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NEBRASKA HEART HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NEBRASKA HEART HOSPITAL (EIN 39-2031968)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201441339349305754
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)
Timestamp2014-05-13T18:00:31-05:00Timestamp
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 Line1198 INVERNESS DRIVE WESTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code80112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN392031968EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA HEART HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEBRNameControl
Phone4023283721Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line17500 S 91ST STAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code685269772ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEANETTE WOJTALEWICZName
TitleCFOTitle
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Namepamela krohnName
PTINP01210500PTIN
Phone3032989100Phone
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 Line1ROBERT J LANIKBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17500 S 91ST STAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code685269772ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63049516GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.NEHEART.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2011YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTHE NEBRASKA HEART HOSPITAL IS THE MIDWEST'S PREMIER FACILITY FOR CARDIAC, VASCULAR AND THORACIC SERVICES. THE HOSPITAL PROVIDES PATIENTS WITH INPATIENT AND OUTPATIENT CARE. BY FOCUSING CARE AND USING TECHNOLOGIES THAT CENTER ON THE PATIENT, THE PHYSICIANS AND STAFF STRIVE TO PROVIDE THE BEST TREATMENT FOR EACH PATIENT.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees357TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI915227TotalGrossUBI
Net Unrelated Business Txbl Income216556NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year112657751ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year58009909ProgramServiceRevenuePriorYear
Program Service Revenue CY61092569ProgramServiceRevenueCY
Investment Income Prior Year69875InvestmentIncomePriorYear
Investment Income Current Year313535InvestmentIncomeCurrentYear
Other Revenue Prior Year1247901OtherRevenuePriorYear
Other Revenue Current Year1641146OtherRevenueCurrentYear
Total Revenue Prior Year171985436TotalRevenuePriorYear
Total Revenue Current Year63047250TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9028770GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY55372GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20512857SalariesEtcPriorYear
Salaries Etc Current Year21483170SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23897781OtherExpensePriorYear
Other Expenses Current Year40838008OtherExpensesCurrentYear
Total Expenses Prior Year53439408TotalExpensesPriorYear
Total Expenses Current Year62376550TotalExpensesCurrentYear
Revenues Less Expenses Prior Year118546028RevenuesLessExpensesPriorYear
Revenues Less Expenses CY670700RevenuesLessExpensesCY
Total Assets BOY125425089TotalAssetsBOY
Total Assets EOY127125348TotalAssetsEOY
Total Liabilities BOY6891247TotalLiabilitiesBOY
Total Liabilities EOY7252814TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY118533842NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY119872534NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF CATHOLIC HEALTH INITIATIVES AND NEBRASKA HEART HOSPITAL IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33759970Expense
Grants55372Grants
Revenue61092569Revenue
DescriptionSEE SCHEDULE HDescription
Total Program Service Expense33759970TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees357NumberOfEmployees
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 ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARLIN AUSDEMOREBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023283721TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17500 S 91ST STAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code685269772ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LARRY BUTLER
Vice Chair1.001.00XX000
RICHARD HERINK
Board Chair1.001.00XX000
ROBERT LANIK
Director/CHI NE CEO1.0059.00XX0102425547149
SCOTT ZANA
Secretary/Treasurer1.001.00XX000
MARY KALB
Director1.001.00X000
MICHAEL MCCABE
Director1.001.00X000
MICHAEL ROWAN FACHE
Director/CHI EVP COO1.0059.00X01652367220553
THOMAS HEISER
Director1.001.00X000
DAN SCHONLAU
VP Finance40.000X177945017138
JAMIE CARLSON
VP Operations40.000X171559022641
JACQUELLINE MENDOZA
VP, Nursing, CV Service Line40.000191552016393X
TRISH WILMES
Director, Clinical Quality & Director, Support Services40.000184614013509X
DORRAINE REYNOLDS
Pharmacist40.000135725021581X
KENNETH KESTER
Pharmacy Team Leader40.000171861016045X
KENT HOXMEIER
Perfusionist40.000145449021829X
RONALD ADAMS
Pharmacy40.000135968021569X
TOM APPLEGET
Director of Invasive Cardilology40.000135242021460X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1449915TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2676622TotalReportableCompFrmRltdOrgs
Total Other Compensation439867TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES9000996109256961092569
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue61092569TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column80058TotalRevenueColumn
Unrelated Business Revenue-21UnrelatedBusinessRevenue
Exclusion$80,079ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities235443Securities
Other300Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other2266Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities235443Securities
Other-1966Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column233477TotalRevenueColumn
Exclusion$233,477ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PHARMACY SERVICES446110907083907083
REIMBURSEMENT OF EXPENSES900099398211$398,211
CAFETERIA722100308913$308,913

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column26939TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue8165UnrelatedBusinessRevenue
Exclusion$18,774ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1641146TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column63047250TotalRevenueColumn
Related Or Exempt Function Income61092569RelatedOrExemptFunctionIncome
Unrelated Business Revenue915227UnrelatedBusinessRevenue
Exclusion$1,039,454ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total55372Total
Program Services55372ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total550971Total
Management And General550971ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16256377Total
Program Services11208182ProgramServices
Management And General5048195ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total673317Total
Program Services440445ProgramServices
Management And General232872ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2746287Total
Program Services1796464ProgramServices
Management And General949823ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1256218Total
Program Services821746ProgramServices
Management And General434472ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total97212Total
Management And General97212ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6342Total
Management And General6342ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total828Total
Management And General828ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3704367Total
Program Services1022744ProgramServices
Management And General2681623ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total352214Total
Management And General352214ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total275329Total
Program Services75999ProgramServices
Management And General199330ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total704076Total
Program Services194346ProgramServices
Management And General509730ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1158389Total
Program Services14049ProgramServices
Management And General1144340ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total70982Total
Program Services25640ProgramServices
Management And General45342ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total44882Total
Program Services10245ProgramServices
Management And General34637ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total77309Total
Program Services77309ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total11450029Total
Management And General11450029ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3853231Total
Program Services322079ProgramServices
Management And General3531152ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total63094Total
Management And General63094ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES1586909415869094
REPAIRS AND MAINTENANCE1410278521907888371
BAD DEBTS12128631212863
UNRELATED BUSINESS TAXES6727267272

