APPROXIMATELY SEVENTY FIVE PEOPLE (ADULTS AND YOUTH) ATTENDED THE INITIAL AND FOLLOW-UP MEETING(S) REPRESENTING A BROAD MIX OF STAKEHOLDERS. IN THE TOWN HALL MEETINGS ADULTS AND YOUTH SHARED THEIR VISION FOR A HEALTHY COMMUNITY, THE MAJOR CONCERNS FACING GRAND ISLAND AND THE BARRIERS THEY ENCOUNTER ADDRESSING THEIR MAJOR CONCERNS. RESIDENTS PERCEIVE A HEALTHY COMMUNITY AS ONE THAT IS SAFE, CLEAN, FREE OF CRIME AND VIOLENCE AND EMBRACES DIVERSITY. IT IS A COMMUNITY WITH ADEQUATE, ACCESSIBLE, EQUITABLE AND AFFORDABLE HOUSING, HEALTHCARE, TRANSPORTATION, RECREATION AND OTHER RESOURCES. IT OFFERS OPPORTUNITIES FOR RESIDENTS TO SUCCEED - GOOD SCHOOL SYSTEMS AND JOBS PAYING A LIVABLE WAGE. IT IS A COMMUNITY WHERE SPIRITUAL NEEDS OF RESIDENTS ARE MET. IN ADDITION, IT IS ONE WHERE RESIDENTS HAVE A STRONG SENSE OF BELONGING AND FEEL VALUED. THEY ARE FRIENDLY, RESPONSIBLE, INVOLVED, PHYSICALLY ACTIVE AND CARING. COMMON THEMES THAT EMERGED RELATED TO MAJOR CONCERNS FACING RESIDENTS OF GRAND ISLAND WERE VIOLENCE, SPECIFICALLY GANG AND GUN VIOLENCE; ACCESS TO HEALTHCARE, SPECIFICALLY FINANCIAL ACCESS; PRENATAL CARE FOR UNDOCUMENTED IMMIGRANTS; CHILD, MINORITY AND OTHER ACCESSIBLE MENTAL HEALTH SERVICES; IMPACT OF DRUG AND ALCOHOL USE; OBESITY WITH EMPHASIS ON CHILDHOOD OBESITY; TEEN PREGNANCY, AND CULTURAL INTEGRATION. BARRIERS THAT GRAND ISLAND FACES IN ADDRESSING THESE MAJOR CONCERNS ARE FUNDING ISSUES, LACK OF JOBS PAYING A LIVABLE WAGE, LANGUAGE BARRIERS, ORGANIZATIONS OPERATING IN SILOS, RESIDENT LACK OF INVOLVEMENT, LACK OF AWARENESS OF AND HOW TO ACCESS EXISTING SERVICES, IMPACT OF SOCIAL MEDIA, LACK OF PUBLIC TRANSPORTATION AND LACK OF EDUCATION SEEN BOTH IN IMMIGRANTS AND NON-IMMIGRANTS. THERE HAS BEEN A HEIGHTENED AWARENESS OF GANG ACTIVITY IN GRAND ISLAND WITH THE RECENT ARRESTS OF TWELVE ALLEGEDLY VIOLENT GANG MEMBERS IN A JOINT STING EFFORT BY THE FBI AND STATE AND LOCAL LAW ENFORCEMENT PERSONNEL. ONE HUNDRED TWENTY LAW ENFORCEMENT OFFICERS FROM STATE, LOCAL AND FEDERAL AGENCIES CONDUCTED "COORDINATED ARRESTS SIMULTANEOUSLY" IN AND AROUND THE GRAND ISLAND AREA THE MORNING OF NOVEMBER 18, 2010. THIS HAS CREATED A FEAR FACTOR IN GRAND ISLAND RELATED TO DAY TO DAY SAFETY AND HAS ELEVATED THIS ISSUE TO ONE OF MAJOR IMPORTANCE IN THE COMMUNITY. TUESDAY, DECEMBER 7, 2010 - MEETING NO. 1, 11:30 A.M., HOME FEDERAL BANK, 3311 STOLLEY PARK RD, LOWER LEVEL. SERVICE PROVIDERS AND GENERAL PUBLIC. MEETING NO. 2, 4 P.M., HOME FEDERAL BANK, 3311 STOLLEY PARK RD, LOWER LEVEL., YOUTH. WEDNESDAY, DECEMBER 8, 2010 - MEETING, NO. 3, HOME FEDERAL BANK, 3311 STOLLEY PARK RD, LOWER LEVEL. SERVICE PROVIDERS AND GENERAL PUBLIC. MEETING NO. 4, 5:30 P.M., CITY LIBRARY, 211 N. WASHINGTON ST. POLICE AND COURTS. THURSDAY, DECEMBER 9, 2010 - MEETING NO. 5, 11:30 A.M. HOME FEDERAL BANK, 3311 STOLLEY PARK RD, LOWER LEVEL. SERVICE PROVIDERS AND GENERAL PUBLIC. MEETING NO. 6, CITY LIBRARY, 211 N. SERVICE PROVIDERS AND GENERAL PUBLIC WASHINGTON ST. COMMUNITY HEALTH PRIORITIES 1. VIOLENCE - SPECIFICALLY GANG AND GUN VIOLENCE 2. ACCESS TO HEALTHCARE 3. DRUGS AND ALCOHOL 4. OBESITY WITH AN EMPHASIS ON CHILDHOOD OBESITY 5. TEEN PREGNANCY 6. CULTURAL INTEGRATION AN IMPLEMENTATION PLAN HAS BEEN DEVELOPED IN RESPONSE TO TWO HEALTH NEEDS ASSESSMENT STUDIES, ONE CONDUCTED BY SAINT FRANCIS MEDICAL CENTER IN 2011 AND THE OTHER BY THE CENTRAL DISTRICT HEALTH DEPARTMENT IN 2010. NEEDS HAVE BEEN PRIORITIZED ACCORDING IMPORTANCE, AS DETERMINED BY THE HEALTH ASSESSMENTS REPORTS AND RESEARCHED HEALTH DATA ABOUT THE COUNTY. SEE DETAILED IMPLEMENTATION PLAN IN THE ATTACHED ST. FRANCIS PLAN. COMMUNITY INFORMATION CHI HEALTH/ST. FRANCIS HOSPITAL IS LOCATED IN GRAND ISLAND AND IS THE COUNTY SEAT OF HALL COUNTY. ST. FRANCIS HAS GROWN FROM A COMMUNITY HOSPITAL TO A REGIONAL REFERRAL CENTER WITH SOME 100 PHYSICIANS AND MORE THAN 1,100 EMPLOYEES. THE ESTIMATED POPULATION OF THE COUNTY IS 60,345 AND 49,989 OF THESE RESIDENTS LIVE IN GRAND ISLAND. GRAND ISLAND IS THE THIRD LARGEST CITY IN NEBRASKA. 68.5% OF THE POPULATION IS WHITE AND OVER 27.6% ARE HISPANIC. IN 2010 GRAND ISLAND BECAME THE HOME OF THE NEBRASKA STATE FAIR. 52% OF THE CHILDREN LIVING IN HALL COUNTY QUALIFY FOR FREE & REDUCED LUNCHES. 22% OF ADULTS ARE UNINSURED. ACCORDING TO THE COUNTY HEALTH RANKINGS, HALL COUNTY RANKS 45TH OUT OF 79 RANKED COUNTIES. WORLD TRADE MAGAZINE HAS RANKED GRAND ISLAND 9TH IN THE TOP 10 LIST OF SMALLER COMMUNITIES WITH AN EXCELLENT QUALITY OF LIFE. |
| SCHEDULE H, PART VI, NEEDS ASSESSMENT AND COMMUNITY INFORMATION | PROMOTION OF COMMUNITY HEALTH ST. FRANCIS IS A MEMBER OF A 150 SITE HEALTH SYSTEM WITH A HISTORY OF CENTRALIZED COMMUNITY BENEFIT AND HOSPITAL SPECIFIC COMMUNITY BENEFIT INVESTMENTS TO ADDRESS COMMUNITY HEALTH NEEDS OF THE PARTICULAR SERVICE AREA. EXAMPLES OF HOW ST. FRANCIS FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY INCLUDE: FINANCIAL ASSISTANCE AND UNPAID COSTS OF MEDICAID COMMUNITY HEALTH IMPROVEMENT SERVICES: *COMMUNITY EDUCATION, CLASSES AND PROGRAMS (CHILDBIRTH, DIABETES, ONCOLOGY, PHYSICAL ACTIVITY, HEALTHY EATING AND COOKING, HEALTH CAREERS, CANCER, SPORTS MEDICINE ETC) *SUPPORT GROUPS (CANCER, BEREAVEMENT, YOUTH ETC.) *COMMUNITY HEALTH FAIRS AND SCREENINGS *IMMUNIZATION CLINICS *PARISH NURSING PROGRAM AND FAITH COMMUNITY OUTREACH *SCHOOL BASED HEALTHCARE SERVICES HEALTH PROFESSIONAL EDUCATION: *CLINICAL PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS *SCHOLARSHIPS AND MENTORSHIPS *AFFILIATION WITH AND SUPPORT OF CREIGHTON UNIVERSITY SCHOOL OF PHARMACY *PHYSICIAN RESIDENCY AND FELLOWSHIP PROGRAMS TRAINING MORE THAN 200 RESIDENTS AND FELLOWS ANNUALLY RESEARCH-PARTICIPATION IN THE MISSOURI VALLEY CANCER CONSORTIUM FINANCIAL AND IN-KIND CONTRIBUTIONS: *SUPPORT OF THE FEDERALLY QUALIFIED HEALTHCARE *CORPORATE SPONSORSHIPS *TANZANIA AND DOMINICAN REPUBLIC HEALTH MINISTRIES *STAFF SERVICE ON HEALTH RELATED BOARD AND COALITIONS SUBSIDIZED HEALTHCARE SERVICE INCLUDING BEHAVIORAL HEALTH, NICU, HOME HEALTH AND HOSPICE COMMUNITY BUILDING ACTIVITIES: *COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE *STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY *HEALTH COALITION PARTICIPATION THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE PARENT CORPORATION PROVIDE ACCESS TO CARE THROUGH THE SYSTEM'S FINANCIAL ASSISTANCE POLICY AND PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. ST. FRANCIS HAS OPEN MEDICAL STAFFS ST. FRANCIS PROVIDES TELE-HEALTH MENTAL HEALTH, WHICH EXPANDS ACCESS TO CARE FOR GRAND ISLAND RESIDENTS |
