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CHI HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHI HEALTH FOUNDATION (EIN 47-0648586)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201421329349303142
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-12T16:00:36-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470617373EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470648586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH FOUNDATION MERCY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEGNameControl
Phone4023434323Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANETTE WOJTALEWICZName
TitleCFOTitle
Date Signed2014-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA LEAName
PTINP01051055PTIN
Phone4023434413Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH FOUNDATIONBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JEANETTE WOJTALEWICZBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2177429GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALEGENTCREIGHTON.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionSUPPORT THE HEALTHCARE MINISTRY OF ALEGENT CREIGHTON HEALTH SYSTEMActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-62NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1919032ContributionsGrantsPriorYear
Contributions Grants Current Year1333775ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1035500ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year697362InvestmentIncomePriorYear
Investment Income Current Year624090InvestmentIncomeCurrentYear
Other Revenue Prior Year15482OtherRevenuePriorYear
Other Revenue Current Year54811OtherRevenueCurrentYear
Total Revenue Prior Year3667376TotalRevenuePriorYear
Total Revenue Current Year2012676TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year378165GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY917475GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year604982SalariesEtcPriorYear
Salaries Etc Current Year651154SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY70000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year812293TotalFundrsngExpCurrentYear
Other Expense Prior Year478478OtherExpensePriorYear
Other Expenses Current Year188671OtherExpensesCurrentYear
Total Expenses Prior Year1461625TotalExpensesPriorYear
Total Expenses Current Year1827300TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2205751RevenuesLessExpensesPriorYear
Revenues Less Expenses CY185376RevenuesLessExpensesCY
Total Assets BOY15792860TotalAssetsBOY
Total Assets EOY16590346TotalAssetsEOY
Total Liabilities BOY345030TotalLiabilitiesBOY
Total Liabilities EOY387336TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15447830NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16203010NetAssetsOrFundBalancesEOY
Mission DescriptionFAITHFUL TO THE HEALING MINISTRY OF JESUS CHRIST, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON. OUR COMMITMENT TO HEALING CALLS US TO: - CREATE CARING AND COMPASSIONATE ENVIRONMENTS - RESPECT THE DIGNITY OF EVERY PERSON - CARE FOR THE RESOURCES ENTRUSTED TO US AS RESPONSIBLE STEWARDS - COLLABORATE WITH OTHERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES - ATTEND ESPECIALLY TO THE NEEDS OF THOSE WHO ARE POOR AND DISADVANTAGED - ACT WITH INTEGRITY IN ALL ENDEAVORS TO ACHIEVE THIS MISSION, WE PLEDGE TO BE CREATIVE, VISIONARY LEADERS COMMITTED TO HOLISTIC HEALTHCARE IN THE REGIONMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense458072Expense
Grants458072Grants
DescriptionALEGENT HEALTH FOUNDATION DISTRIBUTED $458,072 TO ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER IN FISCAL YEAR 2013. ALEGENT HEALTH FOUNDATION MERCY HOSPITAL ACTED AS A PASS THROUGH ENTITY FOR A GRANT TO ALEGENT HEALTH-MEMORIAL HOSPITAL, SCHUYLER TO PURCHASE DIGITAL MAMMOGRAPHY EQUIPMENT AND REMODEL THE PATIENT WAITING AND EDUCATION CENTER.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense240086Expense
Grants240086Grants
DescriptionALEGENT HEALTH FOUNDATION DISTRIBUTED $240,086 TO ALEGENT CREIGHTON HEALTH SERVICE LINES, LAKESIDE HOSPITAL AND MIDLANDS HOSPITAL DURING FISCAL YEAR 2013. THE FOUNDATION PROVIDED SUPPORT IN FOUR PRIMARY AREAS: (1) WOMEN AND CHILDREN SERVICES; (2) NURSING SERVICES; (3) HOSPICE CARE; AND (4) GENERAL SUPPORT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense179637Expense
Grants179637Grants
DescriptionALEGENT HEALTH FOUNDATION SUPPORTS THE HEALTHCARE MINISTRY OF ALEGENT CREIGHTON HEALTH SYSTEM. THE FOUNDATION DISTRIBUTED $179,637 TO IMMANUEL MEDICAL CENTER AND RELATED FACILITIES DURING FISCAL YEAR 2013. THE FOUNDATION PROVIDED SUPPORT IN THREE PRIMARY AREAS: (1) CAPITAL CONSTRUCTION AND RENOVATION PROJECTS; (2) GENERAL OPERATING SUPPORT; AND (3) REHABILITATION CENTER EQUIPMENT AND PROGRAMS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense39680Expense
Grants39680Grants
DescriptionIN ADDITION TO SUPPORTING ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER, ALEGENT CREIGHTON HEALTH AND ALEGENT HEALTH-IMMANUEL MEDICAL CENTER; ALEGENT HEALTH FOUNDATION ALSO GRANTS SCHOLARSHIPS TO QUALIFIED RECIPIENTS AND ACTIVELY ENCOURAGES, RECEIVES AND MANAGES INDIVIDUAL GIFTS, BEQUEST, MEMORIAL, PLANNED OR DEFERRED GIFTS AND CONTRIBUTIONS SUCH AS REAL ESTATE AND OTHER PROPERTY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp39680TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt39680TotalOfOtherProgramServiceGrnt
Total Program Service Expense917475TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees11NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEANETTE WOJTALEWICZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023434323TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112809 WEST DODGE ROADAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ALLEN DVORAK MD
DIRECTOR2.000X000
BILL BEAVERS
DIRECTOR2.000X000
DAN MCKINNEY
Director2.000X000
GALEN KEHRLI
DIRECTOR2.001.00X000
J CRAIG SAIGH
DIRECTOR2.000X000
JOANNE JARVIS
DIRECTOR2.000X000
JULIE KENNEY
DIRECTOR2.000X000
LIZ DOLL
DIRECTOR2.000X000
THERESA BARRON-MCKEAGNEY PHD
DIRECTOR2.000X000
THOMAS BELFORD
DIRECTOR2.000X000
TOM VANROBAYS
DIRECTOR2.000X000
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER2.0056.00027731532542X
RICHARD II HACHTEN
CEO ALEGENT CREIGHTON HEALTH2.0063.00021961422994304X
SCOTT WOOTEN
SVP/CFO ALEGENT CREIGHTON HEALTH2.0062.0007834241590996X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3256881TotalReportableCompFrmRltdOrgs
Total Other Compensation4617842TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events143809FundraisingEvents
Related Organizations391301RelatedOrganizations
Government Grants798665GovernmentGrants
Noncash Contributions85824NoncashContributions
Total Contributions1333775TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column289288TotalRevenueColumn
Exclusion$289,288ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities334802Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities334802Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column334802TotalRevenueColumn
Exclusion$334,802ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events211524GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events143809CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses155793FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column55731TotalRevenueColumn
Exclusion$55,731ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming8040GrossIncomeGaming
Gaming Direct Expenses8960GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column-920TotalRevenueColumn
Exclusion-$920ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2012676TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$678,901ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total898475Total
Program Services898475ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total19000Total
Program Services19000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total494809Total
Management And General19792ManagementAndGeneral
Fundraising475017Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27348Total
