SAINT ELIZABETH REGIONAL MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ELIZABETH REGIONAL MEDICAL CENTER (EIN 47-0379836)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-11
- IRS object ID
- 201131319349303113
- Schema version
- 2009v1.7
- 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 | 2011-05-11T18:29:57-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-07-01 | 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 | AddressLine1 |
| City | Lincoln | City |
| State | NE | State |
| ZIP Code | 68510 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeanette Wojtalewicz | Name |
| Title | CFO | Title |
| Phone | 4022197721 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7208741500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Lanik | NameOfPrincipalOfficerPerson |
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 | 254114503 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.SAINTELIZABETHONLINE.ORG | 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 | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2288 | TotalNbrEmployees |
| Total Nbr Volunteers | 773 | TotalNbrVolunteers |
| Total Gross UBI | 1093166 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1508521 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1266439 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 250983238 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 237695311 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -6348916 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12027830 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3846008 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2878893 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 249988851 | TotalRevenuePriorYear |
| Total Revenue Current Year | 253868473 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6298189 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1499663 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 97396457 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 88596143 | 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 | 129457981 | OtherExpensePriorYear |
| Other Expenses Current Year | 125969649 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 233152627 | TotalExpensesPriorYear |
| Total Expenses Current Year | 216065455 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 16836224 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 37803018 | RevenuesLessExpensesCY |
| Total Assets BOY | 374890503 | TotalAssetsBOY |
| Total Assets EOY | 422345072 | TotalAssetsEOY |
| Total Liabilities BOY | 99356127 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 97409978 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 275534376 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 324935094 | 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 | 197774364 | Expense |
| Grants | 1499663 | Grants |
| Revenue | 237695311 | Revenue |
| Description | See the Pt VI of Schedule H | Description |
| Total Program Service Expense | 197774364 | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 2288 | 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 |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jeanette Wojtalewicz | NamePerson |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Reportable Comp From OrganizationReportableCompFromOrganization | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Robert Caldwell | ||||||||
| Board Secretary | 1.0 | X | X | |||||
| Russell Bayer | ||||||||
| Board Treasurer | 1.0 | X | X | |||||
| Robert Barth | ||||||||
| Board Member | 1.0 | X | ||||||
| Michael Ferris | ||||||||
| Board Member | 1.0 | X | ||||||
| Steve Navin | ||||||||
| Board Member | 1.0 | X | ||||||
| Rick Lange | ||||||||
| Board Vice Chairperson | 1.0 | X | X | |||||
| Keith May | ||||||||
| Board Chairperson | 1.0 | X | X | |||||
| ROBERT LANIK | ||||||||
| PRESIDENT CEO-SERMC | 55.0 | X | X | 685176 | 76471 | |||
| Natalie Peetz | ||||||||
| Board Member | 1.0 | X | ||||||
| Eric Pierson MD | ||||||||
| Board Member | 1.0 | X | ||||||
| Chuck Reese MD | ||||||||
| Board Member | 1.0 | X | ||||||
| Jeanette Wojtalewicz | ||||||||
| VICE PRESIDENT FINANCE /CFO | 55.0 | X | 43551 | 324886 | ||||
| John Dumonceaux | ||||||||
| VICE PRESIDENT HR AND MISSION | 55.0 | 32068 | 200238 | X | ||||
| Patrick Gilles | ||||||||
| VICE PRESIDENT CLINICAL/SUPPOR | 55.0 | 34746 | 257571 | X | ||||
| Charlotte Liggett | ||||||||
| VICE PRESIDENT STRATEGIC PLANN | 55.0 | 29247 | 205370 | X | ||||
| Kim Moore | ||||||||
| VICE PRESIDENT NURSING SERVICE | 55.0 | 53351 | 253881 | X | ||||
| Nancy Gondringer | ||||||||
| Director Perioperative Service | 50.0 | 21054 | 135222 | X | ||||
| Donna Hammack | ||||||||
| CHIEF DEVELOPMENT OFFICER | 1.0 | 29324 | 156041 | X | ||||
| Kurt Clyne | ||||||||
| Director Pharmacy | 50.0 | 24522 | 148504 | X | ||||
| RICHARD TERNES | ||||||||
| PHARMACY COORDINATOR | 45.0 | 28671 | 146401 | X | ||||
| Gary White | ||||||||
| PHARMACIST | 40.0 | 24360 | 129632 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1957746 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 685176 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 397365 | TotalOtherCompensation |
| Number Individuals GT100 K | 38 | NumberIndividualsGT100K |
| Formers Listed | false | 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 |
|---|---|---|---|---|---|
| ARAMARK Healthcare Support Services | |||||
| 1101 Market Street | Philadelphia | PA | 19107 | Dietary Services | 2176146 |
| Graham Construction Inc | |||||
| 13210 Centennial Road Suite 1 | Omaha | NE | 68138 | Construction | 1983625 |
| Lincoln Anesthesiology Group PC | |||||
| 575 South 70th Street - PO Box 60 | Lincoln | NE | 68506 | Anesthesiology Serv | 1431184 |
| Lincoln Medical Education Partnersh | |||||
| 4600 Valley Road | Lincoln | NE | 68510 | Consulting | 666400 |
| Healthcare Support Services LLC | |||||
| PO Box 9804 | Grand Island | NE | 68803 | Laundry Services | 664122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 1266439 | RelatedOrganizations |
| Total Contributions | 1266439 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Services | 900099 | 236230485 | 236230485 |
| Rental Income | 900099 | 935979 | 935979 |
| Equity changes of unconsolidated orgs | 900099 | 350026 | 350026 |
| Medical Services | 900099 | 137486 | 137486 |
| Wellness Services | 900099 | 35765 | 35765 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5570 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5570 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 237695311 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6238004 | TotalRevenueColumn |
| Unrelated Business Revenue | 692 | UnrelatedBusinessRevenue |
| Exclusion | $6,237,312 | 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 Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6023981 | Securities |
| Other | 11875 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 246030 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6023981 | Securities |
| Other | -234155 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5789826 | TotalRevenueColumn |
| Exclusion | $5,789,826 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| Durable Medical Equipment | 446199 | 1136214 | 870340 | $265,874 |
| Cafeteria | 722100 | 1053083 | $1,053,083 | |
| Services Sold | 900099 | 199418 | 160600 | $38,818 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 490178 | TotalRevenueColumn |
| Unrelated Business Revenue | 61534 | UnrelatedBusinessRevenue |
| Exclusion | $428,644 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2878893 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 253868473 | TotalRevenueColumn |
| Related Or Exempt Function Income | 237695311 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1093166 | UnrelatedBusinessRevenue |
| Exclusion | $13,813,557 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1499663 | Total |
| Program Services | 1499663 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 1506602 | Total |
| Program Services | 150660 | ProgramServices |
| Management And General | 1355942 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64881137 | Total |
| Program Services | 61486665 | ProgramServices |
| Management And General | 3394472 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3802316 | Total |
| Program Services | 3524819 | ProgramServices |
| Management And General | 277497 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13615445 | Total |
| Program Services | 12438227 | ProgramServices |
| Management And General | 1177218 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4790643 | Total |
| Program Services | 4487874 | ProgramServices |