| Schedule H, Part VI, Line 3, Patient education of eligibility for assistance. | NOTICES ARE POSTED (IN ENGLISH & SPANISH) AT ALL REGISTRATION AREAS STATING THAT A COMMUNITY ASSISTANCE PROGRAM ("CAP") IS AVAILABLE. 1. WHEN A PATIENT PRESENTS FOR SERVICES AT SAINT FRANCIS, AND THE INSURANCE LISTED ON THE ACCOUNT IS SELF-PAY (SP) A CAP APPLICATION AUTOMATICALLY PRINTS WITH THE PATIENT'S PAPERWORK. 1A. IF THE PATIENT IS RECEIVING A SERVICE THAT IS BILLABLE BY SAINT FRANCIS, THEY WILL BE GIVEN THIS CAP APPLICATION AND HAVE EXPLAINED TO THEM WHAT THE APPLICATION IS FOR, HOW TO COMPLETE IT AND WHOM TO CONTACT IF THEY HAVE FURTHER QUESTIONS ABOUT WHAT IS REQUIRED TO COMPLETE THE APPLICATION. 2. WHEN A PATIENT PRESENTS FOR A SERVICE/S THAT IS BILLABLE BY SAINT FRANCIS, HAS INSURANCE COVERAGE AND IN ANY WAY EXPRESSES A CONCERN ON HOW THEY'RE GOING TO PAY THEIR CO-PAY/DEDUCTIBLE/NON COVERED EXPENSES ETC. A CAP APPLICATION WILL BE PRINTED OFF AND EXPLAINED TO THEM WHAT THE APPLICATION IS FOR, HOW TO COMPLETE IT AND WHOM TO CONTACT IF THEY HAVE FURTHER QUESTIONS ABOUT WHAT IS REQUIRED TO COMPLETE THE APPLICATION. 3. A CAP APPLICATION CAN BE PRINTED AT ANY TIME. IF SOMEONE REQUESTS AN APPLICATION, STAFF MAY PRINT ONE FROM THE SYSTEM, OR USE A PRE-PRINTED BLANK APPLICATION. |
| Schedule H, Part VI, Line 6, Affiliated health care system | SAINT FRANCIS 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 92 HOSPITALS, INCLUDING FOUR ACADEMIC MEDICAL CENTERS, AND 24 CRITICAL ACCESS FACILITIES; COMMUNITY HEALTH-SERVICES ORGANIZATIONS; ACCREDITED NURSING COLLEGES; HOME HEALTH AGENCIES; AND OTHER FACILITIES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. TOGETHER, THESE FACILITIES PROVIDED $910 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2014 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 FRANCIS MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, SAINT FRANCIS MEDICAL CENTER FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE GRAND ISLAND, NE COMMUNITIES. |
| Schedule H, Part VI, Line 7, State filing of community benefit report | NE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470630026 | 501(C)(3) | $46,747 | FMV | EMPLOYEE BENEFITS | PROGRAM SUPPORT | |
| GRAND ISLAND EDUCATION FOUNDATION | ||||||||||
| PO BOX 4904 | GRAND ISLAND | NE | 68802 | 470735201 | 501(C)(3) | CAREER DEVELOPMENT CENTER | $15,300 | |||
| GRAND ISLAND COMMUNITY FOUNDATION | ||||||||||
| PO BOX 430 | GRAND ISLAND | NE | 68802 | 476032570 | 501(C)(3) | STATE FAIR | $5,700 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2, Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | GRANTS INCLUDED IN PART II ARE TO COMPANIES AND COMMUNITY ORGANIZATIONS WHO ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENT IN ACCORDANCE WITH THEIR CHARITABLE PURPOSE. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEE IS NOT MONITORED BEYOND THE DISTRIBUTION. SAINT FRANCIS MEDICAL CENTER RELIES ON THOSE ORGANIZATIONS TO USE THE GRANTS IN ACCORDANCE WITH EACH ORGANIZATION'S EXEMPT PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLIFF ROBERTSON | ||||||||||||||
| BOARD MEMBER/CEO CHI HEALTH | $0 | $575,759 | $0 | $114,665 | $0 | $71,167 | $0 | $77,744 | $0 | $22,702 | $0 | $862,037 | $0 | $48,435 |
| ROBERT LANIK | ||||||||||||||
| BOARD MEMBER/CHI NE PRESIDENT/CEO | $0 | $650,100 | $0 | $502,592 | $0 | $161,401 | $0 | $33,702 | $0 | $14,498 | $0 | $1,362,293 | $0 | $28,040 |
| PAUL EDGETT III | ||||||||||||||
| BOARD MEMBER/CHI SVP | $0 | $496,880 | $0 | $515,695 | $0 | $114,019 | $0 | $72,192 | $0 | $22,006 | $0 | $1,220,792 | $0 | $92,265 |
| RICHARD HACHTEN II | ||||||||||||||
| BOARD MEMBER/ACH PRESIDENT & CEO | $0 | $1,002,940 | $0 | $3,138,518 | $0 | $174,840 | $0 | $53,071 | $0 | $14,053 | $0 | $4,383,422 | $0 | $155,803 |
| MARTIN M MANCUSO MD | ||||||||||||||
| BOARD MEMBER | $0 | $368,040 | $0 | $0 | $0 | $48,052 | $0 | $7,500 | $0 | $17,722 | $0 | $441,314 | $0 | $0 |
| MICHAEL ROWAN FACHE | ||||||||||||||
| BOARD MEMBER/CHI EVP & COO | $0 | $1,098,277 | $0 | $1,471,311 | $0 | $200,128 | $0 | $238,353 | $0 | $19,702 | $0 | $3,027,771 | $0 | $175,028 |
| DANIEL MCELLIGOTT | ||||||||||||||
| PRESIDENT | $0 | $322,807 | $0 | $59,406 | $0 | $50,876 | $0 | $58,305 | $0 | $20,046 | $0 | $511,440 | $0 | $27,790 |
| JEANETTE WOJTALEWICZ | ||||||||||||||
| CFO CHI HEALTH | $0 | $426,811 | $0 | $51,596 | $0 | $21,578 | $0 | $39,641 | $0 | $20,237 | $0 | $559,863 | $0 | $0 |
| DONNA SANDERS | ||||||||||||||
| VP OF MISSION AND COMMUNITY OUTREACH | $0 | $146,166 | $0 | $11,712 | $0 | $17,938 | $0 | $19,435 | $0 | $6,597 | $0 | $201,848 | $0 | $0 |
| LISA WEBB | ||||||||||||||
| VP OF FINANCE | $193,775 | $17,044 | $15,980 | $0 | $8,829 | $0 | $0 | $0 | $16,004 | $0 | $234,588 | $17,044 | $0 | $0 |
| DALE HARTWIG | ||||||||||||||
| VP OF ANCILLARY SVCS | $216,684 | $0 | $16,034 | $0 | $9,892 | $0 | $31,115 | $0 | $8,132 | $0 | $281,857 | $0 | $0 | $0 |
| MICHAEL S HEIN | ||||||||||||||
| VP OF MEDICAL AFFAIRS | $288,440 | $0 | $21,391 | $0 | $32,374 | $0 | $20,952 | $0 | $18,436 | $0 | $381,593 | $0 | $0 | $0 |
| STEPHEN LEURCK | ||||||||||||||
| INTERIM VP MEDICAL AFFAIRS | $298,799 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $298,799 | $0 | $0 | $0 |
| AMY HATCHER | ||||||||||||||
| VP DIVISIONAL FINANCE | $0 | $194,936 | $0 | $141,564 | $0 | $25,479 | $0 | $15,300 | $0 | $14,482 | $0 | $391,761 | $0 | $0 |
| MEHMET COPUR | ||||||||||||||
| PHYSICIAN DIRECTOR-ONCOLOGY | $0 | $697,665 | $0 | $0 | $0 | $5,789 | $0 | $28,602 | $0 | $7,004 | $0 | $739,060 | $0 | $0 |
| JOSHUA GORTEMAKER | ||||||||||||||
| PHYSICIAN - ANESTHESIA | $0 | $389,066 | $0 | $0 | $0 | $2,609 | $0 | $23,502 | $0 | $20,262 | $0 | $435,439 | $0 | $0 |
| RYAN RAMAEKERS | ||||||||||||||
| PHYSICIAN - ONCOLOGY | $0 | $393,986 | $0 | $41,500 | $0 | $2,429 | $0 | $20,952 | $0 | $17,680 | $0 | $476,547 | $0 | $0 |
| TRACI RAUCH | ||||||||||||||
| MED DIRECTOR-ANES | $0 | $425,056 | $0 | $26,000 | $0 | $3,009 | $0 | $23,502 | $0 | $15,394 | $0 | $492,961 | $0 | $0 |
| GREGORY S BALFANY | ||||||||||||||
| LEAN/SIX SIGMA PEF IMPRV DIR | $72,738 | $64,981 | $0 | $0 | $140 | $0 | $0 | $13,008 | $21,572 | $0 | $94,450 | $77,989 | $0 | $0 |
| DAVID A CROSS | ||||||||||||||
| PHARMACIST | $132,697 | $0 | $0 | $0 | $4,678 | $0 | $12,448 | $0 | $14,346 | $0 | $164,169 | $0 | $0 | $0 |
| FRANCINE SPARBY | ||||||||||||||
| VP OF PATIENT CARE SERVICES | $116,527 | $0 | $14,663 | $0 | $5,868 | $0 | $10,018 | $0 | $4,551 | $0 | $151,627 | $0 | $0 | $0 |
| BETH A BARTLETT | ||||||||||||||
| QUALITY & RISK MANAGMENT DIRECTOR | $129,950 | $0 | $2,067 | $0 | $2,307 | $0 | $16,176 | $0 | $21,112 | $0 | $171,612 | $0 | $0 | $0 |
| CRAIG VINCENT | ||||||||||||||
| PHYSICIAN-ANESTHESIA | $393 | $391,146 | $0 | $0 | $0 | $3,118 | $0 | $23,502 | $0 | $20,998 | $393 | $438,764 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a, Travel for companions | SAINT FRANCIS MEDICAL CENTER PROVIDES COMPANION TRAVEL FOR ITS BOARD MEMBERS WHEN DEEMED APPROPRIATE. THE AMOUNTS PAID TO BOARD MEMBERS BY THE ORGANIZATION FOR COMPANION TRAVEL ARE GROSSED UP AND INCLUDED AS INCOME ON THE BOARD MEMBER'S FORM 1099 OR W-2 AS APPLICABLE. |
| Schedule J, Part I, Line 3, Arrangement used to establish the top management official's compensation | COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY FRANCISCAN HEALTH SYSTEM (FHS), A RELATED ORGANIZATION. 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 PAYMENT | POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES (CHI) AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2013 CALENDAR YEAR. |