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total420217Total
Program Services91486ProgramServices
Management And General328731ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total62376550Total
Program Services33759970ProgramServices
Management And General28616580ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY751BOY
EOY750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY2458524EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9446694BOY
EOY13726011EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY139641BOY
EOY150303EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1648683BOY
EOY2686348EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY214143BOY
EOY121644EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35606074LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5306277LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29735783BOY
EOY30299797EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5869648BOY
EOY121706EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY78369746BOY
EOY77509746EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY50519EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY125425089BOY
EOY127125348EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5562755BOY
EOY1864535EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY46610BOY
EOY23513EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1281882BOY
EOY5364766EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6891247BOY
EOY7252814EOY

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY118533842BOY
EOY119872534EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118533842BOY
EOY119872534EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY125425089BOY
EOY127125348EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses670700ReconcilationRevenueExpenses
Reconciliation Unrealized Invest11464ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment656528ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$828GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB828TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $597 CATHOLIC HEALTH ASSOCIATION - $231Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1400000OtherCostOrOtherBasis
Book Value1400000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis22607771OtherCostOrOtherBasis
Depreciation2054671Depreciation
Book Value20553100BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9867825OtherCostOrOtherBasis
Depreciation2920849Depreciation
Book Value6946976BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1730478OtherCostOrOtherBasis
Depreciation330757Depreciation
Book Value1399721BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30299797TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$4,142,631
DOJ LAW SUIT RESERVE$1,186,722
CEO SEVERANCE PACKAGE$35,413
FieldValueIRS element (for citing)
Total Of Amounts5364766TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationNEBRASKA HEART HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS."Explanation

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 BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served369PersonsServed
Total Community Benefit Expense1948744TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1948744NetCommunityBenefitExpense
Percent Of Total Expense0.03190PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

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Total Community Benefit Expense1127652TotalCommunityBenefitExpense
Direct Offsetting Revenue1010200DirectOffsettingRevenue
Net Community Benefit Expense117452NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

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Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served369PersonsServed
Total Community Benefit Expense3076396TotalCommunityBenefitExpense
Direct Offsetting Revenue1010200DirectOffsettingRevenue
Net Community Benefit Expense2066196NetCommunityBenefitExpense
Percent Of Total Expense0.03380PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served760PersonsServed
Total Community Benefit Expense2310TotalCommunityBenefitExpense
Net Community Benefit Expense2310NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

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Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense55372TotalCommunityBenefitExpense
Net Community Benefit Expense55372NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

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Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served760PersonsServed
Total Community Benefit Expense57682TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense57682NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

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Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1129PersonsServed
Total Community Benefit Expense3134078TotalCommunityBenefitExpense
Direct Offsetting Revenue1010200DirectOffsettingRevenue
Net Community Benefit Expense2123878NetCommunityBenefitExpense
Percent Of Total Expense0.03470PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

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

Coalition Building CoalitionBuilding

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Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

