SAINT ELIZABETH REGIONAL MEDICAL CENTER: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ELIZABETH REGIONAL MEDICAL CENTER (EIN 47-0379836)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201341349349307189
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T19:00:36-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470617373 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470379836 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ELIZABETH REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 4022198000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS KUCERA | Name |
| Title | VP FINANCE | Title |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Pamela Krohn | Name |
| PTIN | P01210500 | PTIN |
| Phone | 3032989100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM MOORE | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 267551508 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAINTELIZABETHONLINE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1889 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY SERVICE IS A CORE ACTIVITY FOR SAINT ELIZABETH. ESSENTIAL INPATIENT & OUTPATIENT SERVICES ARE PROVIDED AS WELL AS SPECIALTIES IN NEONATAL, BURN, CANCER AND EMERGENCY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2053 | TotalNbrEmployees |
| Total Nbr Volunteers | 926 | TotalNbrVolunteers |
| Total Gross UBI | 765765 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 22693 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2170082 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2106671 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 249132178 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 251194465 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26384396 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10791188 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2707173 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3155603 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 280393829 | TotalRevenuePriorYear |
| Total Revenue Current Year | 267247927 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 9681740 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 150287996 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 90186230 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88402056 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 135535589 | OtherExpensePriorYear |
| Other Expenses Current Year | 132715048 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 235403559 | TotalExpensesPriorYear |
| Total Expenses Current Year | 371405100 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 44990270 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -104157173 | RevenuesLessExpensesCY |
| Total Assets BOY | 484832871 | TotalAssetsBOY |
| Total Assets EOY | 375302046 | TotalAssetsEOY |
| Total Liabilities BOY | 95377466 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 99635526 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 389455405 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 275666520 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION'S MISSION 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 351921806 | Expense |
| Grants | 150287996 | Grants |
| Revenue | 251194465 | Revenue |
| Description | SEE SCHEDULE H, PART VI | Description |
| Total Program Service Expense | 351921806 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2053 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Douglas Kucera | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4022197721 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 South 70th Street | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| KIM MOORE | |||||||||
| PRESIDENT/CEO | 60.00 | X | X | 190368 | 140153 | 55409 | |||
| RICK LANGE | |||||||||
| BOARD CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| ROBERT CALDWELL | |||||||||
| BOARD SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |||
| RUSSELL BAYER | |||||||||
| BOARD VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |||
| STEVE NAVIN | |||||||||
| BOARD TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| CHUCK REESE MD | |||||||||
| BOARD MEMBER/FORMER CHIEF OF STAFF | 3.00 | X | 0 | 0 | 0 | ||||
| ERIC PIERSON MD | |||||||||
| BOARD MEMBER/VICE CHIEF OF STAFF | 4.00 | X | 0 | 0 | 0 | ||||
| KEITH MAY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| NATALIE PEETZ | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT BARTH | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROBERT LANIK | |||||||||
| CHI NE CEO - BOARD MEMBER | 5.00 | X | 0 | 882209 | 46446 | ||||
| DOUGLAS KUCERA | |||||||||
| VP FINANCE | 70.00 | X | 165515 | 0 | 25274 | ||||
| CARY WARD MD | |||||||||
| VP MEDICAL AFFAIRS | 60.00 | 0 | 456229 | 43428 | X | ||||
| CHARLOTTE LIGGETT | |||||||||
| VP STRATEGY & PLANNING | 55.00 | 102721 | 141573 | 36011 | X | ||||
| ELIZABETH RAETZ | |||||||||
| VP NURSING | 60.00 | 153736 | 0 | 39342 | X | ||||
| PATRICK GILLES | |||||||||
| VP CLINICAL/SUPPORT | 60.00 | 288638 | 0 | 38682 | X | ||||
| DONNA HAMMACK | |||||||||
| CHIEF DEVELOPMENT OFFICER-FOUNDATION | 1.00 | 165165 | 0 | 33662 | X | ||||
| GREGORY GILLESPIE | |||||||||
| VP HUMAN RESOURCE | 55.00 | 93056 | 129388 | 39330 | X | ||||
| KURT CLYNE | |||||||||
| DIRECTOR PHARMACY | 50.00 | 160317 | 0 | 27365 | X | ||||
| NANCY GONDRINGER | |||||||||
| DIRECTOR PERIOPERATIVE SERVICE | 50.00 | 147864 | 0 | 25678 | X | ||||
| RICHARD TERNES | |||||||||
| PHARMACY COORDINATOR | 45.00 | 138520 | 0 | 31368 | X | ||||
| JEANETTE WOJTALEWICZ | |||||||||
| Former CFO | 0.00 | 164649 | 265890 | 45160 | X | ||||
| JOHN DUMONCEAUX | |||||||||
| Former VP of HUMAN RESOURCE & MISSION | 0.00 | 167497 | 0 | 12640 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1938046 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2015442 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 499795 | TotalOtherCompensation |
| Number Individuals GT100 K | 44 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| GRAHAM CONSTRUCTION INC | |||||
| 13210 CENTENNIAL ROAD SUITE 1 | OMAHA | NE | 68138 | CONSTRUCTION SERVICES | 2917423 |
| ARAMARK HEALTHCARE SUPPORT SERVICES | |||||
| 1101 MARKET STREET | PHILADELPHIA | PA | 19107 | DIETARY SERVICES | 2621160 |
| LINCOLN ANESTHESIOLOGY GROUP PC | |||||
| 575 SOUTH 70TH STREET PO BOX 6067 | LINCOLN | NE | 68506 | ANESTHESIOLOGY SERVICES | 1458690 |
| HEALTHCARE SUPPORT SERVICES LLC | |||||
| PO BOX 9804 | GRAND ISLAND | NE | 68803 | LAUNDRY SERVICES | 633925 |
| LINCOLN MEDICAL EDUCATION PARTNERSHIP | |||||
| 4600 VALLEY ROAD | LINCOLN | NE | 68510 | CONSULTING SERVICES | 618070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Related Organizations | 2106671 | RelatedOrganizations |
| All Other Contributions | 0 | AllOtherContributions |
| Total Contributions | 2106671 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 900099 | 249311639 | 249311639 |
| RENTAL INCOME | 900099 | 948181 | 948181 |
| EQUITY CHANGES OF UNCONSOLIDATED ORGS | 900099 | 691758 | 691758 |
| MEDICAL SERVICES | 621300 | 200037 | 200037 |
| WELLNESS SERVICES | 900099 | 35963 | 35963 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6887 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6887 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 251194465 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4363369 | TotalRevenueColumn |
| Unrelated Business Revenue | 14003 | UnrelatedBusinessRevenue |
| Exclusion | $4,349,366 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11095 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 413 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 10682 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10682 | TotalRevenueColumn |
| Unrelated Business Revenue | 10682 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6683077 | Securities |
| Other | 47910 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 303168 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6683077 | Securities |
| Other | -255258 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6427819 | TotalRevenueColumn |
| Exclusion | $6,427,819 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA | 722100 | 1065703 | $1,065,703 | |
| SERVICES SOLD | 900099 | 289641 | $31,303 | 258338 |
| DURABLE MEDICAL EQUIPMENT | 446199 | 1055844 | $576,922 | 478922 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 733733 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3820 | UnrelatedBusinessRevenue |
| Exclusion | $729,913 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3144921 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 267247927 | TotalRevenueColumn |
| Related Or Exempt Function Income | 251194465 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 765765 | UnrelatedBusinessRevenue |
| Exclusion | $13,181,026 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150181939 | Total |
| Program Services | 150181939 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106057 | Total |
| Program Services | 106057 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742675 | Total |
| Program Services | 68200 | ProgramServices |
| Management And General | 674475 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34200 | Total |
| Management And General | 34200 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68062801 | Total |
| Program Services | 64123304 | ProgramServices |
| Management And General | 3939497 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3628070 | Total |
| Program Services | 3384780 | ProgramServices |
| Management And General | 243290 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11102164 | Total |
| Program Services | 9952404 | ProgramServices |
| Management And General | 1149760 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4832146 | Total |
| Program Services | 4537769 | ProgramServices |
| Management And General | 294377 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37264712 | Total |
| Program Services | 31353832 | ProgramServices |
| Management And General | 5910880 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1490485 | Total |
| Program Services | 2235 | ProgramServices |
| Management And General | 1488250 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9671499 | Total |
| Program Services | 9279673 | ProgramServices |
| Management And General | 391826 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4122201 | Total |
| Program Services | 4047000 | ProgramServices |
| Management And General | 75201 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244822 | Total |
| Program Services | 180453 | ProgramServices |
| Management And General | 64369 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72571 | Total |
| Program Services | 16804 | ProgramServices |
| Management And General | 55767 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3478381 | Total |
| Program Services | 3478381 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4564149 | Total |
| Management And General | 4564149 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11956301 | Total |
| Program Services | 11923463 | ProgramServices |
| Management And General | 32838 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 869046 | Total |
| Program Services | 869046 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 10425268 | 10425268 | |
| DUES & SUBSCRIPTIONS | 328007 | 147213 | 180794 |
| MEDICAL SUPPLIES | 46110089 | 46102646 | 7443 |
| REPAIRS & MAINTENANCE | 1015947 | 1007699 | 8248 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1101570 | Total |
| Program Services | 733640 | ProgramServices |
| Management And General | 367930 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371405100 | Total |
| Program Services | 351921806 | ProgramServices |
| Management And General | 19483294 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6140 | BOY |
| EOY | 4752 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82914374 | BOY |
| EOY | 13713353 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33555340 | BOY |
| EOY | 39003054 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5586757 | BOY |
| EOY | 5546825 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 239895 | BOY |
| EOY | 295936 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 218188511 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 118404759 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104727318 | BOY |
| EOY | 99783752 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 254977484 | BOY |
| EOY | 214487470 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2825563 | BOY |
| EOY | 2466904 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484832871 | BOY |
| EOY | 375302046 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15799992 | BOY |
| EOY | 15266057 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79577474 | BOY |
| EOY | 84369469 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95377466 | BOY |
| EOY | 99635526 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389455405 | BOY |
| EOY | 275666520 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389455405 | BOY |
| EOY | 275666520 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484832871 | BOY |
| EOY | 375302046 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -104157173 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -9631712 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $12,213 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 12213 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $4,156 CATHOLIC HEALTHCARE ASSOCIATION - $1,839 NEBRASKA HOSPITAL ASSOCIATION - $6,218 | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 179532 | OtherCostOrOtherBasis |
| Book Value | 179532 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127617958 | OtherCostOrOtherBasis |
| Depreciation | 52298340 | Depreciation |
| Book Value | 75319618 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1664708 | OtherCostOrOtherBasis |
| Depreciation | 929871 | Depreciation |
| Book Value | 734837 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 78759399 | OtherCostOrOtherBasis |
| Depreciation | 61654561 | Depreciation |
| Book Value | 17104838 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9966914 | OtherCostOrOtherBasis |
| Depreciation | 3521987 | Depreciation |
| Book Value | 6444927 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 99783752 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CHI OIP - FIXED INCOME | 103677553 |
| CHI OIP - EQUITY SECURITIES | 110809917 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 214487470 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLE | $79,205,605 |
| ACCRUED CAPITAL | $1,814,959 |
| PENSION LIABILITY | $473,171 |
| UNCLAIMED PROPERTY | $6,979 |
| ENVIRONMENTAL REMEDIATION LIABILITY | $2,868,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 84369469 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | SAINT ELIZABETH REGIONAL MEDICAL CENTER'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2012 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3657 | PersonsServed |
| Total Community Benefit Expense | 4948754 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4948754 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14707 | PersonsServed |
| Total Community Benefit Expense | 20905759 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11056279 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9849480 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02730 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 18364 | PersonsServed |
| Total Community Benefit Expense | 25854513 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11056279 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14798234 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04100 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 129307 | PersonsServed |
| Total Community Benefit Expense | 1312055 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37647 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1274408 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 2086 | PersonsServed |
| Total Community Benefit Expense | 259582 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 703 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 258879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 19982 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 5311 | PersonsServed |
| Total Community Benefit Expense | 806812 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 806812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 136704 | PersonsServed |
| Total Community Benefit Expense | 2398431 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38350 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2360081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 34 | NumberOfActivitiesOrPrograms |
| Persons Served | 155068 | PersonsServed |
| Total Community Benefit Expense | 28252944 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11094629 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17158315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04750 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 500 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 38550 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 38550 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 417 | PersonsServed |
| Total Community Building Expense | 16256 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 16256 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1500 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 76500 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 76500 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 417 | PersonsServed |
| Total Community Building Expense | 133306 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 133306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $10,425,268 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 66489030 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 76221992 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -9732962 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| LINCOLN CK LEASING LLC | |||
| ONCOLOGY EQUIPMENT | 0.462 | 0 | 0.274 |
| SUPERIOR MEDICAL IMAGING LLC | |||
| OUTPATIENT IMAGING CENTER | 0.51 | 0 | 0.49 |
| NEBRASKA SURGERY CENTER LLC | |||
| AMBULATORY SURGERY CENTER | 0.369 | 0 | 0.631 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ELIZABETH REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 SOUTH 70TH STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NEBRASKA SURGERY CENTER LLC | ||||
| 625 SOUTH 70TH STREET | LINCOLN | NE | 68510 | AMBULATORY SURGICAL CENTER |
| SUPERIOR MEDICAL IMAGING LLC | ||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | OUTPATIENT DIAGNOSTIC IMAGING CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Eligibility criteria for free or discounted care | Schedule H, Part I, Line 3c | SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC") PROVIDES FREE AND DISCOUNTED CARE TO CERTAIN PATIENTS WHOSE HEALTH INSURANCE COVERAGE, IF ANY, DOES NOT PROVIDE FULL COVERAGE FOR ALL OF THEIR MEDICAL EXPENSES. THE AMOUNT OF ANY FREE OR DISCOUNTED CARE PROVIDED BY SERMC TAKES INTO CONSIDERATION THE PATIENT'S INCOME AND ASSETS, AND THE EXTENT TO WHICH PAYMENT OF THE UNINSURED EXPENSES WOULD MAKE THAT PATIENT INDIGENT. WHEN CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION TO SAINT ELIZABETH REGIONAL MEDICAL CENTER, ESTABLISHED ITS CHARITY CARE POLICY IT WAS DETERMINED ESTABLISHING A HOUSEHOLD INCOME SCALE BASED UPON THE HUD VERY-LOW INCOME GUIDELINES WAS MORE INCLUSIVE THAN OTHER POVERTY GUIDELINES AND MORE ACCURATELY REFLECTED THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES ACROSS THE STATES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), IT WAS NOTED THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 300% OF FPG SUCH THAT MORE INDIVIDUALS QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HUD GUIDELINES THAN UNDER FPG. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE; 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. SAINT ELIZABETH REGIONAL MEDICAL CENTER'S ELIGIBILITY FOR THE APPLICATION OF CHARITY 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 assistance | Schedule H, Part I, Line 7 | THE 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 calculation | Schedule H, Part I, Line 7, column(f) | 10,425,268 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE METHODOLOGY FOR REPORTING THE AMOUNTS SHOWN ON LINE 2 IS BASED ON THE SAME METHODOLOGY USED TO REPORT THE BAD-DEBT EXPENSES RECORDED IN THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. DISCOUNTS EXTENDED TO SELF-PAY PATIENTS ARE RECORDED AS A DEDUCTION FROM REVENUE, NOT AS BAD-DEBT EXPENSE. TO THE EXTENT THAT SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC") RECEIVES PAYMENTS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN OFF AS BAD-DEBTS, SERMC REDUCES ITS CURRENT PERIOD BAD-DEBT EXPENSES. SAINT ELIZABETH REGIONAL MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF THE 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. SAINT ELIZABETH REGIONAL MEDICAL CENTER DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING 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." |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICE 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 DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED, ALTHOUGH SAINT ELIZABETH REGIONAL MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE CO-PAYMENT OR 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. FURTHER, ALTHOUGH NOT PRESENTED ON THE MEDICARE COST REPORT, AND IN ORDER TO FACILITATE A MORE ACCURATE UNDERSTANDING OF THE "TRUE" COST OF SERVICES (FOR "SHORTFALL" PURPOSES) THE CHI WORKBOOK ALLOWS A HEALTHCARE FACILITY TO NOT OFF-SET 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 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 SERVICES INCLUDED WITHIN A COST REPORT). TRUE COSTS OF MEDICARE COMPUTED USING THIS METHODOLOGY: TOTAL NET MEDICARE REVENUE: $ 67,199,007 TOTAL MEDICARE COSTS: $ 77,394,293 SURPLUS OR (SHORTFALL): $ (10,195,286) SAINT ELIZABETH REGIONAL MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES 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 A TAX EXEMPT HEALTH CARE ORGANIZATION; 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 HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY PAYMENT COMMISSION ("MEDPAC"), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENT TO CONGRESS ACCORDINGLY. ALTHOUGH 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 CHI FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT THAN 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 assistance | Schedule H, Part III, Line 9b | SAINT ELIZABETH REGIONAL MEDICAL CENTER, ALONG WITH ITS AFFILIATED OUTPATIENT FACILITIES ARE PART OF CATHOLIC HEALTH INITIATIVES ("CHI"). CHI HAS A WRITTEN POLICY (STEWARDSHIP POLICY NO. 16) GOVERNING THE PROCEDURES FOR COLLECTIONS OF PAST DUE ACCOUNTS. ALL HOSPITAL FACILITIES INCLUDED IN THE FILING ORGANIZATION HAVE ADOPTED THIS POLICY AND FOLLOW THESE PRACTICES WITH REGARDS TO COLLECTIONS: PROCEDURES CHI ENTITIES WILL FOLLOW STANDARD PROCEDURES IN COLLECTING SELF-PAY BALANCES AS FOLLOWS: PERMISSIBLE COLLECTIONS ACTIVITY: EACH FACILITY MUST ADHERE TO THE FOLLOWING REQUIREMENTS IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES: * FAIR PURSUIT: EACH FACILITY SHALL ENSURE THAT ALL PATIENT AND PATIENT GUARANTOR ACCOUNTS ARE PURSUED FAIRLY. * ETHICS AND INTEGRITY: EACH FACILITY SHALL ENSURE THAT ALL COLLECTION ACTIVITIES CONSISTENTLY REFLECT THE HIGHEST STANDARDS OF ETHICS AND INTEGRITY. * REASONABLE PAYMENT TERMS: EACH FACILITY SHALL OFFER REASONABLE PAYMENT SCHEDULES AND TERMS TO EACH PATIENT AND PATIENT GUARANTOR WITH SELF-PAY BALANCES. ALL COLLECTION ACTIVITIES CONDUCTED BY THE FACILITY OR ITS THIRD-PARTY COLLECTION AGENTS WILL BE IN CONFORMANCE WITH ALL FEDERAL AND STATE LAWS GOVERNING DEBT COLLECTION PRACTICES. COLLECTION ACTIVITY MAY BE IN THE FORM OF LETTERS, EMAILS, PHONE CALLS, AND/OR CREDIT REPORTING AND MAY ALSO INCLUDE WAGE GARNISHMENTS, PLACING OF LIENS ON BUILDINGS OR RESIDENCES OTHER THAN PERSONAL RESIDENCES, INITIATION OF LAWSUIT, AND/OR OTHER ACTIONS AS REQUIRED, EXCEPT AS PROHIBITED BY IMPERMISSIBLE COLLECTIONS ACTIONS, AS DESCRIBED BELOW. PRE-COLLECTIONS ACTIVITY: * TIMING: GENERALLY, ACCOUNTS WILL NOT BE REFERRED TO COLLECTIONS UNTIL THEY ARE 120 DAYS OLD. HOWEVER, IN CIRCUMSTANCES WHERE INVOICES TO NON-MEDICARE PATIENTS ARE RETURNED UNDELIVERED WITH NO KNOWN ADDRESS, THOSE SELF-PAY BALANCES MAY BE REFERRED TO COLLECTIONS PRIOR TO EXPIRATION OF 120 DAYS. * LIMITATIONS - FINANCIAL ASSISTANCE ELIGIBILITY: THE FACILITY SHALL PERFORM A REASONABLE REVIEW OF EACH PATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT (INCLUDING, BUT NOT LIMITED TO, REPORTING THE ACCOUNT TO A COLLECTION AGENCY) TO ENSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G., MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE FACILITY'S FINANCIAL ASSISTANCE POLICY. THAT REASONABLE REVIEW WILL INCLUDE ONE OR MORE OF THE FOLLOWING: A) NOTIFICATION TO PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON ADMISSION, PRIOR TO DISCHARGE, AND/OR IN THE BILLING PROCESS; B) REVIEW OF FINANCIAL ASSISTANCE APPLICATION SUBMITTED BY OR ON BEHALF OF THE PATIENT; OR C) REVIEW OF THE PATIENT'S ELIGIBILITY USING PATIENT ACCOUNT STATISTICAL SCORING SOFTWARE. * COOPERATING EFFORTS: NO FACILITY SHALL SEND ANY UNPAID SELF-PAY ACCOUNT TO A THIRD-PARTY COLLECTION AGENT AS LONG AS THE PATIENT AND PATIENT GUARANTOR ARE COOPERATING WITH THE FACILITY IN EFFORTS TO SETTLE THE ACCOUNT BALANCE WITHIN A REASONABLE TIME FRAME (GENERALLY 18 MONTHS). * SUBSEQUENT ASSESSMENT: AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE FACILITY FOR APPROPRIATE FOLLOW-UP. CHI SHALL DIRECT ITS STAFF AND THIRD-PARTY COLLECTION AGENTS TO CONTINUALLY ASSESS EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY OR TO BE DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE. COLLECTIONS: THE FACILITY MAY USE A THIRD-PARTY COLLECTION AGENT AS A REPRESENTATIVE, ACTING IN THE NAME OF THE FACILITY AND ENGAGED ON A CONTRACTUAL BASIS, FOR THE EXPRESS PURPOSES OF FOLLOWING-UP ON AND POTENTIALLY COLLECTING ANY PATIENT ACCOUNTS RECEIVABLE BALANCES. THE FACILITY SHALL CONTRACTUALLY DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY THIRD-PARTY COLLECTION AGENTS. THOSE STANDARDS AND SCOPE OF PRACTICES SHALL BE CONSISTENT WITH THIS POLICY AND SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING: * STATEMENT MESSAGE: THE FACILITY SHALL REQUIRE 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 FACILITY OR OTHER FINANCIAL ASSISTANCE PROGRAMS. * ADVANCE SETTLEMENT APPROVALS: THE FACILITY SHALL INSTRUCT ITS THIRD-PARTY COLLECTION AGENTS TO SEEK APPROVAL FROM THE AUTHORIZED AND DESIGNATED FACILITY STAFF MEMBER BEFORE ANY SETTLEMENT, AS A RESULT OF BANKRUPTCY PROCEEDINGS, SHALL BE ACCEPTED. * STANDARDS OF CONDUCT: THE FACILITY SHALL REQUIRE THAT THE THIRD-PART COLLECTION AGENTS CONDUCT THEMSELVES IN COMPLIANCE WITH THE HIGHEST STANDARDS OF BUSINESS ETHICS AND INTEGRITY AND APPLICABLE LEGAL REQUIREMENTS, AS REFLECTED IN THE CHI STANDARDS OF CONDUCT, AS MAY BE AMENDED BY CHI, AVAILABLE AT THE FOLLOWING WEBSITE: HTTP://WWW.CATHOLICHEALTHINITIATIVES.ORG/CORPORATERESPONSIBILITY. * PROHIBITED COLLECTIONS ACTIONS: THE FACILITY SHALL PROHIBIT THE THIRD-PARTY COLLECTION AGENTS FROM ENGAGING IN PROHIBITED COLLECTIONS ACTIONS AS DEFINED IN IMPERMISSIBLE COLLECTIONS ACTIONS BELOW. * ANNUAL ADHERENCE AUDIT: THE FACILITY OR ITS DESIGNEE SHALL BE PERMITTED TO AUDIT ITS THIRD-PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS. IMPERMISSIBLE COLLECTIONS ACTIONS: CHI ENTITIES SHALL DIRECT THEIR STAFF AND THIRD-PARTY COLLECTION AGENTS THAT THE FOLLOWING ACTIONS ARE ALWAYS PROHIBITED IN RELATION TO THE PURSUIT OF SELF-PAY BALANCES. * UNEMPLOYED WITHOUT SIGNIFICANT INCOME/ASSETS: NO FACILITY SHALL PURSUE ANY LEGAL ACTION FOR NON-PAYMENT OF ANY BILLS AGAINST ANY PATIENT OR PATIENT GUARANTOR WHO IS KNOWN TO BE UNEMPLOYED AND WHO HAS BEEN DETERMINED IN ACCORDANCE WITH CHI STEWARDSHIP POLICY NO. 15, HOSPITAL FINANCIAL ASSISTANCE, ON THE BASIS OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION, TO BE WITHOUT SIGNIFICANT INCOME OR ASSETS. * PRINCIPAL RESIDENCE: NO FACILITY SHALL PURSUE ANY LEGAL ACTION AGAINST ANY PATIENT OR PATIENT GUARANTOR BY SEEKING A REMEDY THAT WOULD INVOLVE FORECLOSING UPON THE PRINCIPLE RESIDENCE OF A PATIENT OR PATIENT GUARANTOR, PLACING A LIEN ON THE PRINCIPAL RESIDENCE, TAKING ANY OTHER ACTION THAT COULD RESULT IN THE INVOLUNTARY SALE OR TRANSFER OF SUCH RESIDENCE, OR INFORMING ANY PATIENT OR PATIENT GUARANTOR THAT HE/SHE MAY BE SUBJECT TO ANY SUCH ACTION. * OTHER IMPERMISSIBLE COLLECTION TACTICS: A) NO FACILITY SHALL CHARGE INTEREST ON OUTSTANDING BALANCES; B) NO FACILITY SHALL REQUIRE PATIENTS OR PATIENT GUARANTORS TO INCUR DEBT OR LOANS WITH RECOURSE TO THE PATIENT'S OR GUARANTOR'S PERSONAL OR REAL PROPERTY ASSETS ("RECOURSE INDEBTEDNESS"); AND C) NO FACILITY SHALL INVOKE SO-CALLED "BODY ATTACHMENTS" (I.E., THE ARREST OR JAILING OF PATIENTS IN DEFAULT ON THEIR ACCOUNTS, SUCH AS FOR MISSED COURT APPEARANCES). IN ADDITION TO THE WRITTEN POLICY 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. |
| Used federal poverty guidelines (FPG) to determine eligibility | Schedule H, Part V Section B, Line 9 | (1) SAINT ELIZABETH REGIONAL MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED.; |
| Used FPG to determine eligibility for providing discounted care criteria | Schedule H, Part V Section B, Line 10 | (1) SAINT ELIZABETH REGIONAL MEDICAL CENTER - HUD LOW INCOME GUIDELINES USED.; |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 19d | (1) SAINT ELIZABETH REGIONAL MEDICAL CENTER - A 40% DISCOUNT IS PROVIDED BASED ON THE AVERAGE OF MANAGED CARE DISCOUNTS.; |
| LINES 2, 4-6: COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. | SCHEDULE H, PART VI | ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE THE MISSION OF SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SAINT ELIZABETH" OR "SERMC") IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES. SAINT ELIZABETH STRONGLY BELIEVES IN THE CORE CHI 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. SAINT ELIZABETH REGIONAL MEDICAL CENTER WAS ORIGINALLY FORMED AS LINCOLN'S FIRST HOSPITAL IN 1889 BY THE SISTERS OF ST. FRANCIS OF PERPETUAL ADORATION FOR THE PURPOSE OF PROVIDING MEDICAL CARE. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY SAINT ELIZABETH REGIONAL MEDICAL CENTER HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES. IN ADDITION TO BEING A PART OF CATHOLIC HEALTH INITIATIVES, SAINT ELIZABETH REGIONAL MEDICAL CENTER 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. SAINT ELIZABETH PROVIDES ESSENTIAL HEALTH CARE SERVICES BY MAINTAINING A 260 BED MEDICAL CENTER WITH 44 OUTPATIENT BEDS DESIGNED TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE WHILE EMBRACING TRADITIONS RICH IN SPIRITUALITY. THE REGION'S MOST INNOVATIVE AND HOLISTIC CARE IS AVAILABLE THROUGH ASSOCIATION WITH MORE THAN 500 PHYSICIANS, MANY OF WHOM WHO ARE BOARD CERTIFIED, AS WELL AS A PHYSICIAN NETWORK OF FAMILY AND SPECIALTY CLINICS IN LINCOLN AND THE SURROUNDING AREAS. IN ADDITION TO THE SERVICES PROVIDED LOCALLY, SAINT ELIZABETH HAS COMMITTED ITS EXPERTISE IN WOUND CARE TO OTHER COMMUNITIES AND PROVIDERS. A FOCUS ON DELIVERING EXCEPTIONAL PATIENT CARE IN A STATE-OF-THE-ART ENVIRONMENT WITH EXPERIENCED MEDICAL PROFESSIONALS HAS DRIVEN SAINT ELIZABETH TO GO BEYOND THE BASIC AND PROVIDE SERVICE LINES DESIGNED TO PROVIDE SPECIALTY CARE IN THE LOCAL COMMUNITY. SAINT ELIZABETH IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. SAINT ELIZABETH IS GOVERNED BY A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. SAINT ELIZABETH IS ACCREDITED BY THE JOINT COMMISSION - A SEAL OF APPROVAL THAT INDICATES SAINT ELIZABETH MEETS STRICT PERFORMANCE STANDARDS, PROVIDES HIGH QUALITY PATIENT CARE AND DEMONSTRATES ACCOUNTABILITY IN THE RAPIDLY CHANGING FIELD OF HEALTH CARE. SAINT ELIZABETH HAS BEEN RANKED AS A 100 TOP HOSPITAL IN THE NATION BY THOMPSON FOUR TIMES---IN THE "OVERALL" CATEGORY. SAINT ELIZABETH ALSO HOLDS THE PRESTIGIOUS DESIGNATION AS A MAGNET HOSPITAL, THE HIGHEST AWARD IN NURSING. SAINT ELIZABETH EXCELS IN THE TREATMENT AREAS OF NEWBORN AND PEDIATRIC CARE, WOMEN'S HEALTH, CARDIOLOGY, EMERGENCY MEDICINE, ORTHOPEDICS, NEUROSCIENCE, ONCOLOGY, REHABILITATION AND BURN AND WOUND CARE AND IS LEADING THE WAY IN PREVENTION AND WELLNESS. SAINT ELIZABETH'S SERVICES ARE PROVIDED TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THE HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT ("ED") 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. SAINT ELIZABETH HAS AN OPEN MEDICAL STAFF, AND 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. THE HEALTHCARE COMMUNITY SAINT ELIZABETH REGIONAL MEDICAL CENTER IN LINCOLN, NEBRASKA, SERVES A PRIMARY AND SECONDARY MARKET AREA COMPRISED OF 17 COUNTIES IN SOUTHEAST NEBRASKA. LINCOLN, THE CAPITAL OF NEBRASKA IS LOCATED IN THE CENTRAL PART OF LANCASTER COUNTY. LINCOLN AND LANCASTER COUNTY ARE ALSO SERVED BY PEOPLES HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, AN ADDITIONAL ACUTE CARE HOSPITAL WITH TWO CAMPUSES - BRYANLGH AND TWO SPECIALTY HOSPITALS. LANCASTER COUNTY IS SAINT ELIZABETH'S PRIMARY SERVICE AREA AND HAS A POPULATION OF 289,800. DURING 2012, AND DUE IN A LARGE PART TO OUR NICU, BURN, AND CARDIOVASCULAR SERVICES, SAINT ELIZABETH SERVED PATIENTS FROM A MUCH BROADER SERVICE AREA. WITHIN SAINT ELIZABETH'S PRIMARY SERVICES AREA, THE AVERAGE HOUSEHOLD INCOME IS $51,059; HOWEVER 14.3% OF RESIDENTS HAVE AN INCOME BELOW POVERTY LEVEL; 22.9% OF THE POPULATION IS UNDER 18 YEARS OF AGE AND 11.1% IS 65 YEARS OR OLDER. RACE/ETHNICITY IS 84.1% WHITE, 3.6% BLACK, 6.0% HISPANIC, 3.6% ASIAN & PACIFIC AND 2.7% ALL OTHER. MEDICAID ENROLLMENT FOR NEBRASKA IS APPROXIMATELY 200,000, 11.3% OF THE TOTAL POPULATION. THE UNINSURED STATE POPULATION TOTALS APPROXIMATELY 230,000, WHICH INCLUDES 15.8% OF THE POPULATION. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT ELIZABETH'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE HEALTHY COMMUNITIES THROUGH INNOVATIVE PROGRAMS, COLLABORATIONS AND PARTNERSHIPS. THE PROGRAMS AND SERVICES NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SAINT ELIZABETH DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON GOVERNMENT-SUPPORTED INSTITUTIONS. DIVERSITY AT SAINT ELIZABETH LINCOLN RANKS AMONG THE TOP 15 SITES FOR REFUGEE RELOCATION IN THE UNITED STATES. THE US OFFICE OF REFUGEE RESETTLEMENT HAS DESIGNATED LINCOLN AS A PREFERRED COMMUNITY FOR NEWLY-ARRIVED REFUGEES. IN ADDITION TO REFUGEES, LINCOLN IS ALSO HOME TO EXISTING ETHNIC MINORITY POPULATIONS. THIS MEANS LINCOLN IS RICH IN CULTURAL AND ETHNIC DIVERSITY. THIS DIVERSITY POSES NOT ONLY CHALLENGES---MULTIPLE LANGUAGES, CULTURAL DIFFERENCES, ETC. - BUT ALSO EXCITING OPPORTUNITIES FOR THOSE WILLING TO EMBRACE IT. AT SAINT ELIZABETH WE CHOOSE TO EMBRACE DIVERSITY IN NUMEROUS WAYS. SOME OF THESE WAYS INCLUDE: LANGUAGES - LANGUAGES FOR WHICH INTERPRETERS WERE MOST FREQUENTLY DRAWN UPON AT SAINT ELIZABETH (IN ORDER OF HIGHEST TO LOWEST FREQUENCY) DURING THE PAST YEAR WERE AS FOLLOWS: 1) SPANISH; 2) ARABIC; 3) VIETNAMESE; 4) RUSSIAN; 5) SIGN LANGUAGE; 6) KURDISH. INTERPRETERS OF MANY OTHER FOREIGN LANGUAGES WERE ALSO USED INTERMITTENTLY DURING THE YEAR. AT SAINT ELIZABETH, WE RECOGNIZE THAT LANGUAGE IS CRITICAL FOR PATIENTS TO UNDERSTAND THEIR CAREGIVERS - FROM UNDERSTANDING WHAT IS MEDICALLY WRONG WITH THEM, TO THEIR TREATMENTS AND MEDICATIONS, TO HOW TO CONTINUE CARE AFTER LEAVING OUR MEDICAL CENTER. OUR LIMITED ENGLISH PROFICIENCY (LEP) PATIENTS AND FAMILIES HAVE A RIGHT TO RECEIVE THE MOST ACCURATE MEDICAL AND OTHER INFORMATION RELATED TO THEIR CARE; TO HAVE OPPORTUNITIES TO ASK QUESTIONS AND ADDRESS CONCERNS, AS WELL AS TO BE PROVIDED THE OPPORTUNITY FOR INFORMED PARTICIPATION IN DECISIONS REGARDING THEIR HEALTHCARE. INTERPRETIVE SERVICES - INTERPRETERS: WE PROVIDE IN-PERSON PROFESSIONAL MEDICALLY-TRAINED INTERPRETERS FOR OUR PATIENTS AND THEIR FAMILIES FROM OUR FIRST CONTACT WITH THEM UNTIL THE PATIENT LEAVES OUR MEDICAL CENTER. THERE IS NO CHARGE TO THE PATIENT. FOR LANGUAGES AND DIALECTS FOR WHICH INTERPRETERS ARE RARE IN LINCOLN, WE ARE WORKING HARD TO IDENTIFY COMMUNITY RESOURCES---OR USE A SPECIAL BLUE PHONE WE HAVE AVAILABLE TO ALL CARE AREAS AND OTHER APPROPRIATE LOCATIONS INSIDE SAINT ELIZABETH SEE CONTINUATION #1... |
| LINES 2, 4-6: COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. | SCHEDULE H, PART VI | ...CONTINUATION #1 PHONE SERVICE: IN EMERGENCY AND URGENT SITUATIONS, SAINT ELIZABETH HAS 60 BLUE-COLORED, DUAL-HAND SET TELEPHONES FROM CYRACOM, CALLED CLEARLINK PHONES. THE PHONES ARE LOCATED IN KEY AREAS THROUGHOUT THE MEDICAL CENTER. * THE DUAL HANDSETS ALLOW THE PATIENT AND CAREGIVER TO SIMULTANEOUSLY HEAR INTERPRETED INFORMATION, QUESTIONS AND ANSWERS, ETC. * THERE'S A "SPEAKER PHONE" OPTION SO FAMILIES OR ADDITIONAL CLINICAL PEOPLE CAN ALSO HEAR. * THE PHONES ALLOW ONE-BUTTON CONNECTION TO AN EXCELLENT LANGUAGE INTERPRETATION SERVICE WITH APPROXIMATELY 500 LANGUAGES AND VARIOUS DIALECTS AVAILABLE. VIDEO SERVICE: A MARTTI VIDEO SERVICE IS ALSO AVAILABLE FREE OF CHARGE. THIS ALLOWS FOR IMMEDIATE ACCESS TO FOREIGN LANGUAGES OR SIGN LANGUAGE INTERPRETATION USING A VIDEO EXCHANGE SERVICE. OUR POLICY - SAINT ELIZABETH BELIEVES IT IS IN KEEPING WITH OUR MISSION TO PROVIDE SERVICES IN A MANNER THAT IS RESPECTFUL TO EACH PERSON; WE RECOGNIZE THAT EVERY PERSON HAS THE RIGHT TO COMMUNICATE IN THEIR LANGUAGE OF CHOICE. TO THIS END, WE WILL PROVIDE RESOURCES THAT ENSURE EFFECTIVE COMMUNICATION BETWEEN HEALTHCARE PROVIDERS AND LIMITED ENGLISH PROFICIENCY (LEP) PATIENTS. WE HAVE A POLICY THAT CLEARLY DETAILS THIS. DIVERSITY COUNCIL - OUR DIVERSITY COUNCIL SERVES AS AN ADVISORY COUNCIL, REPORTING TO THE EXECUTIVE COUNCIL AT SAINT ELIZABETH. OUR DIVERSITY TEAM HOPES TO CREATE A WORK ATMOSPHERE AT SAINT ELIZABETH WHERE ASSOCIATES DELIVER CARE IN A CULTURALLY-COMPETENT MANNER; LEARN TO VALUE THE STRENGTHS INHERENT IN A DIVERSE WORK FORCE; AND WHERE PATIENTS ARE TREATED IN A MANNER RESPECTFUL OF THEIR RACIAL AND ETHNIC BACKGROUNDS. WITH THIS IN MIND, WE HAVE FORMULATED THE FOLLOWING GOALS: 1. TO PROMOTE EDUCATION AIMED AT FOSTERING AN ENLIGHTENED WORKFORCE IN REGARD TO CULTURAL DIVERSITY ISSUES. 2. TO DEVELOP A HEALTHY RESPECT AND APPRECIATION FOR THE CULTURAL DIFFERENCES IN OUR WORKFORCE AND COMMUNITY. 3. TO BECOME THE EMPLOYER OF CHOICE FOR RACIAL AND ETHNIC MINORITIES. 4. TO BECOME THE HEALTH SYSTEM OF CHOICE FOR RACIAL AND ETHNIC MINORITIES SEEKING CARE. 5. TO PROMOTE POLICIES THAT ARE CULTURALLY SENSITIVE. OUR DIVERSITY COUNCIL IS A WONDERFUL MIXTURE OF INDIVIDUALS WHO WORK IN VARIOUS POSITIONS WITHIN THE MEDICAL CENTER AS WELL AS A NUMBER OF MEMBERS FROM THE COMMUNITY. DIVERSITY AMBASSADORS - SAINT ELIZABETH HAS A LARGE GROUP OF DIVERSITY AMBASSADORS---REPRESENTING THE NUMEROUS DEPARTMENTS WITHIN OUR MEDICAL CENTER AND SOME CLINICS. THEIR PRIMARY GOAL IS TO HELP US ALL BETTER UNDERSTAND AND APPRECIATE THE DIVERSE CULTURES WE SERVE AMONG PATIENTS, VISITORS, AND ASSOCIATES AT SAINT ELIZABETH. THESE AMBASSADORS ARE PROVIDED WITH QUARTERLY TRAINING SESSIONS AND MONTHLY MATERIALS SO THEY CAN SHARE WITH THEIR CO-WORKERS. THE MATERIALS VARY FROM FUN AND CONVERSATION-STIMULATING QUICK QUIZZES TO A MONTHLY CALENDAR OF HOLIDAYS AND RECOGNITIONS AMONG VARIOUS CULTURES OF THE WORLD. SAINT ELIZABETH ROUTINELY PARTNERS WITH BRYANLGH, AND OTHER FACILITIES WITHIN LINCOLN, ON PROJECTS MENTIONED ELSEWHERE IN THIS DOCUMENT. ADDITIONALLY, SAINT ELIZABETH'S RELATIONSHIP WITH CATHOLIC HEALTH INITIATIVES AND CHI NEBRASKA ALLOW IT TO CHANNEL RESOURCES TO OTHER FACILITIES WITHIN ITS AFFILIATED GROUPS TO REACH OUT AND PROVIDE HEALTH SERVICES IN UNDERSERVED AREAS THROUGHOUT THE AREAS CHI HAS A PRESENCE WITHIN THE UNITED STATES TO BRING HEALTHCARE SERVICES TO THOSE WHO MIGHT NOT OTHERWISE HAVE ACCESS TO A LOCAL HEALTH CARE PROVIDER. COMMUNITY BENEFIT APPROACH SAINT ELIZABETH HAS A LONG-STANDING TRADITION OF PROVIDING EXCELLENT HEALTH CARE TO ALL PEOPLE. WE ARE EQUALLY COMMITTED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PARTNERING WITH INDIVIDUALS, ORGANIZATIONS AND ELECTED OFFICIALS TO ANTICIPATE, IDENTIFY AND MEET THE CHANGING HEALTH NEEDS OF LINCOLN AND THE SURROUNDING COMMUNITIES. IN THIS LAST FISCAL YEAR, SAINT ELIZABETH PARTICIPATED IN A COLLABORATIVE PROCESS COORDINATED THROUGH THE LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT. A STEERING COMMITTEE WAS FORMED BY THE HEALTH DEPARTMENT TO ASSIST THEM IN THE FACILITATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, IDENTIFICATION OF COMMUNITY PRIORITY HEALTH NEEDS, AND IN THE DEVELOPMENT AND IMPLEMENTATION OF STRATEGIES TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS. THE STEERING COMMITTEE FOCUSED THEIR EFFORTS ON ACCESS TO CARE, BEHAVIORAL HEALTH CARE, CHRONIC DISEASE PREVENTION, AND INJURY PREVENTION. WORKING COMMITTEES HAVE BEEN ESTABLISHED TO FURTHER DEFINE THE NEEDS AND IDENTIFY STRATEGIES TO ADDRESS THOSE NEEDS. WHILE A COMMUNITY BASED APPROACH IS BEING DEVELOPED TO ADDRESS THESE ISSUES, SAINT ELIZABETH CONTINUES TO WORK CLOSELY WITH COMMUNITY LEADERS ON AN ONGOING BASIS TO DEVELOP MORE IMMEDIATE RESPONSES TO COMMUNITY HEALTH NEEDS. ACCESS TO HEALTHCARE SERVICES IS A PRIORITY FOR SAINT ELIZABETH. WAYS IN WHICH SAINT ELIZABETH HELPS TO MEET THOSE NEEDS ARE: CARE FOR THE UNINSURED AND UNDERINSURED SAINT ELIZABETH MAINTAINS AN ACTIVE CHARITY CARE PROGRAM WHICH AFFORDS PATIENTS THE ACCESS TO "NEEDED SERVICES," AND IS MONITORED BY A TEAM OF REPRESENTATIVES WHO MEET MONTHLY TO REVIEW PATIENT APPLICATIONS FOR FINANCIAL HARDSHIP ASSISTANCE. TO SUPPLEMENT THE TEAM, PATIENT SERVICE REPRESENTATIVES ARE SPECIALLY TRAINED IN HANDLING FINANCIAL HARDSHIP AND CHARITY CASES. DURING 2011 SAINT ELIZABETH REVIEWED PATIENT ACCOUNTS ON 3,657 PERSONS WHICH RESULTED IN $17,714,921 IN BILLED CHARGES BEING WRITTEN OFF TO CHARITY CARE. THE COST TO SAINT ELIZABETH TO PROVIDE THIS CHARITY CARE WAS $4,948,754. IN ADDITION TO ITS CHARITY CARE PROGRAMS, SAINT ELIZABETH HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW INCOME PERSONS AND PROVIDES ACCESS TO FULL RECOURSE LOANS, AND DISCOUNTS ON SELF-PAY ACCOUNTS AND SELF-PAY BALANCES DUE AFTER INSURANCE SETTLEMENTS. PEOPLES HEALTH CENTER SAINT ELIZABETH IS A SUPPORTER OF THE PEOPLE'S HEALTH CENTER (PHC) IN LINCOLN, NEBRASKA. IN 2012 SAINT ELIZABETH MADE AN ADDITIONAL $50,000 CONTRIBUTION TO THE PEOPLE'S HEALTH CENTER. THE PEOPLE'S HEALTH CENTER PROVIDES AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST-EFFECTIVE PRIMARY HEALTH CARE. THE CENTER SERVES THE PEOPLE OF THE LINCOLN, NEBRASKA AREA, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE TO IMPROVE THEIR OVERALL HEALTH STATUS. PEOPLE'S HEALTH CENTER HAS BEEN DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). BY THE BUREAU OF PRIMARY HEALTH CARE (BPHC). IN CALENDAR 2011, PHC SAW 11,137 INDIVIDUAL PATIENTS FOR OVER 43,314 VISITS. THE CENTER PROVIDED 29,476 MEDICAL VISITS; 8,388 DENTAL VISITS; 452 BEHAVIORAL HEALTH VISITS AND 4,998 SUPPORT SERVICE VISITS (CASE MANAGEMENT, INTERPRETATION, MEDICATION ASSISTANCE, AND HEALTH EDUCATION). CLINIC WITH A HEART DURING 2012, SAINT ELIZABETH PROVIDED DONATIONS IN THE AMOUNT OF $17,800 TO CLINIC WITH A HEART TO ASSIST WITH OPERATIONS. CLINIC WITH A HEART IS A FAITH BASED ORGANIZATION THAT SERVES THE UNINSURED AND UNDERINSURED THROUGH A MINISTRY OF HEALTHCARE. VOLUNTEERS PROVIDE FREE HEALTHCARE TO RECIPIENTS AND SERVE AS A GATEWAY TO OTHER HUMAN SERVICE AGENCIES, HELPING THEM IN FINDING AN APPROPRIATE HEALTHCARE HOME. IN FISCAL YEAR 2012, CLINIC WITH A HEART PROVIDED 3,428 VISITS TO 3,005 PATIENTS. OF THOSE PATIENTS, 88% DID NOT HAVE ANY KIND OF INSURANCE. LINCOLN EMERGENCY DEPARTMENT CONNECTIONS LINCOLN ED CONNECTIONS IS A COLLABORATIVE CASE MANAGEMENT PROGRAM THROUGH ST. ELIZABETH REGIONAL MEDICAL CENTER AND BRYANLGH MEDICAL CENTER. IT WAS DESIGNED TO IMPROVE "SAFETY NET" SERVICES FOR INDIVIDUALS FREQUENTING EMERGENCY DEPARTMENTS FOR NON-EMERGENCY REASONS. THE PROGRAM IS AVAILABLE FOR PATIENTS IN NEED AND MAY HELP THEM TO: FIND A DOCTOR, COORDINATE EXISTING MEDICAL AND OR MENTAL HEALTH SERVICES, MANAGE FINANCES, DETERMINE IF MEDICATION ASSISTANCE IS AVAILABLE, AND ARRANGE TRANSPORTATION SERVICES. THE PRIMARY GOAL OF THE PROGRAM IS TO IMPROVE HEALTH FUNCTIONING AND ACCESS TO COMMUNITY RESOURCES FOR PATIENTS IN NEED. ADDITIONALLY, THE PROGRAM HAS HELPED TO REDUCE NON-EMERGENT ED VISITS AND COSTS ASSOCIATED WITH THEM. THE LINCOLN ED CONNECTIONS TEAM IS COMPOSED OF NURSE CASE MANAGERS AND SOCIAL WORKERS AVAILABLE TO ACCESS THE MEDICAL, MENTAL HEALTH, AND SOCIOECONOMIC NEEDS OF PATIENTS SEEKING ASSISTANCE. LINCOLN ED CONNECTIONS IS AVAILABLE TO PATIENTS UTILIZING THE EMERGENCY DEPARTMENTS OF ALL THREE HOSPITALS IN LINCOLN, NEBRASKA. THE PROGRAM IS ABSOLUTELY FREE, AND PATIENTS MAY ENROLL ON A VOLUNTARY BASIS. SEE CONTINUATION #2... |
| LINES 2,4-6: COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. | SCHEDULE H, PART VI | ...CONTINUATION #2 QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT PROVIDING ACCESS TO CARE AT SAINT ELIZABETH, MANY PATIENTS AND EMPLOYEES SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. KNOWING THAT LANGUAGE BARRIERS CAN DRAMATICALLY IMPACT ACCESS TO MEDICAL CARE AND IMPAIR HEALTH OUTCOMES, SAINT ELIZABETH PROVIDES FREE MEDICAL INTERPRETATION SERVICES TO ANY PATIENT OR EMPLOYEE UPON REQUEST. PROMOTING HEALTH AND WELLNESS SAINT ELIZABETH HELPS SUPPORT COMMUNITY HEALTH IMPROVEMENT WITH FREE OR REDUCED CHARGE CLASSES, AND BY SUPPORTING PROGRAMS SUCH AS THE COMMUNITY ASTHMA EDUCATION INITIATIVE, NICU FOLLOW-UP CLINIC, SPECIAL MEDICAL CAMPS FOR CHILDREN WITH BURNS OR HEART PROBLEMS AND MORE. CLASSES OFFERED IN THE COMMUNITY INCLUDE LEG PAIN CLASSES; KNEE PAIN CLASSES; PAIN MANAGEMENT CLASSES; WOMEN'S HEALTH CLASSES; PROSTATE HEALTH CLASSES; GRIEF SUPPORT CLASSES; CPR, FIRST AID, AND AED CLASSES; CHILDBIRTH EDUCATION CLASSES; AND WIDE VARIETY OF WELLNESS AND COMMUNITY EDUCATION CLASSES (DIABETES, ARTHRITIS, SKIN CANCER, SMOKING CESSATION, EMPHYSEMA & COPD, ROBOTIC SURGERY, SURGICAL WEIGHT LOSS, HEALTHY WEIGHT LOSS, BLOOD SCREENINGS AND MANY MORE). HEALTH PROFESSIONAL EDUCATION HEALTH PROFESSIONAL EDUCATION AT SAINT ELIZABETH SUPPORTS TRAINING OF STUDENTS IN PHARMACY, NURSING, AND OTHER MEDICAL PROFESSIONS, AS WELL AS SUPPORTING LINCOLN MEDICAL EDUCATION PARTNERSHIP. SAINT ELIZABETH BELIEVES HIGHLY TRAINED PERSONNEL PROVIDE QUALITY CARE. DURING 2011 STUDENTS RECEIVED HANDS-ON EDUCATION INSIDE SAINT ELIZABETH IN EFFORTS TO ADVANCE OUR PROFESSION. INCLUDED IN THESE WERE: * NURSING, EXTERNS, PRECEPTOR SHIPS, SHADOWING, AND REGULAR NURSING STUDENTS * RESPIRATORY * RADIOLOGY, INCLUDING ULTRASOUND, MRI, CT * CARDIOLOGY, INCLUDING ECHO CARDIOLOGY, AND VASCULAR * PHARMACY * PHYSICAL THERAPY * EXERCISE SCIENCE EXTERNS * OTHER EXTERNS RESEARCH AND CLINICAL TRIALS SAINT ELIZABETH REGIONAL MEDICAL CENTER 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. CANCER: THROUGH THE MEDICAL CENTER'S RELATIONSHIP WITH THE CANCER RESOURCE CENTER AND ITS AFFILIATION WITH THE MISSOURI VALLEY COMMUNITY COOPERATIVE ONCOLOGY PROGRAM, OUR PATIENTS HAVE ACCESS TO ALL OF THE MAJOR CLINICAL TRIALS FOR CANCER CARE. CHI (INCLUDING SAINT ELIZABETH) IS ALSO THE RECIPIENT OF A GRANT PROVIDED BY THE NCI (NATIONAL CANCER INSTITUTE) ENABLING SAINT ELIZABETH TO BRING CANCER CARE TO LOCAL COMMUNITIES THROUGH THE NCCCP PROGRAM (NCI COMMUNITY CANCER CENTERS PROGRAM). THIS GRANT HAS ALLOWED US TO BRING CANCER GENETIC COUNSELING, ADDITIONAL CLINICAL TRIALS, COMMUNITY OUTREACH, AND CANCER NURSE NAVIGATION SERVICES TO CANCER PATIENTS IN OUR COMMUNITY. WITH ADDITIONAL ARRA FUNDS WE ARE NOW ABLE TO PROVIDE SMOKING CESSATION, SURVIVORSHIP AND CAREGIVER SUPPORT TO THE COMMUNITY. THIS PROVIDES A FULL COMPLEMENT OF CANCER SERVICES FOR PATIENTS. BURN AND WOUND: SAINT ELIZABETH BURN CENTER RESEARCHERS ARE CONTINUALLY FINDING NEW AND MORE SUCCESSFUL WAYS TO TREAT BURNS AND THEN SHARING THESE FINDINGS AT NATIONAL CONFERENCES. HEART CARE: 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 ELECTRO PHYSIOLOGY DEVICES. NICU: NEWBORNS AND OTHER INFANTS WITH SPECIAL MEDICAL NEED BENEFIT REGULARLY FROM NATIONAL STUDIES UNDERTAKEN IN THE NICU TO IMPROVE BREATHING ISSUES OR OTHER DEVELOPMENTAL CONCERNS. 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 SAINT ELIZABETH. LIVING OUR HEALTHCARE MISSION AT SAINT ELIZABETH OUR HEALTHCARE MISSION GOES BEYOND HELPING PEOPLE OVERCOME ILLNESS OR INJURY AND PROVIDING A HEALING ENVIRONMENT FOR THEM TO DO SO. FOR US, 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 SAINT ELIZABETH LIVES ITS HEALTHCARE MISSION: THE "KIDS AGAINST HUNGER" NATIONAL CAMPAIGN PACKAGES NUTRITIOUS MEALS FOR THOUSANDS OF HUNGRY FAMILIES AROUND THE WORLD. ADULTS AND CHILDREN HELP SCOOP SPECIALLY-FORMULATED RICE-SOY CASSEROLE INGREDIENTS INTO UNIQUELY DESIGNED SEALED BAGS WHICH ARE THEN SHIPPED OVERSEAS BY OTHER CHARITABLE ORGANIZATIONS TO MORE THAN 40 NATIONS RANGING FROM ARGENTINA TO ZIMBABWE. ADDITIONALLY, 32 DEPARTMENTS "ADOPTED" FAMILIES OVER THE HOLIDAYS, PROVIDING THANKSGIVING AND CHRISTMAS MEALS FOR 78 FAMILIES, AS WELL AS PROVIDING CHRISTMAS GIFTS FOR 15 FAMILIES; EMPLOYEES SUPPORTED VARIOUS LOCAL ORGANIZATIONS BY VOLUNTEERING FOR ORGANIZATIONS SUCH AS CLINIC WITH A HEART, MATT TALBOT KITCHEN, AND PEOPLE'S CITY MISSION, AMONG OTHERS. NICU AND MATERNAL TRANSPORT & OUTREACH EDUCATION PROGRAM SAINT ELIZABETH PROVIDES OUTREACH EDUCATION TO OUR COMMUNITY REFERRAL HOSPITALS IN THE SPECIFIC AREA OF NICU AND MATERNAL TRANSPORT. THE OUTREACH EDUCATORS (NNP'S, RN'S, NEONATOLOGISTS, OBSTETRICIANS, AND MATERNAL FETAL SPECIALISTS) PROVIDE PERTINENT TRAINING THAT ALLOWS THE MEDICAL PERSONNEL IN THESE SMALLER AREA HOSPITALS TO PROVIDE THE HIGH QUALITY OF CARE AND STABILIZATION NEEDED IN ORDER FOR OUR TEAM TO TRANSPORT THESE HIGH RISK MOTHERS AND INFANTS FROM A 22 COUNTY AREA BY GROUND AMBULANCE OR HELICOPTER. L&D BRIDGES PROGRAM SAINT ELIZABETH HAS A TEAM OF NURSES WHO VOLUNTEER THEIR TIME TO ASSIST FAMILIES THROUGH PALLIATIVE CARE CHOICES WHEN THEIR BABY HAS EXPIRED OR WILL EXPIRE AFTER DELIVERY. THEY EXTEND THIS SUPPORT DURING THE FIRST YEAR AFTER DELIVERY WITH PERIODIC TELEPHONE CALLS AND THROUGH THE CREATION OF A MEMORY RECORD. THEY CONDUCT SENSITIVITY TRAINING FOR HEALTH CARE PROVIDERS AND PLAN AN ANNUAL MEMORIAL SERVICE FOR FAMILIES WHO HAVE EXPERIENCED A LOSS OF A BABY. THEIR MOST RECENT ACCOMPLISHMENT IS A GUIDE TO MORTUARY PLANNING THAT OUTLINES ALL COSTS, SERVICE OPTIONS, AND BURIAL CHOICES BY THE LOCAL FUNERAL HOMES IN OUR COMMUNITY. THIS PROGRAM WAS INSTRUMENTAL IN A LEGISLATIVE CHANGE IN THE BIRTH CERTIFICATE PROCESS TO ACKNOWLEDGE THE BIRTH OF A STILLBORN. HIGH TECH PARTNERSHIPS IT IS AN EXCITING WAY TO REACH OUT. SAINT ELIZABETH IS HELPING EMERGENCY MEDICAL SERVICES PEOPLE IN ALL CORNERS OF THE STATE STAY CURRENT WITH THE LATEST MEDICAL KNOWLEDGE. IN THE EVER-CHANGING WORLD OF MEDICINE SAINT ELIZABETH USES SOME OF THE MOST MODERN TECHNOLOGY TO HELP EDUCATE EMERGENCY SERVICE PROVIDERS IN THE STATE. AMBULANCE EMTS, PARAMEDICS, FIRE AND RESCUE TEAMS, AND OTHERS CAN STAY CURRENT WITH MEDICAL ADVANCEMENTS VIA A LIVE VIDEO LINK AND THE FACE-TO-FACE COMMUNICATION IT OFFERS VIA THE TELEHEALTH NETWORK. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC") DISPLAYS INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY ROOM AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN OUTPATIENT FACILITIES. IN ADDITION, SERMC 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 FINANCIAL ASSISTANCE UNDER SERMC'S CHARITY CARE 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. SERMC STAFF WILL ALSO ASSIST THE PATIENT OR GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE, SUCH AS MEDICAID, IF NECESSARY. COUNSELORS ASSIST MEDICAID ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCY. SERMC ALSO MAINTAINS A RELATIONSHIP WITH A LOCAL BANK, WHEREBY, PATIENTS WHO WISH MAY APPLY FOR MEDICAL ASSISTANCE THROUGH THE USE OF FULL RECOURSE LOANS WHICH ALLOW LONGER REPAYMENT PERIODS WITH AFFORDABLE MONTHLY PAYMENTS. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | SAINT ELIZABETH REGIONAL MEDICAL CENTER AND AFFILIATED ORGANIZATIONS ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES ("CHI") IS A NATIONAL FAITH BASED NON-PROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN DENVER, 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 MBO'S. 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 MBO'S WHICH ARE COMPRISED OF 78 ACUTE-CARE HOSPITALS; 40 LONG-TERM CARE, ASSISTED LIVING AND RESIDENTIAL FACILITIES; TWO COMMUNITY HEALTH SERVICE ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND 46 HOME HEALTH CARE AGENCIES. TOGETHER THESE FACILITIES PROVIDED $715 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS IN THE 2012 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 MBO'S. 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 MBO'S. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBO'S TO DEDICATE ADDITIONAL RESOURCES TO HIGH QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. SAINT ELIZABETH REGIONAL MEDICAL CENTER, ALONG WITH SAINT ELIZABETH FOUNDATION AND SAINT ELIZABETH HEALTH SERVICES, OPERATE TOGETHER AND WITH OTHER JOINT VENTURE HEALTH PROVIDERS TO SERVE THE HEALTH CARE NEEDS OF LINCOLN, NEBRASKA, AND THE SURROUNDING COMMUNITIES. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | NE |
| STATE FILING OF COMMUNITY BENEFIT REPORT | SCHEDULE H, PART VI, LINE 7 | THE COMMUNITY BENEFITS REPORT IS NOT REQUIRED TO BE FILED WITH THE STATE OF NEBRASKA; HOWEVER, SAINT ELIZABETH REGIONAL MEDICAL CENTER VOLUNTARILY PARTICIPATES WITH THE NEBRASKA HOSPITAL ASSOCIATIONS ANNUAL COMPILATION OF COMMUNITY BENEFIT REPORTS WHICH ARE PROVIDED TO FEDERAL AND STATE OFFICIALS, LEGISLATORS AND OTHER INTERESTED PARTIES. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| PEOPLES HEALTH CENTER | ||||||||||
| 1021 N 27TH ST | LINCOLN | NE | 68503 | 412056863 | 501(C)(3) | 50000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| DOWNTOWN LINCOLN FOUNDATION | ||||||||||
| 206 S 13ST ST STE 101 | LINCOLN | NE | 68508 | 363774978 | 501(C)(3) | 30000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| LINCOLN CHILDRENS ZOO | ||||||||||
| 1222 SOUTH 27TH | LINCOLN | NE | 68502 | 470482255 | 501(C)(3) | 25000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| CATHOLIC SOCIAL SERVICES | ||||||||||
| 3700 SHERIDAN BLVD SUITE 1 | LINCOLN | NE | 68506 | 470751554 | 501(C)(3) | 21250 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| HILDEGARD CENTER FOR THE ARTS | ||||||||||
| PO BOX 5304 | LINCOLN | NE | 68505 | 270355196 | 501(C)(3) | 20000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| AMERICAN CANCER HIGH PLAINSHEARTLAND DIVISION INC | ||||||||||
| 1100 PENNSYLVANIA AVE | KANSAS CITY | MO | 64105 | 741185665 | 501(C)(3) | 19680 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| CLINIC WITH A HEART | ||||||||||
| 3901 N 27TH ST | LINCOLN | NE | 685214177 | 202850139 | 501(C)(3) | 17800 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| AMERICAN HEART ASSOCIATION | ||||||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | 15000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| NEBRASKA SPORTS COUNCIL | ||||||||||
| PO BOX 29366 | LINCOLN | NE | 68529 | 363354207 | 501(C)(3) | 15000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| UNITED WAY OF LINCOLN AND LANCASTER COUNTY | ||||||||||
| 238 S 13TH ST | LINCOLN | NE | 68508 | 470376624 | 501(C)(3) | 14750 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| PIUS X HIGH SCHOOL | ||||||||||
| 6000 A ST | LINCOLN | NE | 685105005 | 470426529 | 501(C)(3) | 11360 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| MADONNA REHABILITATION HOSPITAL | ||||||||||
| 5401 SOUTH ST | LINCOLN | NE | 685062134 | 470439599 | 501(C)(3) | 10000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| LINCOLN CHAMBER OF COMMERCE | ||||||||||
| 1135 M ST STE 200 | LINCOLN | NE | 685013006 | 470221590 | 501(C)(6) | 8000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| VISITING NURSE FOUNDATION | ||||||||||
| 12565 W CENTER RD STE 100 | OMAHA | NE | 68144 | 470690846 | 501(C)(3) | 7100 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| NEBRASKA STATE STROKE ASSOCIATION | ||||||||||
| 6900 L STREET STE B | LINCOLN | NE | 68510 | 363428710 | 501(C)(3) | 6000 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| HEALTH PARTNERS INITIATIVE | ||||||||||
| 4600 VALLEY RD RM 250 | LINCOLN | NE | 68510 | 363832796 | 501(C)(3) | 5500 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| LANCASTER COUNTY MEDICAL SOCIETY INC | ||||||||||
| 4600 VALLEY RD RM 250 | LINCOLN | NE | 68510 | 470401506 | 501(C)(3) | 5300 | 0 | N/A | N/A | PROMOTE HEALTHY COMMUNITIES |
| CHI NEBRASKA | ||||||||||
| 6940 O STREET SUITE 200 | LINCOLN | NE | 68510 | 363233121 | 501(C)(3) | 149682004 | 0 | N/A | N/A | PROGRAM SUPPORT |
| ST ELIZABETH HEALTH SERVICES | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 685102494 | 363233120 | 501(C)(3) | 150000 | 0 | N/A | N/A | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 18 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|
| PATIENT HARDSHIP ASSISTANCE | 346 | 0 | 44977 | FMV | MEDICATION, FOOD,ETC |
| EMPLOYEE ASSISTANCE | 82 | 0 | 51280 | FMV | RENT, UTILITIES, ETC |
| SCHOLARSHIPS | 16 | 9800 | 0 | N/A | N/A |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | GRANTS INCLUDED IN PART II 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. GRANTS INCLUDED IN PART III ARE TO INDIVIDUALS NEEDING FINANCIAL ASSISTANCE. PATIENT HARDSHIP CHARGES ARE BILLED DIRECTLY TO SERMC, AND EMPLOYEES ARE REQUIRED TO PROVIDE COPIES OF INVOICES, ETC. FOR EMPLOYEE ASSISTANCE PAYMENT ELIGIBILITY; THESE PROCEDURES ENSURE PROPER USE OF THE FUNDS. SCHOLARSHIP RECIPIENTS ARE REQUIRED TO SUBMIT A LETTER CERTIFYING HIS/HER ADMISSION TO A HEALTH CARE CAREER PROGRAM WITH THE APPLICATION. THE FUNDS ARE PAID DIRECTLY TO THE RECIPIENTS AND CAN BE USED FOR TUITION, BOOKS, SUPPLIES, OR OTHER EXPENSES THAT MAY BE INCURRED WITH THEIR SCHOOLING. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARY WARD MD | |||||||||||||
| 0 | 377328 | 0 | 67940 | 0 | 10961 | 0 | 25128 | 0 | 18300 | 0 | 499657 | 0 | 0 |
| CHARLOTTE LIGGETT | |||||||||||||
| 97609 | 100785 | 0 | 35980 | 5112 | 4808 | 0 | 28706 | 6827 | 478 | 109548 | 170757 | 0 | 0 |
| DONNA HAMMACK | |||||||||||||
| 148454 | 0 | 11467 | 0 | 5244 | 0 | 19103 | 0 | 14559 | 0 | 198827 | 0 | 0 | 0 |
| DOUGLAS KUCERA | |||||||||||||
| 152668 | 0 | 9372 | 0 | 3475 | 0 | 12241 | 0 | 13033 | 0 | 190789 | 0 | 0 | 0 |
| ELIZABETH RAETZ | |||||||||||||
| 136507 | 0 | 15955 | 0 | 1274 | 0 | 19377 | 0 | 19965 | 0 | 193078 | 0 | 0 | 0 |
| GREGORY GILLESPIE | |||||||||||||
| 88652 | 92943 | 0 | 32060 | 4404 | 4385 | 0 | 26024 | 12869 | 437 | 105925 | 155849 | 0 | 0 |
| JEANETTE WOJTALEWICZ | |||||||||||||
| 160171 | 172009 | 0 | 89414 | 4478 | 4467 | 0 | 25128 | 9754 | 10278 | 174403 | 301296 | 0 | 0 |
| JOHN DUMONCEAUX | |||||||||||||
| 0 | 0 | 0 | 0 | 167497 | 0 | 0 | 0 | 12640 | 0 | 180137 | 0 | 0 | 0 |
| KIM MOORE | |||||||||||||
| 183117 | 90221 | 0 | 45371 | 7251 | 4561 | 42078 | 0 | 10069 | 3262 | 242515 | 143415 | 0 | 0 |
| KURT CLYNE | |||||||||||||
| 149616 | 0 | 9830 | 0 | 871 | 0 | 20091 | 0 | 7274 | 0 | 187682 | 0 | 0 | 0 |
| NANCY GONDRINGER | |||||||||||||
| 138065 | 0 | 9025 | 0 | 774 | 0 | 18045 | 0 | 7633 | 0 | 173542 | 0 | 0 | 0 |
| PATRICK GILLES | |||||||||||||
| 235116 | 0 | 43281 | 0 | 10241 | 0 | 25128 | 0 | 13554 | 0 | 327320 | 0 | 0 | 0 |
| RICHARD TERNES | |||||||||||||
| 130428 | 0 | 611 | 0 | 7481 | 0 | 16942 | 0 | 14426 | 0 | 169888 | 0 | 0 | 0 |
| ROBERT LANIK | |||||||||||||
| 0 | 532784 | 0 | 194611 | 0 | 154814 | 0 | 32478 | 0 | 13968 | 0 | 928655 | 0 | 81987 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Travel for companions | Schedule J, Part I, Line 1a | DURING THE YEAR THE ORGANIZATION PROVIDED REIMBURSEMENT TO TWO BOARD MEMBERS FOR SPOUSAL TRAVEL. THE REIMBURSEMENTS WERE REPORTED ON THE INDIVIDUALS' 2011 FORMS 1099 AS TAXABLE COMPENSATION. |
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | COMPENSATION 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. |
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J: JOHN DUMONCEAUX - $164,556 |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | DURING THE 2011 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: -ROBERT LANIK -KIM MOORE DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: KIM MOORE - $9,600 DURING 2011 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: ROBERT LANIK - $81,987 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 2011 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 2011, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $45,883 IN ADDITION, PRIOR TO THE 2009 CALENDAR YEAR, SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. ELIGIBILITY WAS LIMITED TO CERTAIN VICE PRESIDENTS. THE PLAN CONTRIBUTED 5% OF SALARY INTO A DEFERRED INCOME ACCOUNT MANAGED BY ALLIANCE BENEFIT GROUP. THE PLAN WAS FROZEN AT THE BEGINNING OF 2009, AND THUS NO CONTRIBUTIONS OR DISTRIBUTIONS WERE MADE BY SERMC TO THE DEFERRED COMPENSATION PLAN DURING 2011. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | PURSUANT TO SECTION 8.6 OF THE BYLAWS OF SAINT ELIZABETH REGIONAL MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, THE SECRETARY, AND THE TREASURER OF THE CORPORATION, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | ACCORDING TO THE ORGANIZATION'S BYLAWS, THE ENTITY'S SOLE CORPORATE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA'S BOARD: * APPROVE MEMBERS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER BOARD. * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. 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 SAINT ELIZABETH REGIONAL MEDICAL CENTER. * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF ISSUANCE OF DEBT BY SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF PARTICIPATION OF SAINT ELIZABETH REGIONAL MEDICAL CENTER IN A JOINT VENTURE. *APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF A MERGER INVOLVING THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * TO REQUIRE THE TRANSFER OF ASSETS BY THE SAINT ELIZABETH REGIONAL MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SAINT ELIZABETH REGIONAL MEDICAL CENTER OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE ORGANIZATION'S VP OF FINANCE IS RESPONSIBLE FOR REVIEWING THE FINAL TAX RETURN PREPARED BY THE CHI TAX DEPARTMENT FOR ANY POTENTIAL ERRORS, OMISSIONS, OR CLARIFICATIONS NEEDED FOR PROPER PRESENTATION. AFTER THE FINAL CHANGES ARE MADE TO THE FORM 990, THE RETURNS ARE POSTED TO A SECURED BOARD COLLABORATION SITE FOR REVIEW BY THE BOARD MEMBERS. SUBSEQUENT TO DISTRIBUTION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | THE 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 SAINT ELIZABETH ASSOCIATE MUST PROMPTLY AND FULLY REPORT TO THE ASSOCIATE'S 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 SAINT ELIZABETH 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 SAINT ELIZABETH VICE PRESIDENT OF HUMAN RESOURCES AND THE SAINT ELIZABETH CORPORATE RESPONSIBILITY OFFICER FOR DETERMINATION. IF THE SAINT ELIZABETH VICE PRESIDENT OF HUMAN RESOURCES AND THE SAINT ELIZABETH CORPORATE RESPONSIBILITY OFFICER ARE UNABLE TO REACH AGREEMENT, THE MATTER SHALL BE REFERRED TO THE SAINT ELIZABETH'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 SAINT ELIZABETH'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. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI AND SERMC IN FY12. THE CEO TRANSITIONED INTO THE CEO ROLE IN THE CURRENT FILING YEAR AND AS A RESULT CHANGED COMPENSATION PROVIDERS. 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, 2011. 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. |
| PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | THE 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 2012. 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 employees | Form 990, Part VI, Section B, Line 15b | COMPENSATION FOR OTHER OFFICERS IS COMPARED TO A STUDY COMPLETED BY HR ADVANTAGE AND IS APPROVED BY THE PRESIDENT/CEO. COMPENSATION FOR KEY EMPLOYEES IS COMPARED TO A STUDY COMPLETED BY MSA AND IS APPROVED BY THE INDIVIDUAL'S SUPERVISING VICE PRESIDENT. THE BOARD OF DIRECTORS ALSO OVERSEES AND APPROVES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY; THIS PROCESS WAS LAST UNDERTAKEN FOR FY12 COMPENSATION IN SEPTEMBER/OCTOBER 2011. |
| JOINT VENTURE POLICY | FORM 990, PART VI, LINE 16B | SAINT ELIZABETH REGIONAL MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST 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. |
| ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A | COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -10416978; CHI CONNECT DEPRECIATION - 785266; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (127 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYS | ||||||||||
| 7500 MERCY ROAD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI | true |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(C)(3) | 3 | AHBMHS | true |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVENUE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| APPLETREE COURT | ||||||||||
| 601 OAK STREET | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR HOMES | MN | 501(C)(3) | 9 | SFH | true |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(C)(3) | 11 - Type I | CHI | true |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 NORTH 4TH STREET | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(C)(3) | 9 | NA | true |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(C)(3) | 7 | CHIC | true |
| CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI | true |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DRIVE | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(C)(3) | 9 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(C)(3) | 3 | CHI | true |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 263946191 | PHYSICIANS | OR | 501(C)(3) | 9 | MMC | true |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CNTR | KS | 501(C)(3) | 3 | CHI | true |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PARKWAY | FARGO | ND | 58104 | 271966847 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD SUITE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(C)(3) | 11 - Type I | CHI | true |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(C)(3) | 11 - Type I | CHI NHC | true |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(C)(3) | 9 | CHI | true |
| CHI NEBRASKA | ||||||||||
| 6940 O STREET SUITE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(C)(3) | 11 - Type I | CHI | true |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DRIVE | LEXINGTON | KY | 40509 | 611400619 | LTACH | KY | 501(C)(3) | 3 | SJHS | true |
| COVENANT HOME CARE | ||||||||||
| 1223 POTTSVILLE PIKE | SHOEMAKERSVILLE | PA | 19555 | 232018429 | HOME HEALTH | PA | 501(C)(3) | 11 - Type II | NA | true |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVENUE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(C)(3) | 3 | FHS | true |
| FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE ROAD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | FH | true |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST | ||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(C)(3) | 3 | CHI | true |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1708 SOUTH YAKIMA AVENUE | TACOMA | WA | 98405 | 911939739 | HEALTHCARE | WA | 501(C)(3) | 9 | FHS | true |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 SOUTH CHICAGO AVENUE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(C)(3) | 9 | CHI | true |
| GETTYSBURG MEDICAL CENTER | ||||||||||
| 606 EAST GARFIELD AVENUE | GETTYSBURG | SD | 57442 | 460234354 | HEALTHCARE | SD | 501(C)(3) | 3 | SMHC | true |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(C)(3) | 11 - Type I | CHI | true |
| GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE | ||||||||||
| 375 DIXMYTH AVE | CINCINNATI | OH | 45220 | 311778403 | EDUCATION | OH | 501(C)(3) | 2 | GSH | true |
| GOOD SAMARITAN FOUNDATION OF CINCINNATI INC | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 311206047 | FUNDRAISING | OH | 501(C)(3) | 11 - Type I | GSH | true |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST STREET | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(C)(3) | 7 | GSH | true |
| HEALTH SET | ||||||||||
| 4200 WEST CONEJOS PLACE 436 | DENVER | CO | 80204 | 841102943 | LOW INC.CARE | CO | 501(C)(3) | 7 | CHIC | true |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(C)(3) | 11 - Type I | SFMC | true |
| HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 526050777 | HEALTHCARE | MD | 501(C)(3) | 9 | SJMC | true |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(C)(3) | 3 | KOH | true |
| JEWISH PHYSICIAN GROUP INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40215 | 611352729 | HEALTHCARE | KY | 501(C)(3) | 9 | JHSMH | true |
| KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(C)(3) | 9 | CHI | true |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVENUE SOUTH | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930821381 | SENIOR LIVING | OR | 501(C)(3) | 9 | MMC | true |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN STREET | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(C)(3) | 7 | MHCS | true |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVENUE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(C)(3) | 3 | CHI | true |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 6028 SHALLOWFORD ROAD | CHATTANOOGA | TN | 37421 | 030417049 | HEALTHCARE | TN | 501(C)(3) | 9 | MHCS | true |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(C)(3) | 11 - Type I | CHI-IA CORP | true |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(C)(3) | 2 | CHI-IA CORP | true |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(C)(3) | 7 | CHI-IA CORP | true |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 936088946 | FUNDRAISING | OR | 501(C)(3) | 7 | MMC | true |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | NE | 501(C)(3) | 11 - Type I | AHMH | true |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MHVC | true |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DRIVE | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(C)(3) | 11 - Type I | AHBMHS | true |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BOULEVARD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930386868 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | MMC | true |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421470935 | PHYSICIAN | IA | 501(C)(3) | 9 | CHI-IA CORP | true |
| MLIFECARES | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431305163 | PROPERTY MGMT | MO | 501(C)(3) | 11 - Type I | SJRMC | true |
| MNMCH INC | ||||||||||
| 220 NORTH PENNSYLVANIA | COLUMBUS | KS | 66725 | 481216238 | HEALTHCARE | KS | 501(C)(3) | 3 | SJRMC | true |
| MT ST JOSEPH INC | ||||||||||
| 3060 SE STARK STREET | PORTLAND | OR | 97214 | 930386870 | NURSING CARE | OR | 501(C)(3) | 9 | CHI | true |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 SOUTH 91ST STREET | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 314 SOUTH 8TH STREET | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH STREET | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | OCH | true |
| PUEBLO STEPUP | ||||||||||
| 1925 EAST ORMAN AVE SUITE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(C)(3) | 7 | CHIC | true |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 825 E PIKES PEAK AVENUE BLDG 29 | COLORADO SPRINGS | CO | 80903 | 841183335 | LTERM CARE | CO | 501(C)(3) | 7 | CHIC | true |
| SAINT CLARE'S COMMUNITY CARE | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(C)(3) | 11 - Type II | SCHS | true |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(C)(3) | 7 | SCHS | true |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(C)(3) | 7 | CHI | true |
| SAINT CLARE'S HOSPITAL | ||||||||||
| 25 POCONO ROAD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(C)(3) | 3 | SCHS | true |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(C)(3) | 7 | SERMC | true |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(C)(3) | 3 | SERMC | true |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 SOUTH 70TH STREET | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 WEST FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(C)(3) | 7 | SFMC | true |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 424 LEWIS HARGETT CIRCLE 160 | LEXINGTON | KY | 40509 | 611334601 | HEALTHCARE | KY | 501(C)(3) | 3 | CHI | true |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 310 EAST NINTH STREET | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| SAINT JOSEPH MEDICAL FOUNDATION INC | ||||||||||
| ONE ST JOSEPH DRIVE | LEXINGTON | KY | 40504 | 311539059 | PHY PRACTICES | KY | 501(C)(3) | 3 | SJHS | true |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 50 STERLING AVENUE | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(C)(3) | 7 | SJHS | true |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(C)(3) | 11 - Type I | SJHHC | true |
| SAMARITAN BEHAVIORAL HEALTH | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45408 | 020633634 | HEALTHCARE | OH | 501(C)(3) | 3 | SHP | true |
| SAMARITAN HEALTH FOUNDATION | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 237296923 | FUNDRAISING | OH | 501(C)(3) | 7 | SHP | true |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 2222 PHILADELPHIA DRIVE | DAYTON | OH | 45406 | 311107411 | HEALTHCARE | OH | 501(C)(3) | 11 - Type I | CHI | true |
| SJMGROUP | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431882377 | PHYS PRACTICE | MO | 501(C)(3) | 9 | SJRMC | true |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 440545809 | HEALTHCARE | MO | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTH | PA | 501(C)(3) | 11 - Type I | CHI | true |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVENUE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(C)(3) | 11 - Type I | SA HOSPITAL | true |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DRIVE | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(C)(3) | 3 | SVIMC | true |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(C)(3) | 3 | CHI | true |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE STREET | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(C)(3) | 11 - Type I | SCH | true |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 930433692 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(C)(3) | 9 | CHI | true |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO ROAD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(C)(3) | 9 | SCHS | true |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DRIVE | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 930412495 | HEALTHCARE | OR | 501(C)(3) | 3 | CHI | true |
| ST JOHN'S MERCY REGIONAL FOUNDATION | ||||||||||
| 2727 MCCLELLAND BLVD | JOPLIN | MO | 64804 | 431308084 | FUNDRAISING | MO | 501(C)(3) | 7 | SJRMC | true |
| ST JOSEPH COMMUNITY HEALTH | ||||||||||
| 300 CENTRAL AVE SW SUITE 3000 | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(C)(3) | 11 - Type I | CHI | true |
| ST JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL STREET | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(C)(3) | 11 - Type I | SJHS | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(C)(3) | 11 - Type I | SJRHN | true |
| ST JOSEPH MEDICAL CENTER FOUNDATION INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521681044 | FUNDRAISING | MD | 501(C)(3) | 7 | SJMC | true |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 520591461 | HEALTHCARE | MD | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(C)(3) | 9 | BHC | true |
| ST JOSEPH PHYSICIAN ENTERPRISES | ||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521311775 | PHYSICIANS | MD | 501(C)(3) | 11 - Type I | SJMC | true |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE ROAD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVENUE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(C)(3) | 3 | CHI | true |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(C)(3) | 3 | CHI-IA CORP | true |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(C)(3) | 3 | CHI NEBRASKA | true |
| ST MARY'S HEALTHCARE CENTER | ||||||||||
| 801 EAST SIOUX AVENUE | PIERRE | SD | 57501 | 460230199 | HEALTHCARE | SD | 501(C)(3) | 3 | CHI | true |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVENUE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(C)(3) | 7 | SMH | true |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(C)(3) | 11 - Type I | SVIMC | true |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(C)(3) | 3 | CHI | true |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(C)(3) | 9 | SVIMC | true |
| THE COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | DIALYSIS | OH | 501(C)(2) | N/A | GSH | true |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK STREET ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(C)(3) | 3 | CHI | true |
| THE MERCY HOSPITAL OF DEVILS LAKE FDN | ||||||||||
| 1031 SEVENTH STREET NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(C)(3) | 7 | MHDL | true |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q STREET SUITE 500 | LINCOLN | NE | 68503 | 470780857 | PHYS PRACTICE | NE | 501(C)(3) | 11 - Type I | CHI NEBRASKA | true |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST SUITE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(C)(3) | 3 | CHIC | true |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 2ND STREET SE | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(C)(3) | 3 | CHI | true |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DRIVE | FARGO | ND | 58103 | 450226714 | LT CARE | ND | 501(C)(3) | 9 | CHI | true |
| VISITING NURSE ASSOCIATION OF SAINT CLARE'S | ||||||||||
| 191 WOODPORT ROAD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(C)(3) | 9 | SCHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (23 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Code VCodeVAmount |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDUBON LAND COMPANY LLC | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | REAL ESTATE | CO | CHIC | RELATED | 34991 | -694032 | false | false | 0.501 | |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD SUITE 400 | OMAHA | NE | 68137 | 392045003 | HEALTHCARE | NE | AHBMHS | RELATED | -2862040 | -2537888 | false | false | 0.95 | |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | RELATED | 57545 | 1013237 | false | true | 0.63 | |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY SUITE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC | KY | SJHS | RELATED | false | false | 0.65 | |||
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146-4510 SECOND AVENUE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | NA | RELATED | -92336 | 745068 | false | true | 1 | |
| CENTRAL NEBRASKA REHAB SERVICE | ||||||||||||||
| 3004 W FAIDLEY AVE | GRAND ISLAND | NE | 68802 | 810653461 | PHYSICAL THERAPY | NE | SFMC | RELATED | 1835812 | 2199571 | false | false | 0.51 | |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | UNRELATED | 397241271 | 6272650880 | false | true | 1 | |
| HEALTHCARE SUPPORT SERVICES | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | NA | RELATED | -11179 | 3069835 | false | false | 1 | |
| MRI AT ST JOESPH MEDICAL CENTER LLC | ||||||||||||||
| 7253 AMBASSADOR ROAD | BALTIMORE | MD | 21244 | 521958002 | MEDICAL IMAGING | MD | SJMC | RELATED | 423167 | 2174155 | false | true | 0.51 | |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVENUE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | RELATED | 81071 | 1077536 | false | false | 0.5744 | |
| O'DEA MEDICAL ARTS LIMITED PARTNERSHIP | ||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521682964 | REAL ESTATE | MD | TOWSON MANAGEMENT INC | RELATED | 111933 | 5418117 | false | false | 0.65122 | |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | CHIC | RELATED | -3249434 | -2760206 | false | false | 0.6 | |
| PENINSULA RADIATION ONCOLOGY | ||||||||||||||
| 315 MARTIN LUTHER KING JR WAY 111 | TACOMA | WA | 98405 | 710799771 | HEALTHCARE SRVC | WA | FHS | RELATED | 135014 | 85985 | false | false | 0.6 | |
| PENRAD IMAGING | ||||||||||||||
| 1390 KELLY JOHNSON BLVD | COLORADO SPRINGS | CO | 80920 | 841072619 | MEDICAL IMAGING | CO | CHIC | RELATED | 715094 | 2397488 | false | false | 0.7 | |
| RUXTON SURGICENTER LLC | ||||||||||||||
| 8322 BELLONA AVENUE SUITE 201 | BALTIMORE | MD | 21204 | 522095835 | SURGERY CENTER | MD | SJMC | RELATED | -69345 | 2802932 | false | true | 0.51 | |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | RELATED | false | true | 0.51 | |||
| SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JH | RELATED | 68676 | 446063 | false | true | 0.51 | |
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD SUITE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | RELATED | -130967 | 408090 | false | false | 0.51 | |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911352698 | MED. OFFICE | WA | FHS | RELATED | 110986 | 1672098 | false | false | 0.5421 | |
| ST JOSEPH-PAML LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 452116736 | MGMT SVCS | KY | SJHS | RELATED | false | true | 0.625 | |||
| SUPERIOR MEDICAL IMAGING LLC | ||||||||||||||
| 5000 NORTH 26TH STREET | LINCOLN | NE | 68521 | 262884555 | OP DIAGNOSTICS | NE | SERMC | RELATED | -254775 | 796941 | false | false | 0.51 | $0 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 424 LEWIS HARGETT CIRCLE STE 160 | LEXINGTON | KY | 40503 | 621179539 | SURGERY CENTER | DE | SJHS | RELATED | 393519 | 2214599 | false | true | 0.51 | |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JH | RELATED | -3676 | 395845 | false | true | 0.51 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALTERNATIVE INSURANCE MANAGEMENT SERVICE | |||||||||||||||||
| 3900 OLYMPIC BOULEVARD SUITE 400 | ERLANGER | KY | 41018 | 841112049 | MANAGEMENT SERVICES | CO | CHI | C CORPORATION | 0 | 3267441 | 1 | ||||||
| AMERICAN NURSING CARE | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C CORPORATION | 4648726 | 44654199 | 1 | ||||||
| AMERIMED INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C CORPORATION | 662062 | 11666874 | 1 | ||||||
| BC HOLDING COMPANY INC | |||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | FITNESS CLUB | KY | JH | C CORPORATION | 0 | 0 | 1 | ||||||
| CADUCEUS MEDICAL ASSOCIATES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570736 | HEALTHCARE | TN | MHCS | C CORPORATION | 0 | 1008 | 1 | ||||||
| CAPTIVE MANAGEMENT INITIATIVES | |||||||||||||||||
| 980663022 | CAPTIVE MANAGEMENT | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 272269511 | RESEARCH | CO | CIRI | TRUST | -2864605 | 2809707 | 1 | ||||||
| CGH REALTY COMPANY INC | |||||||||||||||||
| 215 N 12TH ST | READING | PA | 19603 | 232326801 | REAL ESTATE | PA | SJHM | C CORPORATION | 1 | ||||||||
| COMCARE SERVICES | |||||||||||||||||
| 4231 W 16TH AVENUE | DENVER | CO | 80204 | 840904813 | INACTIVE | CO | CHIC | C CORPORATION | 0 | 0 | 1 | ||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C CORPORATION | -1525246 | 65844862 | 1 | ||||||
| DAVID DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192395 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | CHI-IA CORP | C CORPORATION | 71497 | 1221667 | 0.9298 | ||||||
| FIRST INITIATIVES INSURANCE LTD | |||||||||||||||||
| 980203038 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| FRANCISCAN SERVICES INC | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232487967 | HEALTHCARE | CO | CHI | C CORPORATION | -5719 | 5837142 | 1 | ||||||
| GOOD SAMARITAN OUTREACH SERVICES | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI NEBRASKA | C CORPORATION | -165666 | 355110 | 1 | ||||||
| HAROLD W RASE 1995 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 456090420 | INVESTMENTS | ND | SJHHC | TRUST | 1240 | 22148 | 1 | ||||||
| HAROLD W RASE 1996 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037112 | INVESTMENTS | ND | SJHHC | TRUST | 1057 | 15462 | 1 | ||||||
| HAROLD W RASE 1997 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037104 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 20520 | 1 | ||||||
| HAROLD W RASE 1999 CHARITABLE UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037099 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 25036 | 1 | ||||||
| HEALTH SYSTEMS ENTERPRISES INC | |||||||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C CORPORATION | 102136 | 1443049 | 1 | ||||||
| HEALTHCARE MGMT SERVICES ORG INC | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911865474 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| JAMES & HENRIETTA NISTLER UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206021899 | INVESTMENTS | ND | SJHHC | TRUST | 692 | 39075 | 1 | ||||||
| JEANNE DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192398 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| JOSEPH A SCHUSTER ANNUITY TRUST #1 | |||||||||||||||||
| 400 UNIVERSITY AVENUE | DES MOINES | IA | 50314 | 421195122 | INVESTMENTS | IA | MFDM | TRUST | 7834 | 416349 | 1 | ||||||
| LODESCA MILLER CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476186933 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| MEDQUEST | |||||||||||||||||
| 1301 15TH AVENUE WEST | WILLISTON | ND | 58801 | 450392137 | SALE OF DME | ND | MMC WILLISTON | C CORPORATION | 151498 | 962554 | 1 | ||||||
| MERCY PARK APARTMENTS LTD | |||||||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421202422 | HOUSING | IA | CHI-IA CORP | C CORPORATION | 369905 | 1937220 | 1 | ||||||
| MERCY SERVICES CORP | |||||||||||||||||
| 2700 STEWART PARKWAY | ROSEBURG | OR | 97470 | 930824308 | RETAIL SALES | OR | MMC | C CORPORATION | 0 | 956003 | 1 | ||||||
| MHSERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 431457881 | DME | MO | SJRMC | C CORPORATION | -4061 | 0 | 1 | ||||||
| MOUNTAIN MANAGEMENT SERVICES INC | |||||||||||||||||
| 5600 BRAINERD ROAD SUITE 500 | CHATTANOOGA | TN | 37411 | 621570739 | MGMT SVC ORG | TN | MHCS | C CORPORATION | -33152 | 4679435 | 1 | ||||||
| NAZARETH ASSURANCE COMPANY | |||||||||||||||||
| 030304831 | INSURANCE | CHI | C CORPORATION | 0 | 0 | 1 | PO BOX 10073 APO | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1001 | CJ | |||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||
| 1700 EDISON DRIVE | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C CORPORATION | 479940 | 1 | |||||||
| PHYSICIAN HEALTH SYSTEM NETWORK | |||||||||||||||||
| 1149 MARKET ST | TACOMA | WA | 98402 | 911746721 | HEALTH ORG. | WA | FHS | C CORPORATION | 0 | 0 | 1 | ||||||
| RAY & SHIRLEY DAVID 1999 UNITRUST | |||||||||||||||||
| 30 WEST 7TH STREET | DICKINSON | ND | 58601 | 206037077 | INVESTMENTS | ND | SJHHC | TRUST | 0 | 26110 | 1 | ||||||
| ROBERT & WANDA CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 266191916 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| SAINT CLARE''S PRIMARY CARE INC | |||||||||||||||||
| 66 FORD ROAD | DENVILLE | NJ | 07834 | 222441202 | BILLING SERVICES | NJ | SCCC | C CORPORATION | -469962 | 1772016 | 1 | ||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||
| 40 W FOURTH ST 1700 | DAYTON | OH | 45402 | 311299450 | HEALTHCARE | OH | SHP | C CORPORATION | 1 | ||||||||
| SJH SERVICES CORPORATION | |||||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232307408 | HEALTHCARE | CO | FSI | C CORPORATION | -192777 | 2973858 | 1 | ||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||
| 424 LEWIS HARGETT CR 160 | LEXINGTON | KY | 40503 | 270164198 | MANAGEMENT | KY | SJHS | C CORPORATION | 0 | 0 | 1 | ||||||
| ST ANTHONY DEVELOPMENT COMPANY | |||||||||||||||||
| 1415 SOUTHGATE | PENDLETON | OR | 97801 | 931216943 | ATHLETIC CLUB | OR | SAH | C CORPORATION | 92139 | 3007550 | 1 | ||||||
| ST VINCENT COMMUNITY HEALTH SERVICES INC | |||||||||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710710785 | HEALTHCARE | AR | SVIMC | C CORPORATION | 2804485 | 14049374 | 1 | ||||||
| ST JOSEPH DEVELOPMENT COMPANY INC | |||||||||||||||||
| 1717 SOUTH J STREET | TACOMA | WA | 98405 | 911480569 | RENTAL | WA | FSI | C CORPORATION | 63164 | 11845439 | 1 | ||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||
| 1401 HARRODSBURG ROAD BLDG B70 | LEXINGTON | KY | 40504 | 611079899 | MANAGEMENT | KY | SJHS | C CORPORATION | 882139 | 0.85 | |||||||
| TOM DEYLE CHARITABLE REMAINDER UNITRUST | |||||||||||||||||
| PO BOX 1810 | KEARNEY | NE | 68848 | 476192393 | INVESTMENTS | NE | GSHF | TRUST | 1 | ||||||||
| TOWSON MANAGEMENT INC | |||||||||||||||||
| 7601 OSLER DRIVE | TOWSON | MD | 21204 | 521710750 | MANAGEMENT SERVICES | MD | FSI | C CORPORATION | 266960 | 1 | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SAINT ELIZABETH FOUNDATION | ||
| C | 2106183 | COST |
| ST ELIZABETH HEALTH SERVICES | ||
| B | 150000 | COST |