| Management And General | 302769 | 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 | 32805114 | Total |
| Program Services | 27820102 | ProgramServices |
| Management And General | 4985012 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52632921 | Total |
| Program Services | 52267855 | ProgramServices |
| Management And General | 365066 | 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 | 4458788 | Total |
| Program Services | 4377987 | ProgramServices |
| Management And General | 80801 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274620 | Total |
| Program Services | 174913 | ProgramServices |
| Management And General | 99707 | 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 | 82751 | Total |
| Program Services | 66580 | ProgramServices |
| Management And General | 16171 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4002760 | Total |
| Program Services | 4002760 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5534724 | Total |
| Management And General | 5534724 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13746303 | Total |
| Program Services | 13704778 | ProgramServices |
| Management And General | 41525 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1209275 | Total |
| Program Services | 1209275 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBTS | 7979566 | 7979566 | |
| Repairs and maintenance | 1555751 | 1555751 | |
| Education | 515100 | 210518 | 304582 |
| Community support | 302330 | 184456 | 117874 |
| DUES & SUBSCRIPTIONS | 260395 | 127371 | 133024 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 609251 | Total |
| Program Services | 504544 | ProgramServices |
| Management And General | 104707 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216065455 | Total |
| Program Services | 197774364 | ProgramServices |
| Management And General | 18291091 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Joint Costs | X | JointCosts |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5940 | BOY |
| EOY | 5940 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14251463 | BOY |
| EOY | 6097182 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43703595 | BOY |
| EOY | 40044801 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1375 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326837 | BOY |
| EOY | 152033 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5463570 | BOY |
| EOY | 5654653 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 359337 | BOY |
| EOY | 404149 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 221786916 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 111047421 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117375525 | BOY |
| EOY | 110739495 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190008093 | BOY |
| EOY | 256015335 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3394768 | BOY |
| EOY | 3231484 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 374890503 | BOY |
| EOY | 422345072 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15440561 | BOY |
| EOY | 15476208 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79324913 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4590653 | BOY |
| EOY | 81933770 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99356127 | BOY |
| EOY | 97409978 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275534376 | BOY |
| EOY | 324935094 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275534376 | BOY |
| EOY | 324935094 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 374890503 | BOY |
| EOY | 422345072 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| 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 | $11,590 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 11590 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 990 Sch C Supplemental | Identifier |
| Return Reference | Lobbying Activities Explanation | ReturnReference |
| Explanation | THE PORTION OF ORGANIZATIONAL DUES THAT ARE RELATED to LOBBYING are as follows: AMERICAN HOSPITAL ASSOCIATION - $3,532, CATHOLIC HEALTHCARE ASSOCIATION - $2,534 and Nebraska Hospital Association - $5,524. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
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 | 127775972 | OtherCostOrOtherBasis |
| Depreciation | 46817134 | Depreciation |
| Book Value | 80958838 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8664662 | OtherCostOrOtherBasis |
| Depreciation | 3542962 | Depreciation |
| Book Value | 5121700 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 82532265 | OtherCostOrOtherBasis |
| Depreciation | 60687325 | Depreciation |
| Book Value | 21844940 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2634484 | OtherCostOrOtherBasis |
| Book Value | 2634484 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 110739494 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OIP - Fixed Income | 133208977 | F |
| CHI OIP - Equity Securities | 122806358 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 256015335 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED EXPENSES | $1,524,151 |
| RETIREMENT PLAN LIABILITY | $371,544 |
| UNCLAIMED PROPERTY | $31,249 |
| ENVIRONMENTAL REMEDIATION | $2,990,535 |
| INTERCOMPANY PAYABLE | $77,016,291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 81933770 | TotalOfAmounts |
| Total Revenue | 253868473 | TotalRevenue |
| Total Expenses | 216065455 | TotalExpenses |
| Excess Or Deficit For Year | 37803018 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 14773455 | NetUnrealizedGLOnInvestments |
| Other | -$3,175,754 | OtherAmount |
| Total Adjustments | 11597701 | TotalAdjustments |
| Excess Or Deficit Per FS | 49400719 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REPORTING OF LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 | Sch D Pt XIV | 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 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 annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements. |
| Other Changes in Net Assets | Sch D Pt XIV | Reclassification to Restricted Funds - Capital Resource Pool Contribution: -$3,961,020 Catholic Health Initiatives Connect Depreciation: $785,266 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| 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 | 3382 | PersonsServed |
| Total Community Benefit Expense | 4150449 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4150449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14908 | PersonsServed |
| Total Community Benefit Expense | 20907508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11267150 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9640358 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04630 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 18290 | PersonsServed |
| Total Community Benefit Expense | 25057957 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11267150 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13790807 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06620 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 70444 | PersonsServed |
| Total Community Benefit Expense | 1011934 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64619 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 947315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1103 | PersonsServed |
| Total Community Benefit Expense | 335624 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 335624 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39316 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 39316 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4180 | PersonsServed |
| Total Community Benefit Expense | 892116 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 892116 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 75727 | PersonsServed |
| Total Community Benefit Expense | 2278990 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64619 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2214371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 94017 | PersonsServed |
| Total Community Benefit Expense | 27336947 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11331769 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16005178 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07690 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 704 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 704 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 224 | PersonsServed |
| Total Community Building Expense | 1955 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1955 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 224 | PersonsServed |