Management And General1094ManagementAndGeneral
Fundraising26254Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total92686Total
Management And General3707ManagementAndGeneral
Fundraising88979Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total36311Total
Management And General1452ManagementAndGeneral
Fundraising34859Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total70000Total
Fundraising70000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total52581Total
Management And General52581ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total89775Total
Program Services0ProgramServices
Management And General3591ManagementAndGeneral
Fundraising86184Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8601Total
Fundraising8601Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7530Total
Management And General7530ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total16374Total
Management And General655ManagementAndGeneral
Fundraising15719Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4528Total
Fundraising4528Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7130Total
Management And General7130ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
TAXES AND LICENSES10591059
MEMBERSHIPS AND DUES598598
BOOKS AND PERIODICALS495495

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1827300Total
Program Services917475ProgramServices
Management And General97532ManagementAndGeneral
Fundraising812293Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY290720EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY780877BOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis44186LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4098LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY45112BOY
EOY40088EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14966871BOY
EOY16251758EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY7780EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15792860BOY
EOY16590346EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5948BOY
EOY4961EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY339082BOY
EOY382375EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY345030BOY
EOY387336EOY

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5709134BOY
EOY6348444EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6157033BOY
EOY6272903EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3581663BOY
EOY3581663EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15447830BOY
EOY16203010EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15792860BOY
EOY16590346EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses185376ReconcilationRevenueExpenses
Reconciliation Unrealized Invest569804ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2801079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2085015CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1084639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1372827CurrentTaxYearMinus1Year
Current Tax Year924334CurrentTaxYear
Total8267894Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2801079CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2085015CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1084639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1372827CurrentTaxYearMinus1Year
Current Tax Year924334CurrentTaxYear
Total8267894Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total335139AmountsSubstContributorsTotal
Public Support Total1707932755PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102384CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years264036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years379184CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year384735CurrentTaxYearMinus1Year
Current Tax Year289288CurrentTaxYear
Total1419627Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4692CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35485CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total40177Total
FieldValueIRS element (for citing)
Total Support9727698TotalSupport
Gross Receipts From Admissions Etc4489792GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.81540PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85280PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - OTHER INCOME, COLUMN A - , COLUMN B - , COLUMN C - 4692, COLUMN D - 35485, COLUMN E - , COLUMN F - 40177;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9738696BeginningOfYearBalance
Contributions790937Contributions
Investment Earnings Or Losses405677InvestmentEarningsOrLosses
Grants Or Scholarships1080743GrantsOrScholarships
End Of Year Balance9854567EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8709716BeginningOfYearBalance
Contributions1489425Contributions
Investment Earnings Or Losses90735InvestmentEarningsOrLosses
Grants Or Scholarships27950GrantsOrScholarships
Other Expenditures523230OtherExpenditures
End Of Year Balance9738696EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7799364BeginningOfYearBalance
Contributions743105Contributions
Investment Earnings Or Losses945736InvestmentEarningsOrLosses
Grants Or Scholarships13283GrantsOrScholarships
Other Expenditures765206OtherExpenditures
End Of Year Balance8709716EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6884246BeginningOfYearBalance
Contributions892471Contributions
Investment Earnings Or Losses606317InvestmentEarningsOrLosses
Grants Or Scholarships19993GrantsOrScholarships
Other Expenditures563677OtherExpenditures
End Of Year Balance7799364EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7744172BeginningOfYearBalance
Contributions1259786Contributions
Investment Earnings Or Losses-901726InvestmentEarningsOrLosses
Grants Or Scholarships7750GrantsOrScholarships
Other Expenditures1210236OtherExpenditures
End Of Year Balance6884246EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.36000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.64000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44186OtherCostOrOtherBasis
Depreciation4098Depreciation
Book Value40088BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings40088TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY PAYABLESDescription
Amount$382,375Amount
FieldValueIRS element (for citing)
Total Of Amounts382375TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal0RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9900TotalRevenuePerForm990
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4ENDOWMENT FUNDS ARE HELD TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT CREIGHTON HEALTH, ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM & ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2ALEGENT HEALTH FOUNDATION MERCY HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 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."

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1PAUL J STAWHECKER INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14923 DODGE STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68102ZIPCode
FieldValueIRS element (for citing)
ActivityGRANT APPLICATIONS AND GRANT MANAGEMENTActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts427001GrossReceipts
Amount Retained By Contractor70000AmountRetainedByContractor
Net To Organization357001NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts427001TotalGrossReceipts
Total Retained By Contractors70000TotalRetainedByContractors
Total Net To Organization357001TotalNetToOrganization

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1JEWELS OF AUTUMNNameOfEvent1
Gross Receipts Event1211224GrossReceiptsEvent1
Charitable Contributions Event1102172CharitableContributionsEvent1
Gross Revenue Event1109052GrossRevenueEvent1
Non Cash Prizes Event173371NonCashPrizesEvent1
Rent Facility Costs Event111227RentFacilityCostsEvent1
Food And Beverage Event115717FoodAndBeverageEvent1
Other Direct Expenses Event11899OtherDirectExpensesEvent1
Name Of Event2EVENING WITH FRIENDSNameOfEvent2
Gross Receipts Event274246GrossReceiptsEvent2
Charitable Contributions Event224289CharitableContributionsEvent2
