2014-05-12T20:00:39-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 470780857 THE PHYSICIAN NETWORK PHYS 4024210896 2000 Q STREET LINCOLN NE 685033610 JEANETTE WOJTALEWICZ 2014-05-15 true PAMELA KROHN P01210500 3032989100 2012 2015-11-30 17:44:51Z KENT RECKEWEY 2000 Q STREET SUITE 500 LINCOLN NE 685033610 144271007 false X WWW.THEPHYSICIANNETWORKONLINE.COM X 1994 NE TO PROVIDE ACCESS TO QUALITY, SERVICE-ORIENTED, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY THROUGH PHYSICIAN SERVICES - CLINICS (FAMILY HEALTH, INTERNALIST, OB, ENT), CARDIOLOGY, EMERGENCY, URGENT, HOSPITALIST, AND NEONATOLOGIST. 11 6 940 7 528714 23522 45300040 40027702 97363427 100537817 1435 31717 3110503 3673771 145775405 144271007 25497 23692 0 0 98728508 109498481 0 0 0 29267683 34816038 128021688 144338211 17753717 -67204 41948309 41514646 22223902 22006097 19724407 19508549 X THE MISSION OF THE PHYSICIAN NETWORK IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 126892233 23692 100518917 SEE SCHEDULE O 126892233 true true false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false true true false false false true true false false false false true 164 0 true 940 true true true false false false false false false false false false X 11 6 false false true false true true true true true false true true true true true true true false true true false X ALAN UDEN 4023282005 2000 Q STREET SUITE 500 LINCOLN NE 685033610 JANICE SHERIDAN 1.00 0 X X 0 0 0 KENT RECKEWEY 60.00 0 X X 595330 0 39284 BARRY SANDSTROM 1.00 1.00 X 0 0 0 BRAD RIDDLE 1.00 0 X 0 0 0 DANIEL DEFREECE 60.00 0 X 215937 0 37127 KAY MARESH 1.00 0 X 0 0 0 KENT THOMPSON 1.00 0 X 0 0 0 ROBERT LANIK 1.00 59.00 X 0 1024255 47149 ROBERT R SHAFFER MD 60.00 0 X 543408 0 40548 THOMAS TYE II 1.00 5.00 X 0 3123 0 TRACI RAUCH 60.00 0.00 X 454698 0 37750 ALAN UDEN 60.00 0 X 234676 0 50782 BARRY HOOVER 60.00 0 X 319440 0 48970 MICHAEL RONNING 60.00 0 X 212530 0 35189 TERRY ROGERS 60.00 0 X 241003 0 33607 FISHEL LIBERMAN 60.00 0.00 X 720026 0 41218 JOHN M WRIGHT 60.00 0 X 847261 73000 28356 JOSHUA R ANDERSON 60.00 0 X 652403 0 41138 KEVIN YIEE 60.00 0 X 807350 0 30546 MEHMET COPUR 60.00 0.00 X 701729 0 34944 6545791 1100378 546608 148 false true false COMPHEALTH PO BOX 972651 DALLAS TX 753972651 CONTRACT PHYSICIAN SERVICES 1707086 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 CONTRACT PHYSICIAN SERVICES 1020417 RAMON SALUMBIDES MD 9 COSTA BRAVA LAGUNA NIGUEL CA 92677 CONTRACT PHYSICIAN SERVICES 380871 LINCOLN INTERNAL MEDICINE ASSOCIATES PC PO BOX 6971 LINCOLN NE 685060971 CONTRACT PHYSICIAN SERVICES 291078 LOCUM TENES COM 2655 NORTHWIND PARKWAY ALPHARETTA GA 30009 CONTRACT PHYSICIAN SERVICES 287897 14 39874623 153079 32237 40027702 PATIENT SERVICES 900099 85832661 85832661 INCOME GUARANTEES 900099 9245000 9245000 MEDICAL SERVICES 621300 2142730 2123830 18900 PHYSICAL/OCCUPATIONAL THERAPY 621300 1687197 1687197 EMERGENCY MEDICAL SERVICES 621910 953586 953586 676643 676643 0 0 100537817 31717 31717 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DIRECTOR FEES 541610 1334891 1334891 REIMBURSEMENT OF EXPENSES 900099 740789 740789 RESEARCH 541700 481361 481361 1116730 0 28453 1088277 3673771 144271007 100518917 528714 3195674 23692 23692 0 0 0 2655697 1212836 1442861 0 90734279 86888679 3845600 3777024 3386805 390219 7787235 7546604 240631 4544246 4182798 361448 0 236440 236440 21644 21644 0 0 0 8280296 6290906 1989390 0 410433 221116 189317 2559379 2278949 280430 2053246 2053246 0 5490645 4731679 758966 1399737 1181690 218047 0 511436 453884 57552 7 7 2324100 2324100 2612812 648659 1964153 1168203 1093483 74720 DUES & SUBSCRIPTIONS 536316 467516 68800 REPAIRS AND MAINTENANCE 904136 369331 534805 MEDICAL SUPPLIES 3476341 3476323 18 BAD DEBTS 2361822 2361822 469045 75454 393591 0 144338211 126892233 17445978 0 0 5599 0 1624699 1951571 11391580 10152082 0 0 38839 54912 1401818 1764902 28183853 8562076 20868750 19621777 0 0 0 0 685535 521006 5931489 7448396 41948309 41514646 12342856 12454397 0 9881046 9551700 22223902 22006097 X 19724407 19508549 19724407 19508549 41948309 41514646 -67204 -148654 0 X false true X true false X X X false false false NEBRASKA HEART HOSPITAL 392031968 3 true true true 0 GOOD SAMARITAN HOSPITAL 470379755 3 true true true 0 SAINT ELIZABETH REGIONAL MEDICAL CENTER 470379836 3 true true true 0 SAINT FRANCIS MEDICAL CENTER 470376601 3 true true true 0 ST MARY'S COMMUNITY HOSPITAL 470443636 3 true true true 0 5 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 12616469 730634 11885835 1733935 1406648 327287 12936286 6270101 6666185 897163 154693 742470 19621777 CASH SURRENDER VALUE - PRINCIPAL 457(B) PLAN 7195009 ALLIANCE 253387 7448396 0 ALLIANCE & PRINCIPAL 457(B) PLAN LIABILITITES 7566828 RURAL MEDICAID SETTLEMENT 1015454 INTERCOMPANY PAYABLES 915136 UNCLAIMED PROPERTY 54282 9551700 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE PHYSICIAN NETWORK'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, 2013 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." false AMERICAN HEART ASSOCIATION PO BOX 4002902 DES MOINES IA 503402902 135613797 501(C)(3) 11550 0 N/A N/A LINCOLN SPONSOR 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE ORGANIZATION MAKES GRANTS TO SUPPORT THE GENERAL PROGRAMS OF VARIOUS CHARITABLE ORGANIZATIONS. THEREFORE NO PROCEDURES ARE IN PLACE TO MONITOR THE USE OF GRANT FUNDS. false true false true false true false false false ALAN UDEN 202642 0 28427 0 3607 0 31320 0 19462 0 285458 0 0 0 BARRY HOOVER 274055 0 39616 0 5769 0 30596 0 18374 0 368410 0 0 0 DANIEL DEFREECE 198769 0 16385 0 783 0 19873 0 17254 0 253064 0 0 0 FISHEL LIBERMAN 589304 0 123564 0 7158 0 20596 0 20622 0 761244 0 0 0 JOHN M WRIGHT 584909 73000 260288 0 2064 0 20596 0 7760 0 875617 73000 0 0 JOSHUA R ANDERSON 578081 0 19674 0 54648 0 20596 0 20542 0 693541 0 0 0 KENT RECKEWEY 481580 0 103083 0 10667 0 33096 0 6188 0 634614 0 0 0 KEVIN YIEE 675616 0 130025 0 1709 0 20596 0 9950 0 837896 0 0 0 MEHMET COPUR 697720 0 0 0 4009 0 28096 0 6848 0 736673 0 0 0 MICHAEL RONNING 182365 0 24074 0 6091 0 20752 0 14437 0 247719 0 0 0 ROBERT LANIK 0 584152 0 188534 0 251569 0 33096 0 14053 0 1071404 0 152674 ROBERT R SHAFFER MD 500366 0 41360 0 1682 0 20596 0 19952 0 583956 0 0 0 TERRY ROGERS 207347 0 28658 0 4998 0 26587 0 7020 0 274610 0 0 0 TRACI RAUCH 426106 0 26000 0 2592 0 23096 0 14654 0 492448 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE EXECUTIVES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE CEO OF CHI NEBRASKA (TPN'S SOLE CORPORATE MEMBER) AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS SCHEDULE J, PART I, LINE 4A 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 2012 CALENDAR YEAR. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b PRIOR TO THE 2009 CALENDAR YEAR, SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. ELIGIBILITY WAS LIMITED TO CERTAIN VICE PRESIDENTS. THE PLAN CONTRIBUTED 5% OF SALARY INTO A DEFERRED INCOME ACCOUNT MANAGED BY ALLIANCE BENEFIT GROUP. THE PLAN WAS FROZEN AT THE BEGINNING OF 2009. IN ADDITION, THE PHYSICIAN NETWORK ("TPN") HAS MAINTAINED A SPLIT DOLLAR LIFE INSURANCE POLICY FOR CERTAIN PHYSICIANS SINCE CALENDAR YEAR 2009. NO BENEFITS OR ALLOWANCES EXIST OTHER THAN THE MINIMUM PREMIUMS PAID TO MAINTAIN THE POLICIES. DURING 2012 PREMIUMS WERE PAID, BUT NOT FOR ANY REPORTABLE INDIVIDUALS. DURING THE 2012 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 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: ROBERT LANIK - $152,674 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 2012 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 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $66,797 Compensation contingent on revenues of the organization Schedule J, Part I, Line 5a TPN PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED UPON "NET COLLECTED REVENUE." THESE AMOUNTS WERE NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET COLLECTED REVENUE OR ORGANIZATIONAL NET INCOME. RATHER, THESE AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S CONTRIBUTION TO NET COLLECTED REVENUE BASED ON SERVICES PERFORMED BY THAT INDIVIDUAL PHYSICIAN IN EXCESS OF A THRESHOLD. ADDITIONALLY, PHYSICIANS SUPERVISING MID-LEVEL PROVIDERS RECEIVE COMPENSATION IN AN AMOUNT EQUAL TO 50% OF THE NET COLLECTED PROFESSIONAL REVENUE OF THE MIDLEVEL PROVIDERS SUPERVISED REDUCED BY THE COST OF THE COMPENSATION AND BENEFITS FOR THOSE MIDLEVEL PROVIDERS. TOTAL PHYSICIAN COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF TPN FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. Compensation contingent on net earnings of the organization Schedule J, Part I, Line 6a TPN PROVIDED INCENTIVE COMPENSATION FOR CERTAIN PHYSICIANS BASED ON "NET INCOME." "NET INCOME" WAS NOT DETERMINED WITH REFERENCE TO ORGANIZATIONAL NET REVENUE OR ORGANIZATIONAL "NET INCOME." RATHER, AMOUNTS WERE DETERMINED BASED UPON THE PHYSICIAN'S INDIVIDUAL CONTRIBUTION COMPUTED AS: PHYSICIAN "NET COLLECTED REVENUE" (FOR SERVICES RENDERED BY THE PHYSICIAN TO PATIENTS PERSONALLY) LESS "PHYSICIAN PRACTICE EXPENSES" (WHICH INCLUDE COSTS ASSOCIATED WITH THAT PHYSICIAN'S PROFESSIONAL PRACTICE). PHYSICIAN TOTAL COMPENSATION IS APPROVED IN ADVANCE BY A COMMITTEE OF THE BOARD OF DIRECTORS OF TPN FOLLOWING IRC SEC. 4958 REBUTTABLE PRESUMPTION OF REASONABLENESS PROCEDURES. PHYSICIAN INCENTIVE COMPENSATION IS SUBJECT TO A CAP THAT SHALL NOT EXCEED 5% OF THE PHYSICIAN'S