| Total Community Building Expense | 2659 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2659 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $2,832,745 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 59468763 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 75316288 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -15847525 | 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 | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| NE Surgery Center | ||
| Ambulatory Surgery Center | 0.39200 | 0.60800 |
| Lincoln CK Leasing | ||
| Oncology Equipment | 0.46200 | 0.27400 |
| Superior Med Imaging | ||
| Outpatient Imaging Center | 0.51000 | 0.49000 |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||
| 555 SO 70th ST | LINCOLN | NE | 68510 | X | X | X | X | |
| Superior Medical Imaging LLC | ||||||||
| 5000 N 26th Street | Lincoln | NE | 68521 | Outpatient Diagnostic Imaging Center | ||||
| Nebraska Surgery Center LLC | ||||||||
| 625 South 70th Street | Lincoln | NE | 68510 | Ambulatory Surgical Center | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. Saint Elizabeth Regional Medical Center 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 medical 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 that a household income scale based upon the HUD Very-Low Income Guidelines 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. 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. Patients whose income is less than or equal to the "base" may be eligible for an uninsured discount of 100%. Patients whose income is greater than the base, but less than 150% of the base may be entitled to a discount of between 25% and 100% based upon that individual's circumstances. Patients whose income is more than 150% of base will generally not qualify for a discount, except under unusual circumstances. | IncomeBasedCriteria |
| Annual Community Benefit Expln | If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. Saint Elizabeth Regional Medical Center prepares an annual community benefits report at the close of each fiscal year. This report explains the past years' initiatives toward developing Healthier Communities and spotlights real life stories of how patients have benefited from these activities. Employee engagement in community health improvement, charity care, cash and in-kind contributions, health professional education and other community benefits provided are discussed. The Community Benefit Report includes the activities of Saint Elizabeth Regional Medical Center and its Affiliates (Saint Elizabeth Foundation and Saint Elizabeth Health Services). This report is provided to the Board of Directors, management team, mayor of the community, Chamber of Commerce, State Senators, City council members, University Board of Regents, employees of the organization, various other community stakeholders and also is distributed to approximately 80,000 households within our service area. In addition to the hard copy distribution of the Community Benefits Report it is also made available by posting on-line at http://www.saintelizabethonline.com. | AnnualCommunityBenefitExpln |
| Costing Method Used | Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. 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 years third party payer settlements received or paid are netted with the current year's revenues. | CostingMethodUsed |
| Percent Of Total Expense Expln | If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad-debt expense reported on Form 990, Part IX, line 25, column (A) was $7,979,566. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. The costing methodology for the amounts shown on line 2, were obtained by utilizing the cost to charge ratios developed during the calculation of the unpaid costs of Charity and Medicaid services. This overall ratio of cost to charges of 35.5%, attributable to Saint Elizabeth Regional Medical Center, is multiplied by the bad-debt expenses recorded in the financial statements and reported in Part 1, line 7, column (f) to arrive at $2,832,745 ($7,979,566 x 35.5% = $2,832,745). Discounts extended to self-pay patients are recorded as a deduction from revenue, not as bad-debt expense. To the extent that 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 estimated and allocated to patients who qualify for financial assistance. Patient accounts are timely reviewed for financial assistance eligibility beginning on the financial assistance application date and all accounts over $10,000 that are viewed to be uncollectible are reviewed for financial hardship and extenuating circumstances prior to being submitted for collection. Finally, patients may submit financial assistance applications subsequent to a determination of uncollectibility and if the application is approved the patient's account is removed from bad-debt expense and recorded as charity care, and all collection activity ceases. Saint Elizabeth Regional Medical Center does not issue a separate company audited financial statement, thus no footnote describing the bad-debt expenses is available. However, bad-debt expense recorded on the financial statements represents an estimate of bad-debts based upon historical collection results. Bad-debts expense represents actual write-offs incurred during the period, recoveries on accounts from collection agencies and managements estimate of the bad-debt allowance required to properly state outstanding accounts at net realizable value. The bad-debt allowance amounts are adjusted monthly based upon managements analysis of bad-debts trends by payer and end of month accounts receivable aging schedules. | BadDebtFootnote |
| Shortfall As Community Benefit | Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. 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. 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). Total Medicare Revenue: $72,189,867 Total Medicare costs: $87,564,839 Surplus of Shortfall $(15,374,972) 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 adjustments 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. Saint Elizabeth Regional Medical Center's debt collection policy provides that Saint Elizabeth will perform a reasonable review of each inpatient account, prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through Saint Elizabeth community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Saint Elizabeth community assistance policy is required to be returned immediately by the third-party collection agent to Saint Elizabeth for appropriate follow-up. Saint Elizabeth Regional Medical Center requires its third party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals contracts with third party collection agencies include the following standards: *Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; *Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and *No Catholic Health Initiatives' collection agency may seek court action without hospital approval Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. | DebtCollectionPolicy |
| Needs Assessment | Line 2: Describe how the organization assesses the health care needs of the communities it serves. Line 4: Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Line 5: Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Line 6: Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). PART III - STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PRIMARY EXEMPT PURPOSE Saint Elizabeth Regional Medical Center "Saint Elizabeth", a not-for-profit, health care facility located in Lincoln, NE was founded in 1889 by the Sisters of St. Francis of Perpetual Adoration for the purpose of providing medical services to all in need regardless of ability to pay. EXEMPT PURPOSE ACHIEVEMENTS Introduction Saint Elizabeth Regional Medical Center is a 501(c)(3) organization that 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. The mission of Saint Elizabeth Regional Medical Center 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. As the first Catholic hospital to serve the community, Saint Elizabeth Regional Medical Center ("Saint Elizabeth"), has since joined with other religious congregations to form Catholic Health Initiatives. Saint Elizabeth has a board of directors that is comprised of independent community representatives. Saint Elizabeth is included in the Official Catholic Directory as a tax-exempt hospital. Community service has always been at the core of Saint Elizabeth's activities. Each year, services and programs are expanded to promote a healthy communities through innovative programs, collaborations and partnerships. The programs and services described throughout this report 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. Saint Elizabeth provides essential health care services by maintaining a 265 bed medical center with 44 outpatient beds designed to provide the highest quality medical care while embracing traditions rich in spirituality. The regions most innovative and holistic care is available through association with more than 475 physicians, many who are board certified, as well as a physician network of family and specialty clinics in Lincoln and the surrounding areas. During 2010 Saint Elizabeth provided 58,006 days of acute inpatient care, in surgical, orthopedics, pediatrics, oncology, general medical, intensive care, cardiology and obstetrics, to 13,236 patients. Four thousand seven hundred eleven days of care were provided in the nursery. Outpatient registrations totaled 111,524. In addition to the services provided locally, Saint Elizabeth has committed its expertise in wound care to other communities and providers. During 2010 mobile wound services provided 82,894 minutes (over 1,381 hours) of care to patients in surrounding communities. 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 services lines designed to provide specialty care in the local community. Examples include: Emergency Care Saint Elizabeth operates a 24-hour emergency department "ED" 365 days per year. The emergency room is open to all individuals regardless of ability to pay. During 2010 over thirty-four thousand visits were made to the emergency center. Saint Elizabeth's ED is one of the top medical centers in the U.S. for the fastest response time for heart attack patients - giving them the best chance for survival and recovery. Now that response time is even shorter with the addition of diagnostic quality EKG equipment that has been installed in the city ambulances. The ED has also been awarded second place in the medium hospital category for "Overall Emergency Department Satisfaction" by The Jackson Organization, an independent organization that surveyed more than 150 hospitals across the country. Chest pain, stroke, broken bones, high fever or other emergencies receive expert compassionate care fast and have access to Certified Chest Pain and Certified Stroke Centers. Neonatal Intensive Care Unit - NICU The birth of a baby is a wonderfully complex process, however, in the event of complications; Saint Elizabeth has physician specialists, state-of-the-art technology, highly trained nurses, and other uniquely trained professionals who are focused upon providing immediate care to the medical challenges of newborns. During 2010 Saint Elizabeth provided 6,758 days of care to 376 NICU patients. Burn Center The Saint Elizabeth Regional Burn Center is verified by the American College of Surgeons. The Burn Center was opened as the regions first Burn Center in 1973 and currently maintains a 16 bed center with dedicated operating, procedure and treatment room for the ongoing care of burns and wounds. The Burn Center offers specialized care, services, equipment and staff to treat the most critical burn injuries. Members of the burn team are specially trained surgeons, nurses, physical and occupational therapists, social workers, nutrition and pharmacy consultants, respiratory therapists, pastoral care staff and volunteers who are focused upon assisting each burn patient make a physical, emotional and psychological recovery. The Center has demonstrated leadership in research, education, outreach, prevention, system planning and the ability to care for the most severely burned patients. The Center serves as a resource to area hospitals within the region, and nurses from the Burn Center staff are on the Homeland Security national bio-terrorism and disaster team. The Burn Center provided 3,943 inpatient days of care, 121 outpatient observation days of care and had 2,468 outpatient visits to the Center in 2010. Cancer Care The Saint Elizabeth Cancer Institute is approved by the Commission on Cancer of the American College of Surgeons, a designation recognizing their outstanding care and dedication to patients and the community. The Cancer Institute has a full spectrum of cancer services including prevention and early detection, diagnosis and treatment, rehabilitation, home care and hospice. The healing environment and holistic approach distinguish Saint Elizabeth cancer care. In fact, Saint Elizabeth is the first hospital in Nebraska to offer Palliative Care to both chronic and critically ill patients. This fairly new and unique care concept guides and supports the decisions of patients and their families with understanding, emotional support and spirituality. Pregnancy and Children Saint Elizabeth Home Care Services provides services for mothers needing specialized care during and after pregnancy. For infants and children, a variety of services are also available and tailored to meet their needs and those of their family. Saint Elizabeth is the first hospital in the US to have earned Gold Seal certification in BOTH High Risk Neonatal (newborn intensive care) and High Risk Pregnancy certifications from the distinguished national certifying organization for more than 17,000 hospitals and healthcare systems, the Joint Commission. Home Medical Services Saint Elizabeth Home Medical Services provides home medical equipment (volume ventilators, wheelchairs, walking aids, bathroom safety equipment, and patient room equipment, etc.) and counseling to patients to promote their ability to ambulate and be members of the community. Home medical services provided care to 1,318 individuals during 2010. Palliative Care Saint Elizabeth's Palliative Care provides services in the home to improve the quality of life for those who are living with chronic and life-limiting illnesses such as: Heart and lung diseases; Cancer; Multiple sclerosis; and ALS. This care includes the management of pain and other symptoms as well as assistance with physical, emotional and spiritual needs. Our intent is to assist patients and their families in achieving their best possible quality of life consistent with their personal values and goals. 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 | NeedsAssessment |
| Patient Education Assistance | Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. Saint Elizabeth Regional Medical Center 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, Saint Elizabeth 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 Saint Elizabeth'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. Saint Elizabeth 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. | PatientEducationAssistance |
| Community Information | Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | CommunityInformation |
| Community Building Activities | Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | CommunityBuildingActivities |
| Other Information | Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above. | OtherInformation |
| Affiliated Health Care System | If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. 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 73 hospitals, of which 21 are designated a critical access hospitals by the Medicare program, 40 long-term care, assisted living and residential facilities, two community health service organizations and two accredited nursing colleges. Together these facilities provided $590 million in charity care and community benefits in the 2010 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. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $10 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. 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. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| People's Health Center | |||||||
| 1021 N 27th St | Lincoln | NE | 68503 | 412056863 | 501(c((3) | 80000 | PROMOTE HEALTH |
| Health Partners Initiative | |||||||
| PO Box 30205 | Lincoln | NE | 685030205 | 363832796 | 501(c((3) | 51900 | PROMOTE HEALTH |
| Catholic Social Services | |||||||
| 3700 Sheridan Blvd Suite 1 | Lincoln | NE | 68506 | 470751554 | 501(c((3) | 21500 | PROMOTE HEALTH |
| Child Advocacy Center | |||||||
| 3200 Sumner St | Lincoln | NE | 68502 | 470793765 | 501(c((3) | 21000 | PROMOTE HEALTH |
| American Cancer Society | |||||||
| 1100 Pennsylvania Ave | Kansas City | MO | 64105 | 741185665 | 501(c((3) | 19000 | PROMOTE HEALTH |
| Clinic With A Heart | |||||||
| 3901 N 27th St | Lincoln | NE | 68521 | 202860139 | 501(c((3) | 15400 | PROMOTE HEALTH |
| American Heart Association | |||||||
| 7272 Greenville Ave | Dallas | TX | 75231 | 135613797 | 501(c((3) | 12800 | PROMOTE HEALTH |
| United Way | |||||||
| 238 S 13th St | Lincoln | NE | 68508 | 470376624 | 501(c((3) | 12750 | PROMOTE HEALTH |
| Nebraska Sports Council | |||||||
| PO Box 29366 | Lincoln | NE | 68529 | 363354207 | 501(c((3) | 10000 | PROMOTE HEALTH |
| Modonna Rehab Hospital | |||||||
| 5401 South St | Lincoln | NE | 685062134 | 470439599 | 501(c((3) | 10000 | PROMOTE HEALTH |
| Lincoln Parks & Recreation FDT | |||||||
| 2740 A Street PO Box 201 | Lincoln | NE | 68502 | 363853746 | 501(c((3) | 10000 | PROMOTE HEALTH |
| Special Olympics | |||||||
| 1125 So 103rd St STE 800 | Omaha | NE | 681241079 | 260838637 | 501(c((3) | 8334 | PROMOTE HEALTH |
| Pius X High School | |||||||
| 6000 A St | Lincoln | NE | 685105005 | 470426529 | 501(c((3) | 7128 | PROMOTE HEALTH |
| The Physician Network | |||||||
| 8055 O Street Suite 300 | Lincoln | NE | 68510 | 470780857 | 501(C)(3) | 1000000 | PROMOTE HEALTH |
| CHI Nebraska Health at Home | |||||||
| 555 S 70th Street | Lincoln | NE | 68510 | 264061099 | 501(C)(3) | 145924 | PROMOTE HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 15 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I Part I Q2 | Identifier |
| Return Reference | Procedures for monitoring the use of grants | ReturnReference |
| Explanation | Grants included in Part II are to Companies & Community Organizations who 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 recipient in accordance with their charitable purpose and as such use of the funds given to the grantee is not monitored beyond the distribution. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | 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 (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| John Dumonceaux | |||||||||||
| 161144 | 14503 | 24591 | 32068 | 232306 | |||||||
| Nancy Gondringer | |||||||||||
| 129043 | 4822 | 1357 | 21054 | 156276 | |||||||
| Patrick Gilles | |||||||||||
| 226629 | 20021 | 10921 | 34746 | 292317 | |||||||
| Donna Hammack | |||||||||||
| 145503 | 5261 | 5277 | 29324 | 185365 | |||||||
| Charlotte Liggett | |||||||||||
| 180095 | 15870 | 9405 | 29247 | 234617 | |||||||
| Kim Moore | |||||||||||
| 223799 | 19988 | 10093 | 53351 | 307232 | |||||||
| ROBERT LANIK | |||||||||||
| 507375 | 121891 | 55909 | 31501 | 44970 | 761647 | 27476 | |||||
| Kurt Clyne | |||||||||||
| 141591 | 5252 | 1661 | 24522 | 173026 | |||||||
| RICHARD TERNES | |||||||||||
| 139475 | 6926 | 28671 | 175072 | ||||||||
| Jeanette Wojtalewicz | |||||||||||
| 289064 | 25694 | 10128 | 43551 | 368437 | |||||||
| Gary White | |||||||||||
| 117295 | 12000 | 337 | 24360 | 153992 | |||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| POST-TERMINATION PAYMENTS | SCH. J, PART I, Q. 4A | Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") 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. Saint Elizabeth Regional Medical Center offers a severance plan for their employees. Management at Saint Elizabeth Regional Medical Center qualifies for one month of severance for each year of service. Maximum severance is six months. |
| METHODS USED TO ESTABLISH CEO/EXECUTIVE DIRECTOR COMPENSATION | Sch J Pt I Q3 | COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR OF Saint Elizabeth Regional Medical Center WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INTITIATIVES ("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; AND (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| SUPPLEMENTAL NONQUALIFIED COMPENSATION: | Sch J PT I Q4B | PRIOR TO THE 2009 CALENDAR YEAR, SAINT ELIZABETH REGIONAL MEDICAL CENTER 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. NO PAYMENTS WERE MADE FROM EITHER PLAN FOR THE 2009 CALENDAR YEAR. AS A RESULT, NO REPORTABLE COMPENSATION WAS INCLUDED IN SCHEDULE J. DURING THE 2009 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLAN FOR VICE PRESIDENTS AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE: Robert Lanik THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED CONTRIBUTIONS TO THE NON-QUALIFIED PLAN FOR THE 2009 CALENDAR YEAR: ROBERT LANIK $31,501 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM THE SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN DURING THE 2009 CALENDAR YEAR, AND THE FOLLOWING AMOUNTS WERE INCLUDED IN THE INDIVIDUALS' REPORTABLE COMPENSATION FOR SCHEDULE J: ROBERT Lanik $27,476. - |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Executive Committee composition and authority: | 990 Pt VI Q1a | 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 the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The Executive Committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors. |
| Significant Changes to Organizational Documents | Form 990 Pt VI Q4 | THE ORGANIZATIONAL DOCUMENTS WERE AMENDED TO REFLECT CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION, AS THE SOLE CORPORATE MEMBER. |
| The Organization's Corporate Members/Stockholders: | 990 Pt VI Q6 | The organization's corporate member is CHI Nebraska, a Nebraska non-profit corporation. |
| Members/Stockholders Electing Governing Body Members: | 990 Pt VI Q7a | In accordance with the organization's corporate bylaws, the sole corporate member, CHI Nebraska may unilaterally appoint one or more individuals to the organization's board of directors. |
| APPROVAL OF GOVERNING BODY DECISIONS BY MEMBERS/STOCKHOLDERS: | 990 Pt VI Q7b | 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. |
| Process the organization uses to review Form 990 | 990 Pt VI Q11 | Saint Elizabeth Regional Medical Center's CFO is responsible for reviewing the final tax return prepared by the CHI Tax Department. In addition, The Returns will be posted to a secured board collaboration site and can be reviewed at any time by the board members. Subsequent to the distribution to the board, the tax department files the return with the appropriate federal agency and making any non substantive changes necessary to effect E-filing. Any such changes are not re-submitted to the board. |
| Procedures for monitoring and enforcing the COI policy | 990 Pt VI Q12c | 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 making 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 for Determining CEO's Compensation | 990 Pt VI Q15A | saint elizabeth regional medical center's CEO's compensation is paid by CHI. 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 CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis 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, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels. |
| PROCESS FOR DETERMINING COMPENSATION - OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, Q. 15B | ANY EXECUTIVE COMPENSATION PAID BY Saint Elizabeth Regional Medical Center WAS SET BY THE EXECUTIVE COMMITTEE UTILIZING COMPARABILITY STUDIES TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. |
| Formal Policy concerning paticipation JV | 990 Pt VI Q16a | 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 maximatation 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. |
| Public Available of Governing Documents | 990 Pt VI Q19 | The organizing documents are available on the Nebraska Secretary of State website of http://www.sos.ne.gov/business The Conflict of Interest Policy is available upon request. Saint Elizabeth Regional Medical Center's FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM |
| Estimate of Hours Devoted to Related Organizations | 990 Pt VII | Compensation reported on the Form 990, Part VII was paid to these individuals by related organizations in exchange for the fulfillment of their duties as full-time, 60 hours per week employees. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (132 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 |
|---|---|---|---|---|---|---|---|---|---|
| St Joseph Community Health Services | |||||||||
| 300 Central SW Suite 300 | Albuquerque | NM | 87102 | 710897107 | Community | NM | 501(c)(3) | 11a | CHI |
| St Joseph Community Health Foundation | |||||||||
| 300 Central SW Suite 300 | Albuquerque | NM | 87102 | 850253087 | Foundation | NM | 501(c)(3) | 7 | SJCHS |
| St Francis of Baker City | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 930412495 | Hospital | OR | 501(c)(3) | 3 | CHI |
| St Elizabeth Health Care Foundation | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 943164869 | Foundation | OR | 501(c)(3) | 7 | SEHS |
| Flaget Memorial Hospital Foundation Inc | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 562351341 | Fundraising | KY | 501(c)(3) | 11a | FH |
| Flaget Healthcare DBA Flaget Memorial | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 611345363 | Hospital | KY | 501(c)(3) | 3 | CHI |
| Lakewood Health Center | |||||||||
| 600 Main Avenue South | Baudette | MN | 56623 | 410758434 | LTerm Care | MN | 501(c)(3) | 3 | CHI |
| Appletree Court | |||||||||
| 601 Oak Street | Breckenridge | MN | 56520 | 411850500 | Senior Homes | MN | 501(c)(3) | 9 | SFH |
| Healthcare and Wellness Foundation | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 760761782 | Foundation | MN | 501(c)(3) | 11a | SFMC |
| St Francis Home | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410729978 | LTerm Care | MN | 501(c)(3) | 9 | CHI |
| St Francis Medical Center | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410695598 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Carrington Health Center | |||||||||
| 800 North 4th Street | Carrington | ND | 58421 | 450227311 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Saint Clare's Community Care | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222876836 | Healthcare | NJ | 501(c)(3) | 11b | SCHS |
| Saint Clare's Foundation Inc | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222502997 | Fundraising | NJ | 501(c)(3) | 7 | SCHS |
| Good Samaritan College of Nursing & Heal | |||||||||
| 375 Dixmyth Ave | Cincinnati | OH | 45220 | 311778403 | Education | KY | 501(c)(3) | 2 | GHS |
| Total Healthcare | |||||||||
| PO Box 7021 | Colorado Springs | CO | 80933 | 840927232 | Healthcare | CO | 501(c)(3) | 3 | CHI Colorado |
| Memorial Health Care System Inc | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 620532345 | Hospital | TN | 501(c)(3) | 3 | CHI |
| Memorial Health Care System Foundation | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 621839548 | Foundation | TN | 501(c)(3) | 7 | MHCS |
| Memorial Health Partners Foundation Inc | |||||||||
| 6028 Shallowford Road | Chattanooga | TN | 37421 | 030417049 | Healthcare | TN | 501(c)(3) | 9 | MHCS |
| The Community Limited Care Dialysis Cent | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 237419853 | Dialysis | OH | 501(c)(2) | none | GSH |
| Good Samaritan Foundation of Cincinnati | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311206047 | Foundation | OH | 501(c)(3) | 11a | GSH |
| The Good Samaritan Hospital of Cincinnat | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 310537486 | Hospital | OH | 501(c)(3) | 3 | TRI-HEALTH |
| Saint Clare's Hospital | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 223319886 | Hospital | NJ | 501(c)(3) | 3 | CHI |
| St Francis Life Care Corporation | |||||||||
| 19 Pocono Road | Denville | NJ | 07834 | 222536017 | Elderly Care | NJ | 501(c)(3) | 9 | SCHS |
| TriHealth Physician Institute | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311074519 | Physicians | OH | 501(c)(3) | 11a | GSH |
| Catholic Health Initiatives Colorado Fou | |||||||||
| 961 East Colorado Avenue | Colorado Springs | CO | 80903 | 840902211 | Foundation | CO | 501(c)(3) | 7 | CHI Colorado |
| SET of Colorado Springs Inc | |||||||||
| 825 E Pikes Peak Avenue Bldg 29 | Colorado Springs | CO | 80903 | 841183335 | LTerm Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Catholic Health Initiatives | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 470617373 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| Catholic Health Care Federation | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 208473567 | Jurdic Person | CO | 501(c)(3) | 11a | CHI |
| Global Health Initiatives | |||||||||
| 1999 Broadway Suite 4000 | Denver | CO | 80202 | 201536108 | Ministries | CO | 501(c)(3) | 11a | CHI |
| Health SET | |||||||||
| 4200 West Conejos Place 436 | Denver | CO | 80204 | 841102943 | Low Inc.Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Bishop Drumm Retirement Center | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420725196 | LTerm Care | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy Medical Center - Des Moines AKA | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420680448 | Hospital | IA | 501(c)(3) | 3 | CHI-IA Corp |
| House of Mercy | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421323808 | Shelter | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Auxiliary of Central Iowa | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 426076069 | Auxiliary | IA | 501(c)(3) | 11a | CHI-IA Corp |
| Mercy Clinics Inc | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421193699 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy College of Health Sciences | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421511682 | Education | IA | 501(c)(3) | 2 | CHI-IA Corp |
| Mercy Foundation of Des Moines IA | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 237358794 | Foundation | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Medical Center - Centerville FKA | |||||||||
| 1 St Josephs Drive | Centerville | IA | 52544 | 420680308 | Hospital | IA | 501(c)(3) | 3 | CHI-IA Corp |
| Mercy Professional Practice Associates | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421470935 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy Hospital of Devils Lake | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 450227012 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Saint Joseph's Hospital Foundation | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 363418207 | Foundation | ND | 501(c)(3) | 11a | SJHHC |
| St Joseph's Hospital and Health Center | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 450226429 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Regional Medical Center of Durango | |||||||||
| 1010 Three Springs Blvd | Durango | CO | 81301 | 840405515 | Hospital | CO | 501(c)(3) | 3 | CHI |
| CHI Kentucky Inc | |||||||||
| 3900 Olympic Blvd Suite 400 | Erlanger | KY | 41018 | 202741651 | Healthcare | KY | 501(c)(3) | 11a | CHI |
| Villa Nazareth Inc | |||||||||
| 801 Page Drive | Fargo | ND | 58103 | 450226714 | LT Care | ND | 501(c)(3) | 9 | CHI |
| St Catherine Hospital | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 480543721 | Hospital | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital Development Found | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 200598702 | Foundation | KS | 501(c)(3) | 11a | SCH |
| Saint Francis Medical Center Foundation | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470630267 | Foundation | NE | 501(c)(3) | 7 | SFMC |
| Saint Francis Medical Center | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470376601 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Central Kansas Medical Center | |||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 480543724 | Hospital | KS | 501(c)(3) | 3 | CHI |
| St Joseph Memorial Hospital | |||||||||
| 923 Carroll Ave | Larned | KS | 67550 | 481253246 | Hospital | KS | 501(c)(3) | 3 | CKMC |
| MNMCH Inc | |||||||||
| 220 North Pennsylvania | Columbus | KS | 66725 | 481216238 | Hospital | KS | 501(c)(3) | 3 | SJRMC |
| Mercy Lifecare Systems | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431305163 | Property Mgmt | MO | 501(c)(3) | 11a | SJRMC |
| St John's Medical Group | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431882377 | Phys Practice | MO | 501(c)(3) | 9 | SJRMC |
| St John's Mercy Regional Foundation | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431308084 | Foundation | MO | 501(c)(3) | 7 | SJRMC |
| St John's Regional Medical Center | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 440545809 | Hospital | MO | 501(c)(3) | 3 | CHI |
| Good Samaritan Hospital | |||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470379755 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Good Samaritan Hospital Foundation | |||||||||
| PO Box 1810 | Kearney | NE | 68848 | 470659443 | Foundation | NE | 501(c)(3) | 7 | GSH |
| St Joseph Health Ministries | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 232342997 | Health | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Ministries Foundation | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 232605579 | Fundraising | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Services Inc | |||||||||
| 2135 Noll Drive Suite C | Lancaster | PA | 17603 | 201425375 | Dental care | PA | 501(c)(3) | 11a | SJHM |
| Continuing Care Hospital | |||||||||
| 150 North Eagle Creek Drive | Lexington | KY | 40509 | 611400619 | LTACH | KY | 501(c)(3) | 3 | SJHS |
| Saint Joseph Berea Hospital Foundation | |||||||||
| 305 Estill Street | Berea | KY | 40403 | 260152877 | Foundation | KY | 501(c)(3) | 7 | SJHS |
| Saint Joseph Health System Inc | |||||||||
| 150 N Eagle Creek Dr | Lexington | KY | 40509 | 611334601 | Hospital | KY | 501(c)(3) | 3 | CHI |
| St Joseph Hospital Foundation Inc | |||||||||
| One St Joseph Drive | Lexington | KY | 40504 | 611159649 | Foundation | KY | 501(c)(3) | 11a | SJHS |
| Saint Joseph Medical Foundation Inc | |||||||||
| One St Joseph Drive | Lexington | KY | 40504 | 311539059 | Phy Practices | KY | 501(c)(3) | 3 | SJHS |
| Visiting Nurse Association of Saint Clar | |||||||||
| 191 Woodport Road | Sparta | NJ | 07871 | 221768334 | Home Health | NJ | 501(c)(3) | 9 | SCHS |
| Saint Elizabeth Foundation | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470625523 | Foundation | NE | 501(c)(3) | 7 | SERMC |
| Saint Elizabeth Health Services | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233120 | Healthcare | NE | 501(c)(3) | 3 | SERMC |
| CHI Nebraska | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233121 | Healthcare | NE | 501(c)(3) | 11a | CHI |
| Saint Elizabeth Regional Medical Center | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470379836 | Healthcare | NE | 501(c)(3) | 3 | CHI Nebraska |
| The Physician Network | |||||||||
| 8055 O Street Suite 300 | Lincoln | NE | 68510 | 470780857 | Healthcare | NE | 501(c)(3) | 11a | CHI Nebraska |
| Lisbon Area Health Services | |||||||||
| 905 Main Street | Lisbon | ND | 58054 | 820558836 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Alverna Apartments | |||||||||
| 300 SE 8th Avenue | Little Falls | MN | 56345 | 411351177 | Lterm Care | MN | 501(c)(3) | 9 | CHI |
| Unity Family Healthcare | |||||||||
| 815 2nd Street SE | Little Falls | MN | 56345 | 410721642 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| St Anthony's Hospital Association | |||||||||
| 4 Hospital Drive | Morrilton | AR | 72110 | 710245507 | Healthcare | AR | 501(c)(3) | 3 | SVIMC |
| St Vincent Infirmary Medical Center | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710236917 | Healthcare | AR | 501(c)(3) | 3 | CHI |
| St Vincent Medical Group | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710830696 | Healthcare | AR | 501(c)(3) | 9 | SVIMC |
| Maria-Joseph Center | |||||||||
| 4830 Salem Avenue | Dayton | OH | 45416 | 310935118 | Healthcare | OH | 501(c)(3) | 9 | SHP |
| Saint Joseph London Foundation Inc | |||||||||
| 310 East Ninth Street | London | KY | 40741 | 260438748 | Foundation | KY | 501(c)(3) | 11a | SJHS |
| Samaritan Behavioral Health | |||||||||
| 601 S Edwin C Moses Blvd | Dayton | OH | 45408 | 020633634 | Hospital | OH | 501(c)(3) | 3 | SHP |
| Mercy Medical Center | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820200896 | Hospital | ID | 501(c)(3) | 3 | CHI |
| Mercy Medical Center Foundation | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 261737256 | Foundation | ID | 501(c)(3) | 11a | Mercy Med Ct |
| Mercy Physician Group Inc | |||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 208192593 | Phys Group | ID | 501(c)(3) | 9 | Mercy Med Ct |
| St Mary's Hospital | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470443636 | Hospital | NE | 501(c)(3) | 3 | CHI Nebraska |
| St Mary's Hospital Foundation | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470707604 | Foundation | NE | 501(c)(3) | 7 | SMH |
| Oakes Community Hospital | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 450231675 | Hospital | ND | 501(c)(3) | 3 | CHI |
| Oakes Community Hospital Foundation | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 710966606 | Foundation | ND | 501(c)(3) | 11a | OCH |
| St Dominic at Ontario | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 930433692 | Hospital | OR | 501(c)(3) | 3 | CHI |
| Holy Rosary Medical Center Foundation | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 202683560 | Foundation | OR | 501(c)(3) | 11a | HRMC |
| St Joseph's Area Health Services | |||||||||
| 600 Pleasant Avenue | Park Rapids | MN | 56470 | 410695603 | Hospital | MN | 501(c)(3) | 3 | CHI |
| St Anthony Hospital | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930391614 | Hospital | OR | 501(c)(3) | 3 | CHI |
| St Anthony Hospital Foundation | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930992727 | Foundation | OR | 501(c)(3) | 11a | SA Hospital |
| Gettysburg Medical Center | |||||||||
| 606 East Garfield Avenue | Gettysburg | SD | 57442 | 460234354 | Hospital | SD | 501(c)(3) | 3 | SMHC |
| St Mary's Healthcare Center | |||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare | SD | 501(c)(3) | 3 | CHI |
| Mt St Joseph Inc | |||||||||
| 3060 SE Stark Street | Portland | OR | 97214 | 930386870 | Nursing Care | OR | 501(c)(3) | 9 | CHI |
| Pueblo Stepup | |||||||||
| 1925 East Orman Avenue Suite G52 | Pueblo | CO | 81004 | 841234295 | Community | CO | 501(c)(3) | 7 | CHI |
| Bornemann Healthcare Corporation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232187242 | Healthcare | PA | 501(c)(3) | 11a | CHI |
| St Joseph Medical Center Foundation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232649362 | Foundation | PA | 501(c)(3) | 11a | SJRHN |
| St Joseph Medical Group | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 208544021 | Healthcare | PA | 501(c)(3) | 9 | BHC |
| St Joseph Regional Health Network | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 231352211 | Healthcare | PA | 501(c)(3) | 3 | CHI |
| Linus Oakes Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930821381 | Senior Living | OR | 501(c)(3) | 9 | MMC |
| Mercy Foundation Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 936088946 | Foundation | OR | 501(c)(3) | 7 | MMC |
| Mercy Medical Center | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930386868 | Hospital | OR | 501(c)(3) | 3 | CHI |
| Franciscan Villa of South Milwaukee Inc | |||||||||
| 3601 South Chicago Avenue | South Milwaukee | WI | 53172 | 391093829 | Healthcare | WI | 501(c)(3) | 9 | CHI |
| Enumclaw Community Hospital | |||||||||
| 1450 Battersby Avenue | Enumclaw | WA | 98022 | 910715805 | Hospital | WA | 501(c)(3) | 3 | FHS |
| Franciscan Foundation | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911145592 | Fundraising | WA | 501(c)(3) | 9 | FHS |
| Franciscan Health System FKA Franciscan | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 910564491 | Healthcare | WA | 501(c)(3) | 3 | CHI |
| Franciscan Medical Group | |||||||||
| 1708 South Yakima Avenue | Tacoma | WA | 98405 | 911939739 | Healthcare | WA | 501(c)(3) | 9 | FHS |
| St Joseph Medical Center Foundation In | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521681044 | Fundraising | MD | 501(c)(3) | 7 | SJMC |
| St Joseph Medical Center Inc | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 520591461 | Hospital | MD | 501(c)(3) | 3 | CHI |
| St Joseph Physician Enterprises | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521311775 | Physicians | MD | 501(c)(3) | 11a | CHI |
| Samaritan Health Foundation | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 237296923 | Foundation | OH | 501(c)(3) | 7 | SHP |
| Mercy Hospital of Valley City | |||||||||
| 570 Chautauqua Boulevard | Valley City | ND | 58072 | 450226553 | Hospital | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Center | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450231183 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Foundation | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450381803 | Foundation | ND | 501(c)(3) | 11a | MMC |
| Samaritan Health Partners | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 311107411 | Healthcare | OH | 501(c)(3) | 11a | CHI |
| St Vincent Foundation | |||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 510169537 | Fundraising | AR | 501(c)(3) | 11a | SVIMC |
| Auxiliary of Holy Rosary Hospital Inc | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 943059469 | Hospital | OR | 501(c)(3) | 9 | HRMC |
| The Mercy Hospital of Devils Lake Fdn | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 352367360 | Foundation | ND | 501(c)(3) | 11a | MHDL |
| Alegent Health - Bergan Mercy Health Sys | |||||||||
| 7500 Mercy Road | Omaha | NE | 68124 | 470484764 | Hospital | NE | 501(c)(3) | 3 | CHI |
| Alegent Health - Mercy Hospital Corning | |||||||||
| PO Box 368 | Corning | IA | 50841 | 420782518 | Hospital | IA | 501(c)(3) | 3 | AHBMHS |
| Mercy Health Care Foundation | |||||||||
| PO Box 368 | Corning | IA | 50841 | 421461064 | Foundation | NE | 501(c)(3) | 11a | AHMH |
| Mercy Hospital Foundation Council Bluff | |||||||||
| 800 Mercy Drive | Council Bluffs | IA | 51503 | 421178204 | Foundation | IA | 501(c)(3) | 11a | AHBMHS |
| CHI Institute For Research and Innovatio | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 271050565 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| CHI Colorado | |||||||||
| 188 Inverness Drive West | Englewood | CO | 80112 | 840405257 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Saint Joseph Mount Sterling Foundation | |||||||||
| 50 Sterling Avenue | Mount Sterling | KY | 40353 | 272884584 | Foundation | KY | 501(c)(3) | 7 | SJHS |
| Centennial Medical Group Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 900433062 | Physicians | OR | 501(c)(3) | 9 | MMC |
| CHI National Foundation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 270930004 | Foundation | CO | 501(c)(3) | 11a | CHI |
| Saint Clare's Health Services Inc | |||||||||
| 25 Pocono Road | Denville | NJ | 07834 | 223639733 | Management | NJ | 501(c)(3) | 7 | CHI |
| Good Samaritan Hospital | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 310536981 | Hospital | OH | 501(c)(3) | 3 | SHP |
Form990 Schedule R Part III Form990ScheduleRPartIII (17 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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Superior Medical Imaging LLC | |||||||||||||
| 5000 North 26th Street | Lincoln | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | -155495 | 993429 | false | $272 | false |
| Central Nebraska Rehab Services | |||||||||||||
| 3004 W Faidley Ave | Grand Island | NE | 68802 | 810653461 | Physical Therapy | NE | CHI | Related | 1816979 | 2933623 | false | $5,050 | false |
| Mercy West Endoscopy LLC | |||||||||||||
| 1601 NW 114th St Suite 244 | Clive | IA | 50325 | 900129077 | Ambulatory Surg | IA | CHI-IA Corp | Related | 1917716 | 1695121 | false | false | |
| Audubon Land Company LLC | |||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 841513085 | Real Estate | CO | THC | Related | 67577 | 9001605 | false | false | |
| Breckenridge Medical Clinic LLC | |||||||||||||
| 555 South Park Avenue Plaza 11 | Breckenridge | CO | 80424 | 651295958 | Medical Clinic | CO | THC | Related | false | false | |||
| Penrad Imaging | |||||||||||||
| 1390 Kelly Johnson Blvd | Colorado Springs | CO | 80920 | 841072619 | Medical Imaging | CO | THC | Related | 1922441 | 8248492 | false | false | |
| St Anthony Regional Mtn Cancer Center | |||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80112 | 371568013 | Cancer Center | CO | THC | Related | 60513 | 318803 | false | false | |
| St Francis Land Company | |||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 263134100 | Real Estate | CO | THC | Related | -180979 | 14886022 | false | false | |
| OrthoColorado LLC | |||||||||||||
| 11650 West 2nd Place | Lakewood | CO | 80255 | 371577105 | Ortho Hospital | CO | THC | Related | -5375165 | 15265510 | false | false | |
| Mercy Outpatient Surgery Center LLC | |||||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 841380439 | Surgery Center | ID | MMC | Related | -812036 | 949357 | false | $4,620 | true |
| Peninsula Radiation Oncology | |||||||||||||
| 314 Martin Luther King Jr Way 11 | Tacoma | WA | 98405 | 870808610 | Healthcare Srvc | WA | FHS | Related | -516076 | 3860362 | false | false | |
| Healthcare Support Services LLC | |||||||||||||
| PO Box 9804 | Grand Island | NE | 688029804 | 721546196 | Laundry | NE | CHI | Related | 199968 | 3913481 | false | $58,436 | false |
| Bluegrass Regional Imaging Center | |||||||||||||
| 1218 South Broadway Suite 310 | Lexington | KY | 40504 | 611386736 | Diagnostic | KY | SJ HospitalLex | Related | 242456 | 3773725 | false | false | |
| North River Surgery Center LLC | |||||||||||||
| 2209 Wildwood Avenue | Sherwood | AR | 72120 | 710799771 | Ambul Surg Ctr | AR | SVIMC | Related | 213989 | 1696001 | false | false | |
| CHI Operating Investment Program LP | |||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470727942 | Investments | CO | CHI | Investment | 58022 | 4069968 | false | $14,031 | true |
| Ruxton Surgicenter LLC | |||||||||||||
| 8322 Bellona Avenue Suite 201 | Baltimore | MD | 21204 | 522095835 | Surgery Center | MD | SJMC | Related | -75716 | 3421084 | false | true | |
| Central Nebraska Home Care Services | |||||||||||||
| PO Box 1146-4510 Second Avenue | Kearney | NE | 68848 | 470692112 | Healthcare Srvc | NE | HSEINC | Related | -102982 | 1021500 | false | true | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (30 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 | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mercy Health Services Corporation | ||||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431457881 | DME | MO | St John's RMC | C Corp | -1033832 | 2093683 | 1.00000 | |
| Mountain Management Services Inc | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 621570739 | mgmt svc org | TN | MHCS | C Corp | 348642 | 4530845 | 1.00000 | |
| MedQuest | ||||||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MHof Williston | C Corp | -16794 | 911494 | 1.00000 | |
| St Anthony Development Company | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | St Anthony H | C Corp | 41861 | 3047938 | 1.00000 | |
| GOOD SAMARITAN OUTREACH SERVICES | ||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI Nebraska | C Corp | -2491623 | 840232 | 1.00000 | |
| HEALTH SYSTEMS ENTERPRISES INC | ||||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C Corp | 10957 | 1559747 | 1.00000 | |
| Mercy Park Apartments Ltd | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corp | 227244 | 1806199 | 1.00000 | |
| Des Moines Medical Center Inc | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corp | 1123173 | 0.92980 | ||
| Comcare Services | ||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80204 | 840904813 | Inactive | CO | CHIC | C Corp | 1.00000 | |||
| Mednow Inc | ||||||||||||
| 1512 12th Avenue Road | Nampa | ID | 83686 | 820389927 | Outpat Pharmacy | ID | Mercy Med Ctr | C Corp | -672954 | 5348476 | 1.00000 | |
| Saint Clare's Primary Care Inc | ||||||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corp | -350630 | 2590487 | 1.00000 | |
| Healthcare Mgmt Services Org Inc | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Physician Health System Network | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Mercy Services Corp | ||||||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930824308 | Retail Sales | OR | Mercy Medical | C Corp | -499409 | 1403001 | 1.00000 | |
| Caduceus Medical Associates Inc | ||||||||||||
| 6028 Shallowford Road Suite D | Chattanooga | TN | 37422 | 621570736 | Healthcare | TN | MHCS | C Corp | 1008 | 1.00000 | ||
| CENTRAL KANSAS HEALTH SERVICES ASSOCIATI | ||||||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 481042853 | MEDICAL EQUIPMENT | KS | CKMC | C Corp | 110125 | 1.00000 | ||
| St Vincent Community Health Services In | ||||||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corp | 2404944 | 10195000 | 1.00000 | |
| Alternative Insurance Management Service | ||||||||||||
| 3900 Olympic Boulevard Suite 400 | Erlanger | KY | 41018 | 841112049 | Management Servic | CO | CHI | C Corp | 3272176 | 1.00000 | ||
| Nazareth Assurance Company | ||||||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030304831 | Insurance | VT | CHI | C Corp | 1.00000 | |||
| Franciscan Services Inc | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corp | 194756 | 12598258 | 1.00000 | |
| SJH Services Corporation | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corp | 314346 | 3423012 | 1.00000 | |
| St Joseph Development Company Inc | ||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corp | 1677122 | 11984725 | 1.00000 | |
| Towson Management Inc | ||||||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521710750 | Management Servic | MD | FSI | C Corp | 99315 | 498383 | 1.00000 | |
| Captive Management Initiatives | ||||||||||||
| 980663022 | Captive Managemen | CHI | C Corp | 1.00000 | CJ | |||||||
| First Initiatives Insurance Ltd | ||||||||||||
| 980203038 | Insurance | CHI | C Corp | 1.00000 | CJ | |||||||
| Center for Translational Research | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 272269511 | Healthcare | CO | CHI | C Corp | -840949 | 1746201 | 1.00000 | |
| Samaritan Family Care Inc | ||||||||||||
| 40 W Fourth St 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | LLC | -1199836 | 4894397 | 1.00000 | |
| SJL Physician Management Services Inc | ||||||||||||
| 424 Lewis Hargett Cr 160 | Lexington | KY | 40503 | 999999999 | Management | KY | SJHS | C Corp | 1.00000 | |||
| CGH Realty Company Inc | ||||||||||||
| 215 N 12th St | Reading | PA | 19603 | 232326801 | Real Estate | PA | SJHM | C Corp | 1007 | 42415 | 1.00000 | |
| St Joseph Office Park Association | ||||||||||||
| 1401 HarrodsBurg Road Bldg B70 | Lexington | KY | 40504 | 611079899 | Management | KY | SJHS | C Corp | 10217 | 572843 | 0.85000 | |
| 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 | true | 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 | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| The Physician Network | |
| b | 1000000 |
| CHI Nebraska Health at Home | |
| b | 145924 |
| The Physician Network | |
| i | 166608 |
| The Physician Network | |
| o | 6161982 |
| Saint Elizabeth Foundation | |
| c | 1266439 |
| The Physician Network | |
| p | 102049 |
| St Mary's Community Hospital | |
| p | 141350 |
| Catholic Health Initiatives | |
| l | 41590493 |
| Catholic Health Initiatives | |
| o | 2925679 |
| Catholic Health Initiatives | |
| q | 6311383 |