Gross Revenue Event249957GrossRevenueEvent2
Non Cash Prizes Event213131NonCashPrizesEvent2
Rent Facility Costs Event22836RentFacilityCostsEvent2
Other Direct Expenses Event2443OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events69863GrossReceiptsOtherEvents
Charitable Contrib Other Events17348CharitableContribOtherEvents
Gross Revenue Other Events52515GrossRevenueOtherEvents
Rent Facility Costs Other Events5096RentFacilityCostsOtherEvents
Food And Beverage Other Events28386FoodAndBeverageOtherEvents
Other Direct Expenses Other Events3687OtherDirectExpensesOtherEvents
Gross Receipts Total355333GrossReceiptsTotal
Charitable Contributions Total143809CharitableContributionsTotal
Gross Revenue Total Events211524GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events86502NonCashPrizesTotalEvents
Rent Facility Costs Total Events19159RentFacilityCostsTotalEvents
Food And Beverage Total Events44103FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events6029OtherDirectExpensesTotalEvents
Direct Expense Summary Events155793DirectExpenseSummaryEvents
Net Income Summary55731NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
104 WEST 17TH STSCHUYLERNE68660470399853501(C)(3)458072TO SUPPORT HEALTHCARE MISSION OF HOSPITAL
ALEGENT CREIGHTON HEALTH
12809 W DODGE ROADOMAHANE68154470757164501(C)(3)240086TO SUPPORT HEALTHCARE MISSION OF HOSPITAL
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER
6901 N 72ND STREETOMAHANE68122470376615501(C)(3)179637TO SUPPORT HEALTHCARE MISSION OF HOSPITAL
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY ROADOMAHANE68124470484764501(C)(3)6572TO SUPPORT HEALTHCARE MISSION OF HOSPITAL
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients21NumberOfRecipients
Amount Of Cash Grant19000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GRANTS AND OTHER ASSISTANCE TO INDIVIDUALSSCHEDULE I, PART IIITHE STEVEN L. CARPER MEMORIAL SCHOLARSHIP IS AWARDED TO STUDENTS WHO MEET THE ELIGIBILITY OF BEING ENROLLED STUDENTS OF THE IMMANUEL SCHOOL OF RESPIRATORY THERAPY CARE. A COMMITTEE WITHIN THE IMMANUEL SCHOOL OF RESPIRATORY THERAPY CARE SHALL SELECT RECIPIENTS OF THESE AWARDS. THE COMMITTEE CHOSEN MAY ESTABLISH REASONABLE CRITERIA FOR THE GRANT WITH ACADEMIC EXCELLENCE AS THE DETERMINING FACTOR. ELIGIBILITY FOR THE GLEN B. EICH EDUCATION FUND FOR RADIOLOGY CONTINUING EDUCATION IS LIMITED TO INDIVIDUALS EMPLOYED IN THE RADIOLOGY FIELD AT IMMANUEL MEDICAL CENTER. A COMMITTEE WITHIN THE IMMANUEL RADIOLOGY DEPARTMENT SHALL SELECT RECIPIENTS OF THESE SCHOLARSHIPS. THE COMMITTEE CHOSEN MAY ESTABLISH REASONABLE CRITERIA FOR THE GRANT FACTOR. HANS M. LINK HEALTHCARE EDUCATION SCHOLARSHIPS ARE FOR STUDENTS PURSUING AN EDUCATION IN HEALTHCARE FIELDS INCLUDING: NURSING, OCCUPATIONAL, PHYSICAL, RESPIRATORY OR RECREATIONAL THERAPY; MEDICAL RECORDS; RADIOLOGICAL TECHNOLOGY; MEDICAL TECHNOLOGY; NURSE PRACTITIONER OR PHYSICIAN'S ASSISTANT. RECIPIENTS MUST ATTEND AN ACCREDITED SCHOOL, BE CONSIDERED FULL TIME STUDENTS BY THE CRITERIA OF THEIR RESPECTIVE SCHOOLS, AND HAVE AN INTEREST AND DESIRE TO SERVE HEALTHCARE NEEDS. APPLICANTS MUST ALREADY BE ACCEPTED INTO THE SCHOOL OR HEALTH DEGREE PROGRAM TO BE ELIGIBLE. STUDENTS PURSUING DOCTORAL DEGREES ARE INELIGIBLE. APPLICANTS WILL BE SELECTED BASED ON SEVERAL CRITERIA INCLUDING BUT NOT LIMITED TO: FINANCIAL NEED, ACADEMIC PERFORMANCE, AND SUBMITTED LETTERS OF RECOMMENDATION. PREFERENCE WILL BE GIVEN TO APPLICANTS WHO ARE PERSONALLY AFFILIATED WITH IMMANUEL MEDICAL CENTER AND THE IMMANUEL HEALTH SYSTEMS OR WHO HAVE FAMILY MEMBERS WHOM ARE AFFILIATED. THE MARY HEUERMANN SCHOLARSHIP IS NOT AVAILABLE BY APPLICATION. THIS IS A DISCRETIONARY SCHOLARSHIP FOR APPLICANTS THAT MERIT, BUT DID NOT RECEIVE THE HANS M. LINK OR HEALTHCARE EDUCATION SCHOLARSHIP. A COMMITTEE OF IMMANUEL MEDICAL CENTER REPRESENTATIVES WILL AWARD SCHOLARSHIPS AT THEIR DISCRETION. PREFERENCE WILL BE GIVEN TO APPLICANTS WHO ARE PERSONALLY AFFILIATED WITH IMMANUEL MEDICAL CENTER AND THE IMMANUEL HEALTH SYSTEMS OR WHO HAVE FAMILY MEMBERS WHOM ARE AFFILIATED. BARBARA K. GOODRICH IMMANUEL AUXILIARY NURSING SCHOLARSHIP IS AVAILABLE TO IMMANUEL MEDICAL CENTER EMPLOYEES WHO ARE ENROLLED IN AN ACCREDITED EDUCATIONAL INSTITUTION ON A FULL-TIME BASIS, AS DETERMINED BY THE SCHOOL. THE APPLICANT MUST BE PURSUING A DEGREE IN A NURSING SPECIFIC PROGRAM AND MAINTAIN A GPA OF AT LEAST 3.2 ON A 4.0 SCALE. THIS SCHOLARSHIP IS A NON-NEED BASED, MERIT SCHOLARSHIP. THE FOLLOWING CRITERIA WILL BE USED TO SELECT RECIPIENTS OF THIS SCHOLARSHIP: COMMITMENT TO NURSING AND PROFESSIONAL DEVELOPMENT, DEMONSTRATION OF OUTSTANDING CHARACTER AND VALUES, VOLUNTEERISM AND COMMUNITY INVOLVEMENT, AND POTENTIAL TO CONTRIBUTE TO IMMANUEL MEDICAL CENTER, THE OMAHA COMMUNITY AND THE PROFESSIONAL PRACTICE OF NURSING. WILLIAM D. VANN AND FAMILY PHYSICAL & OCCUPATIONAL THERAPY AWARD IS AVAILABLE TO STUDENTS WHO ARE FULL-TIME, PART-TIME, OR ON-CALL EMPLOYEES OF ALEGENT HEALTH AND ANY UNDERGRADUATE STUDENTS WHO HAVE ACHIEVED JUNIOR STANDING OR HIGHER WITH A MINIMUM GRADE POINT AVERAGE OF 2.50 STUDYING ONE OF THE FOLLOWING HEALTHCARE FIELDS: OCCUPATIONAL, PHYSICAL, RESPIRATORY, OR RECREATIONAL THERAPY AT AN ACCREDITED EDUCATIONAL INSTITUTION IN OMAHA AND SURROUNDING AREAS, BE CONSIDERED FULL OR PART-TIME STUDENTS BY THE CRITERIA OF THEIR RESPECTIVE SCHOOL, AND HAVE AN INTEREST AND DESIRE TO SERVE HEALTH CARE NEEDS. APPLICANTS MUST ALREADY BE ACCEPTED INTO THE SCHOOL OR HEALTH DEGREE PROGRAM TO BE ELIGIBLE. STUDENTS PURSUING DOCTORAL DEGREES ARE INELIGIBLE. APPLICANTS WILL BE SELECTED BASED ON SEVERAL CRITERIA INCLUDING BUT NOT LIMITED TO: FINANCIAL NEED, ACADEMIC PERFORMANCE, AND LETTERS OF RECOMMENDATION SUBMITTED. PREFERENCE WILL BE GIVEN TO APPLICANTS WHO ARE PERSONALLY AFFILIATED WITH THE IMMANUEL MEDICAL CENTER AND THE IMMANUEL HEALTH SYSTEMS OR WHO HAVE FAMILY MEMBERS WHOM ARE AFFILIATED. LAKESIDE CHARITABLE COUNCIL AWARDS SCHOLARSHIPS ANNUALLY TO RECOGNIZE THE GIFT OF TIME GIVEN BY TEEN VOLUNTEERS. ANY HIGH SHCOOL SENIOR WHO HAS VOLUNTEERED A MINIMUM OF 100 HOURS IN THE PAST YEAR IS ELIGIBLE TO APPLY FOR A $250 SCHOLARSHIP. APPLICANTS MUST BE PERMANENT RESIDENTS OF NEBRASKA AND HIGH SCHOOL SENIORS ATTENDING OMAHA, MILLARD OR ELKHORN SCHOOL DISTRICT. APPLICANTS MUST CURRENTLY BE AN ACTIVE VOLUNTEER AT ALEGENT HEALTH LAKESIDE HOSPITAL. A MINIMUM OF SIX MONTHS SERVICE AS A VOLUNTEER AT ALEGENT HEALTH LAKESIDE HOSPITAL IS REQUIRED. APPLICANTS OF THE MERCY HOSPITAL PROFESSIONAL DEVELOPMENT AND MAGNET SCHOLARSHIP MUST BE CURRENTLY WORKING FOR ALEGENT HEALTH-MERCY HOSPITAL, COUNCIL BLUFFS FOR A MINIMUM OF A YEAR AND IN GOOD STANDING. ONLY STAFF NURSES AND NURSE LEADERS AT MERCY THAT HAVE A RECOMMENDATION FROM THEIR SUPERVISOR ARE ELIGIBLE FOR THE SCHOLARSHIP. APPLICANTS WILL BE SELECTED BASED ON SEVERAL CRITERIA INCLUDING, BUT NOT LIMITED TO: FINANCIAL NEED, ACADEMIC PERFORMANCE, AND LETTERS OF RECOMMENDATION SUBMITTED. APPLICANTS OF THE MIDLANDS HOSPITAL TEEN SCHOLARSHIP MUST BE IN THE HIGH SCHOOL GRADUATING CLASS OF 2012. STUDENTS MUST ALSO BE AN ACTIVE MIDLANDS HOSPITAL VOLUNTEER IN GOOD STANDING AT THE TIME OF THE APPLICATION. APPLICANTS WILL BE SELECTED BASED ON SEVERAL CRITERIA INCLUDING BUT NOT LIMITED TO: APPLICATION RESPONSES, ACADEMIC PERFORMANCE, AND LETTERS OF RECOMMENDATION. SELECTION WILL BE WEIGHTED BASED ON THE APPLICANTS CONTRIBUTIONS OF TIME AND TALENT TO ALEGENT HEALTH MIDLANDS HOSPITAL AND THE COMMUNITY. THE SISTER INGEBORD SCHOLARSHIP IS OFFERED TO ENCOURAGE AND PROVIDE OPPORTUNITIES FOR CONTINUING PROFESSIONAL EDUCATION AND DEVELOPMENT FOR ALEGENT HEALTH-IMMANUEL MEDICAL CENTER EMPLOYEES. ONLY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER EMPLOYEES IN GOOD STANDING WITH SIX MONTHS OR MORE OF FULL TIME OR PART TIME SERVICE MAY APPLY FOR THE SCHOLARHSIP. FULL TIME EMPLOYEES MAY RECEIVE A MAXIMUM AWARD OF $500 AND PART TIME EMPLOYEES MAY RECEIVE A MAXIMUM AWARD OF $250. APPLICANTS MUST INCLUDE A LETTER OF REFERENCE COMPLETED BY A SUPERVISOR OR DEPARTMENT OPERATIONS DIRECTOR.