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

Workforce Development WorkforceDevelopment

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

Other Other

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

Total Total

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Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,212,863BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare23554997AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare31490952CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7935955MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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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 Line1NEBRASKA HEART HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line17500 SOUTH 91ST STREETAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68526ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.NEHEART.COMWebsiteAddress
Licensed HospitalXLicensedHospital
OtherHEART HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEBRASKA HEART HOSPITALBusinessNameLine1
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 FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedtrueAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreefalseUsesFPGFree
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymentfalseActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Eligibility criteria for free or discounted careSchedule H, Part I, Line 3cNEBRASKA HEART HOSPITAL PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS WITH A FINANCIAL NEED. THE AMOUNT OF ANY SUCH FREE OR DISCOUNTED CARE PROVIDED BY NEBRASKA HEART HOSPITAL TAKES INTO CONSIDERATION THE MEDICAL NECESSITY OF THE CARE, THE PATIENT'S HOUSEHOLD SIZE, INCOME, LIQUID ASSETS, AS WELL AS OTHER MEDICAL LIABILITIES. NEBRASKA HEART HOSPITAL USES THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY-LOW INCOME GUIDELINES IN ITS FINANCIAL ASSISTANCE PROCESS, WHICH MORE ACCURATELY REFLECT THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES. THE HUD VERY-LOW INCOME GUIDELINES ARE GENERALLY 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES (FPG), ALLOWING MORE PATIENTS TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER NEBRASKA HEART HOSPITAL'S POLICY # 15 AND 16. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS MAY BE SERIOUSLY DETRIMENTAL TO THE PATIENTS BASIC FINANCIAL WELL BEING AND SURVIVAL. SUCH PATIENTS MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THESE EXTENUATING FACTS AND CIRCUMSTANCES. NEBRASKA HEART HOSPITAL'S ELIGIBILITY CRITERION FOR THE APPLICATION OF DISCOUNTS IS BASED UPON 130% OF THE ANNUALLY UPDATED HUD VERY-LOW INCOME GUIDELINES. THE HUD GUIDELINES TAKE INTO CONSIDERATION FAMILY INCOMES THAT DO NOT EXCEED 50% OF THE MEDIAN FAMILY INCOME FOR A GEOGRAPHIC AREA AND UTILIZE A SLIDING SCALE APPROACH BASED UPON FAMILY INCOME AND SIZE.
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7THE UNPAID COST OF CHARITY AND MEDICAID SERVICES ARE CALCULATED UTILIZING CHI PROVIDED WORKSHEETS WHICH CALCULATE A COST OF SERVICES (TOTAL COSTS LESS OTHER OPERATING REVENUES, BAD-DEBTS, EXCESS RELATED ORGANIZATION COSTS AND DIRECT COMMUNITY BENEFIT COST) PROVIDED BASED UPON COST TO CHARGE RATIOS OR DAILY PER DIEM AMOUNTS WHICH ARE DIRECTLY RELATED TO PAYER SPECIFIC SERVICES PROVIDED TO PATIENTS. OTHER COMMUNITY BENEFIT COSTS ARE BASED UPON THE ACTUAL DIRECT COST INCURRED, INCLUDING AN EMPLOYEE BENEFITS FACTOR, WHICH IS APPLIED IN CALCULATING THE COMMUNITY BENEFIT. INDIRECT COST FACTORS RELATED TO PROVIDING OTHER COMMUNITY BENEFITS ARE APPLIED WHEN SUFFICIENT EVIDENCE EXISTS THAT THERE ARE INCREMENTAL OVERHEAD COSTS ASSOCIATED WITH THE COMMUNITY BENEFIT ACTIVITY. PRIOR YEAR'S THIRD PARTY PAYER SETTLEMENTS RECEIVED OR PAID ARE NETTED WITH THE CURRENT YEAR'S REVENUES.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)1,212,863