TOTAL COMPENSATION TO ENSURE COMPENSATION IS AT FAIR MARKET VALUE. THOMPSON REALTY GROUP K. THOMPSON - BOARD MEMBER 915081 RENTAL OF PROPERTY false X MOBILE DIAGNOSTIC EQUIPMENT 1 32237 MARKET VALUE false true false Number of contributions or items contributed. Schedule M, part I, column (b), Line other=MOBILE DIAGNOSTIC EQUIPMENT PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE THE MISSION OF THE PHYSICIAN NETWORK ("TPN") IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE THE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. THE PHYSICIAN NETWORK WAS FOUNDED TO PROVIDE PHYSICIAN SERVICES FOR THE COMMUNITY. AS A MEMBER OF CATHOLIC HEALTH INITIATIVES, TPN EMBRACES THE MISSION OF A HEALTHY COMMUNITY AND TO PROVIDE QUALITY CARE FOR THOSE IN NEED. THE PHYSICIAN NETWORK OPERATES, STAFFS, AND MAINTAINS 12 PRIMARY CARE CLINICS, 31 DIFFERENT SPECIALTIES, WHICH HAS 57 CLINICS, AND 4 PHYSICAL THERAPY CLINICS THAT INCREASE THE AVAILABILITY AND ENHANCE THE QUALITY OF MEDICAL SERVICES PROVIDED TO THE LINCOLN, GRAND ISLAND AND KEARNEY COMMUNITIES. DURING FISCAL YEAR 2013, THESE CLINICS HAD 649,437 PROVIDER ENCOUNTERS. THE PHYSICIAN NETWORK ALSO PROVIDES AND MAINTAINS THE AVAILABILITY OF QUALIFIED PHYSICIANS AND PHYSICIAN EXTENDERS NECESSARY TO PROVIDE URGENT AND EMERGENCY CARE SERVICES AT HOSPITALS AND EMERGENT CARE FACILITIES. THE 24 HOUR EMERGENCY ROOMS (LOCATED IN LINCOLN, GRAND ISLAND, AND KEARNEY) ARE OPEN 365 DAYS PER YEAR. EACH PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM. DURING FISCAL YEAR 2013, THE LINCOLN, GRAND ISLAND, AND KEARNEY SITES HAD 74,190 PROVIDER ENCOUNTERS. THE THREE URGENT CARE CENTERS ARE LOCATED IN LINCOLN, NE. THESE URGENT CARE CENTERS PROVIDE QUALITY CARE FOR EXTENDED HOURS TO PATIENTS WITH OR WITHOUT A PRIMARY CARE PHYSICIAN. EACH PARTICIPATES IN MEDICARE AND HAS AN ACTIVE CHARITY CARE PROGRAM. DURING FISCAL YEAR 2013, THESE CENTERS HAD 41,504 ENCOUNTERS. THE PHYSICIAN NETWORK WAS FOUNDED AND GRANTED TAX EXEMPT STATUS IN 1994. THE BOARD OF DIRECTORS IS COMPRISED OF OFFICER'S FROM CHI-NEBRASKA, A RELATED ORGANIZATION, AS WELL AS INDEPENDENT COMMUNITY REPRESENTATIVES FROM THE SERVED COMMUNITIES. COMMUNITY BENEFIT APPROACH: THE PHYSICIAN NETWORK'S CENTRAL OFFICE AND 10 PRIMARY CARE CLINICS ARE LOCATED IN LINCOLN, NE, A CITY WITH A POPULATION OF 265,000. TPN SERVES LANCASTER COUNTY, NE, AND THE SURROUNDING STATES OF IOWA, KANSAS, AND MISSOURI. TPN ALSO PROVIDES PRIMARY AND SPECIALTY SERVICES ACROSS NEBRASKA IN GRAND ISLAND, KEARNEY, COLUMBUS, NORTH PLATTE, AND HASTINGS. THE PHYSICIAN NETWORK PARTICIPATES IN GOVERNMENTAL PROGRAMS (SUCH AS MEDICARE AND MEDICAID), AND HAS AN ACTIVE CHARITY CARE PROGRAM. THE PHYSICIAN NETWORK PROVIDES SUPPORT TO PEOPLE'S HEALTH CENTER, WHICH SERVES A COMMUNITY THAT IS COMPOSED OF POOR AND UNEMPLOYED HOUSEHOLDS. THE PHYSICIAN NETWORK PROVIDES PHYSICIANS FOR THE HOSPITAL, NEONATOLOGY, PEDIATRIC CARDIOLOGY, RADIATION THERAPY, ANESTHESIA, AND PALLIATIVE CARE PROGRAMS AT VARIOUS CHI-NEBRASKA AFFILIATED HOSPITALS. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT SUMMARY FISCAL YEAR 2013: COMMUNITY BENEFIT FOR THE POOR: COST OF CHARITY CARE PROVIDED - $2,225,546 UNPAID COSTS OF PUBLIC PROGRAMS, MEDICAID, AND OTHER INDIGENT CARE PROGRAMS - $7,698,793 OTHER COMMUNITY BENEFIT PROVIDED TO THE POOR - $30,000 UNPAID COSTS OF MEDICARE - $17,269,936 TOTAL COMMUNITY BENEFIT INCLUDING THE UNPAID COSTS OF MEDICARE - $27,224,275 THE PHYSICIAN NETWORK ENCOURAGES ITS ASSOCIATES TO LIVE OUT TPN'S VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE. TPN'S ASSOCIATES PARTICIPATE IN COMMUNITY BLOOD DRIVES, "ADOPTS" FAMILIES IN NEED FOR THE HOLIDAYS, COLLECTS TOILETRIES FOR THE CITY MISSION, AND PARTICIPATES IN COMMUNITY FOOD DRIVES. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PURSUANT TO SECTION 8.6 OF THE BYLAWS OF THE PHYSICIAN NETWORK, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, THE SECRETARY AND THE TREASURER OF THE CORPORATION, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. 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. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE PHYSICIAN NETWORK ADOPTED THE NEBRASKA GOVERNANCE RESTRUCTURING MODEL. THIS WAS EFFECTIVE FEBRUARY 23, 2012 AND IS REFLECTED IN THEIR BYLAWS. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF THE ORGANIZATION IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: * APPROVE MEMBERS OF THE PHYSICIAN NETWORK BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE PHYSICIAN NETWORK * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE PHYSICIAN NETWORK * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE PHYSICIAN NETWORK THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE PHYSICIAN NETWORK * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE PHYSICIAN NETWORK * APPROVAL OF ISSUANCE OF DEBT BY THE PHYSICIAN NETWORK * APPROVAL OF PARTICIPATION OF THE PHYSICIAN NETWORK IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY THE PHYSICIAN NETWORK * APPROVAL OF A MERGER INVOLVING THE PHYSICIAN NETWORK * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE PHYSICIAN NETWORK * TO REQUIRE THE TRANSFER OF ASSETS BY THE PHYSICIAN NETWORK TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE CFO RECEIVES THE FORM 990 FROM THE CHI TAX DEPARTMENT AND REVIEWS THE RETURN WITH THE CEO. THE REVIEWED RETURN IS E-MAILED TO THE FULL BOARD. THE BOARD THEN REVIEWS AND SUBMITS QUESTIONS TO THE BOARD APPOINTED COMMITTEE FOR REVIEW WITH THE CFO. SUBSEQUENT TO THE BOARD APPOINTED COMMITTEE REVIEW 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE PHYSICIAN NETWORK ("TPN") HAD IN EFFECT FOR FY 2013 A CONFLICT OF INTEREST POLICY COVERING ALL DIRECTORS AND OFFICERS HOLDING THE TITLE OF VICE PRESIDENT OR ABOVE. THE POLICY PLACES ON EACH DIRECTOR A GENERAL OBLIGATION TO DISCLOSE TO THE CHAIR OF THE BOARD OF DIRECTORS ANY SITUATION THAT MAY CREATE A CONFLICT AS SOON AS THEY BECOME AWARE OF SUCH SITUATION. COVERED OFFICERS MUST MAKE SUCH DISCLOSURES TO THE PRESIDENT AND CEO OF TPN WHO HAS A DUTY TO REPORT SUCH SITUATIONS TO THE BOARD CHAIR. IF ANY DOUBT EXISTS, DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO MAKE A FULL DISCLOSURE TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. THE POLICY REQUIRES WRITTEN