Procedures for monitoring use of grant fundsSchedule I, Part I, Line 2ALEGENT HEALTH FOUNDATION PROVIDES GRANTS TO ONLY RELATED 501(C)(3) ORGANIZATIONS WHICH SUPPORT THE SAME MISSION AND PURPOSE AS ALEGENT HEALTH FOUNDATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER0186939066524023852015992016550030985704773
RICHARD II HACHTEN
CEO ALEGENT CREIGHTON HEALTH08559120653989068624102978035016269051904460585895
SCOTT WOOTEN
SVP/CFO ALEGENT CREIGHTON HEALTH0382290026583901352950157094102005502374420058678

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GOVERNANCE OF EXECUTIVE COMPENSATIONSCHEDULE J, PART I, LINE 3ACTING AS PRUDENT STEWARDS OF ITS FINANCIAL RESOURCES, THE ALEGENT CREIGHTON HEALTH BOARD COMPENSATION COMMITTEE RECOMMENDS AND THE BOARD EXECUTIVE COMMITTEE APPROVES EXECUTIVE COMPENSATION PHILOSOPHY, POLICY AND GUIDELINES. IT DOES SO WITH THE OBJECTIVE OF ATTRACTING AND RETAINING TOP EXECUTIVE TALENT TO ENSURE ALEGENT CREIGHTON HEALTH IS ABLE TO FULFILL ITS FAITH-BASED MISSION AND ACHIEVE ITS VISION OF BECOMING WORLD-CLASS. THE ALEGENT CREIGHTON HEALTH COMPENSATION COMMITTEE FOLLOWS A THOROUGH AND INTENTIONAL PROCESS THAT INCLUDES CONSULTATION WITH INDEPENDENT, EXPERT COUNSEL AND CAREFULLY COMPARES COMPENSATION LEVELS TO MARKET-BASED COMPENSATION OF SIMILAR SIZED, NON-PROFIT AND FOR-PROFIT HEALTH SYSTEMS AND ALSO UTILIZES A BLEND OF NON-PROFIT AND GENERAL INDUSTRY DATA FOR EXECUTIVE ROLES WHERE THE RECRUITING MARKET IS ARGUABLY BROADER THAN THE NON-PROFIT SECTOR. TOTAL COMPENSATION INCLUDES BASE COMPENSATION, AND ALSO INCLUDES PERFORMANCE-BASED INCENTIVE COMPENSATION FOR ACHIEVING BOARD-SET GOALS FOR CLINICAL QUALITY, PATIENT SAFETY AND SATISFACTION, PHYSICIAN PERCEPTION, STRATEGIC AND FACILITY PLANNING AND FINANCIAL PERFORMANCE. IT MAY ALSO INCLUDE OTHER CASH PAYMENTS SUCH AS ONE-TIME RELOCATION COSTS, AND/OR CASH PAYMENTS FOR DEFERRED COMPENSATION. ADDITIONALLY, COMPENSATION FOR NON EXECUTIVE LEVEL MANAGEMENT POSITIONS WITHIN THE ALEGENT CREIGHTON HEALTH SYSTEM ARE DETERMINED BY THE ALEGENT CREIGHTON HEALTH HUMAN RESOURCE DEPARTMENT. THE HUMAN RESOURCE DEPARTMENT COMPARES MANAGEMENT COMPENSATION LEVELS TO SIMILAR POSITIONS WITHIN THE GEOGRAPHICAL AREA IN ORDER TO DETERMINE REASONABLE COMPENSATION.
Severance or change-of-control paymentSchedule J, Part I, Line 4aTHE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS EXECUTIVES OF ALEGENT CREIGHTON HEALTH DURING THE 2012 CALENDAR YEAR AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: RICHARD HACHTEN, II - $444,672
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: RICHARD HACHTEN II - $155,803 SCOTT WOOTEN - $64,619 PAUL STRAWHECKER - $15,992. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED A PAY OUT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR. AMOUNTS PAID OUT WERE INCLUDED IN TAXABLE WAGES FOR THE INDIVIDUAL AND REPORTED IN COLUMN E OF THE SCHEDULE J: RICHARD HACHTEN II - $141,223 SCOTT WOOTEN - $58,678 PAUL STRAWHECKER - $4,772.
POTENTIAL SEVERANCE PAYMENTSSCHEDULE J, PART IITHE ALEGENT CREIGHTON HEALTH EXECUTIVES HAVE A PROVISION IN THEIR COMPENSATION AGREEMENT THAT PROVIDES FOR POTENTIAL SEVERANCE PAYMENTS IN THE EVENT OF TERMINATION WITHOUT CAUSE OR CHANGE OF CONTROL. THE AMOUNT OF SEVERANCE AN EXECUTIVE MAY OR MAY NOT RECEIVE IF TERMINATED ACCORDING TO THE COMPENSATION AGREEMENT IS INCLUDED AS DEFERRED COMPENSATION IN COLUMN C.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99012804NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9909299NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (6 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGIFT BASKETS/PACKAGES8321834MARKET VALUE
XJEWELRY & ACCESSORIES4630401MARKET VALUE
XTICKETS177002MARKET VALUE
XTECHNOLOGY GIFTS51724MARKET VALUE
XHOTEL/TRIP PACKAGES31610MARKET VALUE
XGIFT CARDS71150MARKET VALUE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReference
Number of contributions or items contributed.Schedule M, part I, column (b), Line 6
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=GIFT BASKETS/PACKAGES
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=JEWELRY & ACCESSORIES
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=TICKETS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PAYMENTS TO VENDORSFORM 990, PART V, LINE 1CPAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE MADE BY ALEGENT CREIGHTON HEALTH, THEREFORE NO FORM 1099S ARE ISSUED BY ALEGENT HEALTH FOUNDATION MERCY HOSPITAL. ALEGENT CREIGHTON HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY ALEGENT CREIGHTON HEALTH ON BEHALF OF ALEGENT HEALTH FOUNDATION MERCY HOSPITAL ARE REPORTED TO THE IRS.