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 41.83%. 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 3NEBRASKA HEART HOSPITAL 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 4NEBRASKA HEART HOSPITAL 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 8USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICES COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYERS' GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE ANY DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED. NEBRASKA HEART HOSPITAL'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE COPAYMENT/ DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTH CARE FACILITY NOT TO OFFSET COSTS THAT MEDICARE CONSIDERS TO BE NON-ALLOWABLE, BUT FOR WHICH THE FACILITY CAN LEGITIMATELY ARGUE ARE RELATED TO THE CARE OF THE FACILITY'S PATIENTS. IN ADDITION, ALTHOUGH NOT REPORTABLE ON THE MEDICARE COST REPORT, THE CHI WORKBOOK INCLUDES THE COST OF SERVICES THAT ARE PAID VIA A SET FEE-SCHEDULE RATHER THAN BEING REIMBURSED BASED ON COSTS (E.G. OUTPATIENT CLINICAL LABORATORY). FINALLY, THE CHI WORKBOOK ALLOWS A FACILITY TO INCLUDE OTHER HEALTH CARE SERVICES PERFORMED BY A SEPARATE FACILITY (SUCH AS A PHYSICIAN PRACTICE) THAT ARE MAINTAINED ON SEPARATE BOOKS AND RECORDS (AS OPPOSED TO THE MAIN FACILITY'S BOOKS AND RECORDS WHICH HAS ITS COSTS OF SERVICE INCLUDED WITHIN A COST REPORT). THE TRUE COSTS OF MEDICARE ARE THE SAME AMOUNTS AS REPORTED IN SCHEDULE H, PART III, LINES 5 AND 6. NEBRASKA HEART HOSPITAL BELIEVES THAT EXCLUDING MEDICARE LOSSES FROM COMMUNITY BENEFIT MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL-HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS. IN FACT, FOR-PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL-PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING THAT HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND THE ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. THOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHA FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT FROM MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY, AND IS TYPICALLY SUBSTANTIALLY LESS THAN WHAT MEDICARE PAYS.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bNEBRASKA HEART HOSPITAL'S DEBT COLLECTION POLICY PROVIDES THAT NEBRASKA HEART HOSPITAL WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH NEBRASKA HEART HOSPITAL'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE NEBRASKA HEART HOSPITAL'S COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO NEBRASKA HEART HOSPITAL FOR APPROPRIATE FOLLOW-UP. NEBRASKA HEART HOSPITAL REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs AssessmentSchedule H, Part V Section B, Line 3(1) NEBRASKA HEART HOSPITAL - AS PART OF THE CURRENT MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS, THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT FORMED A MAPP STEERING COMMITTEE. THE 25 MEMBER STEERING COMMITTEE IS A BROAD-BASED REPRESENTATION OF THE HEALTH DEPARTMENT'S MANY COMMUNITY PARTNERS AND STAKEHOLDERS. THE ROLE OF THE MAPP STEERING COMMITTEE IS TO ASSIST THE HEALTH DEPARTMENT IN THE FACILITATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE IDENTIFICATION OF COMMUNITY PRIORITY HEALTH NEEDS, AND IN THE DEVELOPMENT AND IMPLEMENTATION OF STRATEGIES TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS.;
Used federal poverty guidelines (FPG) to determine eligibilitySchedule H, Part V Section B, Line 10(1) NEBRASKA HEART HOSPITAL - HUD LOW INCOME GUIDELINES USED;
Used FPG to determine eligibility for providing discounted care criteriaSchedule H, Part V Section B, Line 11(1) NEBRASKA HEART HOSPITAL - HUD LOW INCOME GUIDELINES USED;
Means used to determine amounts billedSchedule H, Part V Section B, Line 20d(1) NEBRASKA HEART HOSPITAL - NEBRASKA HEART HOSPITAL DETERMINES THE AMOUNTS TO BE BILLED ON AN AVERAGE RATE FROM ALL THE CONTRACTED PAYER DISCOUNTS. THE PATIENT ACCESS STAFF WOULD NOTIFY PATIENT OF THE ADJUSTED ESTIMATED CHARGE. THE DISCOUNTED RATES ARE REVIEWED ANNUALLY (JULY) BY CHI'S NATIONAL OFFICE.;
LINES 2, 4 AND 5 - NEEDS ASSESSMENT AND COMMUNITY INFORMATIONSCHEDULE H, PART VITHE MISSION OF NEBRASKA HEART HOSPITAL IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES. NEBRASKA HEART HOSPITAL STRONGLY BELIEVES IN THE CATHOLIC HEALTH INITIATIVES CORE VALUES OF: REVERENCE - RESPECTING DIVERSE VIEWPOINTS AND WORKING TOGETHER INTEGRITY - BEING OPEN AND HONEST IN ALL OF OUR INTERACTIONS COMPASSION - CARING FOR THE WHOLE PERSON AND THE GREATER GOOD OF OTHERS EXCELLENCE - DOING OUR BEST WORK, PROVIDING QUALITY CARE AND SERVICE, ACHIEVING OUR GOALS IN ADDITION TO BEING A PART OF CATHOLIC HEALTH INITIATIVES, NEBRASKA HEART HOSPITAL IS A PART OF CHI NEBRASKA, AN AFFILIATION OF FIVE ACUTE CARE HOSPITALS, ONE DESIGNATED AS CRITICAL ACCESS BY THE MEDICARE PROGRAM, A HOME CARE AGENCY PROVIDING HOME HEALTH, HOSPICE, INFUSION THERAPY, PRIVATE DUTY IN HOME CARE AND OTHER IN HOME RELATED SERVICES, A PHYSICIANS GROUP AND PRACTICES WITH PROVIDERS REPRESENTING MORE THAN 50 PRIMARY, SPECIALTY, AND URGENT CARE PRACTICES WITHIN NEBRASKA. IN CONJUNCTION WITH ITS AFFILIATED PHYSICIAN PRACTICE (NEBRASKA HEART INSTITUTE), NEBRASKA HEART HOSPITAL DELIVERS LEADING-EDGE SERVICES TO MUCH OF NEBRASKA AND NORTHERN KANSAS THROUGH A NETWORK OF SATELLITE OFFICES AND AFFILIATED HOSPITAL-BASED CLINICS. NEBRASKA HEART HOSPITAL DRAWS PATIENTS FROM THROUGHOUT THE MIDWEST, INCLUDING COLORADO, OKLAHOMA, IOWA, KANSAS, MISSOURI AND SOUTH DAKOTA. NEBRASKA HEART HOSPITAL PROVIDES UNPARALLELED CARDIAC, VASCULAR, THORACIC, AND TRANSPLANT SERVICES TO THE REGION. THESE SERVICES INCLUDE CONSULTATIVE CARDIOLOGY; NUCLEAR CARDIOLOGY; ELECTROPHYSIOLOGY; CARDIAC CATHETERIZATION; AND CARDIOTHORACIC, VASCULAR, TRANSPLANT, AND MECHANICAL-ASSIST DEVICE SURGERY. THE SKILLED PHYSICIANS OF NEBRASKA HEART INSTITUTE ANNUALLY PERFORM MORE DIAGNOSTIC, INTERVENTIONAL, AND SURGICAL PROCEDURES THAN ANY OTHER CARDIAC PROGRAM IN NEBRASKA, INCLUDING MORE THAN 5,000 CARDIAC CATHETERIZATIONS, 1,500 INTERVENTIONS, AND 900 OPEN-HEART PROCEDURES. NEBRASKA HEART HOSPITAL IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. NEBRASKA HEART HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. NEBRASKA HEART HOSPITAL'S SERVICES ARE PROVIDED TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THE HOSPITAL OPERATES 365 DAYS PER YEAR, AND IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. NEBRASKA HEART HOSPITAL PARTICIPATES IN A VARIETY OF PROGRAMS INTENDED TO BENEFIT THE POPULATIONS WITHIN, AND THOSE INDIVIDUALS ENTERING INTO ITS SERVICE AREA. THESE PROGRAMS INCLUDE MEDICARE, MEDICAID, TRICARE/CHAMPUS, WORKERS COMPENSATION AND OTHER DISCOUNTED HEALTH INSURANCE PROGRAMS. THIS PARTICIPATION PROVIDES ACCESS TO A LOCAL HEALTH CARE PROVIDER FOR THE COMMUNITY. (SEE CONTINUATION #1)
LINES 2, 4 AND 5 - NEEDS ASSESSMENT AND COMMUNITY INFORMATIONSCHEDULE H, PART VI(CONTINUATION #1) THE HEALTHCARE COMMUNITY: LANCASTER COUNTY (289,800 POPULATION) INCLUDES THE CITY OF LINCOLN (262,341 POPULATION) AND THE CITY OF WAVERLY (3,133 POPULATION). THE DIFFERENCE IN THE POPULATION (24,326) INCLUDES RESIDENTS LIVING IN THE TOWNS OF BENNET, DAVEY, DENTON, FIRTH, HALLAM, HICKMAN, MALCOLM, PANAMA, RAYMOND, ROCA, SPRAGUE, AND IN OTHER RURAL AREAS OF THE COUNTY. ACCORDING TO THE UNITED STATES CENSUS BUREAU, THE CITY OF LINCOLN IS DEFINED AS AN URBAN AREA, MORE SPECIFICALLY AS AN URBANIZED AREA, WITH A POPULATION OF 50,000 OR MORE PEOPLE. THE CITY OF WAVERLY IS DEFINED AS AN URBAN AREA, MORE SPECIFICALLY AS AN URBAN CLUSTER, WITH A POPULATION OF AT LEAST 2,500 BUT LESS THAN 50,000. THE REMAINDER OF THE POPULATION IN LANCASTER COUNTY (24,326) IS DEFINED AS RURAL, WHICH ENCOMPASSES ALL POPULATION, HOUSING, AND TERRITORY NOT INCLUDED WITHIN AN URBAN AREA. WHEN SOCIOECONOMIC CHARACTERISTICS OF LANCASTER COUNTY'S POPULATION ARE EXAMINED, IT IS EVIDENT THAT THE COMMUNITY HAS POCKETS OF POVERTY AND SOCIOECONOMIC CONCERNS THAT STAND OUT DESPITE LINCOLN'S RECORD OF LOWER UNEMPLOYMENT RATES COMPARED TO NATIONAL UNEMPLOYMENT RATES. THE 2010 ESTIMATES BY THE CENSUS BUREAU INCLUDED IN THEIR SMALL AREA POVERTY AND INCOME ESTIMATE (SAIPE) MODEL FOR LANCASTER COUNTY INDICATED THAT 14.8 PERCENT OF THE POPULATION HAD FAMILY INCOMES BELOW THE POVERTY LEVEL. FOR CHILDREN UNDER 18, THE POVERTY RATE ESTIMATE IS EVEN HIGHER, AT 17.6 PERCENT. THERE ARE OTHER SUBPOPULATIONS WITH HIGH POVERTY RATES, AS INDICATED BY THE NUMBER OF STUDENTS QUALIFYING FOR FREE AND REDUCED MEALS (43 PERCENT) IN THE SCHOOL SYSTEM. ESTIMATES OF MEDIAN INCOME FROM THE SAME SOURCE (SAIPE) SHOW THE COUNTY'S MEDIAN INCOME AS $50,197 IN 2010, WHICH IS HIGHER THAN THE NEBRASKA MEDIAN INCOME ESTIMATE OF $48,415 AND ONLY SLIGHTLY ABOVE THE NATIONAL MEDIAN INCOME ESTIMATE OF $50,046. FROM 2000 TO 2010, LANCASTER COUNTY'S POPULATION INCREASED BY 14.8 PERCENT AND FUTURE GROWTH IS EXPECTED OVER THE NEXT SEVERAL DECADES, WITH A PROJECTED POPULATION OF MORE THAN 410,000 IN THE YEAR 2040. IN ADDITION TO GROWTH IN POPULATION, LANCASTER COUNTY'S POPULATION HAS BECOME EVEN MORE DIVERSE OVER THE LAST DECADE AS RACIAL AND ETHNIC POPULATIONS GREW SIGNIFICANTLY FROM 2000 TO 2010. PERSONS OF HISPANIC ORIGIN (MAY BE OF ANY RACE) NEARLY DOUBLED IN SIZE AS THERE WAS A 97.8 PERCENT INCREASE IN THE LATINO/LATINA POPULATION OVER THE LAST DECADE. THE AFRICAN AMERICAN AND ASIAN POPULATIONS THAT ESSENTIALLY TIED AS THE SECOND LARGEST RACIAL GROUPS HAVE ALSO GROWN OVER THE DECADE. PERHAPS EVEN A MORE SIGNIFICANT DIVERSITY INFLUENCE IS THE GROWTH IN THE NUMBER OF INDIVIDUALS WHO CLASSIFY THEMSELVES AS BELONGING TO TWO OR MORE RACES GROUPS. LOOKING AT AGE GROUPS, OVER THE DECADE LANCASTER COUNTY'S ELDERLY POPULATION GREW AT A HIGHER RATE THAN THE OVERALL POPULATION. THE COUNTY'S POPULATION AGED 62 OR OLDER INCREASED BY 27 PERCENT FROM 2000 TO 2010 VERSUS THE OVERALL GROWTH OF 14.8 PERCENT. OVER THE NEXT SEVERAL DECADES THIS DISPROPORTIONATE GROWTH AMONG THE ELDERLY POPULATION (THOSE 65 AND OLDER) IS PROJECTED TO CONTINUE. IN FACT, IN 2010, THE ELDERLY POPULATION REPRESENTED 10.9 PERCENT OF LANCASTER COUNTY'S POPULATION, BUT BY 2020 THE ELDERLY ARE PROJECTED TO REPRESENT 14.5 PERCENT OF THE POPULATION; IN 2030, 17.7 PERCENT, AND BY 2040, 18.2 PERCENT. THESE PROJECTIONS ARE BASED ON THE "TREND RATE" POPULATION MODEL FOR LANCASTER COUNTY. IN 2005-2009, 93 PERCENT OF PEOPLE 25 YEARS AND OVER HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 35 PERCENT HAD A BACHELOR'S DEGREE OR HIGHER. SEVEN PERCENT WERE DROPOUTS; THEY WERE NOT ENROLLED IN SCHOOL AND HAD NOT GRADUATED FROM HIGH SCHOOL. THE TOTAL SCHOOL ENROLLMENT IN LANCASTER COUNTY WAS 87,000 IN 2005-2009. NURSERY SCHOOL AND KINDERGARTEN ENROLLMENT WAS 7,900 AND ELEMENTARY OR HIGH SCHOOL ENROLLMENT WAS 39,000 CHILDREN. COLLEGE OR GRADUATE SCHOOL ENROLLMENT WAS 40,000. IN 2012, LINCOLN PUBLIC SCHOOLS (LPS) REPORTED 35,176 STUDENTS ENROLLED IN GRADES KINDERGARTEN THROUGH 12TH GRADE. OF THIS NUMBER, ABOUT 30 PERCENT CAME FROM ETHNICALLY DIVERSE CULTURES, 43 PERCENT RECEIVED FREE OR REDUCED PRICE LUNCHES, 13.8 PERCENT HAD AN IDENTIFIED DISABILITY, AND 6.3 PERCENT PARTICIPATED IN THE ENGLISH LANGUAGE LEARNER PROGRAM. A TOTAL OF 56 LANGUAGES OTHER THAN ENGLISH WERE SPOKEN BY STUDENTS. THE ON-TIME GRADUATION RATE IN THE LINCOLN PUBLIC SCHOOLS WAS 83.4% WITH ANOTHER 11.6% STILL ATTENDING AFTER THE EXPECTED YEAR OF GRADUATION. LANCASTER COUNTY EXPERIENCED ROBUST POPULATION GROWTH IN THE PAST DECADE, WITH VERY HIGH GROWTH IN MINORITY POPULATIONS. DOUBLE DIGIT GROWTH IS EXPECTED TO CONTINUE OVER THE NEXT FOUR DECADES. BY AGE, THE LARGEST RATE OF GROWTH IS PROJECTED FOR THE 65+ AGE GROUP. LANCASTER COUNTY ENJOYS AN EXTREMELY LOW UNEMPLOYMENT RATE COMPARED WITH THE NATION AND AVERAGE INCOME MEASURES. HOWEVER, THE COUNTY'S SMALL MINORITY POPULATION HAS HIGH POVERTY RATES. NEBRASKA HEART HOSPITAL HELPS SUPPORT COMMUNITY HEALTH IMPROVEMENT WITH FREE OR REDUCED CHARGE CLASSES, AND BY SUPPORTING A WIDE VARIETY OF WELLNESS AND COMMUNITY EDUCATION CLASSES (SMOKING CESSATION, HEALTHY WEIGHT LOSS, BLOOD SCREENINGS AND MANY MORE). HEALTH PROFESSIONAL EDUCATION AT NHH SUPPORTS TRAINING OF STUDENTS IN PHARMACY, NURSING, AND OTHER MEDICAL PROFESSIONS, AS WELL AS SUPPORTING THE LINCOLN MEDICAL EDUCATION PARTNERSHIP. NHH BELIEVES HIGHLY TRAINED PERSONNEL PROVIDE QUALITY CARE. DURING 2012, STUDENTS RECEIVED HANDS-ON EDUCATION INSIDE NHH IN EFFORTS TO ADVANCE OUR PROFESSION. INCLUDED IN THESE WERE: * NURSING, EXTERNS, PRECEPTOR SHIPS, SHADOWING, AND REGULAR NURSING STUDENTS * RESPIRATORY * CARDIOLOGY, INCLUDING ECHO CARDIOLOGY, AND VASCULAR * PHARMACY NEBRASKA HEART HOSPITAL PARTICIPATES IN MEDICAL RESEARCH AND CLINICAL TRIALS TO GIVE PATIENTS ACCESS TO CUTTING-EDGE TREATMENT OPTIONS AND ENABLE THEM TO PARTICIPATE IN THE LATEST ADVANCEMENTS IN MEDICINE. CARDIOLOGISTS IN OUR HEART CENTER PARTICIPATE IN A NUMBER OF NATIONAL STUDIES, INCLUDING EXPLORING THE ADVANTAGES OF COATED STENTS AND IMPROVING CARE FOR PATIENTS IMPLANTED WITH ELECTROPHYSIOLOGY DEVICES, AS WELL AS NUMEROUS DRUG AND MEDICAL THERAPY STUDIES. THIS LEVEL OF RESEARCH IS GOOD NEWS FOR PATIENTS WHO DO NOT HAVE TO TRAVEL TO OTHER CITIES OR STATES TO BENEFIT FROM RESEARCH, STUDIES AND CLINICAL TRIALS THAT ARE AVAILABLE HERE IN LINCOLN AT NHH. AT NEBRASKA HEART OUR HEALTHCARE MISSION GOES BEYOND HELPING PEOPLE OVERCOME ILLNESS OR INJURY AND PROVIDING A HEALING ENVIRONMENT FOR THEM TO DO SO. OUR UNIQUE AND ENDURING MISSION GUIDES US TO ALSO REACH OUT TO THE COMMUNITY WE SERVE WITH INNOVATIVE AND SUPPORTIVE PROGRAMS AND SERVICES AS WELL AS PARTNER WITH COMMUNITY AGENCIES AND ORGANIZATIONS TO STRENGTHEN THEIR HEALTH PROGRAMS. AS A CATHOLIC HEALTHCARE PROVIDER WE ALSO CARE FOR ALL PERSONS, INCLUDING THOSE MOST IN NEED, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. ALL DEPARTMENTS IN OUR MEDICAL CENTER