RECORD OF ALL DISCLOSURES. ADDITIONALLY, ALL DIRECTORS AND COVERED OFFICERS ARE REQUIRED TO, AT LEAST ANNUALLY, COMPLETE, SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE PRESIDENT AND CEO REVIEW THESE STATEMENTS WITH THE BOARD CHAIR. THE BOARD CHAIR OR A DESIGNEE CONDUCTS FURTHER INVESTIGATION OF CONFLICTS OF INTEREST DISCLOSURES AT THEIR DISCRETION. BASED UPON THE REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT EXISTS AND WHETHER REVIEW, AN APPROVAL, OR OTHER ACTION BY THE BOARD IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION IS KEPT. THE BOARD CHAIR THEN MAKES A REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD. DIFFERENCES OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER OFFICER OR DIRECTOR 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 ARE SUBMITTED TO THE EXECUTIVE COMMITTEE TO MAKE A FINAL DETERMINATION AS TO THE MATTER. THE COMMITTEE MINUTES ARE MAINTAINED TO REFLECT THE DETERMINATION INCLUDING ALL RELEVANT FACTS AND CIRCUMSTANCES AND THEN THE MATTER IS REPORTED TO THE BOARD OF DIRECTORS. A DIRECTOR OR OFFICER IS PROHIBITED FROM VOTING OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER UNDER CONSIDERATION. FURTHER, THEY ARE TO BE EXCUSED FROM THE MEETING DURING THE DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST. DOCUMENT RETENTION & DESTRUCTION POLICY FORM 990, PART VI, LINE 14 THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IT FOLLOWS; HOWEVER, THE POLICY HAD NOT BEEN FORMALLY ADOPTED BY THE BOARD OF DIRECTORS AS OF JUNE 30, 2013. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a COMPENSATION FOR THE PRESIDENT AND EXECUTIVES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE NEBRASKA SYSTEM CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES OF THE PHYSICIAN NETWORK WAS ESTABLISHED BY THE NEBRASKA SYSTEM CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE PHYSICIAN NETWORK'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINITIATIVES.ORG OR AT WWW.DACBOND.COM. NEBRASKA SPECIALTY NETWORK LLC 2000 Q STREET SUITE 500 LINCOLN NE 68503 452094991 PHYSICIAN SERVICES NE -14154584 0 THE PHYSICIAN NETWORK KEARNEY PHYSICIAN NETWORK LLC 2000 Q STREET SUITE 500 LINCOLN NE 68503 273099496 PHYSICIAN SERVICES NE 0 0 THE PHYSCIAN NETWORK LINCOLN PHYSICIAN NETWORK LLC 2000 Q STREET SUITE 500 LINCOLN NE 68503 273099451 URGENT CARE NE 201694 0 THE PHYSICIAN NETWORK ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - Type I CHI-IA CORP true MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES IA 50314 EDUCATION IA 501(C)(3) 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES IA 50314 FUNDRAISING IA 501(C)(3) 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG OR 97470 FUNDRAISING OR 501(C)(3) 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 FUNDRAISING NE 501(C)(3) 11 - Type I AHMH true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 FUNDRAISING ND 501(C)(3) 11 - Type III - FI MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS IA 51503 FUNDRAISING IA 501(C)(3) 11 - Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 SEVENTH STREET NE DEVILS LAKE ND 58301 FUNDRAISING ND 501(C)(3) 7 CHI true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY ND 58072 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON ND 58801 HEALTHCARE ND 501(C)(3) 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 HEALTHCARE IA 501(C)(3) 3 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PARKWAY ROSEBURG OR 97470 HEALTHCARE OR 501(C)(3) 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON ND 58801 FUNDRAISING ND 501(C)(3) 11 - Type I MMC true MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES IA 50314 PHYSICIAN IA 501(C)(3) 9 CHI-IA CORP true MLIFECARES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PROPERTY MGMT MO 501(C)(3) 11 - Type I SJRMC true MNMCH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE KS 501(C)(3) 3 SJRMC true MT ST JOSEPH INC 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 NURSING CARE OR 501(C)(3) 11 - Type I CHI true NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES ND 58474 HEALTHCARE ND 501(C)(3) 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH STREET OAKES ND 58474 FUNDRAISING ND 501(C)(3) 11 - Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH 2222 PHILADELPHIA DRIVE DAYTON OH 45406 HEALTHCARE OH 501(C)(3) 3 SHP true SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON OH 45406 FUNDRAISING OH 501(C)(3) 7 SHP true SAMARITAN HEALTH PARTNERS 110 NORTH MAIN STREET DAYTON OH 45402 HEALTHCARE OH 501(C)(3) 11 - Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH STREET SCHUYLER NE 68661 FUNDRAISING NE 501(C)(3) 11 - Type I AHMHS true SJMGROUP 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 PHYS PRACTICE MO 501(C)(3) 9 SJRMC true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE MO 501(C)(3) 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 TITLE HOLDING TX 501(C)(2) N/A SL PROPERTIES true ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN SUITE 1100 HOUSTON TX 77030 PROPERTY MGMT TX 501(C)(3) 11 - Type I SL PROPERTIES true ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON OR 97801 HEALTHCARE OR 501(C)(3) 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON OR 97801 FUNDRAISING OR 501(C)(3) 11 - Type I SA HOSPITAL true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DRIVE MORRILTON AR 72110 HEALTHCARE AR 501(C)(3) 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY KS 67846 HEALTHCARE KS 501(C)(3) 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY KS 67846 FUNDRAISING KS 501(C)(3) 11 - Type I SCH true ST DOMINIC OF ONTARIO OREGON 351 SW 9TH STREET ONTARIO OR 97914 HEALTHCARE OR 501(C)(4) N/A CHI true ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 LTERM CARE MN 501(C)(3) 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE NJ 07834 ELDERLY CARE NJ 501(C)(3) 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 HEALTHCARE MN 501(C)(3) 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE OR 501(C)(3) 3 CHI true ST JOHN'S MERCY REGIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 FUNDRAISING MO 501(C)(3) 7 SJRMC true ST JOSEPH COMMUNITY HEALTH 300 CENTRAL AVENUE SW ALBUQUERQUE NM 87102 COMMUNITY NM 501(C)(3) 11 - 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