| Schedule J, Part I, Line 4b, Supplemental nonqualified retirement plan | DURING THE 2013 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS 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, DANIEL MCELLIGOTT, PAUL EDGETT, RICHARD HACHTEN, MICHAEL ROWAN AND JEANETTE WOJTALEWICZ DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: DANIEL MCELLIGOTT - $29,703 PAUL EDGETT - $43,590 MICHAEL ROWAN - $214,851 JEANETTE WOJTALEWICZ - $13,589 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: ROBERT LANIK -$28,040 DANIEL MCELLIGOTT -$27,790 PAUL EDGETT - $92,265 MICHAEL ROWAN - $175,028 DURING THE CALENDAR YEAR, FRANCISCAN HEALTH SYSTEM MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR FRANCISCAN HEALTH SYSTEM SENIOR LEADERSHIP. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: CLIFF ROBERTSON DURING 2013 THE FOLLOWING CONTRIBUTIONS WERE MADE BY FHS TO THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $49,142 DURING 2013 THE FOLLOWING DISTRIBUTIONS WERE MADE BY FHS FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $48,435 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2013 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 2013, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $101,293 RICHARD HACHTEN - $133,616 DURING THE CALENDAR YEAR 2013 ST. FRANCIS MEDICAL CENTER PARTICIPATED IN A CALL PAY PLAN. THE PLAN IS A DEFINED CONTRIBUTION, NONQUALIFIED DEFERRED COMPENSATION PLAN THAT PROVIDES FOR CONTRIBUTIONS TO A PARTICIPANT'S ACCOUNT, BUT DOES NOT PROMISE ANY PARTICULAR ULTIMATE BENEFIT TO PARTICIPANTS. NO CONTRIBUTIONS WERE MADE TO THE CALL PAY PLAN FOR ANY REPORTABLE INDIVIDUALS DURING THE 2013 CALENDAR YEAR. |
| Schedule J, Part I, Line 7, Non-fixed payments | SAINT FRANCIS MEDICAL CENTER PROVIDES VICE PRESIDENTS AND DIRECTORS WITH A BONUS PROGRAM THAT IS BASED ON A COMBINATION OF PERFORMANCE FACTORS, SUCH AS MEETING THE OPERATING MARGIN AT THE NATIONAL, MBO AND MINISTRY LEVELS AS WELL AS ESTABLISHED METRICS FOR PRODUCTIVITY AND PATIENT SATISFACTION SCORES AT THE MBO LEVEL. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR MICHAEL HEIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | KEY EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | RECRUITMENT | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $85,000 | OriginalPrincipalAmt |
| Balance Due | $29,439 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $29,439 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, ORGANIZATION'S MISSION | THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, SPONSORED BY A LAY-RELIGIOUS PARTNERSHIP, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. |
| FORM 990, PART VI, LINE 1A, EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY | PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. |
| Form 990, Part VI, Sec A, Line 4, Significant changes to organizational documents | SAINT FRANCIS MEDICAL CENTER AMENDED ITS BYLAWS ON OCTOBER 1, 2013. SIGNIFICANT CHANGES INCLUDE AN INCREASE IN THE MINIMUM NUMBER OF BOARD MEMBER FROM 9 TO 11 AND A DECREASE IN THE MAXIMUM NUMBER OF BOARD MEMBERS FROM 21 TO 15. FURTHERMORE, THE CHIEF EXECUTIVE OFFICER AND THE EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OR OTHER DESIGNEE SHALL EACH SERVE AS AN EX OFFICIO VOTING MEMBER OF THE BOARD. ADDITIONAL CHANGES MADE INCLUDE REMOVING THE REQUIREMENTS THAT THE PRESIDENT OF THE MEDICAL STAFF SHALL REPORT TO THE BOARD ON MATTERS RELATING TO THE MEDICAL STAFF AND THE CHAIRPERSON OF THE FOUNDATION SHALL NO LONGER BE REQUESTED TO ATTEND MEETINGS AT LEAST QUARTERLY. |
| Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders | THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CHI NEBRASKA, A NEBRASKA NONPROFIT CORPORATION. |
| Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body | IN ACCORDANCE WITH THE ORGANIZATION'S CORPORATION BYLAWS, THE SOLE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE ORGANIZATION'S BOARD OF DIRECTORS. |
| Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders | THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA, AND CATHOLIC HEALTH INITITIAVES (CHI NEBRASKA'S SOLE CORPORATE MEMBER) ("CHI") HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI NEBRASKA BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI NEBRASKA CHIEF EXECUTIVE OFFICER: -SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SAINT FRANCIS MEDICAL CENTER -AMENDMENT OF THE CORPORATE DOCUMENTS OF SAINT FRANCIS MEDICAL CENTER -APPROVE MEMBERS OF SAINT FRANCIS MEDICAL CENTER'S BOARD -REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT FRANCIS MEDICAL CENTER -APPROVAL OF ISSUANCE OF DEBT BY SAINT FRANCIS MEDICAL CENTER -APPROVAL OF PARTICIPATION OF SAINT FRANCIS MEDICAL CENTER IN A JOINT VENTURE -APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT FRANCIS MEDICAL CENTER -APPROVAL OF A MERGER INVOLVING SAINT FRANCIS MEDICAL CENTER -APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SAINT FRANCIS MEDICAL CENTER -TO REQUIRE THE TRANSFER OF ASSETS BY THE SAINT FRANCIS MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. -ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SAINT FRANCIS MEDICAL CENTER. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body | CHI 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, Sec B, Line 12c, Conflict of interest policy | ALL BOARD MEMBERS, OFFICERS, DIRECTORS AND OTHER MEMBERS OF MANAGEMENT OF SAINT FRANCIS MEDICAL CENTER WILL COMPLETE THE "AGREEMENT TO DISCLOSE CONFLICT OF INTEREST AND MAINTAIN CONFIDENTIALITY OF INFORMATION" FORM UPON ASSUMING OFFICE OR EMPLOYMENT, AND ANNUALLY THEREAFTER. IF A POTENTIAL CONFLICT OF INTEREST ARISES BETWEEN ANNUAL DISCLOSURE DATES, THE INDIVIDUAL WILL IMMEDIATELY DISCLOSE RELEVANT INFORMATION TO THE CHIEF EXECUTIVE OFFICER OF SAINT FRANCIS MEDICAL CENTER. BOARDS OF ALL CATHOLIC HEALTH INITIATIVES INSTITUTIONS REQUIRE EACH INSTITUTION TO APPROVE A CONFLICT OF INTEREST POLICY WHICH SHALL NOT BE INCONSISTENT WITH THE CHI CONFLICT OF INTEREST POLICY. THE "POLICY REGARDING CONFLICTS OF INTEREST FOR OFFICERS AND DIRECTORS" FOR SAINT FRANCIS MEDICAL CENTER AND ITS AFFILIATES AND "AGREEMENT TO DISCLOSE CONFLICT OF INTEREST AND MAINTAIN CONFIDENTIALITY OF INFORMATION" FORMS ARE MAINTAINED IN THE EXECUTIVE OFFICE. DISCLOSURE, REVIEW AND INITIAL DETERMINATION: 1. GENERAL OBLIGATION. EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER WHO WILL REPORT SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHEN A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. 2. ANNUAL DISCLOSURE STATEMENT. IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER SHALL ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CEO. THE COMPLETED STATEMENTS WILL BE REVIEWED BY THE PRESIDENT AND CEO AND THE BOARD CHAIR. 3. REVIEW, EVALUATION AND INITIAL DETERMINATION. THE BOARD CHAIR OR DESIGNEE SHALL MAKE SUCH FURTHER INVESTIGATION OF ANY CONFLICT OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR WILL ASSUME THE CHAIR'S ROLE OUTLINED IN THIS POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR WILL MAKE AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THIS POLICY, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE MADE. THE BOARD CHAIR SHALL THEN MAKE AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF A DIFFERENCE OF OPINION EXISTS BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR OR OFFICER AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEW AND APPROVAL OR OTHER ACTION IS REQUIRED WITHIN THIS POLICY, THE MATTER SHALL BE SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH SHALL MAKE A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, WILL BE REFLECTED IN THE COMMITTEE MINUTES AND WILL BE REPORTED TO THE BOARD OFDIRECTORS. BOARD REVIEW: TRANSACTIONAL CONFLICT OF INTEREST 1. THE BOARD OF DIRECTORS SHALL CAREFULLY SCRUTINIZE AND MUST IN GOOD FAITH APPROVE OR DISAPPROVE ANY TRANSACTION IN WHICH THE CORPORATION AND/OR ANY OF ITS AFFILIATES IS A PARTY AND IN WHICH ONE OR MORE OF THE CORPORATION'S DIRECTORS OR OFFICERS EITHER: A. HAS A MATERIAL FINANCIAL INTEREST; OR B. IS A DIRECTOR OR OFFICER OF THE OTHER PARTY OTHER THAN THE CORPORATION'S OWN AFFILIATES. 2. THE BOARD OF DIRECTORS MUST APPROVE THE TRANSACTION BY A MAJORITY OF THE DIRECTORS ON THE BOARD, WITHOUT COUNTING THE VOTE OF ANY DIRECTOR WHO HAS AN INTEREST IN THE TRANSACTION. IN REVIEWING SUCH TRANSACTIONS BETWEEN THE CORPORATION AND VENDORS OR OTHER CONTRACTORS WHO ARE, OR ARE AFFILIATED WITH, DIRECTORS OR OFFICERS, THE BOARD SHALL ACT NO MORE OR LESS FAVORABLY THAN IT WOULD IN REVIEWING TRANSACTIONS WITH UNRELATED THIRD PARTIES. THE TRANSACTION WILL NOT BE APPROVED UNLESS THE BOARD DETERMINES THAT THE TRANSACTION IS FAIR TO THE CORPORATION. OTHER CONFLICTS OF INTEREST: THE BOARD SHALL CAREFULLY REVIEW AND SCRUTINIZE NON-TRANSACTIONAL CONFLICT OF INTEREST (E.G., DISCLOSURE OF NONPUBLIC INFORMATION, COMPETITION WITH THE CORPORATION, FAILURE TO DISCLOSE A CORPORATE OPPORTUNITY, EXCESSIVE GIFTS OR ENTERTAINMENT, ETC.). BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE DIRECTOR OR OFFICER UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE DISCIPLINARY OR CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF THE CORPORATION. THE BOARD SHOULD CONSULT WITH A MEMBER OF THE CHI LEGAL RESOURCE GROUP WHEN CONSIDERING DISCIPLINARY OR CORRECTIVE ACTION. DISCLOSURE BY INTERESTED DIRECTOR: WHEN ANY CONFLICT OF INTEREST IS CONSIDERED BY THE BOARD, THE DIRECTOR OR OFFICER MUST DISCLOSE ALL OF THE MATERIAL FACTS TO THE BOARD. THE DIRECTOR SHALL NOT VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER. HOWEVER, IF REQUESTED, SUCH DIRECTOR OR OFFICER IS NOT PREVENTED FROM BRIEFLY STATING HIS OR HER POSITION IN THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS FROM BOARD MEMBERS, AS HIS OR HER KNOWLEDGE MAY BE OF SIGNIFICANT IMPORTANCE. THE DIRECTOR OR OFFICER SHALL BE EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. RECORD OF PROCEEDINGS: MINUTES OF THE BOARD OF DIRECTORS SHALL REFLECT THE FOLLOWING: THE INDIVIDUAL MAKING THE DISCLOSURE, THE NATURE OF THE DISCLOSURE, DISCUSSION REGARDING ANY PROPOSED TRANSACTION, THE DECISION MADE BY THE BOARD, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM VOTING. IMPLEMENTATION AND INTERPRETATION: QUESTIONS REGARDING THE IMPLEMENTATION AND INTERPRETATION OF THIS POLICY SHALL BE REFERRED TO A MEMBER OF THE CHI LEGAL RESOURCE GROUP. POLICY VIOLATIONS: IF THE BOARD REASONABLY BELIEVES THAT A DIRECTOR OR OFFICER HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT AS REQUIRED BY THIS POLICY, THE DIRECTOR OR OFFICER WILL BE GIVEN AN OPPORTUNITY TO EXPLAIN SUCH ALLEGED FAILURE TO DISCLOSE. AFTER HEARING THE RESPONSE OF THE DIRECTOR OR OFFICER, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS MAY BE APPROPRIATE. IF THE BOARD DETERMINES THAT THE DIRECTOR OR OFFICER HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION. |
| FORM 990, PART VI, LINE 15A, PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE ORGANIZATION'S PRESIDENT'S COMPENSATION IS PAID BY FHS, A RELATED ORGANIZATION. 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, Sec B, Line 15b, Process to establish compensation of other employees | HR ADVANTAGE HAS SERVED AS THE INDEPENDENT COMPENSATION CONSULTANT FOR THE NEBRASKA FACILITIES IN 2013. HR ADVANTAGE REVIEWED ALL NEBRASKA MINISTRIES' VP AND EXECUTIVE DIRECTORS COMPENSATION LEVELS AND PROVIDED A REPORT WITH COMPARABILITY DATA TO CHI NEBRASKA HR LEADERS TO REVIEW WITH LOCAL CEOS, CONFIRMING THE REASONABLENESS OF MBO EXECUTIVE'S COMPENSATION AND PHILOSOPHY. COMPENSATION PACKAGE AND BONUS POTENTIAL FOR EXECUTIVE LEADERS ARE APPROVED BY THE LOCAL BOARDS OF EACH MINISTRY. THE HIGHEST PAID EMPLOYEES ARE PHYSICIANS. THEIR COMPENSATION WAS REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT. THERE IS A PHYSICIAN EMPLOYMENT AGREEMENT CONTRACT WITH EACH EMPLOYED PHYSICIAN (NOTE PHYSICIANS ARE PAID BY A RELATED ORGANIZATION). CONTRACTS INCLUDE A MAXIMUM COMPENSATION BASED UPON AN OVERALL PERCENTILE NATIONAL COMPENSATION PER SPECIALTY AS REPORTED IN THE MOST RECENT VERSION OF THE PHYSICIAN COMPENSATION AND PRODUCTION SURVEY AS PUBLISHED BY THE MGMA |
| FORM 990, PART VI, LINE 16B, FORMAL POLICIES CONCERNING PARTICIPATION IN JOINT VENTURES | SAINT FRANCIS MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| Form 990, Part VI, Sec C, Line 19, Required documents available to the public | SAINT FRANCIS MEDICAL CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEATHINT.ORG OR AT WWW.DACBOND.COM THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| Form 990 , Part XI, Line 9, Other changes in net assets or fund balances | GAAP ADJUSTMENT - -2029254; TEMPORARILTY RESTRICTED ASSETS - -960703; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (158 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HEALTHCARE | NE | 501(C)(3) | 3 | ACH | Yes (true) |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT CREIGHTON HEALTH FOUNDATION | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING | NE | 501(C)(3) | 7 | ACH | Yes (true) |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | ||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 420776568 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | ||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | Yes (true) |
| APPLETREE COURT | ||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(C)(3) | 9 | SFH | Yes (true) |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | Yes (true) |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | 9 | NA | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DR STE 301 | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(C)(3) | 7 | CHIC | Yes (true) |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DR | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHINS | Yes (true) |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | Yes (true) |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CENTER | KS | 501(C)(3) | 3 | CHI | Yes (true) |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | HEALTHCARE | MN | 501(C)(3) | 9 | CHI | Yes (true) |
| CHI INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI NS | Yes (true) |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| CHI NEBRASKA | ||||||||||
| 6940 O ST STE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | 11 - Type III - FI | CHI | Yes (true) |
| CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | ||||||||||
| 6624 FANNIN ST | HOUSTON | TX | 77030 | 741161938 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | Yes (true) |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HEALTHCARE | AR | 501(C)(3) | 3 | CHISVHS | Yes (true) |
| CHI ST VINCENT HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(C)(3) | 11 - Type II | SVIMC | Yes (true) |
| CHI ST VINCENT MEDICAL GROUP HOT SPRINGS | ||||||||||
| 1 MERCY LANE STE 201 | HOT SPRINGS | AR | 71913 | 261125131 | HEALTHCARE | AR | 501(C)(3) | 3 | CHISVHS | Yes (true) |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(C)(2) | N/A | GSH | Yes (true) |
| COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION | ||||||||||
| 631 N 8TH ST | MISSOURI VALLEY | IA | 51555 | 421294399 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AH-CMHMV | Yes (true) |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DR | LEXINGTON | KY | 40509 | 611400619 | LT ACH | KY | 501(C)(3) | 3 | SJHS | Yes (true) |
| COVENANT HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232028429 | HOME HEALTH | PA | 501(C)(3) | 11 - Type II | CHI NHC | Yes (true) |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | Yes (true) |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | Yes (true) |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | FH | Yes (true) |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | Yes (true) |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(C)(3) | 3 | CHI | Yes (true) |
| FRANCISCAN HEALTH VENTURES FKA SJMGROUP | ||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(C)(3) | 9 | CHI | Yes (true) |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(C)(3) | 9 | FHS | Yes (true) |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(C)(3) | 9 | CHI | Yes (true) |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311778403 | EDUCATION | OH | 501(C)(3) | 2 | GSH | Yes (true) |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(C)(3) | 11 - Type I | GSH | Yes (true) |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(C)(3) | 7 | GSH | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 237296923 | FUNDRAISING | OH | 501(C)(3) | 7 | SHP | Yes (true) |
| HARRISON MEDICAL CENTER | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | Yes (true) |
| HARRISON MEDICAL CENTER FOUNDATION | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING | WA | 501(C)(3) | 7 | HMC | Yes (true) |
| HEALTH SET | ||||||||||
| 2420 W 26TH AVE STE 460D | DENVER | CO | 80211 | 841102943 | LOW INC CARE | CO | 501(C)(3) | 7 | CHIC | Yes (true) |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | 11 - Type I | SFMC | Yes (true) |
| HIGHLINE MEDICAL CENTER | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | Yes (true) |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | 7 | CHI-IA CORP | Yes (true) |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | ||||||||||
| 539 S 4TH ST | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | Yes (true) |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | ||||||||||
| 539 S 4TH ST | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(C)(3) | 9 | JHSMH | Yes (true) |
| KENTUCKYONE HEALTH INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(C)(3) | 9 | CHI | Yes (true) |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | Yes (true) |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | Yes (true) |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type III - FI | MHSET | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(C)(3) | 7 | MHCS | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(C)(3) | 3 | CHI | Yes (true) |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | Yes (true) |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HEALTHCARE | TX | 501(C)(3) | 3 | CHI | Yes (true) |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HEALTHCARE | TX | 501(C)(3) | 3 | MHSET | Yes (true) |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HEALTHCARE | TX | 501(C)(3) | 3 | MHSET | Yes (true) |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(C)(3) | 11 - Type III - FI | MHSET | Yes (true) |
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HEALTHCARE | TX | 501(C)(3) | 3 | MHSET | Yes (true) |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | 11 - Type I | MF-DM IA | Yes (true) |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(C)(3) | 9 | CHI-IA CORP | Yes (true) |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | 2 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(C)(3) | 7 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | Yes (true) |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHMH-CORNING | Yes (true) |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING | ND | 501(C)(3) | 11 - Type III - FI | MHVC | Yes (true) |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHBMHS | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(C)(3) | 7 | MHDL | Yes (true) |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | Yes (true) |
| MERCY MEDICAL CENTER INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | Yes (true) |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MMC | Yes (true) |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421470935 | PHYSICIANS | IA | 501(C)(3) | 9 | CHI-IA CORP | Yes (true) |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | OCH | Yes (true) |
| PINEYWOODS MEDICAL DEVELOPMENT CORP | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type III - FI | MHSET | Yes (true) |
| PUEBLO STEPUP | ||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | 7 | CHIC | Yes (true) |
| REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE | ||||||||||
| 12844 MILITARY RD S | TUKWILA | WA | 98168 | 911170040 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | Yes (true) |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 2864 S CIRCLE DR STE 450 | COLORADO SPRINGS | CO | 80906 | 841183335 | LTERM CARE | CO | 501(C)(3) | 7 | CHIC | Yes (true) |
| SAINT CLARE'S COMMUNITY CARE INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(C)(3) | 11 - Type II | SCHS | Yes (true) |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(C)(3) | 7 | SCHS | Yes (true) |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(C)(3) | 11 - Type II | CHI | Yes (true) |
| SAINT CLARE'S HOSPITAL INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | 3 | SCHS | Yes (true) |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(C)(3) | 7 | SERMC | Yes (true) |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(C)(3) | 3 | SERMC | Yes (true) |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(C)(3) | 7 | SFMC | Yes (true) |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | Yes (true) |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 611334601 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | Yes (true) |
| SAINT JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | Yes (true) |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | Yes (true) |
| SAINT JOSEPH MEDICAL FOUNDATION INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 311539059 | PHYSICIANS | KY | 501(C)(3) | 3 | SJHS | Yes (true) |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | Yes (true) |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | SJHHC | Yes (true) |
| SAMARITAN BEHAVIORAL HEALTH INC | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45417 | 020633634 | HEALTHCARE | OH | 501(C)(3) | 7 | SHP | Yes (true) |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 311107411 | HEALTHCARE | OH | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMHS | Yes (true) |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HEALTHCARE | MO | 501(C)(3) | 3 | CHI | Yes (true) |
| SL AUGUSTA CORP | ||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | 760226623 | TITLE HOLDING | TX | 501(C)(2) | N/A | SLPC | Yes (true) |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | Yes (true) |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(C)(3) | 11 - Type I | SAH | Yes (true) |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | Yes (true) |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(C)(3) | 3 | CHI | Yes (true) |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(C)(3) | 11 - Type I | SCH | Yes (true) |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(C)(4) | N/A | CHI | Yes (true) |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | Yes (true) |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO RD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | Yes (true) |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | Yes (true) |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930412495 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | Yes (true) |
| ST JOSEPH COMMUNITY HEALTH | ||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(C)(3) | 11 - Type I | SJRHN | Yes (true) |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | Yes (true) |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | Yes (true) |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 521311775 | PHYSICIANS | MD | 501(C)(3) | 11 - Type I | SJMC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(C)(3) | 3 | CHI | Yes (true) |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | Yes (true) |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260274448 | MANAGEMENT | TX | 501(C)(3) | 11 - Type I | SLHS | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HEALTHCARE | TX | 501(C)(3) | 3 | SLCDC | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HEALTHCARE | TX | 501(C)(3) | 3 | SLCDC | Yes (true) |
| ST LUKE'S COMMUNITY HEALTH SERVICES | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | Yes (true) |
| ST LUKE'S FOUNDATION | ||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING | TX | 501(C)(3) | 7 | SLHS | Yes (true) |
| ST LUKE'S HEALTH SYSTEM CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536232 | MANAGEMENT | TX | 501(C)(3) | 11 - Type I | CHI | Yes (true) |
| ST LUKE'S HEALTH SYSTEM FOUNDATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760127715 | INVESTMENT MGMT | TX | 501(C)(3) | 11 - Type I | SLHS | Yes (true) |
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HEALTHCARE | TX | 501(C)(3) | 3 | SLHS | Yes (true) |
| ST LUKE'S MEDICAL GROUP | ||||||||||
| 6624 FANNIN ST | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(C)(3) | 3 | SLHS | Yes (true) |
| ST LUKE'S MEDICAL TOWER CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760531713 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | CHI-SLH | Yes (true) |
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760531716 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | SLHS | Yes (true) |
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(C)(3) | 11 - Type I | SLCDC-SL | Yes (true) |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | Yes (true) |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | 7 | SMCH | Yes (true) |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | 11 - Type I | SVIMC | Yes (true) |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | Yes (true) |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | Yes (true) |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(C)(3) | 3 | CHI | Yes (true) |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(C)(3) | 11 - Type I | CHI NEBRASKA | Yes (true) |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(C)(3) | 3 | CHIC | Yes (true) |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | Yes (true) |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(C)(3) | 9 | CHI | Yes (true) |
| VISITING NURSE ASSOCIATION OF ST CLARE'S INC | ||||||||||
| 191 WOODPORT RD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | Yes (true) |
| WOODLANDS DOCTOR GROUP | ||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(C)(3) | 9 | SLCHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC | ||||||||||||||
| 3606 N 156TH ST | OMAHA | NE | 68116 | 061786985 | OP DIAGNOSTICS | NE | ACH | RELATED | $116,752 | $776,649 | false | $0 | Yes (true) | 0.51 |
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | $34,991 | $8,665,388 | false | $0 | false | 0.501 |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD STE 400 | OMAHA | NE | 68137 | 392045003 | STAFFING OF NURSES | NE | AHBMHS | RELATED | -$319,683 | $4,762,246 | false | -$439,535 | false | 0.95 |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 MERCY RD STE 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | RELATED | $142,085 | $3,294,472 | false | $0 | false | 0.6394 |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | $57,545 | $1,013,237 | false | $0 | Yes (true) | 0.63 |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BRDWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | SJHS | RELATED | $308,428 | $3,317,191 | false | $0 | false | 0.65 |
| CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 462945938 | PRACTICE MGMT SRVC | DE | CHI | RELATED | $2,478 | $4,571,498 | false | $0 | Yes (true) | 0.8 |
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146 4502 N SECOND AVE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | NA | RELATED | -$195,425 | $216,945 | false | -$77,269 | Yes (true) | 1 |
| CENTRAL NEBRASKA REHAB SERVICE | ||||||||||||||
| 620 DIERS AVE STE 300 | GRAND ISLAND | NE | 68803 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | $2,132,606 | $3,494,427 | false | $0 | false | 0.51 |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | $344,962,532 | $4,617,413,792 | false | $0 | Yes (true) | 0.928 |
| CHICAMSURG SURGERY CENTERS LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 111222333 | SURGERY CENTER | CO | CHIC | RELATED | $0 | $0 | false | $0 | false | 0.51 |
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | SL CDC-V | RELATED | $1,027,057 | $105,658,490 | false | $0 | false | 0.51 |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | RELATED | $98,584 | $3,190,678 | false | $97,006 | false | 1 |
| HEARTLAND ONCOLOGY LLC | ||||||||||||||
| 2337 E CRAWFORD ST | SALINA | KS | 67401 | 222333444 | ONCOLOGY | KS | SCH | RELATED | $0 | $0 | false | $0 | false | 0.51 |
| HIGHLINE IMAGING LLC | ||||||||||||||
| 275 SW 160TH ST | BURIEN | WA | 98166 | 200460005 | DIAGNOSTIC IMAGING | WA | HMC | RELATED | $375,761 | $1,784,057 | false | $0 | false | 0.8 |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | RELATED | $3,465,880 | $1,951,221 | false | $0 | false | 0.51 |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | RELATED | $1,455,294 | $1,013,126 | false | $0 | false | 0.5228 |
| LINCOLN CK LEASING LLC | ||||||||||||||
| 6003 OLD CHENEY RD | LINCOLN | NE | 68516 | 262496856 | REAL ESTATE | NE | SERMC | RELATED | $574,064 | $425,034 | false | $0 | false | 0.5376 |
| LOUISVILLE SC LTD | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 062119566 | SURGERY CENTER | AL | SCOFL | RELATED | $417,359 | $478,373 | false | $0 | Yes (true) | 0.611 |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | RELATED | $10,501,730 | $17,301,869 | false | $0 | false | 0.51 |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | $81,071 | $1,077,536 | false | $0 | false | 0.5745 |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | THC | RELATED | $1,846,183 | $8,411,844 | false | $0 | false | 0.6 |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||||
| 315 MLK JR WAY STE 111 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | FHS | RELATED | $256,567 | $3,262,002 | false | $0 | false | 0.6 |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | $715,094 | $3,489,436 | false | $0 | false | 0.7 |
| PMC HOSPITAL LLC | ||||||||||||||
| 4600 E SAM HOUSTON PKWY | SOUTH PASADENA | TX | 77505 | 273280598 | HOSPITAL | TX | SL CDC-PMC | RELATED | $1,092,540 | $20,751,174 | false | $0 | Yes (true) | 0.51 |
| PRAIRIE HEALTH VENTURES LLC | ||||||||||||||
| 421 S 9TH ST STE 102 | LINCOLN | NE | 68508 | 204962103 | TECH SRVC | NE | AH-IMC | RELATED | $1,011,804 | $5,564,586 | false | $68,565 | Yes (true) | 0.6575 |
| PREMIER SURGERY CENTER OF LOUISVILLE LP | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 721378216 | SURGERY CENTER | AL | SCA | RELATED | $88,900 | $254,399 | false | $0 | Yes (true) | 0.51 |
| PUEBLO AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 621488737 | SURGERY CENTER | CO | CHIC | RELATED | $0 | $0 | false | $0 | false | 0.51 |
| SAINT JOSEPH - PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | -$52,573 | $93,769 | false | $0 | Yes (true) | 0.625 |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 HARRODSBURG RD | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | RELATED | $0 | $0 | false | $0 | Yes (true) | 0.51 |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | JH | RELATED | $88,608 | $256,606 | false | $0 | false | 1 |
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | $42,319 | $631,595 | false | $0 | Yes (true) | 0.51 |
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -$130,967 | $13,823,763 | false | $0 | false | 0.51 |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911352698 | MED OFFICE | WA | FHS | RELATED | $238,717 | $19,017,063 | false | $0 | false | 0.5421 |
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6620 MAIN ST STE 1520 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTICS | TX | SLHS HOLDINGS | RELATED | $273,448 | $868,814 | false | $0 | false | 0.573 |
| ST LUKE'S HOSPITAL AT THE VINTAGE LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 263734516 | HOSPITAL | TX | SLHS | RELATED | -$19,253,743 | $69,158,748 | false | $0 | Yes (true) | 0.51 |
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | SL CDC-W | RELATED | $1,106,628 | $25,874,619 | false | $0 | Yes (true) | 0.51 |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | SLHSH | RELATED | $0 | $0 | false | $0 | Yes (true) | 0.5 |
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH ST | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -$200,323 | $821,112 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | -$200,318 | $4,079,584 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -$15,452 | $396,101 | false | $0 | Yes (true) | 0.51 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (59 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Business Name Line2RelatedOrganizationName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC | |||||||||||||||||||
| 12809 WEST DODGE RD | OMAHA | NE | 68154 | 470802396 | MANAGED CARE | NE | CHI NEBRASKA | C CORPORATION | $5,312,313 | $4,520,865 | 1 | Yes (true) | |||||||
| ALL SAINTS INSURANCE COMPANY SPC LTD | |||||||||||||||||||
| INSURANCE | CHI | C CORPORATION | $0 | $43,866,961 | 1 | Yes (true) | CJ | ||||||||||||
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | |||||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | CHI | C CORPORATION | $0 | $6,272,746 | 1 | Yes (true) | |||||||
| AMERICAN NURSING CARE INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C CORPORATION | $5,118,606 | $51,920,207 | 1 | Yes (true) | |||||||
| AMERIMED INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C CORPORATION | $2,134,392 | $14,669,219 | 1 | Yes (true) | |||||||
| BC HOLDING COMPANY INC | |||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | JHSMH | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621570736 | HEALTHCARE | TN | MHCS | C CORPORATION | $0 | $1,008 | 1 | Yes (true) | |||||||
| CAPTIVE MANAGEMENT INITIATIVES LTD | |||||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | CHI | C CORPORATION | $0 | $0 | 1 | Yes (true) | CJ | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | ||||||
| CARMONA-DESOTO BUILDING HORIZONTAL PROPERTY REGIME INC | |||||||||||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710771076 | HEALTHCARE | AR | CHI-SVHS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | CIRI | TRUST | -$2,286,538 | $1,241,259 | 1 | Yes (true) | |||||||
| CGH REALTY COMPANY INC | |||||||||||||||||||
| 2500 BERNVILLE RD | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | SJHM | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER CONDO ASSOC | |||||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 455079545 | CONDO ASSOC | TX | CHI-SLHBCM | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| CLEARRIVER HEALTH | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464495960 | INSURANCE | TN | PHPSI | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| COMCARE SERVICES INC | |||||||||||||||||||
| 5570 DTC PARKWAY | ENGLEWOOD | CO | 80111 | 840904813 | INACTIVE | CO | CHIC | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C CORPORATION | -$879,467 | $52,379,487 | 1 | Yes (true) | |||||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | CHI-IA CORP | C CORPORATION | $67,314 | $1,064,032 | 0.9298 | Yes (true) | |||||||
| EAST TEXAS CLINICAL SERVICES INC | |||||||||||||||||||
| 2801 VIA FORTUNA 500 | AUSTIN | TX | 78746 | 454736213 | HEALTHCARE | TX | MHSET | C CORPORATION | $632,545 | $16,782 | 1 | Yes (true) | |||||||
| FIRST INITIATIVES INSURANCE LTD | |||||||||||||||||||
| 980203038 | INSURANCE | CHI | C CORPORATION | $0 | $0 | 1 | Yes (true) | CJ | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | ||||||
| FRANCISCAN SERVICES INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | CHI | C CORPORATION | $434,854 | $718,254 | 1 | Yes (true) | |||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI NEBRASKA | C CORPORATION | -$7,280 | $180,468 | 1 | Yes (true) | |||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MGMT | NE | GSH | C CORPORATION | $87,278 | $1,377,820 | 1 | Yes (true) | |||||||
| HEALTHCARE MGMT SERVICES ORGANIZATION INC | |||||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911865474 | HEALTH ORG. | WA | FHS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| HEARTLANDPLAINS HEALTH | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464368223 | INSURANCE | NE | PHPSI | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| HIGHLINE MEDICAL GROUP | |||||||||||||||||||
| 15811 AMBAUM BLVD SW STE 170 | BURIEN | WA | 98166 | 911586438 | MEDICAL SERVICES | WA | HMC | C CORPORATION | -$6,049,147 | $5,689,139 | 1 | Yes (true) | |||||||
| MEDQUEST | |||||||||||||||||||
| 1602 WEST 11TH ST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | MMC WILLISTON | C CORPORATION | $1,152,715 | 1 | Yes (true) | ||||||||
| MERCY PARK APARTMENTS LTD | |||||||||||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | CHI-IA CORP | C CORPORATION | $273,525 | $1,937,218 | 1 | Yes (true) | |||||||
| MERCY SERVICES CORP | |||||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97471 | 930824308 | RETAIL SALES | OR | MMC | C CORPORATION | $0 | $142,337 | 1 | Yes (true) | |||||||
| MHI CLINICAL SERVICES | |||||||||||||||||||
| 1201 W FRANK AVE | LUFKIN | TX | 75904 | 461967952 | HEALTHCARE | TX | MHSET | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 6028 SHALLOWFORD RD | CHATTANOOGA | TN | 37421 | 621570739 | MGMT SVC ORG | TN | MHCS | C CORPORATION | $96,044 | $6,465,179 | 1 | Yes (true) | |||||||
| NAZARETH ASSURANCE COMPANY | |||||||||||||||||||
| 030304831 | INSURANCE | CHI | C CORPORATION | $0 | $0 | 1 | Yes (true) | CJ | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | ||||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C CORPORATION | -$164,340 | $5,488,275 | 1 | Yes (true) | |||||||
| PHYSICIANHEALTH SYSTEM NETWORK | |||||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | FHS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| PROMINENCE HEALTH PLAN SERVICES INC (FKA COLLABHEALTH PLAN SERVICES INC) | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461224037 | ADMIN SERVICES | CO | PHI | C CORPORATION | -$5,339,325 | $38,272,608 | 1 | Yes (true) | |||||||
| PROMINENCE HEALTH INC (FKA COLLABHEALTH MANAGED SOLUTIONS INC) | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 461222808 | HOLDING CO | CO | CHI | C CORPORATION | $0 | $23,806,707 | 1 | Yes (true) | |||||||
| QCA HEALTH PLAN INC | |||||||||||||||||||
| 12615 CHENAL PARKWAY STE 300 | LITTLE ROCK | AR | 72211 | 710794605 | INSURANCE | AR | QCHI | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| QUALCHOICE HOLDINGS INC | |||||||||||||||||||
| 12615 CHENAL PARKWAY STE 300 | LITTLE ROCK | AR | 72211 | 274075520 | HOLDING CO | AR | PHPS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| QUALCHOICE LIFE AND HEALTH INSURANCE COMPANY INC | |||||||||||||||||||
| 12615 CHENAL PARKWAY STE 300 | LITTLE ROCK | AR | 72211 | 710386640 | INSURANCE | AR | QCH | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| RIVERLINK HEALTH | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464380824 | INSURANCE | OH | PHPS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| RIVERLINK HEALTH OF KENTUCKY INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464828332 | INSURANCE | KY | PHPS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| SAINT CLARE'S PRIMARY CARE INC | |||||||||||||||||||
| 66 FORD RD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | SCCC | C CORPORATION | -$235,604 | $1,361,242 | 1 | Yes (true) | |||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||||
| 40 W FOURTH ST STE 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | SHP | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| SJH SERVICES CORPORATION | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | FSI | C CORPORATION | -$197,039 | $3,331,737 | 1 | Yes (true) | |||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 424 LEWIS HARGETT CR STE 160 | LEXINGTON | KY | 40503 | 270164198 | MGMT | KY | SJHS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| SLMT PARKING INC | |||||||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637140 | PARKING | TX | SLHS | C CORPORATION | $1,117,934 | $13,768,221 | 1 | Yes (true) | |||||||
| SOUNDPATH HEALTH INC | |||||||||||||||||||
| 32129 WEYERHAEUSER WAY S STE 201 | FEDERAL WAY | WA | 98001 | 421720801 | INSURANCE | WA | PHPS | C CORPORATION | -$154,741 | $10,976,973 | 0.626 | Yes (true) | |||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | SAH | C CORPORATION | $114,663 | $2,936,102 | 1 | Yes (true) | |||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | FSI | C CORPORATION | $63,164 | $11,845,439 | 1 | Yes (true) | |||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||||
| 1401 HARRODSBURG RD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MGMT | KY | SJHS | C CORPORATION | $0 | $882,139 | 0.85 | Yes (true) | |||||||
| ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300355517 | CONDO ASSOC | TX | SLPC | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| ST LUKE'S ANESTHESIOLOGY ASSOCIATES | |||||||||||||||||||
| 6624 FANNIN STE 1100 | HOUSTON | TX | 77030 | 461517163 | MEDICAL CLINIC | TX | CHI-SLH | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC | |||||||||||||||||||
| 6720 BERTNER MC4-262 | HOUSTON | TX | 77030 | 760377932 | PHO | TX | CHI-SLH | C CORPORATION | $6 | $0 | 0.6 | Yes (true) | |||||||
| ST LUKE'S HEALTH SYSTEM HOLDINGS INC (FKA SLEHS HOLDINGS INC) | |||||||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 760637138 | HOLDING CO | TX | SLHS | C CORPORATION | $1,425,313 | $33,114,103 | 1 | Yes (true) | |||||||
| ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300355518 | CONDO ASSOC | TX | SLPC | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION | |||||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 760298751 | CONDO ASSOC | TX | SLMTC | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | SVIMC | C CORPORATION | $2,408,638 | $15,225,732 | 1 | Yes (true) | |||||||
| STABLEVIEW HEALTH INC | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 464373713 | INSURANCE | KY | PHPS | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| SUGAR LAND DOCTOR GROUP | |||||||||||||||||||
| 1317 LAKE POINTE PARKWAY | SUGAR LAND | TX | 77478 | 454270163 | MEDICAL CLINIC | TX | SLCDC-SL | C CORPORATION | $0 | $0 | 1 | Yes (true) | |||||||
| THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B | |||||||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 900064009 | CONDO ASSOC | TX | CHI-SLH | C CORPORATION | $0 | $0 | 1 | Yes (true) | UILDING COMDOMINIUM ASSOCIATION | ||||||
| TOWSON MANAGEMENT INC | |||||||||||||||||||
| 7601 OSLER DR | TOWSON | MD | 21204 | 521710750 | MGMT SERVICES | MD | FSI | C CORPORATION | $516,457 | $197,196 | 1 | Yes (true) | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL NEBRASKA REHABILIATION SERVICES LLC | ||
| L | $3,503,122 | FMV |
| CENTRAL NEBRASKA REHABILIATION SERVICES LLC | ||
| A | $45,326 | FMV |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||
| C | $712,414 | FMV |