AND CLINICS PERFORM MISSION PROJECTS DURING THE YEAR. THE FOLLOWING ARE SOME EXAMPLES OF HOW NEBRASKA HEART LIVES ITS HEALTHCARE MISSION: NHH EMPLOYEES "ADOPTED" FAMILIES OVER THE HOLIDAYS, PROVIDING THANKSGIVING AND CHRISTMAS MEALS AND GIFTS FOR LESS FORTUNATE FAMILIES, EMPLOYEES SUPPORTED VARIOUS LOCAL ORGANIZATIONS SUCH AS CLINIC WITH A HEART, MATT TALBOT KITCHEN, AND PEOPLE'S CITY MISSION, AMONG OTHERS. NHH WAS INITIALLY FORMED AS A SPECIALTY HEART HOSPITAL BY LOCAL PHYSICIANS IN MAY 2003. IN AUGUST 2012, NHH CONVERTED TO A TAX EXEMPT ENTITY. NEBRASKA HEART HOSPITAL WILL INCREASE ITS FOCUS ON PROVIDING STATE OF THE ART MEDICAL CARE TO THE UNDERSERVED AND THE COMMUNITY AT LARGE.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3NEBRASKA HEART HOSPITAL INCLUDES INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE. IN ADDITION, NEBRASKA HEART HOSPITAL PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE POLICY, IN BOTH ENGLISH AND SPANISH, IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITALS, INCLUDING THE EMERGENCY ROOMS AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN NEBRASKA HEART HOSPITAL OUTPATIENT FACILITIES. NEBRASKA HEART HOSPITAL'S REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS INCLUDING APPLICATION FOR MEDICAID AND FOR FINANCIAL ASSISTANCE UNDER NEBRASKA HEART HOSPITAL'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION (AND ONCE ALL EMTALA REQUIREMENTS ARE MET), PATIENTS WHO ARE IDENTIFIED AS UNINSURED (AND NOT COVERED BY MEDICARE OR MEDICAID) ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. NEBRASKA HEART HOSPITAL'S REGISTRATION CLERKS READ THE ORGANIZATION'S MEDICAL ASSISTANCE POLICY TO THOSE WHO APPEAR TO BE INCAPABLE OF READING, AND PROVIDE TRANSLATORS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. NEBRASKA HEART HOSPITAL'S STAFF WILL ALSO ASSIST THE PATIENT/GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE (SUCH AS MEDICAID), IF NECESSARY. COUNSELORS ASSIST MEDICARE ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCIES.
Affiliated health care systemSchedule H, Part VI, Line 6NEBRASKA HEART HOSPITAL, 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. NEBRASKA HEART HOSPITAL OPERATES WITH ITS WHOLLY OWNED AFFILIATES AND COMMUNITY PARTNERS, ALONG WITH ITS FUNDRAISING ARM, SAINT ELIZABETH FOUNDATION, TO SERVE THE HEALTH CARE NEEDS OF THE LINCOLN, NE COMMUNITY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1AMERICAN HEART ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11540 SOUTH 70TH STREETAddressLine1
CityLINCOLNCity
StateNEState
ZIP Code68506ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient135613797EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant30450AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationGRANTS INCLUDED ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
DAN SCHONLAU
VP FINANCE15182502385802262000171380195083000
DORRAINE REYNOLDS
PHARMACIST10981203009022904000215810157306000
JACQUELLINE MENDOZA
VP, NURSING, CV SERVICE LINE16923401337608942000163930207945000
JAMIE CARLSON
VP OPERATIONS138493020791012275000226410194200000
KENNETH KESTER
PHARMACY TEAM LEADER11666003834051367000160450187906000
KENT HOXMEIER
PERFUSIONIST11954507392018512000218290167278000
MICHAEL ROWAN FACHE
DIRECTOR/CHI EVP COO01010071046845801738380201012019541018729200150422
ROBERT LANIK
DIRECTOR/CHI NE CEO058415201885340251569033096014053010714040152674
RONALD ADAMS
PHARMACY11470303093018172000215690157537000
TOM APPLEGET
DIRECTOR OF INVASIVE CARDILOLOGY11605901224906934000214600156702000
TRISH WILMES
DIRECTOR, CLINICAL QUALITY & DIRECTOR, SUPPORT SERVICES1709650132500399000135090198123000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
METHODS USED TO ESTABLISH CEO COMPENSATIONSCHEDULE J, PART I, LINE 3COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
POST TERMINATION PAYMENTSSCHEDULE J, PART I, LINE 4APOST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI DURING THE 2012 CALENDAR YEAR.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MICHAEL ROWAN ROBERT LANIK DURING 2012 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MICHAEL ROWAN - $177,916 DURING 2012 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: MICHAEL ROWAN - $150,422 ROBERT LANIK - $152,674 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2012 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2012, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $66,797