EMLOYEES OF ALEGENT HEALTH FOUNDATION MERCY HOSPITALFORM 990, PART V, LINE 2ATHE EMPLOYEES LISTED IN PART I, LINE 5 AND PART V, LINE 2A ARE EMPLOYED BY ALEGENT HEALTH FOUNDATION MERCY HOSPITAL. HOWEVER, THROUGH A COMMON PAY AGENT AGREEMENT, THE EMPLOYEES ARE PAID BY ALEGENT CREIGHTON HEALTH AND PAYROLL EXPENSES ARE ALLOCATED TO ALEGENT ALEGENT HEALTH FOUNDATION MERCY HOSPITAL.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6ALEGENT HEALTH FOUNDATION HAS ONE MEMBER, ALEGENT CREIGHTON HEALTH.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aALEGENT CREIGHTON HEALTH MAY DESIGNATE ITS BOARD CHAIR AND/OR ITS CHIEF EXECUTIVE OFFICER, OR HIS/HER DESIGNEE, TO SERVE EX OFFICIO WITHOUT VOTE, AS SPONSORSHIP ADVISOR TO THE BOARD.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bIN ADDITION TO ALL THE RIGHTS AND POWERS GRANTED BY LAW WITH RESPECT TO THE GOVERNANCE OF THIS CORPORATION, THE MEMBER SHALL HAVE THE RIGHT TO: A. INITIATE AND APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. B. INITIATE AND APPROVE JOINT VENTURES IN WHICH CORPORATION PROPOSES TO PARTICIPATE PURSUANT TO GUIDELINES ESTABLISHED FROM TIME TO TIME BY THE MEMBER. C. APPROVE AND REMOVE, WITH OR WITHOUT CAUSE, ALL MEMBERS OF THE BOARD OF DIRECTORS. D. INITIATE AND APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OF CORPORATION. E. INITIATE AND APPROVE THE DISSOLUTION, LIQUIDATION, MERGER OR CONSOLIDATION OF CORPORATION. F. INITIATE AND APPROVE THE INCORPORATION OR DISSOLUTION OF AFFILIATED ENTITIES OF CORPORATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bCHI 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.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cWRITTEN CONFLICT OF INTEREST POLICY - ALEGENT HEALTH FOUNDATION HAS ADOPTED THE CONFLICT OF INTEREST POLICY AND CONFLICT INVESTIGATION PROCESS OF ALEGENT CREIGHTON HEALTH, THE PARENT CORPORATION OF THE ALEGENT CREIGHTON HEALTH SYSTEM. ANNUAL COMPLETION OF THE DISCLOSURE STATEMENT IS REQUIRED BY THE BOARD OF DIRECTORS. STATED DISCLOSURES ARE INVESTIGATED BY THE ALEGENT CREIGHTON HEALTH COMPLIANCE OFFICER AND REPORTED TO THE CONFLICTS OF INTEREST COMMITTEE. THE CONFLICTS OF INTEREST COMMITTEE REVIEWS THE INVESTIGATION AND MAKES RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE MAKES THE FINAL DETERMINATION OF WHETHER OR NOT THERE IS A DISQUALIFYING EVENT AND COMMUNICATES IT TO THE ALEGENT HEALTH FOUNDATION BOARD OF DIRECTORS. AT ANY TIME A BOARD MEMBER OR KEY EMPLOYEE MAY DECLARE A CONFLICT OF INTEREST AND RECUSE HIS/HERSELF FROM THE DISCUSSION. THE INDIVIDUAL IS ALSO REQUIRED TO DISCLOSE ANY KNOWN OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE DURING THE CALENDAR YEAR.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC ON OUR WEBSITE AT WWW.ALEGENTCREIGHTON.COM. ALEGENT HEALTH FOUNDATION DOES NOT MAKE THE FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE AT WWW.SOS.STATE.NE.US.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgBusiness Name Line2NameOfDisregardedEntity/BusinessNameLine2
ALEGENT CREIGHTON CLINIC
12809 WEST DODGE ROADOMAHANE68154HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROADOMAHANE68154HEALTHCARENE501(C)(3)3NAtrue
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROADOMAHANE68124HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STREETMISSOURI VALLEYIA51555HEALTHCAREIA501(C)(3)3AHIMCtrue
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROADOMAHANE68154FUNDRAISINGNE501(C)(3)7ACHtrue
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND STREETOMAHANE68122HEALTHCARENE501(C)(3)3ACHtrue
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE
104 W 17TH STREETSCHUYLERNE68661HEALTHCARENE501(C)(3)3AHIMCtrue
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368CORNINGIA50841HEALTHCAREIA501(C)(3)3AHBMHStrue
ALVERNA APARTMENTS
300 SE 8TH AVENUELITTLE FALLSMN56345LTERM CAREMN501(C)(3)9CHItrue
APPLETREE COURT
601 OAK STREETBRECKENRIDGEMN56520SENIOR HOMESMN501(C)(3)9SFHtrue
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUEDES MOINESIA50314LTERM CAREIA501(C)(3)9CHI-IA CORPtrue
BORNEMANN HEALTH CORPORATION
2500 BERNVILLE RD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)11 - Type ICHItrue
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREETCARRINGTONND58421HEALTHCAREND501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)9NAtrue
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919FUNDRAISINGCO501(C)(3)7CHICtrue
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)11 - Type ICHItrue
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVECOLORADO SPRINGSCO80919FUNDRAISINGCO501(C)(3)9CHItrue
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST SUITE 500ENGLEWOODCO80112HEALTHCARECO501(C)(3)3CHItrue
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUEDES MOINESIA50314HEALTHCAREIA501(C)(3)3CHItrue
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAYROSEBURGOR97470PHYSICIANSOR501(C)(3)9MMCtrue
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAYGREAT BENDKS67530SURGERY CNTRKS501(C)(3)3CHItrue
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY SOUTHFARGOND58104HEALTHCAREND501(C)(3)9CHItrue
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400ERLANGERKY41018HEALTHCAREKY501(C)(3)11 - Type ICHItrue
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)9CHI NHCtrue
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCARECO501(C)(3)11 - Type ICHItrue
CHI NEBRASKA
6940 O STREETLINCOLNNE68510HEALTHCARENE501(C)(3)11 - Type ICHItrue
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206DIALYSISOH501(C)(2)N/AGSHtrue
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA
631 N 8TH STREETMISSOURI VALLEYIA51555FUNDRAISINGIA501(C)(3)11 - Type IAHCMHtrue
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVELEXINGTONKY40509LTACHKY501(C)(3)3SJHStrue
COVENANT HOME CARE
198 INVERNESS DRIVE WESTENGLEWOODCO80112HOME HEALTHPA501(C)(3)11 - Type IINAtrue
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUEENUMCLAWWA98022HEALTHCAREWA501(C)(3)3FHStrue
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004HEALTHCAREKY501(C)(3)3KOHtrue
FLAGET MEMORIAL HOSPITAL FOUNDATION
4305 NEW SHEPHERDSVILLE ROADBARDSTOWNKY40004FUNDRAISINGKY501(C)(3)11 - Type IFHtrue
FRANCISCAN FOUNDATION
1717 SOUTH J STREETTACOMAWA98405FUNDRAISINGWA501(C)(3)9FHStrue
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STREETTACOMAWA98405HEALTHCAREWA501(C)(3)3CHItrue
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUETACOMAWA98405HEALTHCAREWA501(C)(3)9FHStrue
FRANCISCAN VILLA OF SOUTH MILWAUKEE
3601 SOUTH CHICAGO AVENUESOUTH MILWAUKEEWI53172HEALTHCAREWI501(C)(3)9CHItrue
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUEGETTYSBURGSD57442HEALTHCARESD501(C)(3)3SMHCtrue
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WESTENGLEWOODCO80112MINISTRIESCO501(C)(3)11 - Type ICHItrue
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206EDUCATIONOH501(C)(3)2GSHtrue
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET - ACCOUNTING 3 WESTCINCINNATIOH45206FUNDRAISINGOH501(C)(3)11 - Type IGSHtrue
GOOD SAMARITAN HOSPITAL
PO BOX 1990KEARNEYNE68848HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREETKEARNEYNE68847FUNDRAISINGNE501(C)(3)7GSHtrue
ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK
6624 FANNINHOUSTONTX77030PHY PRACTICESTX501(C)(3)3SLHStrue
HEALTH SET
4200 WEST CONEJOS PLACE 436DENVERCO80204LOW INC.CARECO501(C)(3)7CHICtrue
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520FUNDRAISINGMN501(C)(3)11 - Type ISFMCtrue
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SWBURIENWA98166HEALTHCAREWA501(C)(3)3FHStrue
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVETOWSONMD21204HEALTHCAREMD501(C)(3)9SJMCtrue
HOUSE OF MERCY
1111 6TH AVENUEDES MOINESIA50314SHELTERIA501(C)(3)7CHI-IA CORPtrue
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH STREETLOUISVILLEKY40202HEALTHCAREKY501(C)(3)3KOHtrue
JEWISH PHYSICIAN GROUP INC
539 S 4TH STREETLOUISVILLEKY40202HEALTHCAREKY501(C)(3)9JHSMHtrue
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202HEALTHCAREKY501(C)(3)9CHItrue
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTHBAUDETTEMN56623HEALTHCAREMN501(C)(3)3CHItrue
LINUS OAKES INC
2700 STEWART PARKWAYROSEBURGOR97470SENIOR LIVINGOR501(C)(3)9MMCtrue
LISBON AREA HEALTH SERVICES
905 MAIN STREETLISBONND58054HEALTHCAREND501(C)(3)3CHItrue
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUECHATTANOOGATN37404FUNDRAISINGTN501(C)(3)7MHCStrue
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUECHATTANOOGATN37404HEALTHCARETN501(C)(3)3CHItrue
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411HEALTHCARETN501(C)(3)9MHCStrue
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUEDES MOINESIA50314AUXILIARYIA501(C)(3)11 - Type ICHI-IA CORPtrue
MERCY CLINICS INC
1111 6TH AVENUEDES MOINESIA50314PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUEDES MOINESIA50314EDUCATIONIA501(C)(3)2CHI-IA CORPtrue
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUEDES MOINESIA50314FUNDRAISINGIA501(C)(3)7CHI-IA CORPtrue
MERCY FOUNDATION INC
2700 STEWART PARKWAYROSEBURGOR97470FUNDRAISINGOR501(C)(3)7MMCtrue
MERCY HEALTH CARE FOUNDATION
PO BOX 368CORNINGIA50841FUNDRAISINGNE501(C)(3)11 - Type IAHMHtrue
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072FUNDRAISINGND501(C)(3)11 - Type III - FIMHVCtrue
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVECOUNCIL BLUFFSIA51503FUNDRAISINGIA501(C)(3)11 - Type IAHBMHStrue
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NEDEVILS LAKEND58301HEALTHCAREND501(C)(3)3CHItrue
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 SEVENTH STREET NEDEVILS LAKEND58301FUNDRAISINGND501(C)(3)7CHItrue
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARDVALLEY CITYND58072HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER
1301 15TH AVENUE WESTWILLISTONND58801HEALTHCAREND501(C)(3)3CHItrue
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVECENTERVILLEIA52544HEALTHCAREIA501(C)(3)3CHI-IA CORPtrue
MERCY MEDICAL CENTER INC
2700 STEWART PARKWAYROSEBURGOR97470HEALTHCAREOR501(C)(3)3CHItrue
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WESTWILLISTONND58801FUNDRAISINGND501(C)(3)11 - Type IMMCtrue
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUEDES MOINESIA50314PHYSICIANIA501(C)(3)9CHI-IA CORPtrue
MLIFECARES
198 INVERNESS DRIVE WESTENGLEWOODCO80112PROPERTY MGMTMO501(C)(3)11 - Type ISJRMCtrue
MNMCH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREKS501(C)(3)3SJRMCtrue
MT ST JOSEPH INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112NURSING CAREOR501(C)(3)11 - Type ICHItrue
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREETLINCOLNNE68526HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREETOAKESND58474HEALTHCAREND501(C)(3)3CHItrue
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREETOAKESND58474FUNDRAISINGND501(C)(3)11 - Type IOCHtrue
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52PUEBLOCO81004COMMUNITYCO501(C)(3)7CHICtrue
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DRIVE SUITE 450COLORADO SPRINGSCO80906LTERM CARECO501(C)(3)7CHICtrue
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROADDENVILLENJ07834HEALTHCARENJ501(C)(3)11 - Type IISCHStrue
SAINT CLARE'S FOUNDATION
25 POCONO ROADDENVILLENJ07834FUNDRAISINGNJ501(C)(3)7SCHStrue
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROADDENVILLENJ07834MANAGEMENTNJ501(C)(3)7CHItrue
SAINT CLARE'S HOSPITAL
25 POCONO ROADDENVILLENJ07834HEALTHCARENJ501(C)(3)3SCHStrue
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREETLINCOLNNE68510FUNDRAISINGNE501(C)(3)7SERMCtrue
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREETLINCOLNNE68510HEALTHCARENE501(C)(3)3SERMCtrue
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREETLINCOLNNE68510HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEYGRAND ISLANDNE68803HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804GRAND ISLANDNE68802FUNDRAISINGNE501(C)(3)7SFMCtrue
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREETBEREAKY40403FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160LEXINGTONKY40503HEALTHCAREKY501(C)(3)3CHItrue
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANELONDONKY40741FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202PHY PRACTICESKY501(C)(3)3SJHStrue
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRIVEMOUNT STERLINGKY40353FUNDRAISINGKY501(C)(3)7SJHStrue
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREETDICKINSONND58601FUNDRAISINGND501(C)(3)11 - Type ISJHHCtrue
SAMARITAN BEHAVIORAL HEALTH
2222 PHILADELPHIA DRIVEDAYTONOH45406HEALTHCAREOH501(C)(3)3SHPtrue
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVEDAYTONOH45406FUNDRAISINGOH501(C)(3)7SHPtrue
SAMARITAN HEALTH PARTNERS
110 NORTH MAIN STREETDAYTONOH45402HEALTHCAREOH501(C)(3)11 - Type ICHItrue
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREETSCHUYLERNE68661FUNDRAISINGNE501(C)(3)11 - Type IAHMHStrue
SJMGROUP
198 INVERNESS DRIVE WESTENGLEWOODCO80112PHYS PRACTICEMO501(C)(3)9SJRMCtrue
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREMO501(C)(3)3CHItrue
SL AUGUSTA CORP
PO BOX 20269HOUSTONTX77225TITLE HOLDINGTX501(C)(2)N/ASL PROPERTIEStrue
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150LANCASTERPA17602HEALTHCAREPA501(C)(3)11 - Type ICHItrue
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN SUITE 1100HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISL PROPERTIEStrue
ST ANTHONY HOSPITAL
1601 SE COURT AVENUEPENDLETONOR97801HEALTHCAREOR501(C)(3)3CHItrue
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUEPENDLETONOR97801FUNDRAISINGOR501(C)(3)11 - Type ISA HOSPITALtrue
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVEMORRILTONAR72110HEALTHCAREAR501(C)(3)3SVIMCtrue
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREETGARDEN CITYKS67846HEALTHCAREKS501(C)(3)3CHItrue
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREETGARDEN CITYKS67846FUNDRAISINGKS501(C)(3)11 - Type ISCHtrue
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREETONTARIOOR97914HEALTHCAREOR501(C)(4)N/ACHItrue
ST FRANCIS HOME
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520LTERM CAREMN501(C)(3)9CHItrue
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROADDENVILLENJ07834ELDERLY CARENJ501(C)(3)9SCHStrue
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVEBRECKENRIDGEMN56520HEALTHCAREMN501(C)(3)3CHItrue
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WESTENGLEWOODCO80112HEALTHCAREOR501(C)(3)3CHItrue
ST JOHN'S MERCY REGIONAL FOUNDATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112FUNDRAISINGMO501(C)(3)7SJRMCtrue
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVENUE SWALBUQUERQUENM87102COMMUNITYNM501(C)(3)11 - Type ICHItrue
ST JOSEPH HOSPITAL FOUNDATION INC
ONE SAITN JOSEPH DRIVELEXINGTONKY40504FUNDRAISINGKY501(C)(3)11 - Type ISJHStrue
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316READINGPA19603FUNDRAISINGPA501(C)(3)11 - Type ISJRHNtrue
ST JOSEPH MEDICAL CENTER FOUNDATION
7601 OSLER DRIVETOWSONMD21204FUNDRAISINGMD501(C)(3)7SJMCtrue
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVETOWSONMD21204HEALTHCAREMD501(C)(3)3CHItrue
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)9BHCtrue
ST JOSEPH PHYSICIAN ENTERPRISE INC
7601 OSLER DRIVETOWSONMD21204PHYSICIANSMD501(C)(3)11 - Type ISJMCtrue
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316READINGPA19603HEALTHCAREPA501(C)(3)3CHItrue
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUEPARK RAPIDSMN56470HEALTHCAREMN501(C)(3)3CHItrue
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREETDICKINSONND58601HEALTHCAREND501(C)(3)3CHItrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrueR LAND HOSPITAL
ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH
6624 FANNIN SUITE 1100HOUSTONTX77030MANAGEMENTTX501(C)(3)11 - Type ICHItrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN SUITE 2505HOUSTONTX77030MANAGEMENTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC
6624 FANNIN SUITE 2505HOUSTONTX77030HEALTHCARETX501(C)(3)3SL CDCtrue
ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL
6624 FANNIN SUITE 1100HOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrue
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN SUITE 1100HOUSTONTX77030INVESTMENT MANAGEMENTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN SUITE 1100HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISLHStrue
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE SUITE 855HOUSTONTX77004FUNDRAISINGTX501(C)(3)7SLHStrue
ST LUKE'S MEDICAL CENTER
6624 FANNINHOUSTONTX77030HEALTHCARETX501(C)(3)3SLHStrue
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUENEBRASKA CITYNE68410HEALTHCARENE501(C)(3)3CHI NEBRASKAtrue
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUEPIERRESD57501HEALTHCARESD501(C)(3)3CHItrue
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUENEBRASKA CITYNE68410FUNDRAISINGNE501(C)(3)7SMHtrue
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLELITTLE ROCKAR72205FUNDRAISINGAR501(C)(3)11 - Type ISVIMCtrue
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLELITTLE ROCKAR72205HEALTHCAREAR501(C)(3)3CHItrue
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLELITTLE ROCKAR72205HEALTHCAREAR501(C)(3)9SVIMCtrue
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN SUITE 2505HOUSTONTX77030PROPERTY MGMTTX501(C)(3)11 - Type ISL CDC - SLtrue
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 WCINCINNATIOH45206HEALTHCAREOH501(C)(3)3CHItrue
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500LINCOLNNE68503PHYS PRACTICENE501(C)(3)11 - Type ICHI NEBRASKAtrue
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500ENGLEWOODCO80112HEALTHCARECO501(C)(3)3CHICtrue
UNITY FAMILY HEALTHCARE
815 SE 2ND STREETLITTLE FALLSMN56345HEALTHCAREMN501(C)(3)3CHItrue
VILLA NAZARETH INC
801 PAGE DRIVEFARGOND58103LT CAREND501(C)(3)9CHItrue
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT ROADSPARTANJ07871HOME HEALTHNJ501(C)(3)9SCHStrue
WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL
16251 SYLVESTER RD SWBURIENWA98166AUXILIARYWA501(C)(3)11 - Type IIHMCtrue
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY SUITE 170THE WOODLANDSTX77384PHY PRACTICESTX501(C)(3)9SL CHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918841513085REAL ESTATECOCHICRELATED349918665388false$0false0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400OMAHANE68137392045003STAFFING OF NURSESNEAHBMHSRELATED-2104054806071false-$439,536false0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAILCLEVELANDTN37312621875199PHYS OFFICETNMHCSRELATED575451013237false$0true0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310LEXINGTONKY40504611386736DIAGNOSTICKYSJHSRELATED3084283317191false$0false0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUEKEARNEYNE68848470692112HEALTHCARE SRVCNENARELATED228435675251false$0true1
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVEGRAND ISLANDNE68802810653461PHYSICAL THERAPYNESFMCRELATED17101992712656false$0false0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WESTENGLEWOODCO80112470727942INVESTMENTSCOCHIUNRELATED3449625324617413792false$0true0.7992
HEALTHCARE SUPPORT SERVICES
PO BOX 9804GRAND ISLANDNE68802721546196LAUNDRYNENARELATED985833190677false$0false1
MRI AT ST JOSEPH MEDICAL CENTER LLC
7253 AMBASSADOR ROADBALTIMOREMD21244521958002MEDICAL IMAGINGMDSJMCRELATED4231672174155false$0true0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUESHERWOODAR72120710799771AMBUL SURG CTRARSVIMCRELATED810711077536false$0false0.5745
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVETOWSONMD21204521682964REAL ESTATEMDTMIRELATED94900false$0true0.6658
ORTHOCOLORADO LLC
11650 WEST 2ND PLACELAKEWOODCO80255371577105ORTHO HOSPITALCOTHCRELATED18461538411844false$0false0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MARTIN LUTHER KING JR WAY 111TACOMAWA98405870808610HEALTHCARE SRVCWAFHSRELATED2565673262002false$0false0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVDCOLORADO SPRINGSCO80920841072619MEDICAL IMAGINGCOCHICRELATED7150943489436false$0false0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201BALTIMOREMD21204522095835SURGERY CENTERMDSJMCRELATED-693450false$0true0.51
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRDOSBURG ROADLEXINGTONKY40504453801157OP SURGERYDESJHSRELATED00false$0true0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202721386840SURGERY CENTERKYJHRELATED3388666017false$0true0.51
ST FRANCIS LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300COLORADO SPRINGSCO80918263134100REAL ESTATECOCHICRELATED-13096713823763false$0false0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREETTACOMAWA98405911352698MED. OFFICEWAFHSRELATED2387171907063false$0false0.5846
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503452116736MGMT SVCSKYSJHSRELATED304461149003false$0true0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREETLINCOLNNE68521262884555OP DIAGNOSTICSNESERMCRELATED-200323821112false$0true0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160LEXINGTONKY40503621179539SURGERY CENTERDESJHSRELATED-2003184079584false$0true0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAYLOUISVILLEKY40202621179537SURGERY CENTERKYJHRELATED-15452396101false$0true0.51
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREETOMAHANE68116061786985OP DIAGNOSTICSNEACHRELATED116752776649false$0true0.51
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100OMAHANE68124208671994AMBUL SURG CTRNEACHRELATED1420853294472false$0false0.6394
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DROMAHANE68130204267902AMBUL SURG CTRNEACHRELATED34658801951221false$0false0.516
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201OMAHANE68130205544496ENDOSCOPY SRVCNEACHRELATED14552941013126false$0false0.5228
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREETOMAHANE68122270263191SPINE HOSPITALNEACHRELATED1050173017301869false$0false0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST 102LINCOLNNE68508204962103TECH SERVICESNEAH-IMCRELATED10118045564586false$68,565true0.627
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRIVE SUITE 300MILFORDOH45150263330545HOME HEALTHKYJHRELATED32081399684824false$0false0.969
LINCOLN CK LEASING LLC
8770 BRYN MAWR SUITE 1370CHICAGOIL60631262496856REAL ESTATENESERMCRELATED397452439334false$0false0.5376
HIGHLINE IMAGING LLC
275 SW 160TH STBURIENWA98166200460005DIAGNOSTICWAHMCRELATED8402221784058false$0false0.8
HC SL VINTAGE I LLC
18000 WEST SARAH LANE SUITE 250BROOKFIELDWI53045270453767PROPERTY HOLDWISL CDC - VINTAGERELATED1027057105658490false$0false0.51
ST LUKE'S HOSPITAL AT THE VINTAGE LLC
6624 FANNIN SUITE 2505HOUSTONTX77030263734516HOSPITALTXSL CDC - VINTAGERELATED-1925374369158748false$0true0.51
PMC HOSPITAL LLC
6624 FANNIN SUITE 2505HOUSTONTX77030273280598HOSPITALTXSL CDC - PMCRELATED109254020751174false$0true0.51
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520HOUSTONTX77030710959365DIAGNOSTICTXSLHS HOLDINGSRELATED273448868814false$0false0.573
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505HOUSTONTX77030300427437HOSPITALTXSL CDC - WOODLANDSRELATED110662825874619false$0true0.51
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN SUITE 800HOUSTONTX77030462795726DIAGNOSTICTXSLHS HOLDINGSRELATED00false$0false0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line2NameOfRelatedOrg/BusinessNameLine2
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400ERLANGERKY41018841112049MANAGEMENT SERVICESCOCHIC CORPORATION062727461true
AMERICAN NURSING CARE
1700 EDISON DRIVEMILFORDOH45150311085414HOME HEALTHOHCHSC CORPORATION5118606519202071true
AMERIMED INC
1700 EDISON DRIVEMILFORDOH45150311158699HOME HEALTHOHANCC CORPORATION2134392146692191true
BC HOLDING COMPANY INC
1850 BLUEGRASS AVELOUISVILLEKY40215311542851FITNESS CLUBKYJHC CORPORATION001true
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570736HEALTHCARETNMHCSC CORPORATION010081true
CAPTIVE MANAGEMENT INITIATIVES
980663022CAPTIVE MANAGEMENTCHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WESTENGLEWOODCO80112272269511RESEARCHCOCIRIC CORPORATION-228653812412591true
CGH REALTY COMPANY INC
2500 BERNVILLE RDREADINGPA19603232326801REAL ESTATEPASJHMC CORPORATION001true
COMCARE SERVICES
4231 W 16TH AVENUEDENVERCO80204840904813INACTIVECOCHICC CORPORATION001true
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVEMILFORDOH45150311378212HOME HEALTHOHCHIC CORPORATION-879467523794871true
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUEDES MOINESIA50314420837382REAL ESTATEIACHI-IA CORPC CORPORATION6120410640320.9298true
FIRST INITIATIVES INSURANCE LTD
980203038INSURANCECHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112232487967HEALTHCARECOCHIC CORPORATION-78687182541true
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990KEARNEYNE68848470659440MEDICAL CLINICNECHI NEBRASKAC CORPORATION-2574181804681true
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990KEARNEYNE68848470664558MANAGEMENTNEGSHC CORPORATION8727813778201true
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET STTACOMAWA98402911865474HEALTH ORG.WAFHSC CORPORATION001true
MEDQUEST
1301 15TH AVENUE WESTWILLISTONND58801450392137SALE OF DMENDMMC WILLISTONC CORPORATION15351011527151true
MERCY PARK APARTMENTS LTD
1111 6TH AVENUEDES MOINESIA50314421202422HOUSINGIACHI-IA CORPC CORPORATION36923119372181true
MERCY SERVICES CORP
2700 STEWART PARKWAYROSEBURGOR97470930824308RETAIL SALESORMMCC CORPORATION-44059614233771true
MHSERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112431457881DMEMOSJRMCC CORPORATION001true
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500CHATTANOOGATN37411621570739MGMT SVC ORGTNMHCSC CORPORATION9604464651791true
NAZARETH ASSURANCE COMPANY
030304831INSURANCECHIC CORPORATION001truePO BOX 10073 APOGEORGETOWNGRAND CAYMANCJKY1-1001CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVEMILFORDOH45150311100798HOME HEALTHOHANCC CORPORATION-16434054882751true
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET STTACOMAWA98402911746721HEALTH ORG.WAFHSC CORPORATION001true
SAINT CLARES PRIMARY CARE INC
66 FORD ROADDENVILLENJ07834222441202BILLING SERVICESNJSCCCC CORPORATION-35726313612421true
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700DAYTONOH45402311299450HEALTHCAREOHSHPC CORPORATION001true
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WESTENGLEWOODCO80112232307408HEALTHCARECOFSIC CORPORATION-19703933317371true
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160LEXINGTONKY40503270164198MANAGEMENTKYSJHSC CORPORATION001true
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATEPENDLETONOR97801931216943ATHLETIC CLUBORSAHC CORPORATION11466329361021true
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLELITTLE ROCKAR72205710710785HEALTHCAREARSVIMCC CORPORATION2408638152257321true
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREETTACOMAWA98405911480569RENTALWAFSIC CORPORATION655478123574181true
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70LEXINGTONKY40504611079899MANAGEMENTKYSJHSC CORPORATION08821390.85true
TOWSON MANAGEMENT INC
7601 OSLER DRIVETOWSONMD21204521710750MANAGEMENT SERVICESMDFSIC CORPORATION5164571971961true
COLLABHEALTH MANAGED SOLUTIONS INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461222808HOLDING COCOCHIC CORPORATION0238067071true
COLLABHEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WESTENGLEWOODCO80112461224037ADMIN SERVICESCOCHMSC CORPORATION-1082933382726081true
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW 170BURIENWA98166911407026MEDICAL SERVICESWAHMCC CORPORATION-604914756891391true
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S SUITE 201FEDERAL WAYWA98001421720801INSURANCEWACHPSC CORPORATION-154741109769730.556true
SLEHS HOLDINGS INC
6624 FANNIN SUITE 800HOUSTONTX77030760637138HOLDING COTXSLHSC CORPORATION1425313331141031true
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN SUITE 1100HOUSTONTX77030461517163MEDICAL CLINICTXSLMCC CORPORATION001true
SLMT PARKING INC
6624 FANNIN SUITE 800HOUSTONTX77030760637140PARKINGTXSLHSC CORPORATION1117934137682211true
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030300355517CONDOMINIUM ASSOCTXSLPCC CORPORATION001true
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNERHOUSTONTX77030760377932PHOTXSLMCC CORPORATION600.6true
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030300355518CONDOMINIUM ASSOCTXSLPCC CORPORATION001true
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100HOUSTONTX77030760298751CONDOMINIUM ASSOCTXSLMTCC CORPORATION001true
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAYSUGAR LANDTX77478454270163MEDICAL CLINICTXSL CHSC CORPORATION-11594115665901true
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN SUITE 1100HOUSTONTX77030900064009CONDOMINIUM ASSOCTXSLMCC CORPORATION001trueUILDING CONDOMINIUM ASSOCIATION
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE ROADOMAHANE68154470802396MANAGED CARENEACHC CORPORATION531231345208651true
ALL SAINTS INSURANCE COMPANY SPC LTD
INSURANCESLHSC CORPORATION0438669611truePO BOX 69 GT 720 WEST BAY ROADGEORGETOWNGRAND CAYMANCJKY-1102CJ
VINTAGE DOCTOR GROUP
6624 FANNIN SUITE 1100HOUSTONTX77030MEDICAL CLINICTXSLMCC CORPORATION001true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg