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ALEGENT HEALTH-IMMANUEL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALEGENT HEALTH-IMMANUEL MEDICAL CENTER (EIN 47-0376615)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201421339349305047
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)
Timestamp2014-05-13T19:01:06-05:00Timestamp
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)
EIN470376615EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH - IMMANUEL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEGNameControl
Phone4023434323Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16901 NORTH 72ND STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68154ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANETTE WOJTALEWICZName
TitleCFOTitle
Date Signed2014-05-13DateSigned
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

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 Receipts269810134GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALEGENTCREIGHTON.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1904YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1857TotalNbrEmployees
Total Nbr Volunteers313TotalNbrVolunteers
Total Gross UBI152292TotalGrossUBI
Net Unrelated Business Txbl Income64873NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year158696ContributionsGrantsPriorYear
Contributions Grants Current Year457479ContributionsGrantsCurrentYear
Program Service Revenue Prior Year219578766ProgramServiceRevenuePriorYear
Program Service Revenue CY227510598ProgramServiceRevenueCY
Investment Income Prior Year24782403InvestmentIncomePriorYear
Investment Income Current Year32928054InvestmentIncomeCurrentYear
Other Revenue Prior Year40419729OtherRevenuePriorYear
Other Revenue Current Year6878834OtherRevenueCurrentYear
Total Revenue Prior Year284939594TotalRevenuePriorYear
Total Revenue Current Year267774965TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year21877790GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY19451389GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year115576440SalariesEtcPriorYear
Salaries Etc Current Year111872954SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year107233926OtherExpensePriorYear
Other Expenses Current Year100778105OtherExpensesCurrentYear
Total Expenses Prior Year244688156TotalExpensesPriorYear
Total Expenses Current Year232102448TotalExpensesCurrentYear
Revenues Less Expenses Prior Year40251438RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35672517RevenuesLessExpensesCY
Total Assets BOY617826265TotalAssetsBOY
Total Assets EOY603353569TotalAssetsEOY
Total Liabilities BOY151030035TotalLiabilitiesBOY
Total Liabilities EOY130841202TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY466796230NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY472512367NetAssetsOrFundBalancesEOY
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 REGION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26053397Expense
Grants5022790Grants
Revenue58038339Revenue
DescriptionALEGENT HEALTH IMMANUEL MEDICAL CENTER MENTAL HEALTH PHYSICIANS ARE UNIQUE IN THEIR CARE-GIVING APPROACH TO EMOTIONAL AND BEHAVIORAL PROBLEMS OF CHILDREN, ADOLESCENTS, ADULTS AND SENIORS. PHYSICIANS PROVIDE THE MOST APPROPRIATE CARE AT THE LEVEL OF SERVICE THAT EACH PATIENT NEEDS. OUTPATIENT AND INPATIENT BEHAVIORAL SERVICE PROGRAMS ARE PROVIDED. RECENTLY, IMMANUEL MEDICAL CENTER BUILT THE RESIDENTIAL TREATMENT CENTER. THIS NEW STATE OF THE ART FACILITY FEATURES 20 PRIVATE ROOMS FOR BOYS AND GIRLS BETWEEN THE AGES OF SIX AND EIGHTEEN YEARS OF AGE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense21416528Expense
Grants5499033Grants
Revenue63541332Revenue
DescriptionALEGENT HEALTH-IMMANUEL MEDICAL CENTER REHABILITATION CENTER PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAMS FOR INDIVIDUALS OF ALL AGES. THE REHABILITATION CENTER IS THE REGION'S MOST COMPREHENSIVE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION, OFFERING PATIENTS SOME OF THE MOST ADVANCED REHABILITATIVE TECHNOLOGY. IMMANUEL REHABILITATION CENTER HAS RECEIVED THE HIGHEST LEVEL OF ACCREDITATION AWARDED BY THE JOINT COMMISSION AND BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). AT EVERY LEVEL OF CARE, A TEAM OF LICENSED AND CERTIFIED REHABILITATION PROFESSIONALS ARE AVAILABLE. EACH ONE OF THE REHABILITATION PROGRAMS ARE DESIGNED TO MAXIMIZE INDEPENDENCE AND QUALITY OF LIFE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense14729907Expense
Grants7993788Grants
Revenue92368222Revenue
DescriptionALEGENT HEALTH-IMMANUEL MEDICAL CENTER CANCER SUPPORT AND DIAGNOSTIC TEAM IS COMPRISED OF A GROUP OF HEALTHCARE PROFESSIONALS WHO WORK TOGETHER IN A VARIETY OF WAYS TO HELP THE PATIENT AND FAMILY COPE WITH CANCER. EACH ONE OF THE PHYSICIANS ARE EQUIPPED TO DIAGNOSE AND AGGRESSIVELY TREAT CANCER AND GET PATIENTS BACK TO THERE LIFE AS SOON AS POSSIBLE. INDIVIDUAL TEAM MEMBERS INCLUDE CANCER SUPPORT SERVICE SPECIALISTS, MEDICAL SOCIAL WORKERS, CANCER REHABILITATION SPECIALIST, PASTORAL SERVICES, DIETITIANS, ONCOLOGY NURSE NAVIGATORS, HOSPICE & HOME CARE SERVICES, INPATIENT NURSING SERVICES, RADIATION ONCOLOGY, AND VOLUNTEER SERVICES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense160492009Expense
Grants935778Grants
Revenue53827072Revenue
DescriptionALEGENT HEALTH-IMMANUEL MEDICAL CENTER PROVIDES ADDITIONAL SERVICES INCLUDING BUT NOT LIMITED TO: WEIGHT MANAGEMENT, A 24 HOUR EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY, DIAGNOSTIC SERVICES AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp160492009TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt935778TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev53827072TotalOfOtherProgramServiceRev
Total Program Service Expense222691841TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109693NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1857NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 Number4023434671TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANTHONY HATCHER
SECRETARY/TREASURER0.0070.00XX043253531780
MICHAEL DEFREECE
CHAIR4.008.00XX000
ANTOINETTE HARDY-WALLER RN
DIRECTOR4.0010.00X0180000
ERIC GURLEY
DIRECTOR4.008.00X000
FR JAMES CLIFTON SJ
DIRECTOR4.008.00X000
FR TIMOTHY LANNON SJ
DIRECTOR4.008.00X000
GUILLERMO HUERTA MD
DIRECTOR4.008.00X000
H KEITH SCHMODE
DIRECTOR4.008.00X0190000
JOHN HARRIS MD
DIRECTOR4.0064.00X048982229488
JOHN HEWITT
DIRECTOR4.0012.00X000
LESLIE R ANDERSEN
DIRECTOR4.0012.00X000
MARTIN M MANCUSO MD
DIRECTOR4.0064.00X040807723829
PAUL EDGETT
DIRECTOR4.0056.00X073437786500
PHYLLIS HUGHES RSM DRPH
DIRECTOR4.0012.00X000
RICHARD J VIERK
DIRECTOR4.008.00X0270000
JOAN NEUHAUS
ACH SVP COO14.0052.00X1642165988331683619
KENNETH LAWONN
SVP STRATEGY & TECH14.0042.00X1387295058921516722
RICHARD II HACHTEN
PRESIDENT & CEO14.0051.00X47263217235102994304
RICHARD ROLSTON MD
ACC PRESIDENT & CEO14.0052.00X1720416273711737544
RICK MILLER MD
SVP/CHIEF QUALITY OFFICER14.0042.00X1074263917411144918
SCOTT WOOTEN
SVP/CFO14.0050.00X1686016148231590996
ANN SCHUMACHER
COO IMMANUEL14.0052.0095248347334114598X
BETH LLEWELLYN
VP MISSION INTEGRATION14.0042.0059779217992257222X
JANE CARMODY
VP/CNO14.0043.008998032812166938X
JASON YUNGTUM
VP/REG GENERAL COUNSEL14.0042.0045510165956591119X
MYLES GART MD
CHIEF MEDICAL OFFICER14.0042.004330415791311419X
NANCY WALLACE
VP HUMAN RESOURCES14.0042.0081938298796347302X
PATRICIA MASEK
VP MEDICAL AFFAIRS14.0044.005278319247880726X
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER14.0044.005968121763432542X
SHEREE KEELY
VP BEHAVIORAL14.0042.004779017427161176X
ARUN SHARMA MD
PHYSICIAN60.000428954042138X
BECKI HILL MD
PHYSICIAN60.000353094026858X
CHRISTOPHER CRISCUOLO MD
PHYSICIAN60.000345427033338X
HUDSON HSIEH MD
PHYSICIAN60.000313263038079X
MICHAEL EGGER MD
PHYSICIAN60.000352806044261X
FRANK EMSICK
FORMER FACILITIES OPS EXEC14.0030.004857317712821014X
LARRY BROWN MD
FORMER ACC CEO0.0064.00034280345707X
MARTIN HICKEY MD
FORMER SVP/CEO CLINICS0.000.00408891491050X
PAUL EBMEIER
FORMER ACC COO0.000.00040209017770X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3682664TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9762602TotalReportableCompFrmRltdOrgs
Total Other Compensation12671907TotalOtherCompensation
Number Individuals GT100 K147NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CASSLING DIAGNOSTIC IMAGING INC
13808 F STREETOMAHANE68137DIAGNOSTIC IMAGING SERVICES998597
DARLAND CONSTRUCTION CO
4115 S 133RD STREETOMAHANE68137CONSTRUCTION SERVICES824950
GRAHAM CONSTRUCTION INC
13210 CENTENNIAL ROADOMAHANE68138CONSTRUCTION SERVICES528927
AMERITEX SERVICES
1321 SOUTH 20TH STREETOMAHANE68108LAUNDRY SERVICES419871
NORTHWEST ANESTHESIA PC
6901 N 72ND STREETOMAHANE68122ANESTHESIA SERVICES259105
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Membership Dues64000MembershipDues
Fundraising Events47440FundraisingEvents
Related Organizations187437RelatedOrganizations
All Other Contributions158602AllOtherContributions
Noncash Contributions33948NoncashContributions
Total Contributions457479TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SVC REV621500218737576218737576
REIMBURSABLE-AFFILIATE6219905519899$5,519,899
MEANINGFUL USE900099860333860333
HOSPITAL PHARMACY4461101557317$1,557,317
FOOD & NUTRITION722320571464$571,464

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column264009TotalRevenueColumn
Related Or Exempt Function Income264009RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue227510598TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24345782TotalRevenueColumn
Unrelated Business Revenue66922UnrelatedBusinessRevenue
Exclusion$24,278,860ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2181893Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1414503Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real767390Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column767390TotalRevenueColumn
Exclusion$767,390ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8774234Securities
Other120228Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other312190Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8774234Securities
Other-191962Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8582272TotalRevenueColumn
Exclusion$8,582,272ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events67547GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events47440CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses85543FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-17996TotalRevenueColumn
Exclusion-$17,996ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming14825GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column14825TotalRevenueColumn
Exclusion$14,825ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory353976GrossSalesOfInventory
Cost Of Goods Sold222933CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column131043TotalRevenueColumn
Exclusion$131,043ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REIMBURSED SERVICES62199023598712359871
MISC OPERATING REV5614992622501253902283479
CHILD CARE624410999309$999,309

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1891TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue1891UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5983572TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column267774965TotalRevenueColumn
Related Or Exempt Function Income224760811RelatedOrExemptFunctionIncome
Unrelated Business Revenue152292UnrelatedBusinessRevenue
Exclusion$42,404,381ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total83796Total
Program Services83796ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total19367593Total
Program Services19367593ProgramServices

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)
Total1938185Total
Program Services1841275ProgramServices
Management And General96909ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total87597004Total
Program Services83217154ProgramServices
Management And General4379850ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3473754Total
Program Services3300066ProgramServices
Management And General173688ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13696774Total
Program Services13011935ProgramServices
Management And General684839ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5167237Total
Program Services4908875ProgramServices
Management And General258362ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1168755Total
Program Services1110317ProgramServices
Management And General58438ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41903Total
Program Services39808ProgramServices
Management And General2095ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total5790Total
Program Services5790ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1082732Total
Program Services1028596ProgramServices
Management And General54137ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5472553Total
Program Services5198925ProgramServices
Management And General273628ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total21327Total
Program Services20261ProgramServices
Management And General1066ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26155904Total
Program Services24848109ProgramServices
Management And General1307795ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total8992623Total
Program Services8542992ProgramServices
Management And General449631ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total128981Total
Program Services122532ProgramServices
Management And General6449ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total79483Total
Program Services75509ProgramServices
Management And General3974ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4755062Total
Program Services4755062ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13981591Total
Program Services13282512ProgramServices
Management And General699080ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total411002Total
Program Services411002ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES1844688917524545922344
BAD DEBTS1360846513608465
MANAGEMENT ALLOCATIONS56585805658580
TAXES AND LICENSE31645130062815823

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total450014Total
Program Services427513ProgramServices
Management And General22501ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total232102448Total
Program Services222691841ProgramServices
Management And General9410608ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY329410BOY
EOY2877297EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY67162725BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23282864BOY
EOY26054466EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2521225BOY
EOY2634344EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY314776BOY
EOY230776EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis148641606LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10320898LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY135937704BOY
EOY138320708EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY348529930BOY
EOY418189987EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY39747631BOY
EOY10534594EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY3704442EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY806955EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY617826265BOY
EOY603353569EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6209395BOY
EOY4189494EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY547360BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY128603611BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15669669BOY
EOY126651708EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151030035BOY
EOY130841202EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY461744717BOY
EOY472419042EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3260513BOY
EOY93325EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1791000BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY466796230BOY
EOY472512367EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY617826265BOY
EOY603353569EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35672517ReconcilationRevenueExpenses
Reconciliation Unrealized Invest7420286ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-38828162ReconcilationPriorAdjustment
Reconcilation Other Changes1451496ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals5790FilingOrganizationsTotals
Affiliated Group Totals211323AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals5790FilingOrganizationsTotals
Affiliated Group Totals211323AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals222686051FilingOrganizationsTotals
Affiliated Group Totals665217288AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals222691841FilingOrganizationsTotals
Affiliated Group Totals665428611AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3262701CurrentYearMinus3
Current Year Minus2106741CurrentYearMinus2
Current Year Minus1193039CurrentYearMinus1
Current Year211323CurrentYear
Total773804Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year Minus10CurrentYearMinus1
Current Year0CurrentYear
Total0Total

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3486427BeginningOfYearBalance
Contributions371183Contributions
Investment Earnings Or Losses208849InvestmentEarningsOrLosses
Grants Or Scholarships326703GrantsOrScholarships
Other Expenditures665314OtherExpenditures
End Of Year Balance3074442EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3218021BeginningOfYearBalance
Contributions176396Contributions
Investment Earnings Or Losses143624InvestmentEarningsOrLosses
Grants Or Scholarships4500GrantsOrScholarships
Other Expenditures47114OtherExpenditures
End Of Year Balance3486427EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2938870BeginningOfYearBalance
Contributions5001Contributions
Investment Earnings Or Losses464742InvestmentEarningsOrLosses
Grants Or Scholarships6642GrantsOrScholarships
Other Expenditures183950OtherExpenditures
End Of Year Balance3218021EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2665977BeginningOfYearBalance
Contributions126695Contributions
Investment Earnings Or Losses298938InvestmentEarningsOrLosses
Grants Or Scholarships9996GrantsOrScholarships
Other Expenditures142744OtherExpenditures
End Of Year Balance2938870EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2688014BeginningOfYearBalance
Contributions800115Contributions
Investment Earnings Or Losses-448721InvestmentEarningsOrLosses
Grants Or Scholarships3875GrantsOrScholarships
Other Expenditures369556OtherExpenditures
End Of Year Balance2665977EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis17125987OtherCostOrOtherBasis
Book Value17125987BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis83683555OtherCostOrOtherBasis
Depreciation4260910Depreciation
Book Value79422644BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis212034OtherCostOrOtherBasis
Depreciation50514Depreciation
Book Value161520BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30295945OtherCostOrOtherBasis
Depreciation5227506Depreciation
Book Value25068439BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17324085OtherCostOrOtherBasis
Depreciation781967Depreciation
Book Value16542118BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings138320708TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY PAYER SETTLEMENTS$2,547,603
INTERCOMPANY PAYABLES$124,104,105
FieldValueIRS element (for citing)
Total Of Amounts126651708TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1A NIGHT TO CELEBRATENameOfEvent1
Gross Receipts Event1114987GrossReceiptsEvent1
Charitable Contributions Event147440CharitableContributionsEvent1
Gross Revenue Event167547GrossRevenueEvent1
Non Cash Prizes Event132282NonCashPrizesEvent1
Rent Facility Costs Event13520RentFacilityCostsEvent1
Food And Beverage Event143637FoodAndBeverageEvent1
Other Direct Expenses Event16104OtherDirectExpensesEvent1
Gross Revenue Event20GrossRevenueEvent2
Gross Revenue Other Events0GrossRevenueOtherEvents
Gross Receipts Total114987GrossReceiptsTotal
Charitable Contributions Total47440CharitableContributionsTotal
Gross Revenue Total Events67547GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events32282NonCashPrizesTotalEvents
Rent Facility Costs Total Events3520RentFacilityCostsTotalEvents
Food And Beverage Total Events43637FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events6104OtherDirectExpensesTotalEvents
Direct Expense Summary Events85543DirectExpenseSummaryEvents
Net Income Summary-17996NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served4502PersonsServed
Total Community Benefit Expense7350879TotalCommunityBenefitExpense
Direct Offsetting Revenue685463DirectOffsettingRevenue
Net Community Benefit Expense6665416NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense41372279TotalCommunityBenefitExpense
Direct Offsetting Revenue30291437DirectOffsettingRevenue
Net Community Benefit Expense11080842NetCommunityBenefitExpense
Percent Of Total Expense0.05070PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1618816TotalCommunityBenefitExpense
Direct Offsetting Revenue1517294DirectOffsettingRevenue
Net Community Benefit Expense101522NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served4502PersonsServed
Total Community Benefit Expense50341974TotalCommunityBenefitExpense
Direct Offsetting Revenue32494194DirectOffsettingRevenue
Net Community Benefit Expense17847780NetCommunityBenefitExpense
Percent Of Total Expense0.08170PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served7631PersonsServed
Total Community Benefit Expense566005TotalCommunityBenefitExpense
Direct Offsetting Revenue43416DirectOffsettingRevenue
Net Community Benefit Expense522589NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1722PersonsServed
Total Community Benefit Expense1050549TotalCommunityBenefitExpense
Direct Offsetting Revenue181985DirectOffsettingRevenue
Net Community Benefit Expense868564NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense195718TotalCommunityBenefitExpense
Direct Offsetting Revenue136426DirectOffsettingRevenue
Net Community Benefit Expense59292NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense45217TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense45217NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served3212PersonsServed
Total Community Benefit Expense137373TotalCommunityBenefitExpense
Direct Offsetting Revenue28DirectOffsettingRevenue
Net Community Benefit Expense137345NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served12565PersonsServed
Total Community Benefit Expense1994862TotalCommunityBenefitExpense
Direct Offsetting Revenue361855DirectOffsettingRevenue
Net Community Benefit Expense1633007NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served17067PersonsServed
Total Community Benefit Expense52336836TotalCommunityBenefitExpense
Direct Offsetting Revenue32856049DirectOffsettingRevenue
Net Community Benefit Expense19480787NetCommunityBenefitExpense
Percent Of Total Expense0.08910PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense50TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense50NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense61437TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense61437NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served65PersonsServed
Total Community Building Expense135TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense135NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served65PersonsServed
Total Community Building Expense61622TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense61622NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$4,139,694BadDebtExpenseAmount
Amount Attributable To602898AmountAttributableTo
Amount Reimbursed By Medicare39952187AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare46495515CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6543328MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH IMMANUEL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16901 NORTH 72ND STREETAddressLine1
CityOMAHACity
StateNEState
ZIP Code68122ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ALEGENT HEALTH IMMANUEL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1AH IMMANUEL FONTENELLE HOMEBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line16809 NORTH 68TH PLAZAAddressLine1
CityOMAHACity
StateNEState
ZIP Code68152ZIPCode
FieldValueIRS element (for citing)
Facility TypeSKILLED NURSING FACILITYFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (27 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Eligibility criteria for free or discounted careSchedule H, Part I, Line 3cWHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aALEGENT CREIGHTON HEALTH
ANNUAL PUBLIC COMMUNITY BENEFIT REPORTSCHEDULE H, PART I, LINE 6AYES, THE ALEGENT CREIGHTON HEALTH SYSTEM PRODUCES AN ANNUAL PUBLIC COMMUNITY BENEFIT REPORT THAT IS MAILED TO A CORE CONSTITUENCY AND PLACED IN KEY PLACES THROUGHOUT THE ORGANIZATION. IT IS ALSO AVAILABLE ON THE COMPANY'S INTRANET SITE, AND ON ITS PUBLIC WEBSITE AT HTTP://WWW.ALEGENTCREIGHTON.COM/COMMUNITY-BENEFIT.
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WERE WORKSHEETS 1-8 PROVIDED WITH THE SCHEDULE H INSTRUCTIONS. THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS USED TO CALCULATE TOTAL COMMUNITY BENEFIT EXPENSE FOR CHARITY CARE, MEDICAID AND OTHER MEANS TESTED. PART I, LINE 7, COLUMN (F): BAD DEBT OF $13,608,465 INCLUDED IN FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25, COLUMN (A) IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO IS $218,493,983. BAD DEBT EXPENSE (AT COST) FOR ENTITIES OF ALEGENT CREIGHTON HEALTH IS DETERMINED BY USING THE COST TO CHARGE RATIO FROM MEDICARE COST REPORTS PER ENTITY AND MULTIPLYING THE RATIO BY THE ACTUAL BAD DEBT CHARGES PER ENTITY.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)13,608,465
Subsidized Health ServicesSchedule H, Part I, Line 7gALEGENT CREIGHTON HEALTH IMMANUEL MEDICAL CENTER PROVIDES SUBSIDIZED HEALTH TO THE BROADER COMMUNITY THROUGH THE HOSPITALITY HOUSE. THE AMOUNT INCLUDED AS A SUBSIDIZED HEALTH SERVICE IS $59,292.
Community Building ActivitiesSchedule H, Part IIALEGENT CREIGHTON HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE COMMUNITY BUILDING SUCH AS: * LIVE WELL OMAHA KIDS- AS A RESULT OF COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2006 WHICH POINTED TO CHILDHOOD OBESITY AS A SERIOUS HEALTH NEEDS ISSUE ACROSS ALL OMAHA MSA COUNTIES SERVED, THE ALEGENT CREIGHTON HEALTH SYSTEM PARTNERED WITH THE COMMUNITY TO MADE A MULTI-YEAR COMMITMENT TO IMPACT CHILDHOOD OBESITY THROUGH COMMUNITY BASED BEST PRACTICE INTERVENTIONS. THIS INITIATIVE HAS HAD A PRIMARY FOCUS OF IMPACT IN DOUGLAS COUNTY, BUT THE FUNDING TO UNDERWRITE HAS COME FROM THE FISCAL PERFORMANCE OF ALL ALEGENT CREIGHTON HEALTH HOSPITALS. THE COMMUNITY COALITION KNOWN AS LIVE WELL OMAHA KIDS (LWOK) IS STAFFED AND FUNDED BY ALEGENT CREIGHTON HEALTH. AN EXECUTIVE COMMITTEE CONSISTING OF COMMUNITY LEADERS AND POLICY MAKERS HAVE DIRECTED AN ECOLOGICAL APPROACH TO IMPROVE PROGRAMS, POLICIES AND THE BUILT ENVIRONMENT TO PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING AND BUILD CAPACITY FOR HEALTHY CHOICES AT THE INDIVIDUAL AND ORGANIZATIONAL LEVEL. MORE THAN 200 VOLUNTEERS AND 90 ORGANIZATIONS HAVE PARTICIPATED IN THE PLANNING AND IMPLEMENTATION OF LWOK INITIATIVES. A PORTION OF THIS INVESTMENT IN LWOK IS ALLOCATED TO THE BERGAN MERCY MEDICAL SYSTEM ON A NET SERVICE REVENUE BASIS. * COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE * STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY * SPONSORSHIP OF COMMUNITY NOT FOR PROFITS AND FUNDRAISING EVENTS * SUPPORT OF INTERNATIONAL HEALTH MINISTRIES IN TANZANIA AND DOMINICAN REPUBLIC * SUPPORT OF THE FEDERALLY QUALIFIED HEALTHCARE CENTERS * PARISH NURSING PROGRAM * COMMUNITY HEALTH FAIRS, SUPPORT GROUPS AND COMMUNITY EDUCATION * SCHOOL BASED HEALTHCARE SERVICES * LEADERSHIP IN AND FUNDING OF HEALTH COALITIONS INCLUDING: - LIVE WELL OMAHA: A COALITION FOUNDED BY ACH AND THE COUNTY HEALTH DEPARTMENT THAT SERVES AS CONVENER OF BUSINESS, HEALTHCARE AND COMMUNITY LEADERS TO REVIEW HEALTH TRENDS AND CATALYZE COMMUNITY ACTION TO ADDRESS HEALTH ISSUES. ALEGENT CREIGHTON HEALTH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. - LIVE WELL POTTAWATTAMIE COUNTY: AN EMERGING COALITION TO ADDRESS OBESITY IN POTTAWATTAMIE COUNTY. ACH PROVIDES STRATEGIC PLANNING, GRANT WRITING AND STAFF SUPPORT. - OMAHA BY DESIGN: A COALITION THAT SUPPORT HEALTHY AND SUSTAINABLE COMMUNITY DEVELOPMENT AND LAND USE - VIOLENCE PREVENTION: A PARTNERSHIP WITH CATHOLIC HEALTH INITIATIVES, WOMEN'S CENTER FOR ADVANCEMENT, UNIVERSITY OF NEBRASKA-OMAHA AND CREIGHTON UNIVERSITY TO IMPLEMENT A CAMPUS BASED VIOLENCE PREVENTION PLAN KNOWN AS "GREEN DOT". ALEGENT CREIGHTON HEALTH ALSO SUPPORTS ECPR TRAINING TO PROVIDE COMMUNITY CAPACITY AND SKILLS TO ADDRESS THE TRAUMA ASSOCIATED WITH VIOLENCE. - METRO AREA CONTINUUM OF CARE FOR THE HOMELESS: BOARD SERVICE AND FINANCIAL SUPPORT TO THIS COALITION ADDRESSING HOMELESSNESS IN THE SERVICE AREA. - HOPE MEDICAL COALITION: BOARD SERVICE AND ANNUAL OPERATING SUBSIDY. ALEGENT CREIGHTON HEALTH'S HOSPITALS AND PHYSICIANS PROVIDE SPECIALTY CARE TO PATIENTS UNABLE TO AFFORD MEDICAL SERVICES. - PARTICIPATION IN AND FUNDING OF MATERNAL HEALTH, BREASTFEEDING, SUBSTANCE ABUSE, CANCER, DIABETES AND OTHER COMMUNITY HEALTH COALITIONS - MENTAL HEALTH COALITIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS, NEBRASKA, NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH CARE ORGANIZATIONS, AND THE JUVENILE JUSTICE PROVIDER FORUM BEHAVIORAL HEALTH COMMITTEE.
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 30.42%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefitSchedule H, Part III, Line 3ALEGENT HEALTH-IMMANUEL MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4ALEGENT HEALTH-IMMANUEL MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHI FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Community benefit & methodology for determining medicare costsSchedule H, Part III, Line 8THE ALEGENT CREIGHTON HEALTH SYSTEM DOES NOT CONSIDER MEDICARE SHORTFALLS TO BE COMMUNITY BENEFIT, PER THE RECOMMENDATION OF THE CATHOLIC HEALTH ASSOCIATION. THE MEDICARE CHARGES REPORTED ON LINES 5 AND 6 ARE FROM MEDICARE COST REPORTS WHICH USED A COST TO CHARGE RATIO.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bTHE ALEGENT CREIGHTON HEALTH SYSTEM'S SELF PAY BILLING AND BAD DEBT POLICY HAS A CLEARLY DELINEATED PROCESS AND GUIDELINES FOR COLLECTIONS AGENCIES TO FOLLOW, INCLUDING EXPLICIT INSTRUCTIONS TO ADHERE TO THE SAME FINANCIAL ASSISTANCE GUIDELINES AS ALEGENT CREIGHTON HEALTH. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - ACH SERVED AS A KEY MEMBER OF THE STEERING COMMITTEE FOR A TRI-COUNTY CHNA LED BY LOCAL HEALTH DEPARTMENTS; THE FOLLOWING LEADERS PARTICIPATED IN SURVEY CREATION, FOCUS GROUPS AND DISSEMINATING RESULTS. INPUT FROM THE GREATER COMMUNITY WAS ALSO OBTAINED IN THE CHNA PROCESS VIA SURVEY AND KEY INFORMANT INTERVIEWS WITH OVERSAMPLES TO INTENTIONALLY HEAR FROM UNDERSERVED POPULATIONS OF BLACK/AFRICAN AMERICAN RESIDENTS AND HISPANIC RESIDENTS. COMMUNITY REPRESENTATIVES AND THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE AS TO THE HEALTH NEEDS OF THE SERVICE AREA PARTICIPATED IN FIVE FOCUS GROUPS WITH 88 KEY INFORMANTS. ALEGENT CREIGHTON HEALTH: * BETH LLEWELLYN-VICE PRESIDENT MISSION INTEGRATION * MIKKI FROST -DIRECTOR COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DOUGLAS COUNTY HEALTH DEPARTMENT: * ADI POUR -HEALTH DIRECTOR LIVE WELL OMAHA: * KERRI PETERSON -EXECUTIVE DIRECTOR METHODIST HEALTH SYSTEM: * KEN KLAASMEYER- VICE PRESIDENT * RUTH FREED-FOUNDATION POTTAWATTAMIE HEALTH DEPARTMENT/VNA: * KRIS STAPP-VISITING NURSES ASSOCIATION SARPY/CASS COUNTY HEALTH DEPARTMENT: * DIANE KELLY-DIRECTOR THE NEBRASKA MEDICAL CENTER: * LESLIE UTTECHT - COMMUNITY RELATIONS LIAISON * TADD PULLIN- VICE PRESIDENT MARKETING, PLANNING AND NETWORK OPERATIONS PRC IS A NATIONALLY RECOGNIZED CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS SINCE 1994. THIS CHNA IS AN UPDATE TO THE CHNAS CONDUCTED BY PRC IN 2002 AND 2008 THAT WERE USED TO DEVELOP A COMMUNITY REPORT CARD, DIALOGUE AND PRIORITIES THROUGH THE LIVE WELL OMAHA COALITION. ;
Other Hospital Facilities included in Needs AssessmentSchedule H, Part V Section B, Line 4(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - ALEGENT CREIGHTON HEALTH INVESTED IN THE CHNA AND SERVED AS AN EQUAL PARTNER WITH THE TWO OTHER HEALTH SYSTEMS SERVING THE SAME MSA; THE NEBRASKA MEDICAL CENTER AND METHODIST HEALTH SYSTEM. CHILDREN'S HOSPITAL AND MEDICAL CENTER CONDUCTED A SEPARATE ASSESSMENT FOCUSED ON CHILDREN. ;
Availability of Needs AssessmentSchedule H, Part V Section B, Line 5c(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - THE CHNA RESULTS WERE SHARED WITH THE COMMUNITY AT AN ANNUAL HEALTH SUMMIT FACILITATED BY LIVE WELL OMAHA - A 35 MEMBER HEALTHY COMMUNITY COLLABORATION, AND CONTINUES TO BE A KEY FINANCIAL SUPPORTER AND MEMBER OF THE BOARD OF THE DIRECTORS OF THE ORGANIZATION. IN ADDITION, THE DATA IS SHARED ON AN EASILY ACCESSIBLE, PUBLIC WEBSITE WWW.DOUGLASCOHEALTH.ORG THAT IS PARTIALLY FUNDED BY ALEGENT CREIGHTON HEALTH AND OTHER AREA HOSPITALS INCLUDING THE NEBRASKA MEDICAL CENTER AND METHODIST HEALTH SYSTEM TO SHARE TRI-COUNTY HEALTH DATA AND BEST PRACTICES. ;
Needs not addressed in Needs AssessmentSchedule H, Part V Section B, Line 7(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - TWO HEALTH NEEDS IDENTIFIED IN THE PRIMARY DATA WILL NOT BE ADDRESSED BY THE HOSPITAL: 1) ORAL HEALTH; AND 2) SEXUALLY TRANSMITTED DISEASES. CURRENTLY, ACH DOES NOT OFFER ANY ORAL HEALTH CARE OR FUTURE PLANS TO PROVIDE DIRECT ORAL HEALTH CARE. OTHER ORGANIZATIONS SUCH AS CREIGHTON SCHOOL OF DENTISTRY AND BUILDING HEALTHY FUTURES ARE TAKING ON THIS ISSUE. SEXUALLY TRANSMITTED DISEASE IS ALSO AN ISSUE THAT IS COVERED BY OTHER KEY ORGANIZATIONS SUCH AS THE DOUGLAS COUNTY HEALTH DEPARTMENT, FEDERALLY QUALIFIED HEALTH CENTERS, THE NEBRASKA AIDS PROJECT, ETC. THE FINAL LIST OF HEALTH PRIORITIES SELECTED BY THE COMMUNITY IS BEING ADDRESSED BY ACH IN EITHER SYSTEM-WIDE OR INDIVIDUAL HOSPITAL IMPLEMENTATION STRATEGIES.;
Used federal poverty guidelines (FPG) to determine eligibilitySchedule H, Part V Section B, Line 10(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES;
Used FPG to determine eligibility for providing discounted care criteriaSchedule H, Part V Section B, Line 11(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - ALEGENT HEALTH-IMMANUEL MEDICAL CENTER BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES;
Other factors included in calculating amounts charges to patientsSchedule H, Part V Section B, Line 12h(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.;
Other ways hospital publicized Financial Assistance PolicySchedule H, Part V Section B, Line 14g(1) ALEGENT HEALTH IMMANUEL MEDICAL CENTER - INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENTCREIGHTON.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT CREIGHTON HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY TO PATIENTS.;
Needs assessment.Schedule H, Part VI, Line 2THE PROCESS TO DEVELOP ASSESSMENTS OF THE COMMUNITY HEALTH NEEDS (CHNA) IS COLLABORATIVE IN NATURE AND INVOLVES HEALTH DEPARTMENTS, EXISTING HEALTH COALITIONS, COMMUNITY MEMBERS AND HOSPITAL LEADERSHIP, AND IS SUPPORTED BY ALEGENT CREIGHTON HEALTH'S COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DEPARTMENT STAFF. EACH ALEGENT CREIGHTON HEALTH HOSPITAL PARTICIPATES IN THE CHNA PROCESS FOR THE COUNTY IN WHICH THE FACILITY IS LOCATED AT LEAST EVERY 3 YEARS IN PARTNERSHIP WITH THE LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT VARIES IN EACH COMMUNITY BUT INCLUDES REVIEW OF PRIMARY DATA (SUCH AS SURVEYS, KEY INFORMANT INTERVIEWS, FOCUS GROUPS) AND SECONDARY DATA (SUCH AS COUNTY HEALTH RANKINGS, BRFRSS, YRBS, CENSUS DATA ETC) LEADERSHIP FROM ALEGENT CREIGHTON HEALTH PARTICIPATE IN MULTIPLE INTERNAL AND EXTERNAL VENUES TO GARNER COMMUNITY INPUT, PRIORITIZE COMMUNITY HEALTH NEEDS AND DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS. THE CHNA REPORT FOR EACH COMMUNITY IS MADE AVAILABLE TO THE PUBLIC BY POSTING THE REPORT ON THE ALEGENT CREIGHTON HEALTH EXTERNAL WEBSITE AND BY MAKING IT AVAILABLE IN COMMUNITY VENUES. THE CHNAS ARE INTEGRATED INTO THE GOVERNANCE AND PLANNING FOR ALEGENT CREIGHTON HEALTH ON TWO LEVELS- * REPORTING INTO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH HEALTH PLANNING OVERSIGHT * INTO THE ANNUAL STRATEGIC PLANNING AND BUDGETING PROCESSES OF ALEGENT CREIGHTON HEALTH. * IMPLEMENTATION PLANS APPROVED BY BOARD OF DIRECTORS. PARTICULAR TO THE COUNTY IN WHICH IMMANUEL MEDICAL CENTER RESIDES, ALEGENT CREIGHTON HEALTH PARTNERS WITH LOCAL HEALTH DEPARTMENTS, LIVE WELL OMAHA AND COMPETING HEALTH SYSTEMS TO RETAIN PROFESSIONAL RESEARCH CONSULTANTS TO CONDUCT A CHNA FOR THE OMAHA/COUNCIL BLUFFS METROPOLITAN SERVICE AREA. THE CHNA COVERS FOUR COUNTIES SERVED BY THE ALEGENT CREIGHTON HEALTH OMAHA AND COUNCIL BLUFFS HOSPITALS. THE CHNA REPORTS DATA AT THE COUNTY LEVEL AND FOR DOUGLAS COUNTY, BY FOUR QUADRANTS WITHIN THE COUNTY. ALEGENT CREIGHTON HEALTH LEADERS SERVE ON THE CHNA STEERING COMMITTEE AND PARTICIPATE IN KEY INFORMANT INTERVIEWS CONDUCTED AT HOSPITAL LOCATIONS. THE CHNA IS SHARED IN MULTIPLE VENUES WITH THE PUBLIC, INCLUDING AT THE LIVE WELL OMAHA SUMMIT. ALEGENT CREIGHTON HEALTH IS ONE OF THE FOUNDERS OF LIVE WELL OMAHA. IN ADDITION, ALEGENT CREIGHTON HEALTH HAS JOINED WITH LOCAL HEALTH SYSTEMS AND HEALTH DEPARTMENTS TO FUND THE WEB BASED COMMUNITY HEALTH DASHBOARD. (HTTP://WWW.DOUGLASCOHEALTH.ORG/). THE CHNA PROCESS FOR THE HOSPITAL INCLUDED BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTHY SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). THESE QUANTITATIVE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AGAINST THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH A SERIES OF KEY INFORMANT INTERVIEWS. THE SURVEY INSTRUMENT USED FOR THE CHNA IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, WITH THE FINAL SURVEY QUESTIONS DEVELOPED BY THE SPONSORS AND PRC, SIMILAR TO PREVIOUS CHNAS USED IN THE REGION ALLOWING FOR DATA TRENDING. A TELEPHONE INTERVIEW METHODOLOGY-ONE THAT INCORPORATES BOTH LANDLINES AND CELL PHONE INTERVIEWS-WAS EMPLOYED FOR THE CHNA. THE CHNA CONSISTED OF STRATIFIED RANDOM SAMPLE OF 2,000 INDIVIDUALS AGE 18 AND OLDER IN THE SERVICE AREA, INCLUDING 1,000 INTERVIEWS IN DOUGLAS COUNTY; 400 IN SARPY COUNTY; 200 IN CASS COUNTY AND 400 IN POTTAWATTAMIE COUNTY. IN ADDITION, TO BETTER REPRESENT RACIAL/ETHNIC GROUPS, TWO OVERSAMPLES WERE APPLIED IN DOUGLAS COUNTY (100 ADDITIONAL INTERVIEWS WITH BLACK/AFRICAN AMERICAN RESIDENTS AND 100 ADDITIONAL INTERVIEWS WITH HISPANIC RESIDENTS). IN ALL, 2,200 INTERVIEWS WERE COMPLETED THROUGHOUT THE SERVICE AREA. AS PART OF THE CHNA, THERE WERE FIVE FOCUS GROUPS AND 88 KEY INFORMANT INTERVIEWS WHICH INCLUDED PHYSICIANS, OTHER HEALTH PROFESSIONALS, MEDIA, AGENCIES SERVING VULNERABLE POPULATIONS AND INDIVIDUAL COMMUNITY MEMBERS.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3THERE ARE SEVERAL FINANCIAL ASSISTANCE ACCESS POINTS THROUGHOUT A PATIENT'S CARE CYCLE. BILLS CONTAIN FINANCIAL ASSISTANCE VERBIAGE; SIGNS ARE POSTED IN CLINICS AND HOSPITAL, AND THERE IS INFORMATION ON FINANCIAL ASSISTANCE POSTED AT REGISTRATION POINTS THROUGHOUT CLINICS AND HOSPITALS. INFORMATION ON THE ALEGENT CREIGHTON HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICIES ARE LOCATED SEVERAL PLACES ON THE SYSTEM'S WEBSITE- WWW.ALEGENTCREIGHTON.COM. ALL EFFORTS ARE MADE TO ESTABLISH WHETHER PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SERVICE IF POSSIBLE, OTHERWISE AS SOON AS POSSIBLE FOLLOWING SERVICE. ALEGENT CREIGHTON HEALTH REPRESENTATIVES HELP PATIENTS SEEK REIMBURSEMENT FROM LOCAL, STATE AND FEDERAL PROGRAMS AT NO CHARGE TO THE PATIENT. AFTER THESE EFFORTS AND RESOURCES HAVE BEEN EXHAUSTED, PATIENTS ARE ASSISTED IN THE APPLICATION PROCESS FOR FINANCIAL ASSISTANCE CONSISTENT WITH ALEGENT CREIGHTON HEALTH'S FINANCIAL ASSISTANCE POLICY. THE APPLICATION PROCESS REQUIRES THAT THE PATIENT COMPLETE A PERSONAL FINANCIAL APPLICATION AND PROVIDE VERIFICATION DOCUMENTS. VERIFICATION INCLUDES EMPLOYMENT VERIFICATION AND OBTAINING DOCUMENTATION OF THE APPLICANT'S FINANCIAL CONDITION SUCH AS FEDERAL TAX RETURN, PAY STUB, NET WORTH AND/OR LIQUID ASSETS AND REASONABLE HOUSEHOLD OR BUSINESS EXPENSES. FINANCIAL ASSISTANCE MAY STILL BE GRANTED IN CERTAIN CIRCUMSTANCES INVOLVING A CATASTROPHIC OCCURRENCE RESULTING IN MEDICAL BILLS GROSSLY EXCEEDING THE PATIENT'S ABILITY TO PAY, AND IN THESE SITUATIONS, THE PATIENT'S RESPONSIBILITY WILL BE LIMITED TO 20% OF THE FAMILY'S GROSS ANNUAL INCOME.
Community information.Schedule H, Part VI, Line 4ALEGENT CREIGHTON HEALTH SYSTEM SERVES THE NINE COUNTIES OF GREATER OMAHA COMBINED STATISTICAL AREA (CSA), WITH AN ESTIMATED POPULATION OF OVER 925,858, RANKING 56TH OUT OF 166 CSAS IN TOTAL POPULATION. THE CSA CONSISTS OF 3 IOWA AND 6 NEBRASKA COUNTIES ON BOTH SIDES OF THE MISSOURI RIVER AND COVERS 4407 SQUARE MILES. LOCATED IN DOUGLAS COUNTY, THE CITY OF OMAHA HAS A POPULATION OF 419,041. NEARLY 1.3 MILLION PEOPLE LIVE WITHIN A 60-MILE RADIUS OF OMAHA. CHARACTERIZED BY STEADY GROWTH, THE CSA GREW BY 14.9 PERCENT BETWEEN 2000 AND 2011; THE 2016 PROJECTED POPULATION IS MORE THAN 946,000, A 7.3 PERCENT INCREASE. APPROXIMATELY 36 PERCENT OF THE POPULATION IS 25 YEARS OF AGE OR YOUNGER WITH A MEDIAN AGE OF 35.2 YEARS COMPARED TO A U.S. MEDIAN AGE OF 37.6. 50.6% OF THE POPULATION IS FEMALE. RACIAL MINORITIES COMPRISE ABOUT 17.4 PERCENT OF GREATER OMAHA'S POPULATION, INCLUDING AN AFRICAN-AMERICAN POPULACE OF 7.8 PERCENT AND A GROWING HISPANIC POPULATION OF 9.8 PERCENT. IN 2012, GREATER OMAHA WAS PREDICTED TO HAVE 387,514 TOTAL HOUSING UNITS AND HOUSING UNITS ARE PROJECTED TO INCREASE ANOTHER 5 PER CENT BY 2017. THE MEDIAN HOUSEHOLD INCOME IS $56,445 WHICH SURPASSES THE NATIONAL AVERAGE OF $53,046, WITH A PER CAPITA INCOME OF $27,307. GREATER OMAHA IS A WELL-EDUCATED COMMUNITY. NEARLY 91 PERCENT OF ADULTS, AGE 25 AND OLDER, ARE HIGH SCHOOL GRADUATES AND 32 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 27.9 PERCENT NATIONALLY. GREATER OMAHA OFFERS A LARGE AND DIVERSE WORKFORCE FOR EMPLOYERS OF ALL SIZES AND INDUSTRIES. THE GREATER OMAHA POPULATION NOT ONLY POSSESSES THE EDUCATION AND DEMOGRAPHIC QUALITIES THAT EMPLOYERS ARE LOOKING FOR, BUT ALSO THE NATIONALLY RECOGNIZED MIDWEST WORK ETHIC THAT IS SIMPLY PART OF THE FABRIC OF THE REGION. OMAHA IS HOME TO MANY MAJOR COMPANIES AND LARGE EMPLOYERS, INCLUDING FIVE FORTUNE 500 COMPANIES, MAKING IT FOURTH IN THE NATION FOR NUMBER OF SUCH COMPANIES PER CAPITA. RECENT RECOGNITIONS FOR THE GREATER OMAHA AREA INCLUDE: AMONG THE 10 BEST CITIES FOR PROFESSIONAL WOMEN, AMONG THE 10 BEST CITIES FOR CONSUMER BANKING; AMONG THE 10 BEST CITIES TO RAISE A FAMILY; AND AMONG THE BEST CITIES FOR JOB SEEKERS.
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5ALEGENT CREIGHTON HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT AND HOSPITAL SPECIFIC COMMUNITY BENEFIT INVESTMENTS TO ADDRESS COMMUNITY HEALTH NEEDS OF THE PARTICULAR SERVICE AREA. EXAMPLES OF HOW ALEGENT CREIGHTON HEALTH FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY INCLUDE: * FINANCIAL ASSISTANCE AND UNPAID COSTS OF MEDICAID * COMMUNITY HEALTH IMPROVEMENT SERVICES: - COMMUNITY EDUCATION, CLASSES AND PROGRAMS (CHILDBIRTH, DIABETES, ONCOLOGY, PHYSICAL ACTIVITY, HEALTHY EATING AND COOKING, HEALTH CAREERS, CANCER, SPORTS MEDICINE ETC) - SUPPORT GROUPS (CANCER, BEREAVEMENT, YOUTH ETC) - COMMUNITY HEALTH FAIRS AND SCREENINGS - IMMUNIZATION CLINICS - PARISH NURSING PROGRAM AND FAITH COMMUNITY OUTREACH - SCHOOL BASED HEALTHCARE SERVICES * HEALTH PROFESSIONAL EDUCATION: - CLINICAL PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS - SCHOLARSHIPS AND MENTORSHIPS - AFFILIATION WITH AND SUPPORT OF CREIGHTON UNIVERSITY SCHOOL OF MEDICINE - PHYSICIAN RESIDENCY AND FELLOWSHIP PROGRAMS TRAINING MORE THAN 200 RESIDENTS AND FELLOWS ANNUALLY * RESEARCH-PARTICIPATION IN THE MISSOURI VALLEY CANCER CONSORTIUM * FINANCIAL AND IN-KIND CONTRIBUTIONS: - SUPPORT OF THE FEDERALLY QUALIFIED HEALTHCARE CENTERS (AND HOPE MEDICAL COALITION WHICH PROVIDES ACCESS TO MEDICAL SERVICES SPECIFICALLY FOR THE UNDERSERVED - CORPORATE SPONSORSHIPS - TANZANIA AND DOMINICAN REPUBLIC HEALTH MINISTRIES - STAFF SERVICE ON HEALTH RELATED BOARD AND COALITIONS * SUBSIDIZED HEALTHCARE SERVICE INCLUDING BEHAVIORAL HEALTH, NICU, HOME HEALTH AND HOSPICE (SEE CONTINUATION #1)
PROMOTION OF COMMUNITY HEALTHSCHEDULE H, PART VI, LINE 5(CONTINUATION #1) * COMMUNITY BUILDING ACTIVITIES: - COMMUNITY AND ECONOMIC DEVELOPMENT INCLUDING SUPPORT OF LOCAL CHAMBERS OF COMMERCE - STRATEGIC PLANNING AND CONSULTING SERVICES FOR COMMUNITY - HEALTH COALITIONS: LIVE WELL OMAHA-A COALITION FOUNDED BY ACH AND THE COUNTY HEALTH DEPARTMENT THAT SERVES AS CONVENER OF BUSINESS, HEALTHCARE AND COMMUNITY LEADERS TO REVIEW HEALTH TRENDS AND CATALYZE COMMUNITY ACTION TO ADDRESS HEALTH ISSUES. ACH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. LIVE WELL OMAHA KIDS-A COALITION FUNDED AND STAFFED FOR SEVEN YEARS BY ACH TO ADDRESS CHILDHOOD OBESITY. LIVE WELL POTTAWATTAMIE-AN EMERGING COALITION TO ADDRESS OBESITY IN POTTAWATTAMIE COUNTY. ACH PROVIDES STRATEGIC PLANNING, GRANT WRITING AND STAFF SUPPORT. - VIOLENCE PREVENTION-A PARTNERSHIP WITH CATHOLIC HEALTH INITIATIVES, WOMEN'S CENTER FOR ADVANCEMENT, UNIVERSITY OF NEBRASKA-OMAHA AND CREIGHTON UNIVERSITY TO IMPLEMENT A CAMPUS BASED VIOLENCE PREVENTION PLAN KNOWN AS "GREEN DOT". - METRO AREA CONTINUUM OF CARE FOR THE HOMELESS- BOARD SERVICE AND FINANCIAL SUPPORT TO THIS COALITION ADDRESSING HOMELESSNESS IN THE SERVICE AREA. - HOPE MEDICAL COALITION-BOARD SERVICE AND ANNUAL OPERATING SUBSIDY. ACH HOSPITALS AND PHYSICIANS PROVIDE SPECIALTY CARE TO PATIENTS UNABLE TO AFFORD MEDICAL SERVICES. - PARTICIPATION IN AND FUNDING OF MATERNAL HEALTH, BREASTFEEDING, SUBSTANCE ABUSE, CANCER, DIABETES AND OTHER COMMUNITY HEALTH COALITIONS -MENTAL HEALTH COALITIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS, NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH CARE ORGANIZATIONS, AND THE JUVENILE JUSTICE PROVIDER FORUM BEHAVIORAL HEALTH COMMITTEE. * THE PRIMARY CARE PHYSICIAN CLINICS THAT ARE PART OF THE PARENT CORPORATION PROVIDE ACCESS TO CARE THROUGH THE SYSTEM'S FINANCIAL ASSISTANCE POLICY AND PARTICIPATE IN MEDICAL STUDENT PRECEPTORSHIPS THAT ADVANCE THE HEALTHCARE PROVIDER EDUCATION PROCESS. * ALEGENT CREIGHTON HEALTH HAS OPEN MEDICAL STAFFS * ALEGENT CREIGHTON HEALTH IS ONE OF THREE HEALTH SYSTEMS THAT FUND THE OPERATIONS OF A COALITION THAT EXISTS TO PROVIDE ACCESS FOR THE PATIENTS OF THREE AREA FEDERALLY QUALIFIED HEALTHCARE CENTERS TO SPECIALTY PHYSICIAN SERVICES AND HOSPITAL BASED DIAGNOSTICS AND TREATMENT * ALEGENT CREIGHTON HEALTH IS THE SOLE COMPREHENSIVE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA * ALEGENT CREIGHTON HEALTH IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. * ALEGENT HEALTH BUDGETS FOR AN EMERGENCY FUND AS A SUBSET OF OTHER COMMUNITY DONATIONS TO RESPOND TO CRISIS OR UNPLANNED FUNDING NEEDS OF A VITAL COMMUNITY SERVICE, WHICH HAS FIRST USED IN FY2011 WITH THE ECONOMIC DOWNTURN. * BOARD OF DIRECTORS- ALEGENT HEALTH-IMMANUEL MEDICAL CENTER IS GOVERNED BY A BOARD OF DIRECTORS PRIMARILY COMPRISED OF VOLUNTEER MEMBERS OF OUR LOCAL COMMUNITY WHO ARE LEADERS IN THE FIELDS OF BUSINESS, HEALTHCARE, ACCOUNTING AND MEDICINE AND UNDERSTAND THEIR ROLE IN PROVIDING STRONG CORPORATE GOVERNANCE. * EMERGENCY DEPARTMENT- ALEGENT HEALTH-IMMANUEL MEDICAL CENTER HOSPITALS HAVE FULL-TIME EMERGENCY DEPARTMENTS THAT ARE OPEN TO THE PUBLIC AND PROVIDE MEDICAL SCREENING EXAMINATIONS AND STABILIZING TREATMENT WITHIN THE CAPABILITIES AND CAPACITY OF THE HOSPITALS REGARDLESS OF BUT NOT LIMITED TO THE PATIENT'S RACE, COLOR, SEX, AGE, AND/OR ABILITY TO PAY. THE HOSPITALS ARE IN COMPLIANCE WITH THE FEDERAL EMTALA REGULATIONS. IN ADDITION, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER, TOGETHER WITH UNRELATED HOSPITALS IN THE AREA, WORKS CLOSELY WITH LOCAL FIRE AND RESCUE DEPARTMENTS TO ENSURE THAT AMBULANCES TAKE PATIENTS TO THE APPROPRIATE HOSPITAL. THIS IS GENERALLY THE HOSPITAL THAT IS CLOSEST GEOGRAPHICALLY WITH EXCEPTIONS BASED ON PATIENT PREFERENCE, PATIENT'S PHYSICIAN PREFERENCE, AND CAPACITY OR THE AVAILABILITY OF SPECIALIZED FACILITIES OR PROGRAMS RELATED TO THE PATIENT'S CONDITION. FINALLY, ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAINTAINS DETAILED PROCEDURES REGARDING WHEN AND UNDER WHAT CIRCUMSTANCES A PATIENT CAN BE TRANSFERRED. UNDER THIS POLICY, NO PATIENT WILL BE TRANSFERRED BASED ON RACE, CREED, RELIGION OR ABILITY TO PAY.
Affiliated health care systemSchedule H, Part VI, Line 6ALEGENT HEALTH-IMMANUEL MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH-BASED NONPROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN ENGLEWOOD, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AS AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET-BASED ORGANIZATIONS, OR MBOS. AN MBO IS A DIRECT PROVIDER OF CARE OR SERVICES WITHIN A DEFINED MARKET AREA THAT MAY BE AN INTEGRATED HEALTH SYSTEM AND/OR A STAND-ALONE HOSPITAL OR OTHER FACILITY OR SERVICE PROVIDER. CHI SERVES AS THE PARENT CORPORATION OF ITS MBOS WHICH ARE COMPRISED OF 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $762 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 FISCAL YEAR, INCLUDING SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. CHI PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED "SHARED SERVICES" FOR THE MBOS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES - INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN -- PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE MBOS. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBOS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, TO SERVE THE HEALTH CARE NEEDS OF THE OMAHA, NE COMMUNITIES.
State filing of community benefit reportSchedule H, Part VI, Line 7IA, NE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE RDOMAHANE68154470648586501(C)(3)573080N/AN/AGENERAL SUPPORT
RONCALLI CATHOLIC HIGH SCHOOL
6401 SORENSEN PKWYOMAHANE68152470486481501(C)(3)55000N/AN/AGENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
FINANCIAL ASSISTANCE/CHARITY CARE4502019362843BOOKREDUCTION OR WRITE OFF OF PATIENT SERVICES
SCHOLARSHIPS847500N/AN/A

Form990 Schedule I Part IV Form990ScheduleIPartIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHOLARSHIPSSCHEDULE I, PART IIISISTER INGEBORG BLOMBERG SCHOLARSHIP: SCHOLARSHIPS ARE PROVIDED BY THE IMMANUEL MEDICAL CENTER AUXILIARY TO PROVIDE CONTINUING EDUCATION FOR ALGENT HEALTH-IMMANUEL MEDICAL CENTER EMPLOYEES FOR THEIR PERSONAL GROWTH AND/OR PROFESSIONAL DEVELOPMENT. ALL PERMANENT, FULL-TIME AND PART-TIME EMPLOYEES IN GOOD STANDING WHO HAVE SIX MONTHS OR MORE OF SERVICE WITH ALEGENT HEALTH-IMMANUEL MEDICAL CENTER MAY APPLY FOR THE SCHOLARSHIPS. PAYMENT FOR TUITION, LAB FEES, BOOKS AND REGISTRATION EXPENSES WILL BE MADE DIRECTLY TO THE INSTITUTION UPON RECEIPT OF A STATEMENT OF COSTS FROM THE INSTITUTION. THE AWARDING OF THE SISTER INGEBORG BLOMBERG SCHOLARSHIP SHALL BE SUBJECT TO THE FOLLOWING CRITERIA: 1. APPLICATION IS MADE PRIOR TO MAKING A COMMITMENT TO THE SCHOOL 2. THE SCHOOL AND COURSE ARE OF RECOGNIZED STANDING 3. THE EMPLOYEE CONTINUES TO MAINTAIN HIS/HER REGULARLY SCHEDULED WORKING HOURS 4. THE EMPLOYEE SHALL SIGN AN AUTHORIZATION ALLOWING THE AUXILIARY TO RECEIVE WRITTEN CERTIFICATION OF PERFORMANCE FROM THE INSTITUTION 5. IT IS EVIDENT THAT THE COURSE, OR COURSES ARE MUTUALLY BENEFICIAL TO THE EMPLOYEE AND TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTEER 6. THE EMPLOYEE IS EXPECTED TO REMAIN EMPLOYED AT ALEGENT HEALTH-IMMANUAL MEDICAL CENTEER FOR AT LEASTONE YEAR AFTER RECEIVING THE SISTER INGEBORG BLOMBERG SCHOLARSHIP. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER OCCASSIONALLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.
FINANCIAL ASSISTANCE/CHARITY CARESCHEDULE I, PART IIALEGENT HEALTH-IMMANUEL MEDICAL CENTER RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE.
Procedures for monitoring use of grant fundsSchedule I, Part I, Line 2MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
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 OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (28 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
ANN SCHUMACHER
COO IMMANUEL55917203910235338581515798576091930070381536219555119910437270511018636
ANTHONY HATCHER
SECRETARY/TREASURER039980700032728015000016780046431500
ARUN SHARMA MD
PHYSICIAN395614000333400175000246380471092000
BECKI HILL MD
PHYSICIAN3274730100000156210125000143580379952000
BETH LLEWELLYN
VP MISSION INTEGRATION33879123543153865610810514383415322719409921307766115136419857317911591
CHRISTOPHER CRISCUOLO MD
PHYSICIAN322335000230920125000208380378765000
FRANK EMSICK
FORMER FACILITIES OPS EXEC30720112027100523665578012844643115704092149215309619361900
HUDSON HSIEH MD
PHYSICIAN278303000349600149660231130351342000
JANE CARMODY
VP/CNO572972089392313484359954934823118964337825109154104386380653429915675
JASON YUNGTUM
VP/REG GENERAL COUNSEL42335154376113741472038743312258944703646251686917272462986100
JOAN NEUHAUS
ACH SVP COO8277330184355039200706264049628436108313167351248455352654719201211148741887
JOHN HARRIS MD
DIRECTOR04734610001636107500021988051931000
KENNETH LAWONN
SVP STRATEGY & TECH70726257912462201685462178379434322023117429543911601346514316962001017337096
LARRY BROWN MD
FORMER ACC CEO031647900026324018641027066038851000
MARTIN HICKEY MD
FORMER SVP/CEO CLINICS00004088914910500004088914910540889149105
MARTIN M MANCUSO MD
DIRECTOR03470420006103507500016329043190600
MICHAEL EGGER MD
PHYSICIAN325516000272900175000267610397067000
MYLES GART MD
CHIEF MEDICAL OFFICER39642144558003662133552167790429010584576116687500
NANCY WALLACE
VP HUMAN RESOURCES45408165585224128172814118514837237026390623738653156681571355412815053
PATRICIA MASEK
VP MEDICAL AFFAIRS280061021261325048319115274203313924507763449125777015625583127159899
PAUL EBMEIER
FORMER ACC COO02112920110956079842010630167070419860022752
PAUL EDGETT
DIRECTOR044098202142580791370647150217850820877057444
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER4023114670814317522075133187193442125503562129886668524317210273746
RICHARD II HACHTEN
PRESIDENT & CEO184201671711140745513244147686538555640903233713235011276811170364073410126090459805
RICHARD ROLSTON MD
ACC PRESIDENT & CEO9735035500158361212822163305954836921813463984719172095459781990978875531925
RICK MILLER MD
SVP/CHIEF QUALITY OFFICER519121893023665213365618862687832402108759546188225663538241290261785128629
SCOTT WOOTEN
SVP/CFO822733000175721120862829117106178338082123285943161573951099918634211262846050
SHEREE KEELY
VP BEHAVIORAL2950710760111363414376920252331070939051245789596095622228126609698

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Housing allowance or residence for personal useSchedule J, Part I, Line 1aAS PART OF THE EXECUTIVE COMPENSATION ARRANGEMENT, EXECUTIVES ARE PROVIDED WITH A SET SUM, APPROXIMATELY 30 - 40% OF THEIR BASE SALARY, WHICH CAN BE USED TO ELECT VARIOUS BENEFITS. SOME OF THE BENEFITS AVAILABLE FOR ELECTION INCLUDE HEALTH CLUB DUES, AUTOMOBILE ALLOWANCE, HOUSING ALLOWANCE, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT CREIGHTON HEALTH OR REIMBURSED TO THE EXECUTIVE AFTER THE APPROPRIATE SUBSTANTIATION FOR THE EXPENSE IS PROVIDED. THE AMOUNT PAID FOR THESE BENEFITS IS INCLUDED IN THE EXECUTIVE'S WAGES AS TAXABLE INCOME.
Health or social club dues or initiation feesSchedule J, Part I, Line 1aSEE ABOVE DISLCOSURE FOR 1A.
Arrangement used to establish the top management official's 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.
Severance or change-of-control paymentSchedule J, Part I, Line 4aTHE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS EXECUTIVES OF ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) 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 - $444,672 MARTIN HICKEY, MD - $189,994 SEVERANCE PAID TO RICHARD HACHTEN IN CALENDAR YEAR 2012 RELATES TO A CORRECTION MADE TO REPORT ADDITIONAL SEVERANCE OWED TO HIM FROM A PREVIOUS SEPARATION OF SERVICE. THE ADDITIONAL SEVERANCE WAS REPORTED ON A CORRECTED W-2C AND APPLICABLE TAXES WERE SUBMITTED TO THE IRS.
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. THE FOLLOWING AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: RICHARD HACHTEN II - $155,803 SCOTT WOOTEN - $64,619 JANE CARMODY - $23,850 NANCY WALLACE - $20,943 RICK MILLER, MD - $42,174 KENNETH LAWONN - $107,846 JOAN NEUHAUS - $63,430 SHEREE KEELY - $25,941 ELIZABETH LLEWELLYN - $31,429 PATRICIA MASEK - $26,283 ANN SCHUMACHER - $51,778 RICHARD ROLSTON - $67,114 JASON YUNGTUM - $24,139 PAUL STRAWHECKER - $15,992 SCHEDULE J, LINE 4B - THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH (A RELATED ORGANIZATION) DURING THE 2012 CALENDAR YEAR. THE FOLLOWING AMOUNTS FROM THE PLAN WERE PAID OUT AND INCLUDED IN TAXABLE WAGES. THE AMOUNTS WERE INCLUDED IN COLUMN B(III) OF THE SCHEDULE J: RICHARD HACHTEN II - $141,223 SCOTT WOOTEN - $58,678 JANE CARMODY - $19,974 NANCY WALLACE - $19,182 RICK MILLER, MD - $36,480 RICHARD ROLSTON, MD - 40,680 KENNETH LAWONN - $47,270 JOAN NEUHAUS - $53,374 SHEREE KEELY - $12,358 ELIZABETH LLEWELLYN - $14,770 PATRICIA MASEK - $12,614 PAUL STRAWHECKER - $4,772 PAUL EBMEIER - $22,752 ANN SCHUMACHER - $23,746
Compensation contingent on net earnings of the organizationSchedule J, Part I, Line 6aCOMPENSATION FOR MEMBERS OF MANAGEMENT OF ALEGENT CREIGHTON HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT CREIGHTON HEALTH MANAGEMENT ARE ELIGIBLE FOR AN ANNUAL INCENTIVE BONUS. INCENTIVE AWARDS ARE BASED ON FOUR INDIVIDUAL PERFORMANCE MEASURES WHICH ARE LINKED TO FOUR SYSTEM PERFORMANCE GOALS. FOR EACH MANAGER, 75% OF THE INCENTIVE AWARD WILL BE DETERMINED BY SYSTEM PERFORMANCE GOALS AND 25% DETERMINED BY INDIVIDUAL PERFORMANCE MEASURES. ONE OF THE FOUR SYSTEM PERFORMANCE GOALS IS DEPENDENT ON THE FINANCIAL RESULTS OF THE ENTIRE ALEGENT CREIGHTON HEALTH SYSTEM FOR THE FISCAL YEAR.
Compensation contingent on net earnings of a related organizationSchedule J, Part I, Line 6bSEE DISCLOSURE OF 6A.
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

Other Non Cash Contributions Table OtherNonCashContributionsTable (132 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XUSGA MEGA PACKAGE #213900MARKET VALUE
XUSGA MEGA PACKAGE #113900MARKET VALUE
XOKOBOJI12200MARKET VALUE
XCHICAGO CUBS11170MARKET VALUE
XCELINE DION11150MARKET VALUE
XMAN BASKET11026MARKET VALUE
XSECURITY SOLUTIONS, INC. - BASIC SYSTEM INSTALL1845MARKET VALUE
XTHE PUPPY1750MARKET VALUE
XUPSTREAM BEER MAKING EXPERIENCE1750MARKET VALUE
XOMAHA SYMPHONY1710MARKET VALUE
XRUFF WATERS- TREE AND PLANTING1650MARKET VALUE
XIPAD1640MARKET VALUE
XPLAYERS CLUB GOLF FOURSOME AND HOTEL1605MARKET VALUE
XSTAYCATION1520MARKET VALUE
XVERA BRADLEY COMFORTER SET AND BREAKFAST TRAY1460MARKET VALUE
XUSGA TWO TICKETS/WEEK PASS1446MARKET VALUE
XFIRE PIT, SNACKS AND ACCESSORIES1415MARKET VALUE
XDR. RUMA'S ART1400MARKET VALUE
XDESIGNER VASE1300MARKET VALUE
XSHADOW RIDGE COUNTRY CLUB - FOURSOME OF GOLF1275MARKET VALUE
XFRAMED NEBRASKA PHOTOGRAPH - SUNRISE AND OMAHA WORLD HERALD NEBRASKA PHOTOGRAPHY BOOK1275MARKET VALUE
XSNORE & ROAR HOTEL AND ZOO PACKAGE1260MARKET VALUE
XTASTE OF OMAHA #11254MARKET VALUE
XTHE WHISTLING GOURMET - PERSONAL CHEF SERVICE1250MARKET VALUE
XTWO COLLEGE WORLD SERIES TICKETS - CLUB LEVEL, 1ST BASELINE1250MARKET VALUE
XTAILGATING COLEMAN GRILL1250MARKET VALUE
XSHORELINE GOLF OUTING FOR FOUR WITH CART1250MARKET VALUE
XGLASS AND TILE MIRROR1250MARKET VALUE
XLAP QUILT1250MARKET VALUE
XSPARTINA PURSE AND SCARF1245MARKET VALUE
XBEACH CHAIRS, SUMMER BAG & HAT1220MARKET VALUE
XPRIMAVERA GLASS ON COPPER PEDASTAL1220MARKET VALUE
X(2) TICKETS ADDAMS FAMILY PLAY AND SPENCER'S GIFT CARD1220MARKET VALUE
XWEIGHT MANAGEMENT BASKET1190MARKET VALUE
XTASTE OF OMAHA #21185MARKET VALUE
XMOTHER - DAUGHTER BASKET1185MARKET VALUE
XWINE TRIO1180MARKET VALUE
XOMAHA STORM CHASERS & TEXAS ROADHOUSE1180MARKET VALUE
XCOMMUNITY PLAYHOUSE TICKETS FOR TWO AND $100 SULLIVAN'S GIFT CARD1180MARKET VALUE
XLIED LODGE AND CONFERENCE CENTER AT ARBOR DAY FARM - ONE NIGHT STAY, BREAKFAST FOR TWO WITH TREE AD1175MARKET VALUE
XTUSSEY'S WINE AND DINE FOR FOUR1170MARKET VALUE
XRED NECK BASKET & ALPINE INN1170MARKET VALUE
XBALLET BIRTHDAY PARTY, PRINCESS COSTUME AND ACCESSORIES1160MARKET VALUE
XBRONCO TICKETS - 2 PRE-SEASON TICKETS1160MARKET VALUE
XYMCA CAMP, ESTES PARK LODGE - 2 NIGHT STAY1160MARKET VALUE
XCABELA'S GIFT CARD1150MARKET VALUE
XFRAMED PHOTOGRAPH - MOUNTAIN REFLECTION1150MARKET VALUE
XPORSCHE GT-2 CLUB COUPE RACING1150MARKET VALUE
XSALON TEEZ -CUT, COLOR AND HAIR PRODUCTS1150MARKET VALUE
XTASTE OF OMAHA #31145MARKET VALUE
XGONE FISHIN' BASKET1130MARKET VALUE
XCAMPING BASKET1130MARKET VALUE
XMOM, I''''M BORED SUMMER FAMILY BASKET1127MARKET VALUE
XNEBRASKA BASKET1125MARKET VALUE
XM & M GUY - BROWN1125MARKET VALUE
XSIGNATURE FACIAL BY GINA LEISE1125MARKET VALUE
XTEEN BASKET1125MARKET VALUE
XFIFTH AVENUE PURSE BY THIRTY ONE1125MARKET VALUE
XHAPPY EVERYTHING PLATE1120MARKET VALUE
XCHRISTMAS BASKET1120MARKET VALUE
XFAMILY FUN CENTER & SORTINO'S PIZZA1115MARKET VALUE
XPOSTER - ALBERT EINSTEIN1115MARKET VALUE
XMOCHA CROSSBODY CLUTCH AND BRACELET1115MARKET VALUE
XHARLEY MUGS BASKET1110MARKET VALUE
XWENNINGHOFF SPRING BASKET, $20 GIFT CARD & WEATHER STATION1110MARKET VALUE
XARTISAN APPLE SMOKED BACON WITH PAN AND PRESS1105MARKET VALUE
X2009 EGELHOFF CABERNET SAUVIGNON AND 2011 EGELHOFF RIESLING1105MARKET VALUE
XSPA BATH SET1102MARKET VALUE
XWINE SUITCASE1100MARKET VALUE
XARTISAN CHOCOLATE BASKET1100MARKET VALUE
XWOODEN WINE CORK LETTERS1100MARKET VALUE
XBABY BASKET1100MARKET VALUE
XDOG BASKET1100MARKET VALUE
XFRAMED FISHING PRINT FROM BASS PRO1100MARKET VALUE
XHANDY TOOLS1100MARKET VALUE
XGARDEN ART1100MARKET VALUE
XCUSTOM DESIGNED FAMILY TREE WITH FRAME1100MARKET VALUE
XART BY TERRY WEBBER1100MARKET VALUE
XFRAMED CHRIST THE REDEEMER PRINT1100MARKET VALUE
X2 MONTH MEMBERSHIP TO VICTORY BOXING CLUB AND COMMUNITY CENTER1100MARKET VALUE
XALPACA FARM TOUR FOR CHILDREN1100MARKET VALUE
XLOLIA BATH SET1100MARKET VALUE
XBLUE GLITZ PURSE, SCARF AND BRACELET1100MARKET VALUE
XTOTE WITH ZEBRA ACCESSORIES1100MARKET VALUE
XSIGNATURE DRINK #1 - STRAWBERRY HEAVEN1100MARKET VALUE
XSIGNATURE DRINK #2 - STRAWBERRY HEAVEN1100MARKET VALUE
XAQUA TOTS SWIM SCHOOL195MARKET VALUE
XTAKE ME OUT TO THE BALLGAME BASKET195MARKET VALUE
XPRINCESS CHAIR AND ACCESSORIES190MARKET VALUE
XLUCKY BUCKET BREWERY BASKET AND TOUR190MARKET VALUE
XPURSE, SCARF AND $25 GIFT CERTIFICATE190MARKET VALUE
XSTEADMAN PHOTOGRAPHY PACKAGE185MARKET VALUE
XMIKASA FLUTES, SET OF EIGHT180MARKET VALUE
XGIFTS CARDS TO THREE LOCAL RESTAURANTS180MARKET VALUE
XZEBRA THEMED BASKET180MARKET VALUE
XDOG THEMED QUILT AND DOG180MARKET VALUE
XVERA BRADLEY COOLER TOTE AND TUMBLER180MARKET VALUE
XTANNING & NAIL SPA GIFT CERTIFICATES176MARKET VALUE
XWINE RACK175MARKET VALUE
XC. WHITE PHOTOGRAPHY GIFT CERTIFICATE175MARKET VALUE
XOWEN'S MOWING SERVICE175MARKET VALUE
XSANTA AND ELF CHRISTMAS VISIT175MARKET VALUE
XSILVER ZEBRA PRINT WINE TOTE170MARKET VALUE
XMARGARITA AND SALSA BASKET170MARKET VALUE
XTASTE OF ITALIAN, OMAHA STYLE170MARKET VALUE
XFAMILY GAME BASKET AND PIZZA170MARKET VALUE
XTEAVANA GIFT SET WITH TEA SET170MARKET VALUE
XPOSTER - LOVE IS GREAT170MARKET VALUE
XSANDALS AND DAVID AUBREY BRACELET170MARKET VALUE
XHOMEMADE JAMS FOR A YEAR BASKET160MARKET VALUE
XHAND KNIT WRAP160MARKET VALUE
XAROMATHERAPY BATH SET160MARKET VALUE
XCHOCOLATIER BLUE - CHOCOLATES AND GIFT CARD152MARKET VALUE
XBEYOND THE VINE GIFT CARD AND MOLESKIN WINE JOURNAL150MARKET VALUE
X11-WORTH CAF? GIFT CERTIFICATE150MARKET VALUE
XDEFY GRAVITY GIFT CERTIFICATE WITH BACKPACK150MARKET VALUE
XCHILD'S SOCCER BASKET150MARKET VALUE
XGIFT CERTIFICATE FOR HARLEY MUGS BASKET150MARKET VALUE
XHANDCRAFTED METAL SIGN150MARKET VALUE
X(2) AKSARBEN THEATER TICKETS & JONES BROS.150MARKET VALUE
X11-WORTH CAF?' GIFT CERTIFICATES 11-WORTH CAF? GIFT CARD WITH BOXING MEMBERSHIP150MARKET VALUE
XROBE AND ACCESSORIES150MARKET VALUE
XRAINY DAY TEA TIME BASKET150MARKET VALUE
XRHINESTONE BRACELET WITH BEAR150MARKET VALUE
XHANGING WINE RACK WITH GLASSES140MARKET VALUE
XMIKASA CHEERS FLUTES, SET OF FOUR140MARKET VALUE
XOMAHA STEAKS GIFT CERTIFICATE WITH BARBEQUE GRILL SET140MARKET VALUE
XFROG AND BLANKET140MARKET VALUE
XSURH LUCHTEL NAPA VALLEY WINE135MARKET VALUE
XIOWA PLATE130MARKET VALUE
XJULIE SETTERHOLM COPPER NECKLACE130MARKET VALUE
XFRAMED VERSE FOR 35 YEAR OLD125MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
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 other=USGA MEGA PACKAGE #2
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=USGA MEGA PACKAGE #1
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=OKOBOJI
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=CHICAGO CUBS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=CELINE DION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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-IMMANUEL MEDICAL CENTER. 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-IMMANUEL MEDICAL CENTER ARE REPORTED TO THE IRS.
EMLOYEES OF ALEGENT HEALTH-IMMANUEL MEDICAL CENTERFORM 990, PART V, LINE 2ATHE EMPLOYEES LISTED IN PART I, LINE 5 AND PART V, LINE 2A ARE EMPLOYED BY ALEGENT HEALTH-IMMANUEL MEDICAL CENTER. HOWEVER, THROUGH A COMMON PAY AGENT AGREEMENT, THE EMPLOYEES ARE PAID BY ALEGENT CREIGHTON HEALTH AND PAYROLL EXPENSES ARE ALLOCATED TO ALEGENT HEALTH-IMMANUEL MEDICAL CENTER.
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2PAUL EDGETT III AND SR. PHYLLIS HUGHES - BUSINESS RELATIONSHIP
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF THE CORPORATION SHALL BE IMMANUEL HEALTH SYSTEMS (IHS). IMMANUEL HEALTH SYSTEMS SHALL NOT HAVE ANY VOTING RIGHTS AS A MEMBER OF THE CORPORATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE ALEGENT CREIGHTON HEALTH BOARD OF DIRECTORS, AND THE CORPORATION HEREBY DELEGATES TO THE ALEGENT CREIGHTON HEALTH BOARD OF DIRECTORS, TO THE EXTENT PERMITTED BY LAW, COMPLETE GOVERNANCE AUTHORITY OVER IT, SUBJECT ONLY TO THE APPROVAL POWERS OF THE ALEGENT CREIGHTON HEALTH CORPORATE MEMBERS SET FORTH IN THE ARTICLES OF INCORPORATION AND BYLAWS. DIRECTORS SHALL BE APPOINTED BY THE ALEGENT CREIGHTON HEALTH BOARD IMMEDIATELY FOLLOWING THE APPOINTMENT AND RATIFICATION BY ALEGENT CREIGHTON HEALTH CORPORATE MEMBERS OF THE ALEGENT CREIGHTON HEALTH DIRECTORS PURSUANT TO THE ARTICLES OF INCORPORATION AND BYLAWS OF ALEGENT CREIGHTON HEALTH. THE ALEGENT CREIGHTON HEALTH BOARD SHALL APPOINT DIRECTORS SUCH THAT, AT ALL TIMES, ALL OF THE PERSONS SERVING AS ALEGENT CREIGHTON HEALTH DIRECTORS ALSO SHALL BE SERVING AS DIRECTORS OF THE CORPORATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE ALEGENT BOARD AND BY BOTH IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI) IN THEIR CAPACITIES AS ALEGENT CORPORATE MEMBERS: A. ADOPTION OR AMENDMENT OF THE UNFIIED PHILOSOPHY AND MISSION OF THE CORPORATION; B. SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS OF THE CORPORATION HAVING A FAIR MARKET VALUE IN ANY INDIVIDUAL TRANSACTION IN EXCESS OF $3 MILLION OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS, PROVIDED THAT TRANSFERS OF INVESTMENTS BETWEEN THE CORPORATION AND ANOTHER PARTICIPANT SHALL NOT REQUIRE THE APPROVAL OF CHI AND IHS; AND PROVIDED FURTHER THAT APPROVAL OF CHI AND IHS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT (AFA); C. INCURRENCE, ASSUMPTION OR GUARANTY BY THE CORPORATION IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPITAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF THE GREATER OF $2 MILLION OR 2% OF THE TOTAL LONG-TERM INDEBTEDNESS OF ALL THE PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; D. MERGER, DISSOLUTION, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION EXCEPT FOR A MERGER IN WHICH (I) THE CORPORATION IS THE SURVIVING ENTITY, AND (II) THE TOTAL BOOK VALUE OF THE ASSETS OF THE MERGING ENTITY DOES NOT EXCEED 2% OF THE TOTAL BOOK VALUE OF THE ASSETS OF ALL THE PARTICIPANTS, OR SUCH GREATER VALUE AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; AND E. NOTWITHSTANDING ANY OTHER PROVISIONS IN THE BYLAWS TO THE CONTRARY. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF IHS AND CHI INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT CREIGHTON HEALTH SYSTEM (AS THAT TERM IS DEFINED IN THE AFA) (III) PREPAYMENT BY THE CORPORATION OF THE FULL AMOUNTS OUTSTANDING ON ITS NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT CREIGHTON HEALTH SYSTEM CREDIT, AND THE TAKING OF ALL ACTIONS NECESSARY OR APPROPRIATE TO OBTAIN FUNDING OR OTHERWISE MAKE ARRANGEMENTS TO PREPAY SUCH NOTES INCLUDING WITHOUT LIMITATION INCURRENCE OF INDEBTEDNESS NECESSARY OR APPROPRIATE TO PREPAY THE NOTES OUTSTANDING.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH THE CHI TAX DEPARTMENT TO PREPARE THE FORM 990 AND THE FINANCE STAFF CONSULTS WITH EXECUTIVE MANAGEMENT REGARDING THE ITEMS OF INTEREST (I.E. CONFLICTS, POLITICAL ACTIVITIES, ETC.) OF WHICH THEY WOULD HAVE FIRSTHAND KNOWLEDGE. AFTER COMPLETION OF THE FORM 990, A DRAFT COPY IS REVIEWED BY FINANCE AND EITHER THE DIRECTOR OF FINANCE OR CFO FOR ANY POTENTIAL ERRORS, OMISSIONS, OR CLARIFICATIONS NEEDED FOR PROPER PRESENTATION. AFTER FINAL CHANGES ARE MADE TO THE FORM 990, THE FINAL RETURN IS THEN PROVIDED TO THE BOARD MEMBERS PRIOR TO THE BOARD MEETING DATE. AT THE NEXT BOARD MEETING, THE FORM 990 IS AN AGENDA ITEM WHEREBY THE BOARD HAS AN OPPORTUNITY TO ASK QUESTIONS OR OBTAIN CLARIFICATION OF THE FORM 990 INFORMATION. SUBSEQUENT TO THE RETURN BEING PROVIDED TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL 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-IMMANUEL MEDICAL CENTER 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 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE GOVERNING BOARD OF ALEGENT CREIGHTON HEALTH ENGAGED THE SERVICES OF AN INDEPENDENT CONSULTING FIRM THAT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT THAT IS QUALIFIED TO AND REGULARLY PERFORMS EXECUTIVE AND OFFICER COMPENSATION STUDIES. THE CONSULTING FIRM CONDUCTED A REVIEW AND ANALYSIS OF THE TOTAL COMPENSATION PAID TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, BASED ON COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND DETERMINED THAT THE COMPENSATION WAS REASONABLE. THE CONSULTING FIRM ISSUED AN OPINION LETTER AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PAID TO EMPLOYEES IDENTIFIED AS DISQUALIFIED PERSONS. THE OPINION LETTER SETTING FORTH THE FINDINGS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS WERE MAINTAINED. THIS PROCESS WAS USED FOR THE FOLLOWING EMPLOYEES: PRESIDENT AND CHIEF EXECUTIVE OFFICER SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER CHIEF EXECUTIVE OFFICER ALEGENT CREIGHTON CLINIC SENIOR VICE PRESIDENT AND CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT STRATEGY AND TECHNOLOGY VICE PRESIDENT OPERATIONS (BERGAN MERCY & MERCY) VICE PRESIDENT OPERATIONS (IMMANUEL) VICE PRESIDENT OPERATIONS (LAKESIDE) VICE PRESIDENT OPERATIONS (MIDLANDS) MEDICAL DIRECTORS
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE DISCLOSURE FOR 15A.
WRITTEN POLICY FOR JOINT VENTURE AGREEMENTSFORM 990, PART VI, LINE 16AALEGENT CREIGHTON HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ALEGENT CREIGHTON HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSE IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNER'S RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S LENGTH, WITH PRICES SET AT FAIR MARKET VALUE.
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 THE WEBSITE AT WWW.ALEGENTCREIGHTON.COM. ALEGENT HEALTH-IMMANUEL MEDICAL CENTER 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.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9JOINT OPERATING AGREEMENT - CAPITAL - 1540000; NET ASSETS RELEASED FROM RESTRICTIONS - -88504;

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 LUKES 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 LUKES DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520HOUSTONTX77030710959365DIAGNOSTICTXSLHS HOLDINGSRELATED273448868814false$0false0.573
ST LUKES LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505HOUSTONTX77030300427437HOSPITALTXSL CDC - WOODLANDSRELATED110662825874619false$0true0.51
ST LUKES 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 OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 NORTH 72ND STREETOMAHANE68154470376615X057905790222686051222691841$1,000,000$250,000000
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROADOMAHANE68154470757164X0205533205533442531237442736770$1,000,000$250,000000