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aPURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS OF THE ARTICLES REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6ACCORDING TO THE BYLAWS OF NEBRASKA HEART HOSPITAL, THE ENTITY'S SOLE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: - APPROVE MEMBERS OF THE NEBRASKA HEART HOSPITAL BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE NEBRASKA HEART HOSPITAL - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE NEBRASKA HEART HOSPITAL. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE NEBRASKA HEART HOSPITAL - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - APPROVAL OF ISSUANCE OF DEBT BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF PARTICIPATION OF THE NEBRASKA HEART HOSPITAL IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF A MERGER INVOLVING THE NEBRASKA HEART HOSPITAL - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE NEBRASKA HEART HOSPITAL - TO REQUIRE THE TRANSFER OF ASSETS BY THE NEBRASKA HEART HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing 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 12cTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IT FOLLOWS WITH RESPECT TO ITS INTERESTED PERSONS. THE FOLLOWING DESCRIBES THE ORGANIZATION'S CONFLICT OF INTEREST MONITORING PROCEDURES. DISCLOSURE, REVIEW AND INITIAL DETERMINATION: 1. GENERAL OBLIGATION: EACH NEBRASKA HEART ASSOCIATE MUST PROMPTLY AND FULLY REPORT TO THE ASSOCIATES DIRECT MANAGER OR SUPERVISOR ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST. THE ASSOCIATE MUST REPORT THE ACTUAL OR POTENTIAL CONFLICT AS SOON AS THE ASSOCIATE BECOMES AWARE OF IT. IN ANY SITUATION WHEN THE ASSOCIATE MAY BE IN DOUBT, THE ASSOCIATE IS TO MAKE A FULL DISCLOSURE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION TO BE MADE. 2. DISCLOSURE UPON INITIAL HIRING: AT THE TIME OF INITIAL HIRING, A NEBRASKA HEART HUMAN RESOURCES ("HR") REPRESENTATIVE SHALL REVIEW THIS POLICY WITH THE ASSOCIATE AND HAVE THE ASSOCIATE COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COMPLETED AND SIGNED DISCLOSURE STATEMENT SHALL BE MAINTAINED IN THE ASSOCIATES' HR FILE. 3. ANNUAL DISCLOSURE STATEMENT: THE FOLLOWING PROVISION APPLIES TO AN ASSOCIATE WHO IS A DIRECTOR AND ABOVE OR A KEY ASSOCIATE. KEY ASSOCIATES INCLUDE ASSOCIATES OF THE FOLLOWING DEPARTMENTS: ADMINISTRATION, PATIENT ACCOUNTING, INFORMATION TECHNOLOGY, PROCUREMENT, CASE MANAGEMENT, CLINICAL NURSE SPECIALISTS, MARKETING, FINANCE, AND PERFORMANCE IMPROVEMENT. OTHER DEPARTMENTS INVOLVED IN FINANCIAL DECISION MAKING MAY ALSO BE INCLUDED AS KEY ASSOCIATES, AT THE DIRECTOR'S DISCRETION. AT THE TIME OF THE ASSOCIATE'S ANNUAL EVALUATION, THE ASSOCIATE'S DIRECT MANAGER OR SUPERVISOR SHALL REVIEW THIS POLICY WITH THE ASSOCIATE AND HAVE THE ASSOCIATE COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COMPLETED AND SIGNED DISCLOSURE STATEMENT SHALL BE MAINTAINED IN THE ASSOCIATE'S HR FILE. ASSOCIATES WHO ARE NOT DIRECTORS AND ABOVE OR KEY ASSOCIATES ARE SUBJECT TO THE GENERAL OBLIGATION ABOVE. 4. REVIEW, EVALUATION AND INITIAL DETERMINATION: ANY QUESTION ABOUT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHOULD FIRST BE PRESENTED BY THE ASSOCIATE TO THE ASSOCIATES' DIRECT MANAGER OR SUPERVISOR FOR REVIEW AND DETERMINATION. IF THE ASSOCIATE DOES NOT IDENTIFY OR RECOGNIZE THE CONFLICT OR THE NEED TO REQUEST A REVIEW, THE MANAGER, WHO BECOMES AWARE OF A SITUATION THAT INVOLVES THE ASSOCIATE AND PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SHOULD MAKE A DETERMINATION AND ADVISE THE ASSOCIATE OF SAME. IF THE ASSOCIATE AND THE MANAGER DO NOT AGREE ABOUT THE APPLICABILITY OF THIS POLICY, OR IF THE ASSOCIATE SEEKS AN EXCEPTION OR EXEMPTION FROM THIS POLICY, THE MANAGER SHALL CONSULT WITH THE MANAGER'S VICE PRESIDENT (OR HIGHER IF THE MANAGER IS A VICE PRESIDENT) TO REACH A DETERMINATION. IF THE MATTER REMAINS UNRESOLVED, IT SHALL BE REFERRED TO THE NEBRASKA HEART CORPORATE RESPONSIBILITY OFFICER FOR DETERMINATION. IF THE NEBRASKA HEART CORPORATE RESPONSIBILITY OFFICER ARE UNABLE TO REACH AGREEMENT, THE MATTER SHALL BE REFERRED TO THE NEBRASKA HEART'S ASSIGNED CHI LEGAL COUNSEL, WHOSE DECISION SHALL BE FINAL. EACH DECISION MAKER MAY INVESTIGATE AND CONSIDER THE CIRCUMSTANCES SURROUNDING THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST, INCLUDING INTERVIEWING THE ASSOCIATE, AS THE DECISION MAKER DEEMS NECESSARY OR APPROPRIATE TO MAKE AN INFORMED DECISION. 5. CONSIDERATIONS: AMONG THE FACTORS THAT SHOULD BE CONSIDERED IN DETERMINING WHETHER A CONFLICT EXISTS ARE THE NATURE AND MAGNITUDE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE DEGREE TO WHICH IT IS RELATED TO NEBRASKA HEART'S BUSINESS, WHETHER THE INDIVIDUAL WITH THE CONFLICT IS THE ULTIMATE DECISION MAKER OR HOLDS SIGNIFICANT INFLUENCE OVER THE ULTIMATE DECISION MAKER (I.E., INDEPENDENCE OF THE DECISION MAKING PROCESS), THE UNIQUE NATURE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF OTHER VIABLE ALTERNATIVES AND THE QUALITY OF THOSE ALTERNATIVES, AND WHAT IS CUSTOMARY AND REASONABLE IN THE HEALTHCARE INDUSTRY. 6. WRITING REQUIRED: ANY ASSOCIATE REQUEST FOR AN EXCEPTION OR EXEMPTION FROM THIS POLICY, AS WELL AS THE FINAL DECISION THEREON, SHALL BE IN WRITING. COPIES OF ALL SUCH DOCUMENTS SHALL BE MAINTAINED IN THE ASSOCIATE'S HR FILE. 7. POLICY VIOLATIONS: IF AN ASSOCIATE FAILS TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POTENTIAL CONFLICT, OR FAILS TO ABIDE BY THE FINAL DECISION REGARDING THE CONFLICT AS REQUIRED BY THIS POLICY, THE ASSOCIATE MAY BE SUBJECT TO DISCIPLINARY ACTION, INCLUDING TERMINATION. IT IS THE POLICY OF NEBRASKA HEART HOSPITAL ("THE CORPORATION") THAT EACH OF THE CORPORATION'S DIRECTORS ACTS AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH THE CORPORATION'S CHARITABLE PURPOSE OF SERVICE TO THE COMMUNITY AND EXERCISES CARE THAT HE OR SHE DOES NOT ACT IN A MANNER THAT PLACES THE DIRECTOR'S PRIVATE INTERESTS OVER THE CORPORATION'S COMMUNITY BENEFIT PURPOSES; AND EACH OF THE CORPORATION'S DIRECTORS AVOIDS ANY CONFLICT OF INTEREST AND REPORTS TO THE CORPORATION LEADERS ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST. IF A CONFLICT CANNOT BE AVOIDED, THE CONFLICT WILL BE MANAGED IN THE BEST INTERESTS OF THE CORPORATION. THIS POLICY: (1) COVERS ALL DIRECTORS; (2) APPLIES TO ALL AFFILIATES OF THE CORPORATION; AND (3) IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT CORPORATIONS. IF A DIRECTOR HAS A POTENTIAL OR ACTUAL CONFLICT WITH THE CORPORATION AND/OR ANY OF ITS AFFILIATES, SUCH DIRECTOR IS DEEMED TO ALSO HAVE A POTENTIAL OR ACTUAL CONFLICT WITH RESPECT TO THE CORPORATION AND ALL OF ITS AFFILIATES.
PROCESS FOR DETERMINING CEO'S COMPENSATIONFORM 990, PART VI, LINE 15ATHE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 17, 2013. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bEXECUTIVE COMPENSATION PAID BY THE FILING ORGANIZATION WAS SET BY THE EXECUTIVE COMMITTEE, UTILIZING COMPARABILITY STUDIES COMPLETED BY HR ADVANTAGE TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE NEBRASKA SECRETARY OF STATE WEBSITE (HTTP://WWW.SOS.NE.GOV/BUSINESS). THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG

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 OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg