ALEGENT CREIGHTON HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ALEGENT CREIGHTON HEALTH (EIN 47-0757164)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-10
IRS object ID: 202041929349301624
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-10T13:02:00-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	470617373	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	COMMONSPIRIT HEALTH	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68154	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	470757164	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALEG	BusinessNameControlTxt
Phone	4023434323	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68154	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jeanette Wojtalewicz	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2020-07-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA NOEL	PreparerPersonNm
PTIN	P01051055	PTIN
Phone	4023434413	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeanette Wojtalewicz	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68154	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$605,516,010	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHIHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	NE	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3400	TotalEmployeeCnt
Total Volunteers	533	TotalVolunteersCnt
Total Gross UBI	$13,207,565	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$114,563	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,005,739	PYContributionsGrantsAmt
CY Contributions Grants	$2,585,295	CYContributionsGrantsAmt
PY Program Service Revenue	$330,796,913	PYProgramServiceRevenueAmt
CY Program Service Revenue	$302,226,607	CYProgramServiceRevenueAmt
PY Investment Income	$2,003,831	PYInvestmentIncomeAmt
CY Investment Income	$2,633,165	CYInvestmentIncomeAmt
PY Other Revenue	$292,075,785	PYOtherRevenueAmt
CY Other Revenue	$291,691,981	CYOtherRevenueAmt
PY Total Revenue	$626,882,268	PYTotalRevenueAmt
CY Total Revenue	$599,137,048	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,845,638	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$220,155	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$146,759,547	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$150,159,169	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$411,374,997	PYOtherExpensesAmt
CY Other Expenses	$420,960,618	CYOtherExpensesAmt
PY Total Expenses	$579,980,182	PYTotalExpensesAmt
CY Total Expenses	$571,339,942	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,902,086	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,797,106	CYRevenuesLessExpensesAmt
Total Assets BOY	$956,909,792	TotalAssetsBOYAmt
Total Assets EOY	$897,522,276	TotalAssetsEOYAmt
Total Liabilities BOY	$522,900,525	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$475,849,174	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$434,009,267	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$421,673,102	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	As an affiliate of CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$51,724,075	ExpenseAmt
Grant	$33,975	GrantAmt
Revenue	$45,119,968	RevenueAmt
Desc	ALEGENT CREIGHTON HEALTH STAFF ARE FOCUSED ON RESTORING PATIENTS' HEALTH BY USING PERSONALIZED CARE AND STATE-OF-THE-ART TECHNOLOGY. THE DIAGNOSTIC CENTER AT THE HOSPITALS ARE EQUIPPED WITH THE LATEST DIGITAL IMAGING TECHNOLOGY. HEALTHCARE PROVIDERS HAVE MEDICAL INFORMATION AT THEIR FINGER TIPS, SO DIAGNOSIS IS QUICKER AND TREATMENT CAN BE STARTED SOONER. EACH DIAGNOSTIC CENTER OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES INCLUDING BUT NOT LIMITED TO THE FOLLOWING: MRI, CT SCANNING, PET/CT SCAN, ULTRASOUND, MAMMOGRAMS, NUCLEAR MEDICINE, CLINICAL LABORATORY, X-RAY IMAGING, PULMONARY SERVICES, OUTPATIENT LABORATORY TESTING, ANGIOGRAPHY AND RADIOGRAPHY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,760,819	ExpenseAmt
Grant	$15,754	GrantAmt
Revenue	$20,921,906	RevenueAmt
Desc	ALEGENT CREIGHTON HEALTH OFFERS A WIDE RANGE OF COMPREHENSIVE CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. CARDIAC SERVICES INCLUDE BUT ARE NOT LIMITED TO: HI-TECH DIAGNOSIS AND INTERVENTION, CARDIAC CATHETERIZATION LAB, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, HEART SCANS AND HEART CHECKS, ANGIOPLASTY AND DRUG-ELUTING STENTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,013,812	ExpenseAmt
Grant	$17,280	GrantAmt
Revenue	$22,948,313	RevenueAmt
Desc	THE ALEGENT CREIGHTON HEALTH EMERGENCY DEPARTMENTS PROVIDE EXPERT TREATMENT FOR ADULTS AND CHILDREN. WHETHER IT'S A LIFE-THREATENING MEDICAL CONDITION OR HIGH FEVER, EXPERIENCED STAFF IS TRAINED AND READY TO HANDLE A WIDE RANGE OF EMERGENCY SITUATIONS. ALEGENT CREIGHTON HEALTH IS CONSTANTLY WORKING TO FIND NEW AND BETTER WAYS TO MAKE SURE EACH PATIENT RECEIVES THE BEST, MOST EFFICIENT EMERGENCY CARE POSSIBLE. THE EMERGENCY DEPARTMENT CONSISTENTLY SCORES IN THE HIGHEST PERCENTILE FOR QUALITY OF CARE, NURSE AND DOCTOR UNDERSTANDING AND CARING, AS WELL AS THE LEAST AMOUNT OF TIME PATIENTS SPEND WAITING FOR EMERGENCY CARE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$471,011,899	ExpenseAmt
Grant	$153,146	GrantAmt
Revenue	$203,380,284	RevenueAmt
Desc	ALEGENT CREIGHTON HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT CREIGHTON HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT CREIGHTON HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$471,011,899	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$153,146	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$203,380,284	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$538,510,605	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	24	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3400	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEANETTE WOJTALEWICZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4023434323	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1Txt
City	OMAHA	CityNm
State Abbreviation	NE	StateAbbreviationCd
ZIP	68154	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CLIFF ROBERTSON MD
Board Member/CEO CHI Health	5.0	45.0	Yes (X)	Yes (X)	$0	$2,055,384	$202,344
LARRY BUTLER
Treasurer	1.0	11.0	Yes (X)	Yes (X)	$0	$0	$0
FR JAMES CLIFTON SJ
Secretary	1.0	11.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD HERINK
BOARD CHAIR	1.0	12.0	Yes (X)	Yes (X)	$0	$0	$0
ROBERT LANIK
VICE CHAIR	1.0	11.0	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER BEATY MD
BOARD MEMBER	1.0	11.0	Yes (X)		$0	$0	$0
NATHANIEL BRACKETT MD
BOARD MEMBER	1.0	59.0	Yes (X)		$0	$0	$0
SUSANNE L HRUZA MD
BOARD MEMBER	1.0	11.0	Yes (X)		$0	$0	$0
ANTHONY JONES
BOARD MEMBER	1.0	59.0	Yes (X)		$0	$0	$0
JASON KRUGER MD
BOARD MEMBER	1.0	59.0	Yes (X)		$0	$307,842	$45,216
AMY L MCGAHA md
BOARD MEMBER	1.0	59.0	Yes (X)		$0	$330,726	$19,423
Thomas Murray PHD
BOARD MEMBER	1.0	11.0	Yes (X)		$0	$0	$0
BARRY SANDSTROM
Board Member	1.0	11.0	Yes (X)		$0	$0	$0
SISTER MAURITA SOUKUP
BOARD MEMBER	1.0	12.0	Yes (X)		$0	$0	$0
Bill T Yates
Board Member	1.0	11.0	Yes (X)		$0	$0	$0
GREGORY BECKMANN
PRESIDENT - PLAINVIEW HOSPITAL	50.0	0.0		Yes (X)	$178,441	$0	$23,745
KEVIN MILLER
PRESIDENT - LKS & MDL HOSPITAL	50.0	0.0		Yes (X)	$366,267	$0	$57,418
JEANETTE WOJTALEWICZ
CFO, CHI HEALTH	5.0	45.0		Yes (X)	$853,951	$0	$78,360
KATHY BRESSLER
CHIEF OPERATING OFFICER	10.0	40.0			$775,622	$0	$34,991	Yes (X)
STEVE HOUSTON
SVP STRATEGY AND TECHNOLOGY, PLANNING	10.0	40.0			$410,126	$0	$34,991	Yes (X)
NANCY WALLACE
SVP HR CHI HEALTH	10.0	40.0			$466,734	$0	$35,744	Yes (X)
CARY WARD MD
CHI HEALTH SVP CMO	10.0	40.0			$623,597	$0	$42,666	Yes (X)
ANN SCHUMACHER
PRESIDENT - IMC	0.0	50.0			$514,757	$0	$64,437		Yes (X)
MARIE KNEDLER
PRESIDENT - Bergan	0.0	50.0			$584,281	$0	$18,341		Yes (X)
KEVIN NOKELS
PRESIDENT - CUMC	0.0	50.0			$563,580	$0	$83,304		Yes (X)
MICHAEL SCHNIEDERS
COO/ President - Good Samaritan	0.0	50.0			$566,440	$0	$34,815		Yes (X)
DEREK VANCE
PRESIDENT - St. Elizabeth & NE Heart	0.0	50.0			$466,898	$0	$53,636		Yes (X)
PATRICIA MURDOCK-LANGAN MD
FORMER KEY EMPLOYEE	12.0	48.0			$402,936	$0	$19,579			Yes (X)
PATRICIA MASEK
FORMER KEY EMPLOYEE	19.0	41.0			$199,690	$0	$30,243			Yes (X)
ANN OASAN
FORMER KEY EMPLOYEE	56.0	4.0			$0	$410,627	$34,433			Yes (X)
MIKE WATTERS
FORMER KEY EMPLOYEE	10.0	50.0			$0	$326,548	$24,681			Yes (X)
DEVIN FOX MD
FORMER KEY EMPLOYEE	15.0	45.0			$306,254	$78,509	$26,295			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,279,574	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,509,636	TotReportableCompRltdOrgAmt
Total Other Compensation	$964,662	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	307	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Banyan Medical Systems LLC
4106 South 87 Street	OMAHA	NE	68127	Professional Services	$2,297,266
WALZ TETRICK ADVERTISING INC
5201 JOHNSON DRIVE	MISSION	KS	66205	ADVERTISING SERVICES	$2,281,560	STE 500
AMERITEX SERVICES
1321 S 20TH ST	OMAHA	NE	68108	LAUNDRY/LINEN SERVICES	$1,852,640
MBB Agency
5250 W 116 Pl	Leawood	KS	66211	Advertising Services	$1,151,750	Ste 200
Cross Pointe Innovations LLC
609 Olson Dr	Papillion	NE	68046	Communication Services	$1,098,992	3

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$150,649	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$1,262,397	RelatedOrganizationsAmt
Government Grants	$121,361	GovernmentGrantsAmt
All Other Contributions	$1,050,888	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$2,585,295	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net patient services	900099	$223,277,938	$223,277,938	$0	$0
Management Fees	541610	$7,228,898	$7,228,898	$0	$0
Pharmacy Services	446110	$55,732,299	$42,787,715	$12,944,584	$0
Medical Services	621300	$699,911	$651,127	$48,784	$0
Equity changes of unconsolidated orgs	900099	$15,232,486	$15,232,486	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$55,075	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$302,226,607	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,795,826	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,175	UnrelatedBusinessRevenueAmt
Exclusion	$1,786,651	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$6,052,787	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$6,280,814	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$228,027	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$228,027	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,758	UnrelatedBusinessRevenueAmt
Exclusion	-$282,785	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$843,425	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$6,086	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$843,425	SecuritiesAmt
Other	$6,086	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$837,339	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$837,339	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$132,820	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$104,234	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,586	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,586	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Wellness Services	900099	$1,660,448	$1,623,919	$36,529	$0
Reimbursement of Expenses	900099	$286,504,937	$561,256	$0	$285,943,681
Information Services	517000	$1,055,132	$1,007,132	$48,000	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,670,905	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$65,735	UnrelatedBusinessRevenueAmt
Exclusion	$2,605,170	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$291,891,422	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$599,137,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$292,370,471	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,207,565	UnrelatedBusinessRevenueAmt
Exclusion	$290,973,717	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$193,399	TotalAmt
Program Services	$193,399	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$26,756	TotalAmt
Program Services	$26,756	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,931,765	TotalAmt
Program Services	$3,735,177	ProgramServicesAmt
Management And General	$196,588	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$116,555,371	TotalAmt
Program Services	$110,727,602	ProgramServicesAmt
Management And General	$5,827,769	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,252,982	TotalAmt
Program Services	$4,990,333	ProgramServicesAmt
Management And General	$262,649	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,393,943	TotalAmt
Program Services	$15,574,246	ProgramServicesAmt
Management And General	$819,697	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,025,108	TotalAmt
Program Services	$7,623,853	ProgramServicesAmt
Management And General	$401,255	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$109,549,392	TotalAmt
Program Services	$104,071,922	ProgramServicesAmt
Management And General	$5,477,470	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,692,541	TotalAmt
Management And General	$2,692,541	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$207,946	TotalAmt
Program Services	$207,946	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$312,017	TotalAmt
Program Services	$296,416	ProgramServicesAmt
Management And General	$15,601	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,642,435	TotalAmt
Program Services	$15,701,856	ProgramServicesAmt
Management And General	$6,940,579	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,695,751	TotalAmt
Program Services	$4,460,964	ProgramServicesAmt
Management And General	$234,787	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,927,429	TotalAmt
Program Services	$11,331,057	ProgramServicesAmt
Management And General	$596,372	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$54,007,800	TotalAmt
Program Services	$51,307,410	ProgramServicesAmt
Management And General	$2,700,390	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,998,212	TotalAmt
Program Services	$12,348,301	ProgramServicesAmt
Management And General	$649,911	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,323,002	TotalAmt
Program Services	$1,256,852	ProgramServicesAmt
Management And General	$66,150	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$259,914	TotalAmt
Program Services	$246,918	ProgramServicesAmt
Management And General	$12,996	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,476,206	TotalAmt
Program Services	$2,476,206	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$26,482,836	TotalAmt
Program Services	$25,158,694	ProgramServicesAmt
Management And General	$1,324,142	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,096,295	TotalAmt
Program Services	$25,741,480	ProgramServicesAmt
Management And General	$1,354,815	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$567,476	TotalAmt
Program Services	$539,102	ProgramServicesAmt
Management And General	$28,374	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$78,218,014	$78,218,014
Intercompany Allocations	$41,181,915	$39,122,819	$2,059,096
Repairs and maintenance	$8,877,079	$8,433,225	$443,854
Miscellaneous Expenses	$7,635,772	$7,244,651	$391,121

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,808,586	TotalAmt
Program Services	$7,475,406	ProgramServicesAmt
Management And General	$333,180	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$571,339,942	TotalAmt
Program Services	$538,510,605	ProgramServicesAmt
Management And General	$32,829,337	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$498,415	BOYAmt
EOY	$1,280,061	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,418,705	BOYAmt
EOY	$38,835,846	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,461,489	BOYAmt
EOY	$9,998,611	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,707,533	BOYAmt
EOY	$4,584,907	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$523,148,894	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$215,492,617	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$303,743,003	BOYAmt
EOY	$307,656,277	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$67,697,266	BOYAmt
EOY	$69,400,605	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$47,053,265	BOYAmt
EOY	$44,864,559	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,074,076	BOYAmt
EOY	$85,074,076	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$404,256,040	BOYAmt
EOY	$335,827,334	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$956,909,792	BOYAmt
EOY	$897,522,276	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,065,204	BOYAmt
EOY	$250,244,484	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,192,126	BOYAmt
EOY	$1,453,893	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,820,252	BOYAmt
EOY	$14,814,472	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$447,822,943	BOYAmt
EOY	$209,336,325	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$522,900,525	BOYAmt
EOY	$475,849,174	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$434,009,267	BOYAmt
EOY	$421,673,102	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$434,009,267	BOYAmt
EOY	$421,673,102	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$956,909,792	BOYAmt
EOY	$897,522,276	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,797,106	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,589,716	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$41,722,987	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$207,946	FilingOrganizationsTotalAmt
Affiliated Group Total	$214,256	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$207,946	FilingOrganizationsTotalAmt
Affiliated Group Total	$214,256	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$538,302,659	FilingOrganizationsTotalAmt
Affiliated Group Total	$696,918,920	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$538,510,605	FilingOrganizationsTotalAmt
Affiliated Group Total	$697,133,176	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$218,349	CurrentYearMinus3Amt
Current Year Minus2	$211,736	CurrentYearMinus2Amt
Current Year Minus1	$198,809	CurrentYearMinus1Amt
Current Year	$214,256	CurrentYearAmt
Total	$843,150	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Current Year Minus1	$0	CurrentYearMinus1Amt
Current Year	$0	CurrentYearAmt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,158,636	BeginningYearBalanceAmt
Contributions	$660,929	ContributionsAmt
Investment Earnings Or Losses	$35,739	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$479,715	GrantsOrScholarshipsAmt
End Year Balance	$4,375,589	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,792,434	BeginningYearBalanceAmt
Contributions	$1,037,892	ContributionsAmt
Investment Earnings Or Losses	$17,211	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$688,901	GrantsOrScholarshipsAmt
End Year Balance	$4,158,636	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,974,504	BeginningYearBalanceAmt
Contributions	$599,535	ContributionsAmt
Investment Earnings Or Losses	$53,758	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$835,363	GrantsOrScholarshipsAmt
End Year Balance	$3,792,434	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,220,878	BeginningYearBalanceAmt
Contributions	$427,995	ContributionsAmt
Investment Earnings Or Losses	-$56,514	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$362,695	GrantsOrScholarshipsAmt
Other Expenditures	$255,160	OtherExpendituresAmt
End Year Balance	$3,974,504	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,068,085	BeginningYearBalanceAmt
Contributions	$657,034	ContributionsAmt
Investment Earnings Or Losses	$24,025	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$528,266	GrantsOrScholarshipsAmt
End Year Balance	$4,220,878	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,811,201	OtherCostOrOtherBasisAmt
Book Value	$27,811,201	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,869,029	OtherCostOrOtherBasisAmt
Depreciation	$34,312,474	DepreciationAmt
Book Value	$151,556,555	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,853,670	OtherCostOrOtherBasisAmt
Depreciation	$2,311,406	DepreciationAmt
Book Value	$542,264	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$261,720,135	OtherCostOrOtherBasisAmt
Depreciation	$175,534,025	DepreciationAmt
Book Value	$86,186,110	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,894,859	OtherCostOrOtherBasisAmt
Depreciation	$3,334,712	DepreciationAmt
Book Value	$41,560,147	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$307,656,277	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	CHI OIP	Desc
Book Value	$69,400,605	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$69,400,605	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
Assets Held for Future Expansion	$5,043,556
Intercompany Receivables	$330,783,778

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$335,827,334	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Other Liabilities
Payable from Related Parties
CHI Debt Program
Minimum Pension Liability
Long Term Notes Payable
Other Liabilities	$5,756,264
Payable from Related Parties	$157,868,241
Minimum Pension Liability	$45,661,918
Long Term Notes Payable	$49,902

Field	Value	IRS element (for citing)
Total Liability	$209,336,325	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

ENDOWMENT FUNDS ARE HELD BY CHI HEALTH FOUNDATION TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT CREIGHTON HEALTH.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Alegent Creighton Health's financial information is included in the consolidated audited financial statements of CommonSpirit Health, a related organization. CommonSpirit Health's FIN 48 (ASC 740) footnote for the year ended June 30, 2019, reads as follows: "CommonSpirit has established its status as an organization exempt from income taxes under the Internal Revenue Code Section 501(c)(3) and the laws of the states in which it operates, and as such, is generally not subject to federal or state income taxes. However, CommonSpirit's exempt organizations are subject to income taxes on net income derived from a trade or business, regularly carried on, which does not further the organizations' exempt purposes. No significant income tax provision has been recorded in the accompanying consolidated financial statements for net income derived from unrelated trade or business. CommonSpirit's for-profit subsidiaries account for income taxes related to their operations. The for-profit subsidiaries recognize deferred tax assets and liabilities for temporary differences between the financial reporting basis and the tax basis of their assets and liabilities, along with net operating loss and tax credit carryovers, for tax positions that meet the more-likely-than-not recognition criteria. Changes in recognition or measurement are reflected in the period in which the change in judgement occurs. Income tax interest and penalties are recorded as income tax expense. For the years ended June 30, 2019 and 2018, CommonSpirit's taxable entities recorded an immaterial amount of interest and penalties as part of the provision for income taxes. CommonSpirit's taxable entities did not have any material unrecognized income tax benefits as of June 30, 2019 and 2018. CommonSpirit reviews its tax positions quarterly and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements".

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	SCHOOL OF NURSING	SpecificServicesProvidedTxt
Region Total Expenditures	$212,729	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$212,729	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$212,729	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3(e) SUB-SAHARAN AFRICA	FormAndLineReferenceDesc
Explanation	ALEGENT CREIGHTON HEALTH HAS ONE DESIGNATED EMPLOYEE WHO IS THE LIAISON FOR THE HOSPITAL LOCATED IN TANZANIA. THE EMPLOYEE ASSISTS WITH THE PROGRAMS, SERVICES AND ACTIVITIES FOR THE HOUSES FOR HEALTH AND SCHOOL OF NURSING DEPARTMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	4062	PersonsServedCnt
Total Community Benefit Expns	$4,495,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,495,667	NetCommunityBenefitExpnsAmt
Total Expense	0.0079	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	4232	PersonsServedCnt
Total Community Benefit Expns	$17,633,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,538,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,094,606	NetCommunityBenefitExpnsAmt
Total Expense	0.0124	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	8294	PersonsServedCnt
Total Community Benefit Expns	$22,129,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,538,925	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,590,273	NetCommunityBenefitExpnsAmt
Total Expense	0.0203	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	12041	PersonsServedCnt
Total Community Benefit Expns	$582,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,009	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$534,440	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1059	PersonsServedCnt
Total Community Benefit Expns	$470,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$470,289	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$674,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$372,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$301,780	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$23,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,589	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	9960	PersonsServedCnt
Total Community Benefit Expns	$148,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,717	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,169	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	56	ActivitiesOrProgramsCnt
Persons Served	23060	PersonsServedCnt
Total Community Benefit Expns	$1,899,433	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$434,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,465,267	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	56	ActivitiesOrProgramsCnt
Persons Served	31354	PersonsServedCnt
Total Community Benefit Expns	$24,028,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,973,091	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,055,540	NetCommunityBenefitExpnsAmt
Total Expense	0.0229	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$300	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$16,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,712	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$485	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$12,370	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,370	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	500	PersonsServedCnt
Total Community Benefit Expns	$29,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$20,790,245	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$47,804,471	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$101,480,566	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$53,676,095	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
LAKESIDE AMBULATORY SURGICAL CENTER LLC
AMBULATORY SURGICAL CENTER	0.6037	0.3963
LAKESIDE ENDOSCOPY CENTER LLC
AMBULATORY SURGICAL CENTER	0.5337	0.4663
NEBRASKA SPINE LLC
SPINE HOSPITAL	0.51	0.44
BERGAN MERCY SURGICAL CENTER
AMBULATORY SURGICAL CENTER	0.5333	0.4667

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
CHI HEALTH MIDLANDS
1	11111 S 84TH ST	PAPILLION	NE	68046	www.chihealth.com	680001	Yes (X)	Yes (X)	Yes (X)	A
CHI HEALTH PLAINVIEW
2	704 N 3RD STREET	PLAINVIEW	NE	68769	www.chihealth.com	620002	Yes (X)		Yes (X)	B	Yes (X)
CHI HEALTH LAKESIDE
3	16901 LAKESIDE HILLS COURT	OMAHA	NE	68130	www.chihealth.com	H000106	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	FacilityFacilityNum	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd
A
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.CHIHEALTH.COM/CHNA	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	300.0	300.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
B
false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.CHIHEALTH.COM/CHNA	Yes (X)	Yes (true)	19	false	Yes (true)	false	Yes (true)	Yes (X)	300.0	300.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	2	Yes (X)

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - Group A. Through the PRC CHNA process, input was gathered from a wide variety of individuals whose organizations work with low-income, minority populations (including African-American, American Indian, Asian, asylees, Bhutanese, Burmese, Caucasian/White, child welfare system, children, disabled, elderly, ESL, hearing impaired, Hispanic, homeless, immigrants/refugees, interracial families, Karen, LGBT, low-income, Medicaid, mentally ill, Middle Eastern, minorities, Muslim refugees, Nepali refugees, non-English speaking, North and South Omaha, residents of the suburbs, retired, rural, single-parent families, Somalian, Southeast Asian, Sudanese, teen pregnancy, underserved, undocumented, uninsured/underinsured, veterans, Vietnamese, women and children, working professionals), or other medically underserved populations (including African-Americans, AIDS/HIV, autistic, Caucasian/white, children (including those with incarcerated parents and those of parents with mental illness), disabled, domestic abuse and sexual assault victims, elderly, ex-felons and recently incarcerated, Hispanic, homeless, immigrants/refugees, lack of transportation, LGBT, low-income, Medicaid/Medicare, mentally ill, minorities, non-English speaking, North and South Omaha, prenatal, substance abusers, undocumented, uninsured/underinsured, veterans, victims of violence, WIC clients, women and children, young adults). This input was gathered primarily through the Key Informant Survey as described in the PRC Methods section of the full CHNA report. Additional community input was collected at the Live Well Omaha Changemaker Summit on November 5, 2018, cosponsored by the local area hospital systems- CHI Health, Methodist Health System, Children's Hospital & Medical Center and Nebraska Medicine- along with several other public health and social service organizations. Over 160 stakeholders participated in a data presentation facilitated by PRC. The summit concluded with a community voting session to derive focused priorities for the community health improvement plan. The Changemaker Summit community voting priorities are listed in the Prioritization Process. CHI Health then used the community input from the CHNA and Changemaker Summit to inform top priorities for each hospital implementation plan.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - Group A. CHI Health Nebraska Medicine Methodist Health System
Schedule H, Part V, Section B, Line 6b Facility A, 1	Facility A, 1 - Group A. Douglas County Health Department Live Well Omaha Pottawattamie County Public Health Department Sarpy/Cass County Department of Health and Wellness Charles Drew Health Center Omaha Community Foundation One World Community Health Centers, Inc. United Way of the Midlands
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - Group A. The most recent CHNA and corresponding implementation plan was completed in the tax reporting year 2018. The following outlines the current implementation plan priorities and strategies. This plan was posted publicly on www.chihealth.com/chna. A joint Community Health Needs Assessment was completed on behalf of the five Omaha Metro CHI Health hospitals (CUMC Bergan, Immanuel, Lakeside, Mercy Council Bluffs, and Midlands and one psychiatric inpatient facility (Lasting Hope Recovery Center), in partnership with the Health Departments of Douglas, Sarpy/ Cass and Pottawattamie and other local non-profits to satisfy regulatory compliance. The community identified the following priorities as top health needs through a review of primary data collected via the Community Health Survey and Key Informant Survey and additional community input sessions. A comprehensive examination of existing secondary data was completed and reviewed during the CHNA process for the Omaha Metro Area by PRC at the direction of the Douglas County Health Department, Sarpy/ Cass Department of Health and Wellness, Pottawattamie County Public Health Department and sponsoring health care organizations. A list of utilized sources can be found in the PRC complete report in the Appendix of the CHNA. In order to analyze data and determine priorities, standardized data was used for benchmarking, where appropriate. This was accomplished by reviewing trend data provided by PRC from previous Community Health Needs Assessments, Nebraska and Iowa Risk Factor Data, Nationwide Risk Factor Data, and Healthy People 2020. Top Health Needs (from 2018 CHNA): 1. Access to Healthcare Services 2. Cancer 3. Dementia & Alzheimer's Diseases 4. Diabetes 5. Heart Disease and Stroke 6. Injury and Violence 7. Mental Health 8. Nutrition, Physical Activity & Weight 9. Respiratory Diseases 10. Sexually Transmitted Diseases 11. Substance Abuse For this joint implementation strategy plan the hospital prioritized the following health needs. They represent strategies the hospital will either lead or participate in jointly with other CHI Health hospitals, (designated as a 'system' strategy below). Only strategies that are led or co-led by CHI Health Lakeside or CHI Health Midlands are reported below. Priority health needs and strategies are numbered to align with the published joint implementation plan at www.chihealth.com/chna: Priority Health Need #1: Behavioral Health To address this need the hospital will implement the following strategies in 2019-2021: Provide support for individuals with Alzheimer's/ dementia and their caregivers (Lakeside/ system) Participate in the Sarpy County Mental Health Problem-Solving Task Force (Midlands) Support a tobacco coalition at CHI Health Midlands that leads policy, systems and environmental changes that reduce the burden of tobacco usage in the Omaha Metro Lead policy/ advocacy efforts that expand access to behavioral health services (system) Priority Health Need #2: Social Determinants of Health To address this need the hospital will implement the following strategies in 2019-2021: Financial support and promotion of Double Up Food Bucks, a Supplemental Nutrition Assistance Program (SNAP) incentive program (system) Siembra Salud- 'Grow Wellness' a backyard garden, home visiting and education program designed to increase food access for low-income Latino residents in East Omaha (system) Support Farmer's Markets nutrition education programs (system) Provide funding and in-kind support for the implementation of the Share Our Table food security plan in the Omaha Metro (system) Develop and test screening and referral processes for social needs (system) Participate in internal and external Workforce Development efforts (e.g. Step Up summer internship program, Career Academy and Empowerment Network financial support) (system) Priority Health Need #3: Violence Prevention & Intervention To address this need the hospital will implement the following strategies in 2019-2021: Expand the Forensic Nurse Examiner Program (formerly SANE) (system) Align with state- level efforts to identify victims of human trafficking in healthcare settings and provide support resources (system) *Explore ongoing opportunities to promote Trauma Informed Care practices and align with Trauma Informed City Initiative (system) The hospital will not address the following health needs for the following reasons: Access to Healthcare Services- Access to care is a fundamental component of CHI Health's mission and strategy. This issue was not elevated to a priority for this particular plan because the intent was to identify additional strategies and initiatives that reach above and beyond CHI Health's typical business. For example, CHI Health has continued to expand its portfolio of primary care access points including extended clinic hours, Priority Care services (walk-in care), Quick Care, Virtual Care, and partnering with MedExpress for urgent care. Additional programs like MD Save, which allows patients to pre-purchase certain services at a discounted price, and the Medication Access Program (a prescription medication financial assistance program), are working to lower the cost of care to the consumer. In addition to providing the majority of care to the uninsured and underinsured in the Omaha Metro Area, CHI Health will continue to address access to healthcare services through financial support provided to the Magis Clinic, Hope Medical, federally qualified health centers- Charles Drew and One World Community Health Center- and through free health screenings and immunization clinics in the community. Cancer- CHI Health did not prioritize cancer as a top health need in order to focus and meaningfully impact other areas of need. The prioritized health needs above represent a concerted effort to focus on upstream efforts that may impact an individual's cancer risk, particularly lifestyle factors such as alcohol and substance abuse. CHI Health will continue to perform existing cancer outreach throughout the community and financially support community partners such as the American Cancer Society, the Nebraska Cancer Coalition and Project Pink'd. Additionally, CHI Health Clinics are working to increase utilization of HPV vaccination to prevent cervical cancer. Dementia and Alzheimer's Diseases- This need will be met through the behavioral health priority, which identifies, "providing support for individuals with Alzheimer's/ dementia and their caregivers" as a key activity. In addition, CHI Health Immanuel operates an inpatient and outpatient geriatric psychiatry program and recently opened a Neurological Institute. CHI Health provides financial support to the Nebraska Alzheimer's Association for free care consultation for families with a loved one who has recently received a dementia/ Alzheimer's diagnosis. Diabetes- CHI Health did not prioritize diabetes in order to focus and meaningfully impact other areas of need. CHI Health will continue performing diabetes outreach and education across the Omaha Metro Area, including through the integration of Certified Diabetes Educators into primary care clinics. See also Nutrition, Physical Activity & Weight Status for related activities. Heart Disease and Stroke- While this need was not prioritized specifically, the focus on substance abuse through the behavioral health priority will have an impact on behavioral risk factors for heart disease and stroke, such as alcohol and substance abuse. Additionally, CHI Health offers programming designed to mitigate risk factors for heart disease and stroke through Heart and Sole/ Heart Failure 101 and offering heart healthy cooking classes. CHI Health is a financial supporter of the American Heart Association. Nutrition, Physical Activity and Weight- This need will be addressed in part through the food access strategy under the Social Determinants of Health priority. There is significant existing work within CHI Health and the community to address nutrition, physical activity and weight status, such as the Healthy Families program, 5-4-3-2-1 Go!, Live Well Omaha, and free "Get Cooking!" classes offered at CHI Health Lakeside and CHI Health Midlands. Additionally, CHI Health provides financial support and in-kind contributions to organizations committed to this work, such as: City Sprouts, Big Garden/ "Gather" Mobile Kitchen Classroom, Live Well Omaha and the YMCA. Respiratory Diseases- CHI Health did not prioritize respiratory diseases in order to focus and meaningfully impact other areas of need. CHI Health will continue to provide the Breathe Better with COPD program, fiscal sponsorship and in- kind support of Tobacco Education and Advocacy of the Midlands (TEAM) and participate in community health fairs, offering free spirometry testing.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - Group A. Sexually Transmitted Diseases- There is extensive existing work by community partners currently taking place around sexually transmitted diseases across the Omaha Metro area. Therefore, this is not an area that CHI Health prioritized. However, as mentioned in the Cancer section above, CHI Health Clinics are focusing on HPV vaccination for the prevention of cervical cancer.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - Group A. The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. The patient must submit a completed Financial Assistance application. Patient Cooperation Standards - A patient must exhaust all other payment options, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third-parties prior to being approved. An applicant for Financial Assistance is responsible for applying to public programs for available coverage. He or she is also expected to pursue public or private health insurance payment options for care provided by a CHI Hospital Organization within a Hospital Facility. A patient's and, if applicable, any Guarantor's cooperation in applying for applicable programs and identifiable funding sources, including COBRA coverage (a federal law allowing for a time-limited extension of employee healthcare benefits), shall be required. If a Hospital Facility determines that COBRA coverage is potentially available, and that a patient is not a Medicare or Medicaid beneficiary, the patient or Guarantor shall provide the Hospital Facility with information necessary to determine the monthly COBRA premium for such patient, and shall cooperate with Hospital Facility staff to determine whether he or she qualifies for Hospital Facility COBRA premium assistance, which may be offered for a limited time to assist in securing insurance coverage. A Hospital Facility shall make affirmative efforts to help a patient or patient's Guarantor apply for public and private programs.
Schedule H, Part V, Section B, Line 5 Facility B, 1	Facility B, 1 - Group B. Community input was gathered through the Mobilizing for Action through Planning and Partnerships (MAPP) process facilitated by the North Central District Health Department (NCDHD). Community input is an important aspect of all four MAPP assessments, and all findings were validated through additional community input. Specific populations at higher health risk or that have poorer health outcomes were identified in this community as low-income, low-education, Hispanic, Native American, and elderly residents. In addition to using existing relationships with organizations who work with these populations to distribute targeted community surveys, representatives from these organizations also participated in community meetings throughout the assessment process. Representatives of all four special populations were included on invitations to every community meeting.
Schedule H, Part V, Section B, Line 6a Facility B, 1	Facility B, 1 - Group B. Antelope Memorial Hospital Avera Creighton Hospital Avera St. Anthony's Hospital Brown County Hospital Osmond General Hospital
Schedule H, Part V, Section B, Line 6b Facility B, 1	Facility B, 1 - Group B. The North Central District Health Department (NCDHD) conducted the CHNA while other organizations participated in the CHNA process. Please see CHNA report for complete list of participating partners.
Schedule H, Part V, Section B, Line 7 Facility B, 1	Facility B, 1 - Group B. Data provided by the NCDHD 2019 CHNA was presented to CHI Health hospital administration, Community Benefit teams, and community groups for validation of needs. All parties who reviewed the data found the data to accurately represent the needs of the community.
Schedule H, Part V, Section B, Line 11 Facility B, 1	Facility B, 1 - Group B. The most recent CHNA and corresponding implementation plan was completed in the tax reporting year 2018. The following outlines the current implementation plan priorities and strategies. This plan is posted publicly on www.chihealth.com/chna. The community identified the following priorities as top health needs through a MAPP process. Six needs were originally identified by NCDHD, and CHI Health prioritized the same needs as the community based on existing initiatives, potential for impact, and the interest of the community. Top Health Needs (from 2018 CHNA): 1. Aging 2. Mental Health 3. Nutrition, Physical Activity, & Weight 4. Screening for Chronic Disease 5. Substance Abuse 6. Youth Behaviors For this plan the hospital prioritized the following health needs: Priority Health Need #1: Behavioral Health (includes Mental Health and Substance Abuse) To address this need the hospital will implement the following strategies in 2019-2021: Support internal and external efforts to promote mental health services and reduce substance abuse through early intervention and education by sustaining a behavioral health coalition to address behavioral health issues and connect service providers Priority Health Need #2: Chronic Disease Prevention, Detection and Management (includes Nutrition, Physical Activity & Weight Status) To address this need the hospital will implement the following strategies in 2019-2021: Expand access to healthy foods and recreational opportunities and increase awareness of risk factors for chronic disease by aligning hospital efforts and financial support with Pierce County community partners. The hospital will not address the following health needs for the following reasons: In acknowledging the range of priority health issues that emerged from the CHNA process, CHI Health Plainview prioritized the health issues above in order to most effectively focus resources and meaningfully impact the selected health issues. The hospital took into consideration existing partnerships, available resources, the hospital's level of expertise, existing initiatives (or lack thereof), potential for impact, and the community's interest in the hospital engaging in that area in order to select the priorities. CHI Health Plainview selected the same top health needs as identified by the community and will address each of those needs as described in the section above.
Schedule H, Part V, Section B, Line 13 Facility B, 1	Facility B, 1 - Group B. The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. The patient must submit a completed Financial Assistance application. Patient Cooperation Standards - A patient must exhaust all other payment options, including private coverage, federal, state and local medical assistance programs, and other forms of assistance provided by third-parties prior to being approved. An applicant for Financial Assistance is responsible for applying to public programs for available coverage. He or she is also expected to pursue public or private health insurance payment options for care provided by a CHI Hospital Organization within a Hospital Facility. A patient's and, if applicable, any Guarantor's cooperation in applying for applicable programs and identifiable funding sources, including COBRA coverage (a federal law allowing for a time-limited extension of employee healthcare benefits), shall be required. If a Hospital Facility determines that COBRA coverage is potentially available, and that a patient is not a Medicare or Medicaid beneficiary, the patient or Guarantor shall provide the Hospital Facility with information necessary to determine the monthly COBRA premium for such patient, and shall cooperate with Hospital Facility staff to determine whether he or she qualifies for Hospital Facility COBRA premium assistance, which may be offered for a limited time to assist in securing insurance coverage. A Hospital Facility shall make affirmative efforts to help a patient or patient's Guarantor apply for public and private programs.

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ACH-PLAINVIEW RURAL HEALTH CLINIC
704 N 3RD STREET	PLAINVIEW	NE	68769	RURAL HEALTH CLINIC
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLAZA	OMAHA	NE	68130	ENDOSCOPY CENTER
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	AMBULATORY SURGICAL CENTER
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY RD	OMAHA	NE	68124	AMBULATORY SURGICAL CENTER
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREET	OMAHA	NE	68122	SPINE HOSPITAL
CHI HEALTH QUICK CARE LLC
12809 W DODGE RD	OMAHA	NE	68154	QUICK CARE
CHI HEALTH AMBULATORY SURGERY CENTER AT MIDLANDS
11111 S 84TH ST	PAPILLION	NE	68046	AMBULATORY SURGICAL CENTER
CHI HEALTH CLINIC PLAINVIEW
704 NORTH 3RD ST	PLAINVIEW	NE	68769	RURAL HEALTH CLINIC
CHI HEALTH LAKESIDE IMAGING CENTER
17201 Lakeside Hills Pl STE 107	Omaha	NE	68130	DIAGNOSTIC IMAGING CENTER
CHI HEALTH NURSING HOME NETWORK
12809 West Dodge Rd	OMAHA	NE	68154	HOME CARE AND HOSPICE
CHI HEALTH WEST OMAHA IMAGING CENTER
17201 WRIGHT ST STE 100	OMAHA	NE	68130	DIAGNOSTIC IMAGING CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA	Unless eligible for Presumptive Financial Assistance, the following eligibility criteria must be met in order for a patient to qualify for Financial Assistance: * The patient must have a minimum account balance of thirty-five dollars ($35.00) with the CHI Hospital Organization. Multiple account balances may be combined to reach this amount. Patients/Guarantors with balances below thirty-five dollars ($35) may contact a financial counselor to make monthly installment payment arrangements. * The patient's Family Income must be at or below 300% of the FPG. * The patient must comply with Patient Cooperation Standards as described [in the FAP]. * The patient must submit a completed Financial Assistance application. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. In particular, presumptive eligibility may be determined on the basis of individual life circumstances that may include: * Recipient of state-funded prescription programs; * Homeless or one who received care from a homeless clinic; * Participation in Women, Infants and Children programs (WIC); * Food stamp eligibility; * Subsidized school lunch program eligibility; * Eligibility for other state or local assistance programs (e.g., Medicaid spend-down); * Low income/subsidized housing is provided as a valid address; or * Patient is deceased with no known estate.
Schedule H, Part VI, Line 5 Promotion of Community Health (continued)	* African American Empowerment Network-support of the Step Up summer jobs program, a workforce development and violence prevention initiative serving a typically low-income part of the community. * United Way-provided funding to support increased access to physical and behavioral health services in the community. * Big Garden-provided support for farmer's market tours and community education focused on low-income residents. * Mills County Public Health-provided funding for Family Matters Substance Abuse Prevention Project to support families dealing with substance abuse in Mills County - supports fathers, mothers, and children separately and as a whole family unit through regular gatherings. * Together-provided grant funds to launch a case referral program in partnership with CHI Health. Together will provide an on-site case manager for patents identified as homeless and develop housing and community transition plans and support for post-discharge. * Southwest Iowa Breastfeeding Coalition-provided funding that supports the purchase and distribution of over 40 breast pumps through WIC, for mothers on Medicaid - Iowa Medicaid does not reimburse for breast pumps. * Women's Center for Advancement-contributed to the Safety Service program serving survivors of domestic and sexual assault and human trafficking. * Southwest YMCA-provided support for Aging Older Adult membership program that subsidizes seniors' membership costs and allows access into Silver Sneakers and other age-appropriate wellness programs designed to improve strength and increase social connectedness. * Provided support for NAPSACC, and evidence-based program to improve healthy eating and physical activity practices and policies in early childhood programs, part of the Douglas County CHIP objectives.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1144980
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING WORKSHEET 2 TO COMPUTE THE COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS.
Schedule H, Part II Community Building Activities	CHI Health has a history of centralized community benefit investments, as well as hospital specific investments that address community health needs which include support of local health coalitions, investments in partnerships and programs that address top community health needs, participation in local committees and boards tied to top health needs, and investments in many other ways as described in other areas of the Schedule H narrative. Below are specific examples of work that falls within the definition of community building activities. These activities are critical in helping build social, health, and economic opportunities in our community that ultimately drive health status and quality of life for our residents: * Workforce development-the following activities work to strengthen the community's capacity to promote the health and well-being of our residents by driving entry into healthcare careers: -Healthcare career exploration camp-day camp funded by CHI Health for students grades 10-12 to give them the opportunity to explore a variety of healthcare professions -Future Health Professionals (HOSA) Event-23 staff educated 450 students on 10 different careers in healthcare -Explorers Program-staff educated students on diagnostic healthcare careers -Presentations to high school students about healthcare careers * Community and economic development including support of local Chambers of Commerce
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 41.65%. When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as bad debt expense.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Alegent Creighton Health does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Alegent Creighton Health does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of CommonSpirit Health. The consolidated footnote reads as follows: CommonSpirit relies on the results of detailed reviews of historical write-offs and collections in estimating the collectability of accounts receivable. Updates to the hindsight analysis is performed at least quarterly using primarily a rolling eighteen-month collection history and write-off data. Subsequent changes to estimates of the transaction price are generally recorded as adjustments to net patient revenue in the period of change. Subsequent changes that are determined to be the result of an adverse change in a third-party payor's ability to pay are recorded as bad debt expense in purchased services and other in the accompanying consolidated statements of operations and change in net assets. Bad debt expense for 2019 was not significant.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Alegent Creighton Health's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $47,804,471 Total Medicare costs: $101,480,566 Surplus or Shortfall: ($53,676,095) Alegent Creighton Health believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	The organization's billing and collections policy applies to all individuals presenting for emergency or other medically necessary care. The policy contains provisions for collecting amounts due from those patients who the organization knows to qualify for financial assistance either through the traditional financial assistance application process or through presumptive eligibility processes. Before engaging in extraordinary collection actions (ECAs) to obtain payment for EMCare, Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether an individual is eligible for Financial Assistance. In no event will an ECA be initiated prior to 120 days from the date the Facility provides the first post-discharge billing statement (i.e., during the Notification Period) unless all reasonable efforts have been made. Hospital Facilities will not refer accounts for collection where the patient has initially applied for Financial Assistance, and the Hospital Facility has not yet made reasonable efforts with respect to the account. For patients and Guarantors who are unable to provide required documentation, a Hospital Facility may grant Presumptive Financial Assistance based on information obtained from other resources. Patients who qualify for Medicaid are presumed to qualify for full charity write off. Any charges for days or services written off (excluding Medicaid denials related to timeliness of billing, insufficient medical record documentation, missing invoices, authorization, or eligibility issues) as a result of a Medicaid are booked as charity. Some Medicaid plans offer coverage for a limited or restricted list of services. If a patient is eligible for Medicaid, any charges for days or services not covered by the patient's coverage may be written off to charity without a completed application. This does not include any Share of Cost (SOC) or other patient cost-sharing amounts such as deductibles or copayments, as such costs are determined by the state to be an amount that the patient must pay before the patient is eligible for Medicaid. Health and Human Services (HSS) uses the term "Spend Down" instead of Share of Cost. All collection activities conducted by the Facility, a Designated Supplier, or its third-party collection agents will be in conformance with all federal and state laws governing debt collection practices. All third-party agreements governing collection and recovery activities must include a provision requiring compliance with the hospital facilities' financial assistance and billing and collections policy and indemnification for failures as a result of its noncompliance. This includes, but is not limited to, agreements between third parties who subsequently sell or refer debt of the Hospital Facility.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHI HEALTH MIDLANDS: Line 16a URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: Line 16a URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHI HEALTH MIDLANDS: Line 16b URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: Line 16b URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHI HEALTH MIDLANDS: Line 16c URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE; B - CHI HEALTH PLAINVIEW: Line 16c URL: WWW.CHIHEALTH.COM/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	The process of identifying the community health needs across the Omaha Metro Area was accomplished by using data and community input from processes led by Professional Research Consultants, Inc. * Professional Research Consultants, Inc. (PRC) is a third-party agent contracted by local health systems and local health departments ( see list below) to conduct the Community Health Needs Assessment for a four-county area, referred to as the Omaha Metro Area that includes Douglas, Sarpy, and Cass Counties, Nebraska, and Pottawattamie County, Iowa. PRC is a nationally recognized healthcare consulting firm with extensive experience conducting CHNAs across the United States since 1994. Along with several other community stakeholders, CHI Health was an active key health partner working with PRC to design, implement, and review the data. The Omaha Metro Area CHNA, conducted by PRC, utilized both primary and secondary data collected through the PRC Community Health Survey (primary); Online Key Informant Survey (primary); and public health, vital statistics, and other data collection (secondary). Please reference the complete CHNA for more in-depth details regarding the CHNA process. Under the direction of the NCDHD, the 2019 Community Health Needs Assessment was completed for the nine counties in the North Central Health District. This assessment was conducted in partnership with multiple agencies within the district and will be the basis for the Community Health Improvement Plan (CHIP). It is the goal of the 2019 NCDHD Community Health Needs Assessment to describe the health status of the population, identify areas for health improvement, determine factors that contribute to health issues, and identify assets and resources that can be mobilized to address public health improvement. The CHNA process was accomplished by utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) strategy led by the North Central District Health Department (NCDHD). * North Central District Health Department (NCDHD) is a state-approved district health department that serves nine rural Nebraska counties-Antelope, Boyd, Brown, Cherry, Holt, Keya Paha, Knox, Pierce, and Rock (NCHD). NCDHD has been state-approved as a multi-county public health department, a government body at the county level, since December 2001, providing education and services to the nine-county area. NCDHD completed a Community Health Needs Assessment for all nine counties within their district. This assessment can be found online at http://www.ncdhd.ne.gov. * GIS and Human Dimensions, LLC- NCDHD and the partnering district hospitals contracted with GIS and Human Dimensions, LLC, to assemble this assessment of public health and community well-being under the provision of NCDHD, based largely upon data collected through the process of Mobilizing for Action through Planning and Partnerships (MAPP). The MAPP process is based on four assessments that provide critical insight into the health challenges and opportunities confronting the community. The assessments and the issues addressed in the assessments are listed in the MAPP Methods section of the 2019 NCDHD Community Health Needs Assessment (see the Appendix for an Executive Summary and a link to the full report). MAPP was chosen, in part, because the process allows for input from parties who represent broad interests in the communities. Input from diverse sectors involved in public health, including medically underserved, low-income, minority populations and individuals from diverse age groups, was obtained through surveys and targeted focus groups by way of invitations to community leaders and agencies.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Notification about the availability of Financial Assistance from CHI Hospital Organizations shall be disseminated by various means, which may include, but not be limited to: * Conspicuous publication of notices in patient bills; * Notices posted in emergency rooms, urgent care centers, admitting/registration departments, business offices, and at other public places as a Hospital Facility may elect; and * Publication of a summary of this Policy on the Hospital Facility's website, www.catholichealth.net, and at other places within the communities served by the Hospital Facility as it may elect. Such notices and summary information shall include a contact number and shall be provided in English, Spanish, and other primary languages spoken by the population served by an individual Hospital Facility, as applicable. Referral of patients for Financial Assistance may be made by any member of the CHI Hospital Organization non-medical or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for assistance may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws. In addition, Hospital registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for assistance under the Financial Assistance Policy. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Once it is determined that the patient does not qualify for any third party funding, the patient is verbally notified about the existence of Financial Assistance Application and additional screening takes place by a Hospital employee to determine if the patient is eligible for charity service prior to discharge. 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, the plain language summary of that policy, and an application for assistance. Hospital registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Patients that have been discharged prior to charity screening, such as emergency room patients, receive a written notification of possible eligibility for services. If the patient is determined not to be eligible for government assistance, he/she may notify the hospital that they seek charity assistance. The appropriate charity form is sent to the patient/guarantor for completion and then returned to the hospital for evaluation and qualification. Once determination of eligibility is made, the patient is sent a notice informing him/her if they qualify for full, partial, or no charity care services. Hospital Facilities must make reasonable efforts through its billing and collections processes, pursuant to Treas. Reg. §1.501(r)-6(c), to determine whether any individual is eligible for Financial Assistance.
Schedule H, Part VI, Line 4 Community information	CHI Health Lakeside and CHI Health Midlands are located in Omaha and Papillion, NE, respectively. They largely serve the Omaha Metro Area that consists of Douglas, Sarpy, and Cass Counties in Nebraska and Pottawattamie County in Iowa. These four counties were identified as the community for this CHNA, as they encompass the primary service for CHI Health hospitals located in the Omaha Metro Area, thus covering between 75% and 90% of patients served. These counties are considered to be and referred to as the "Omaha Metro Area." The Omaha Metro Area is a largely White population (83.1%, independent of ethnicity) with a total population of over 800,000 residents. A total of 10.5% of Metro Area residents are Hispanic or Latino and 8.3% of all Omaha Metro Area residents are Black. The data show a largely Non-Hispanic White population across the four counties with greater diversity observed in Douglas County and to a lesser extent, Sarpy County, both of which are the most urban counties in the Omaha Metro Area. While Douglas County is the most diverse of the four counties, with 11% of the population identifying as Black or African American and 12% identifying as Hispanic, it is less diverse than the United States overall (13.4% Black or African American, 18.1% Hispanic). Cass County has the largest percentage of the population over the age of 65 years (16%). Douglas County: identified as the most diverse county in the service area, Douglas County's population largely consists of 80.24% Non-Hispanic White residents, 12.0% Hispanic residents, and 11.17% Black or African American residents. * Population: 543,253 residents * 25.88% of population is below 18 years of age and 11.54% are 65 years or older * Median household income is $56,003 * Persons in poverty is 14% * Children in poverty is 15% * Unemployment rate is 3.5 * High School graduation rate is 85% * 72% of residents have some college education * 9% of the population is uninsured, with 4.0% of children (under the age of 19) being uninsured Sarpy County: As the second most populated county, Sarpy County's population largely consists of 89.88% Non-Hispanic White residents, 8.41% Hispanic, and 4.07% Black or African American. Sarpy County boasts the highest median household income, lowest unemployment rate, and the highest rate for high school graduation. * Population: 172,460 residents * 28.14% of population is below 18 years of age and 10.22% are 65 years or older * Median household income is $72,269 * Persons in poverty is 6.2% * Children in poverty is 6% * Unemployment rate is 3.0 * High School graduation rate is 94% * 81% of residents have some college education * 6% of the population is uninsured, with 3.7% of children (under the age of 19) being uninsured Cass County: Cass County is the least diverse of the counties with 97.29% of the population being Non-Hispanic White. Cass County has the second highest unemployment rate, the second highest high school graduation rate and the highest percentage of children who are uninsured. * Population: 25,463 residents * 24.44% of population is below 18 years of age and 16.0% are 65 years or older * Median household income is $65,385 * Persons in poverty is 7.03% * Children in poverty is 10% * Unemployment rate is 4.0 * High School graduation rate is 93% * 73% of residents have some college education * 7% of the population is uninsured, with 4.6% of children (under the age of 19) being uninsured Pottawattamie County: the only county in Iowa, Pottawattamie County's population consists of 95.63% of the population being Non-Hispanic White, 7.24% Hispanic, and 1.45% Black or African American. Pottawattamie has the lowest percentage of uninsured children (2.7%) and the lowest median household income of the four counties ($53,260). * Population: 93,198 residents * 23.68% of population is below 18 years of age and 15.7% are 65 years or older * Median household income is $53,620 * Persons in poverty is 11.76% * Children in poverty is 15% * Unemployment rate is 4.2 * High School graduation rate is 90% * 63% of residents have some college education * 6% of the population is uninsured, with 2.7% of children (under the age of 19) being uninsured CHI Health Plainview is located in Plainview, NE and largely serves the Pierce County area. Pierce County was identified as the community for this CHNA, as it is the primary service area for CHI Health Plainview. Plainview, NE is located 141 miles from Omaha, NE and 100.6 miles from Sioux City, IA. According to the most recent census estimates, Pierce County is 100% rural, encompasses 573 square miles and has 7,179 residents. Pierce County: 24.8% of residents were below the age of 18 in 2017 19.1% residents were over the age of 65 in 2017 Pierce County median household income: $66,121 Hispanic Population: According to the data Pierce County's Hispanic population accounts for only 1.6% of the population while non-Hispanic white residents account for 98.4% of the population 9.5% of Pierce County residents live below the 200% FPL County unemployment rate is 2.3% High School graduation rate is 93.1% Uninsured population living in Pierce County is 7.87%
Schedule H, Part VI, Line 5 Promotion of community health	The organization's hospital facility(ies) promote health for the benefit of the community. Medical staff privileges in the hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The organization's hospital facility(ies) have an open medical staff. Its board of trustees is composed of prominent citizens in the community. Excess funds are generally applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. The facility(ies) treat persons paying their bills with the aid of public programs like Medicare and Medicaid. All patients presenting at the hospital for emergency and other medically necessary care are treated regardless of their ability to pay for such treatment. CHI Health has a history of centralized community benefit and hospital specific community benefit investments to address community health needs of the particular service area. Examples of how CHI Health furthers its exempt purpose by promoting the health of the community include: * Financial Assistance and Unpaid costs of Medicaid * Community health improvement services- -Community education, classes and programs (Dementia, community behavioral health support and education, diabetes, cancer, physical activity and healthy eating and cooking) -Support groups (breastfeeding, cancer, bereavement, youth, etc.) -Community health fairs and screenings -School based healthcare services -Immunization Program-provided staff and funding to administer 631 immunizations to 288 uninsured and underinsured children and adults from Sarpy and Cass Counties -Mental Health Hotline-staff and operate 717-HOPE mental health hotline for anyone in the community to access. This program averages over 5,000 phone calls per month from community members in need. Parish Nursing Program and Faith Community Health Network-the CHI Health Faith Community Health Network partners with congregations of all faiths to build capacity and support the growth of Health Ministries which promote health, healing and wholeness in the communities served. -5-4-3-2-1Go!- Healthy lifestyle campaign for kids; operated in schools, out of school settings, clinics, community settings in Douglas, Sarpy, Cass, and Colfax counties in NE. Initial work completed by CHI Health in FY19 and following contractor departure, work was transitioned through a grant to Live Well Omaha for the broader Omaha community strategy in Douglas County as part of a 2-year grant. -Provided support and resources to build a community garden to increase the availability of fresh fruits and vegetables. -Support ongoing Stop the Bleed community training providing necessary skills to handle mass shootings/injuries through funding to create kits containing necessary supplies to treat victims of violence. -Counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. -Supported expenses related to offering a community health fair/Sidewalk Marathon event that increased access to healthcare for 277 community members by providing free lab services, oxygen saturation testing, blood pressure checks, skin checks and more. -Support and office space provided to the Legal Aid of Nebraska to assist individuals with legal matters. -Transportation to patients who cannot afford transportation to attend to their medical needs. -Interpreting and translation services to Limited English Proficiency (LEP) groups whose numbers fall below the required threshold in the community. -Transportation to patients who cannot afford transportation to attend to their medical needs. -Support to health coalitions and investments in social and environmental improvement strategies. These are programs, activities and partnerships that improve the health of persons in the community by addressing the determinants of health, which includes the social, economic and physical environment. See specific examples by community below: Regional: Nebraska Appleseed-provided funds to support hunger/food access efforts; this includes summer meals program outreach, enrichment programming at summer meals sites and support to launch state's first SNAP Employment & Training (E&T) third party partnership, which provides job training for SNAP recipients. Also providing funding to support Enroll Nebraska efforts for outreach and education during annual insurance enrollment period. Alzheimer's Association-provided funds to support the continued offering of free support services for families with a loved one with dementia/alzheimer's. Support includes assistance in finding memory units, appropriate levels of care or specialty providers, caregiver support groups, etc. Nebraska Breastfeeding Coalition-provided funds that supports the building of coalition infrastructure to include evaluation of existing work and development of long-term strategic plan to secure sustainable funding. Future focus is moving toward strategies that connect breastfeeding and breastfeeding support with mental health. Nebraska Extension-provided funds to support Double Up food Bucks in Omaha and Lincoln; program for SNAP recipients to receive an additional $1 for every $1 they spend on fruits and vegetables at participating sites; nutrition/cooking education is also provided at all sites. Omaha/Council Bluffs Metro: Hope Medical Outreach Coalition-personnel support and annual operating subsidy. CHI Health hospitals and physicians are one of three health systems that provide access for the patients of three area federally qualified healthcare centers to specialty physician services and hospital based diagnostics and treatment that are unable to afford medical services. Charles Drew Health Center-provided funding to implement Healthy Families, a free 8 -week class to families with a child diagnosed at an unhealthy weight. Includes dietician, physical activity expert, and behavioral health expert. Families learn how to set goals together, budget for healthier meals, cook, and ways to be active together. Community Link-a partnership with CommonSpirit Health to improve the health and socioeconomic status of patients by assessing and treating their non-medical needs and barriers, which are important factors of their health. Violence Prevention-a partnership with CommonSpirit Health, Women's Center for Advancement and Creighton University to implement a campus based violence prevention Plan known as "Green Dot". Siembra Salud-a partnership with CommonSpirit Health and Latino Center of the Midlands to address Food Access for Latino Residents in Southeast Omaha. The program was launched in FY19 and 19 families were enrolled in the program. Two cultivadoras work with families bi-weekly during growing season to plant fruits and vegetables, identify social needs and refer to community resources. Live Well Omaha-a coalition founded by CHI Health (formerly Alegent Health) and the county health department that serves as convener of business, healthcare and community leaders to review health trends and catalyze community action to address health issues. Live Well Omaha Kids-provided support of infrastructure and coalition development including implementation and evaluation plans; Supports Partners for Health Schools a program that trains schools to implement health and wellness policies. Share our Table-provided start-up costs for launching the Omaha Metro regional food security plan, as outlined in UWM's Healthy Food For All roadmap. Funds support a SOT project manager and facilitation costs for convening work groups with a required health system match. City Sprouts-provided funds to support technical assistance and supplies for the CHI Health University Campus community garden. YouTurn-provided funds to support YouTurn's hospital response program and youth violence prevention education and case management in Northeast Omaha Father Flanigan's Boys Home-provided funding that supports evidence-based Common Sense Parenting for families experiencing challenges in parenting children with behavioral health needs. Nutritional Counseling of Nebraska-funded 3, free 6-week Healthy Cooking classed (2 at CHI Health Lakeside and 1 at CHI Health Midlands) that teaches families the basics in regards to nutrition education and cooking healthy options. Omaha Bridges Out of Poverty-provided support for Bridges Out of Poverty programming and training to support and train those in poverty on resources and skills to break the cycle of poverty in their family. Saving Grace-provided support to Saving Grace Perishable Food Rescue, committed to eliminating food waste and reducing hunger through provision of nutritious food otherwise slated for disposal and delivery to local pantries for re-distribution.
Schedule H, Part VI, Line 6 Affiliated health care system	The organization is affiliated with CommonSpirit Health. CommonSpirit Health was created by the alignment of Catholic Health Initiatives and Dignity Health as a single ministry in early 2019. CommonSpirit Health, a nonprofit, faith-based health system is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen - both inside its hospitals and out in the community. CommonSpirit Health owns and operates health care facilities in 21 states and comprises 142 hospitals, including three academic health centers, major teaching hospitals as well as 31 critical-access facilities; community health services organizations; accredited nursing colleges; home health agencies; living communities; a medical foundation and other affiliated medical groups; and other facilities and services that span the inpatient and outpatient continuum of care. In fiscal year 2019, CommonSpirit Health provided more than $2.1 billion in financial assistance and community benefit for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled more than $4.4 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $20.96 billion in fiscal year 2019, has total assets of approximately $40.6 billion. CommonSpirit Health provides strategic planning and management services as well as centralized "share services" for its Divisions. 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 Divisions. The cost savings achieved through CommonSpirit Health's centralization enable Divisions to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society.
Schedule H, Part VI, Line 7 State filing of community benefit report	IA, NE

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Mount St Francis
7665 Assisi Hts	Colorado Springs	CO	80919	840405261	501(C)(3)	$10,000	General Support
Sisters of Mercy of the Americas
7262 Mercy Rd	Omaha	NE	68124	262400800	501(C)(3)	$10,000	General Support	Attn West Midwest Community
Nebraska Synod ELCA
6757 Newport Ave	Omaha	NE	68152	363514308	501(C)(3)	$17,200	General Support	STE 200
Clinic With a Heart
1701 S 17th Street	Lincoln	NE	68502	262400800	501(C)(3)	$22,000	General Support	4G
CHI Health Foundation
12809 W Dodge Road	Omaha	NE	68154	470648586	501(C)(3)	$114,699	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
WOW/CARE SUPPORT	229	$7,756	Book	Providing Necessities for Inpatients
SCHOLARSHIPS	17				$19,000

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part III SCHOLARSHIPS TO INDIVIDUALS

LAKESIDE AND MIDLANDS PROVIDED 17 SCHOLARSHIPS DURING FISCAL YEAR 2019 TO STUDENTS INTERESTED IN THE HEALTHCARE INDUSTRY.

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS. ALEGENT CREIGHTON HEALTH ONLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH THE SAME MISSION and PURPOSE AS THE ALEGENT CREIGHTON HEALTH SYSTEM. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CLIFF ROBERTSON MD
Board Member/CEO CHI Health	$0	$1,021,091	$0	$870,115	$0	$164,178	$0	$173,553	$0	$28,791	$0	$2,257,728	$0	$133,018
JASON KRUGER MD
BOARD MEMBER	$0	$307,024	$0	$0	$0	$818	$0	$16,469	$0	$28,747	$0	$353,058	$0	$0
AMY L MCGAHA md
BOARD MEMBER	$0	$330,100	$0	$0	$0	$626	$0	$16,276	$0	$3,147	$0	$350,149	$0	$0
GREGORY BECKMANN
PRESIDENT - PLAINVIEW HOSPITAL	$136,739	$0	$26,703	$0	$14,999	$0	$17,481	$0	$6,264	$0	$202,186	$0	$0	$0
KEVIN MILLER
PRESIDENT - LKS & MDL HOSPITAL	$274,682	$0	$74,858	$0	$16,727	$0	$30,458	$0	$26,960	$0	$423,685	$0	$0	$0
JEANETTE WOJTALEWICZ
CFO, CHI HEALTH	$537,238	$0	$228,748	$0	$87,965	$0	$51,400	$0	$26,960	$0	$932,311	$0	$47,128	$0
DEVIN FOX MD
FORMER KEY EMPLOYEE	$258,404	$78,509	$44,242	$0	$3,608	$0	$0	$15,257	$2,267	$8,771	$308,521	$102,537	$0	$0
PATRICIA MASEK
FORMER KEY EMPLOYEE	$163,581	$0	$29,799	$0	$6,310	$0	$11,216	$0	$19,027	$0	$229,933	$0	$0	$0
ANN OASAN
FORMER KEY EMPLOYEE	$0	$314,870	$0	$71,906	$0	$23,851	$0	$16,059	$0	$18,374	$0	$445,060	$0	$0
MIKE WATTERS
FORMER KEY EMPLOYEE	$0	$273,409	$0	$31,500	$0	$21,639	$0	$643	$0	$24,038	$0	$351,229	$0	$0
KATHY BRESSLER
CHIEF OPERATING OFFICER	$498,818	$0	$207,957	$0	$68,847	$0	$16,375	$0	$18,616	$0	$810,613	$0	$0	$0
STEVE HOUSTON
SVP STRATEGY AND TECHNOLOGY, PLANNING	$315,850	$0	$72,105	$0	$22,171	$0	$16,375	$0	$18,616	$0	$445,117	$0	$0	$0
NANCY WALLACE
SVP HR CHI HEALTH	$356,671	$0	$80,543	$0	$29,520	$0	$16,361	$0	$19,383	$0	$502,478	$0	$0	$0
CARY WARD MD
CHI HEALTH SVP CMO	$491,125	$0	$109,860	$0	$22,612	$0	$15,706	$0	$26,960	$0	$666,263	$0	$0	$0
PATRICIA MURDOCK-LANGAN MD
FORMER KEY EMPLOYEE	$351,923	$0	$47,298	$0	$3,715	$0	$15,006	$0	$4,573	$0	$422,515	$0	$0	$0
ANN SCHUMACHER
PRESIDENT - IMC	$375,069	$0	$103,314	$0	$36,374	$0	$36,077	$0	$28,360	$0	$579,194	$0	$18,752	$0
MARIE KNEDLER
PRESIDENT - Bergan	$417,882	$0	$120,319	$0	$46,080	$0	$15,541	$0	$2,800	$0	$602,622	$0	$0	$0
KEVIN NOKELS
PRESIDENT - CUMC	$424,445	$0	$89,521	$0	$49,614	$0	$56,344	$0	$26,960	$0	$646,884	$0	$19,524	$0
MICHAEL SCHNIEDERS
COO/ President - Good Samaritan	$408,551	$0	$111,871	$0	$46,018	$0	$16,199	$0	$18,616	$0	$601,255	$0	$0	$0
DEREK VANCE
PRESIDENT - St. Elizabeth & NE Heart	$344,571	$0	$70,128	$0	$52,199	$0	$25,900	$0	$27,736	$0	$520,534	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or Change-of-Control Payments	During the calendar year 2018, post-termination payments were addressed in executive employment agreements for Catholic Health Initiatives and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	During the calendar year 2018, compensation for the top management official was established and paid by Catholic Health Initiatives ("CHI"), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee. COMPENSATION FOR THE OTHER OFFICERS OF ALEGENT CREIGHTON HEALTH WAS ESTABLISHED BY THE CHI HEALTH CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	During the 2018 calendar year, Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs/Presidents and other CHI employees at the level of Senior Vice President and above. During 2018 the following distributions were made by CHI from the deferred compensation plan: Cliff Robertson - $139,166 Jeanette Wojtalewicz - $65,054 Kevin Nokels - $27,002 Ann Schumacher - $18,762 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who had met certain requirements such as involuntary termination without cause, age, age and years of service, or more than 5 years of plan participation were eligible to receive their 2018 contributions in cash during the calendar year. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2018, the following contributions and any associated investment income, gain or loss that would have been made by CHI to the deferred compensation plan were paid in cash: Kathy Bressler - $46,235 Michael Schnieders - $21,350 Marie Knedler - $21,412
Schedule J, Part I, Line 7 Non-fixed payments	CATHOLIC HEALTH INITIATIVES (CHI) MAINTAINS A VARIABLE PAY PROGRAM FOR MANAGERS AND ABOVE THAT PUTS A CERTAIN AMOUNT OF COMPENSATION AT RISK. AWARDS OF INCENTIVE COMPENSATION UNDER THE VARIABLE PAY PROGRAM ARE MADE BASED UPON ACHIEVEMENT OF ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL OUTCOMES, QUALITY IMPROVEMENT, AND OTHER MEASURES AS DETERMINED ANNUALLY BY THE BOARD OF STEWARDSHIP TRUSTEES. HOWEVER, ELIGIBLE AWARDS PAYABLE UNDER THIS PROGRAM ARE DEPENDENT ON HITTING MINIMUM LEVELS OF OPERATING MARGIN AND CHARITY CARE LEVELS, UNLESS THE HR COMMITTEE OF THE BOARD OF STEWARDSHIP TRUSTEES USES THEIR DISCRETION TO APPROVE AN EXCEPTION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 471,011,899 including grants of $ 153,146)(Revenue $ 203,380,284) ALEGENT CREIGHTON HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT CREIGHTON HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT CREIGHTON HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE.
Form 990, Part V, Line 1c PAYMENTS TO VENDORS	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF Catholic Health Initiatives (CHI) ARE MADE BY CHI. CHI FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CHI ON BEHALF OF ALEGENT Creighton Health ARE REPORTED TO THE IRS.
Form 990, Part VI, Line 16a WRITTEN POLICY FOR JOINT VENTURE AGREEMENTS	Alegent Creighton Health has not formally adopted a written policy or written procedure regarding joint ventures. However CommonSpirit Health's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximization of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; and (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
Form 990, Part VI, Line 12c CONFLICT OF INTEREST POLICY (CONTINUED)	c) Board evaluation of non-transactional conflicts - I. The board carefully reviews and scrutinizes any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). II. In such circumstances, by a majority vote of the disinterested trustees, the board takes whatever action is deemed appropriate with respect to the trustee or corporate officer under the circumstances (including possible disciplinary or corrective action) to best protect the interests of CHI or the CHI entity. The board is encouraged to consult with the general counsel of CHI or his or her designee when considering disciplinary or corrective action. III. The conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the conflict matter. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest. d) Record of proceedings - with respect to board member and officer conflicts of interest, minutes of the board are expected to reflect the identity of the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the board, and that the interested trustee or corporate officer was excused during the discussion, and that the interested trustee abstained from voting. D. Conflicts reporting: All conflicts of interest are reported by CHI as required by law, regulations, and policy.
Form 990, Part VI, Line 15a Process to Establish Compensation of Top Management Official	The organization's top management official's compensation was paid by Catholic Health Initiatives ("CHI"), a related organization. CHI had a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges were reviewed annually in comparison to market data. Catholic Health Initiatives used Korn Ferry as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives was reviewed annually. Korn Ferry reviewed both cash and total compensation for overall reasonableness, for adherence to Catholic Health Initiatives' compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review was delivered by Korn Ferry to the CHI HR committee of the Board of Stewardship Trustees annually at their September meeting and minutes shared with the full board at the December meeting. The last review was September 25, 2018. In addition, Korn Ferry completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels were reviewed annually and revised based on market data, where applicable. COMPENSATION FOR THE OTHER OFFICERS OF ALEGENT CREIGHTON HEALTH WAS ESTABLISHED BY THE CHI HEALTH CEO AND HUMAN RESOURCES DIRECTOR USING THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION: (1) COMPENSATION SURVEYS OR STUDIES (2) INDEPENDENT COMPENSATION CONSULTANT AND (3) APPROVAL BY THE BOARD COMPENSATION COMMITTEE.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHI NEBRASKA IS THE SOLE MEMBER OF ALEGENT CREIGHTON HEALTH.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The organization's corporate member is CHI Nebraska. Pursuant to Section 5.4.1 of the organization's bylaws, both CHI Nebraska and CommonSpirit Health have reserved powers as outlined in the CommonSpirit Health governance matrix. Pursuant to the governance matrix the following rights are held by the CHI Nebraska's Board: * Approve members of the Alegent Creighton Health board. * Amendment of the corporate documents of Alegent Creighton Health. Approve removal of a member of the governing body of Alegent Creighton Health. Adoption of long range and strategic plans for Alegent Creighton Health. The following rights are reserved to the CommonSpirit Health Board directly or through powers delegated to the CommonSpirit Health Chief Executive Officer: * Substantial change in the mission or philosophy of Alegent Creighton Health. * Removal of a member of the governing body of Alegent Creighton Health. * Approval of issuance of debt by Alegent Creighton Health. * Approval of participation of Alegent Creighton Health in a joint venture. Approval of formation of a new corporation by Alegent Creighton Health. Approval of a merger involving Alegent Creighton Health. * Approval of the sale of all or substantially all of the assets of Alegent Creighton Health. * To require the transfer of assets by Alegent Creighton Health to CommonSpirit Health to accomplish CommonSpirit Health's goals and objectives, and to satisfy CommonSpirit Health debts. Pursuant to Section 5.5.2 of the organization's bylaws, CHI Nebraska or CommonSpirit Health 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW AND ARE ABLE TO ASK THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD AND FINANCE COMMITTEE, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization has a conflicts of interest ("COI") policy (the "policy") in place to maintain the integrity of its activities. Through February 7, 2019, conflicts were administered solely through Catholic Health Initiatives' ("CHI") Governance Policy No. 1 (described below). On February 8, 2019, in connection with the alignment of the Catholic Health Ministries of CHI and Dignity Health, the CommonSpirit Health Board of Stewardship Trustees approved CommonSpirit Health Corporate Responsibility Policy No. G-001, a CommonSpirit Health conflicts of interest policy. This policy stipulates that, at minimum, the pre-closing CHI COI policies and pre-closing Dignity Health COI policies identify the individuals that are covered under the new policy. In addition, subject to certain exceptions, pre-closing CHI COI policies shall continue to apply to the CHI entities and the individuals who were subject to the Pre-Closing CHI COI policies; and the Pre-Closing Dignity Health COI policies shall continue to apply to the Dignity Health entities and the individuals who were subject to the Pre-Closing Dignity Health COI policies. Until CommonSpirit Health adopts a single process for identifying and managing conflicts of interest for all system entities, the following individuals shall be subject to the Pre-Closing CHI COI policies from and after the effective date of Corporate Responsibility Policy No. G-001: 1. Members of the CommonSpirit Health Board of Stewardship Trustees and members of the committees of the Board of Stewardship Trustees; 2. Corporate officers of CommonSpirit Health; 3. Members of the Board of Directors of Dignity Health and members of the committees of the Board of Directors of Dignity Health. CHI Governance Policy No. 1: The policy applies to the following persons: members of the CHI board of stewardship trustees and its committees; members of any CHI direct affiliate or subsidiary (each a CHI entity) board and their committees; employees of CHI entities, and all CHI researchers (as defined in the policy). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure review process. A. Disclosure obligations: 1. Ongoing: Each person is required to promptly and fully disclose to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must disclose the actual or potential conflict as soon as she/he becomes aware of it. In any situation in which the person is in doubt it is expected that full disclosure be made to permit an impartial and objective determination as to the existence of a conflict. 2. Periodic written: In addition to the ongoing disclosure obligation, periodic written conflict of interest disclosure forms must be completed as follows: a) Initially: 1) Upon hiring (employees), 2) Appointment (board / committee members), 3) Upon consideration of affiliation with research sponsor (researchers). b) Annually: 1) Board / committee members, 2) Employees at the level vice president or above, 3) Researchers, 4) Supply chain employees at the level of vice president and above and those employees involved in contracting regardless of employment level, 5) Other employees as determined by CommonSpirit Health leadership. 3. Failure to disclose - an individual who fails to disclose a perceived, potential, or actual conflict of interest, or all material facts surrounding an actual or potential conflict or fails to abide by the final decision regarding the conflict may be subject to disciplinary or corrective actions such as termination of employment, removal from a board or committee, loss or restriction of clinical privileges, or restrictions on research activities in accordance with applicable laws, regulations, rules, contracts, and bylaws. B. Conflicts review: 1. No disclosed conflicts: In the absence of perceived, potential or actual conflicts of interest, no follow-up conflicts review is required or performed. 2. Disclosure of perceived, potential or actual conflicts: a) Are initially reviewed by national or regional legal or corporate responsibility team members (depending upon the role of the individual disclosing the actual or potential conflict) to determine whether an actual or potential for a conflict may exist. b) If it is determined that a potential or actual conflict may exist, I. In the case of board or committee members or officers, issues are elevated to the executive committee of the board or board chair. II. In the case of other persons, conflicts issues are elevated to the conflicts of interest review committee ("C-CIRC"). C. Conflicts determination and management: 1. Matters elevated to C-CIRC: a) The C-CIRC determines whether a disclosed or otherwise identified interest is a conflict of interest. If the C-CIRC determines that a COI exists, and adequate controls are not in place to mitigate the conflict, the C-CIRC facilitates development of a COI management plan designed to mitigate the conflict. Designated entity staff are responsible for monitoring the COI management plan and for documenting monitoring activities. Notwithstanding the foregoing, at its sole discretion, an entity may reject a person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential conflict of interest. b) Appeal - if a person does not agree with a determination made by the C-CIRC, its interpretation of the COI policy, still seeks an exemption or exception, or seeks further clarification of the C-CIRC 's decision, the individual may appeal the decision through his or her manager for reconsideration by the C-CIRC, and the C-CIRC will review and issue a final determination based upon any new or additional information presented. 2. Matters elevated to the executive committee or board chair: a) Determination of existence of conflict - the board chair or his or her designee performs any further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the board chair, the vice chair assumes the chair's role outlined in the COI policy. Based on review and evaluation of the relevant facts and circumstances, the board chair makes an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI policy, review and approval or other action by the board is required. A written record of the board chair's determination, including relevant facts and circumstances, is made. The board chair then makes an appropriate report to the executive committee of the board concerning the COI review, evaluation and determination. If a difference of opinion exists between the board chair and another trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether board review and approval or other action is required under the COI policy, the matter is submitted to the board's executive committee, which makes a final determination as to the matter presented. That determination, including relevant facts and circumstances, is reflected in the executive committee minutes and is reported to the board. b) Board evaluation of transactions involving an officer / board member conflict of interest - I. The board carefully scrutinizes and must in good faith approve or disapprove any transaction in which CHI or a CHI entity is a party and in which the trustee or a corporate officer either: 1. Has a material financial interest; or 2. Is a trustee or corporate officer of the other party (other than a CHI affiliated organization). II. The board must approve the transaction by a majority of the trustees on the board (not counting any interested trustee). In reviewing such transactions between CHI or CHI entities and vendors or other contractors who are, or are affiliated with, trustees or corporate officers, the board acts no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction is not approved unless the board determines that the transaction is fair to CHI or the CHI entity. III. A conflicted trustee or corporate officer is not permitted to use his or her personal influence with respect to the approval or disapproval of the conflicted transaction. However, if requested, such trustee or corporate officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from trustees, as his or her knowledge may be relevant. The trustee or corporate officer is excused from the meeting during discussion and vote on the conflict of interest.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	SEE DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE NEBRASKA SECRETARY OF STATE WEBSITE WWW.SOS.NE.GOV/BUSINESS. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CommonSpirit Health's CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT www.commonspirit.org or WWW.CATHOLICHEALTHINITIATIVES.ORG.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Other Program Service Revenue - Total Revenue: 55075, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 55075;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other Miscellaneous Revenue - Total Revenue: 2670905, Related or Exempt Function Revenue: , Unrelated Business Revenue: 65735, Revenue Excluded from Tax Under Sections 512, 513, or 514: 2605170;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	BENEFIT PLAN ACCRUAL ADJUSTMENT - -17737887; MEDICAL STAFF ACTIVITY ADJUSTMENT - 69207; CAPITAL RESOURCE POOL CONTRIBUTIONS - -24099515; OTHER CHANGES IN NET ASSETS - 45208;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHI HEALTH QUICK CARE LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	203437352	EXPRESS CARE CLINIC	NE	$2,495,452	$342,638	ALEGENT CREIGHTON HEALTH
CHI HEALTH PARTNERS LLC
12809 WEST DODGE ROAD	OMAHA	NE	68154	900847126	ACCOUNTABLE CARE ORGANIZATION	NE	$405,476	$0	ALEGENT CREIGHTON HEALTH
CHI Health Creighton University Medical Center LLC
12809 West Dodge Road	Omaha	NE	68154	455517527	Various Medical Services	NE	$0	$0	Alegent Creighton Health

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (216 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
ALEGENT CREIGHTON CLINIC
12809 W DODGE RD	OMAHA	NE	68154	470765154	HOSPITAL	NE	501(c)(3)	3	ACH	Yes (true)
ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM
7500 MERCY RD	OMAHA	NE	68124	470484764	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH ST	MISSOURI VALLEY	IA	51555	420776568	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - IMMANUEL MEDICAL CENTER
6901 N 72ND ST	OMAHA	NE	68122	470376615	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER
104 W 17TH ST	SCHUYLER	NE	68661	470399853	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	420782518	HOSPITAL	IA	501(c)(3)	3	CHI NEBRASKA	false
ALVERNA APARTMENTS
300 SE 8TH AVE	LITTLE FALLS	MN	56345	411351177	LTERM CARE	MN	501(c)(3)	10	CSH	false
APPLETREE COURT
601 OAK ST	BRECKENRIDGE	MN	56520	411850500	SENIOR LIVING	MN	501(c)(3)	10	SFH	false
Arroyo Grande Community Hospital Foundation
345 S Halcyon Rd	Arroyo Grande	CA	93420	203256066	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
Bakersfield Memorial Hospital
420 34TH Street	Bakersfield	CA	93301	951802779	HOSPITAL	CA	501(c)(3)	3	DCC	false
Barrow Neurological Foundation
350 West Thomas Road	Phoenix	AZ	85013	860174371	FUNDRAISING	AZ	501(c)(3)	7	DH	false
BAYLOR ST LUKE'S HEALTH VENTURES
17200 ST LUKES WAY STE 170	THE WOODLANDS	TX	77384	274499340	PHYSICIANS	TX	501(c)(3)	Type I	SLCHS	false
BAYLOR ST LUKE'S MEDICAL GROUP
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760458535	PHYSICIANS	TX	501(c)(3)	3	SLHS	false
BORNEMANN HEALTHCARE CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232187242	HEALTHCARE	PA	501(c)(3)	Type I	CSH	false
BRAZOSPORT HEALTH FOUNDATION INC
1 West Way Ct	LAKE JACKSON	TX	77566	760080110	FUNDRAISING FOUNDATION	TX	501(c)(3)	Type I	BRHS	false
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	800240261	PHYSICIANS	TX	501(c)(3)	3	BRHS	false
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742759890	HOSPITAL	TX	501(c)(3)	3	SJSC	false
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742913931	HEALTHCARE	TX	501(c)(3)	10	SJSC	false
California Hospital Medical Center Foundation
1401 South Grand Avenue	Los Angeles	CA	90015	954000909	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC	false
CARRINGTON HEALTH CENTER
800 N 4TH ST	CARRINGTON	ND	58421	450227311	HOSPITAL	ND	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES - COLORADO
9100 East Mineral Circle	Centennial	CO	80112	840405257	HOSPITAL	CO	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVE	DES MOINES	IA	50314	420680448	HOSPITAL	IA	501(c)(3)	3	CSH	false
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	840902211	FUNDRAISING FOUNDATION	CO	501(c)(3)	7	CHIC	false
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
1150 Kelly Johnson Blvd 204	COLORADO SPRINGS	CO	80920	270930004	HEALTHCARE	CO	501(c)(3)	Type I	CSH	false
CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	460992796	PHYSICIANS	CO	501(c)(3)	Type I	CHINS	false
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PKWY	ROSEBURG	OR	97471	263946191	SURGERY CENTER	OR	501(c)(3)	10	MMC	false
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	480543724	HOSPITAL	KS	501(c)(3)	3	CSH	false
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PKWY S	FARGO	ND	58104	271966847	FUNDRAISING FOUNDATION	MN	501(c)(3)	10	CSH	false
CHI HEALTH FOUNDATION
12809 W DODGE RD	OMAHA	NE	68154	470648586	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	ACH	Yes (true)
CHI INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	271050565	HEALTHCARE	CO	501(c)(3)	Type I	CSH	false
CHI KENTUCKY INC
3900 OLYMPIC BLVD STE 400	ERLANGER	KY	41018	202741651	HEALTHCARE	KY	501(c)(3)	Type I	CSH	false
CHI LIVING COMMUNITIES
5942 RENAISSANCE PLACE STE A	TOLEDO	OH	43623	341892096	HEALTHCARE	OH	501(c)(3)	Type II	SFH	false
CHI Memorial Hospital - Georgia
100 GROSS CRESCENT CIRCLE	FORT OGLETHORPE	GA	30742	822748395	HOSPITAL	GA	501(c)(3)	3	MHCS	false
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	451261716	HEALTHCARE	CO	501(c)(3)	10	CHI NS	false
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	452532084	HEALTHCARE	CO	501(c)(3)	Type I	CSH	false
CHI NEBRASKA
12809 West Dodge Road	Omaha	NE	68510	363233121	HEALTHCARE	NE	501(c)(3)	Type I	CSH	false
CHI ST JOSEPH CHILDREN'S HEALTH
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	232342997	HEALTHCARE	PA	501(c)(3)	Type I	CSH	false
CHI ST JOSEPH'S CHILDREN
1516 5TH ST NW	ALBUQUERQUE	NM	87102	710897107	COMMUNITY	NM	501(c)(3)	Type I	CSH	false
CHI ST VINCENT HOSPITAL HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	710236913	HOSPITAL	AR	501(c)(3)	3	CHISVHS	false
CHI ST VINCENT HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125064	HOLDING CO	AR	501(c)(3)	Type II	SVIMC	false
CHI ST VINCENT MEDICAL GROUP HOT SPRINGS
300 WERNER ST	HOT SPRINGS	AR	71913	261125131	PHYSICIANS	AR	501(c)(3)	3	CHISVHS	false
COMMONSPIRIT HEALTH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470617373	HEALTHCARE	CO	501(c)(3)	Type I	NA	false
Community Hospital of San Bernardino
1805 Medical Center Drive	San Bernardino	CA	92411	951643373	HOSPITAL	CA	501(c)(3)	3	DCC	false
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	237419853	HOLDING CO	OH	501(c)(4)		GSH	false
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION
631 N 8TH ST	MISSOURI VALLEY	IA	51555	421294399	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AH-CMHMV	false
CONTINUING CARE HOSPITAL
One Saint Joseph Drive	LEXINGTON	KY	40504	611400619	HOSPITAL	KY	501(c)(3)	3	SJHS	false
Dignity Community Care
185 Berry Street Suite 300	San Francisco	CA	94107	815009488	HOSPITAL	CO	501(c)(3)	3	NA	false
DIGNITY HEALTH
185 BERRY STREET STE 300	SAN FRANCISCO	CA	94107	941196203	HOSPITAL	CA	501(c)(3)	3	CSH	false
Dignity Health Connected Living
200 Mercy Oaks Drive	Redding	CA	96003	237115371	Senior Center Services	CA	501(c)(3)	7	DH	false
Dignity Health Foundation
185 Berry Street	San Francisco	CA	94107	462037641	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
Dignity Health Foundation - Inland Empire
2101 N Waterman Avenue	San Bernardino	CA	92404	237440086	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
Dignity Health Foundation East Valley
475 South Dobson Road	Chandler	AZ	85224	742418514	FUNDRAISING FOUNDATION	AZ	501(c)(3)	Type I	DH	false
Dignity Health HPL Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	943006034	Self Insurance	CA	501(c)(3)	Type I	DH	false
Dignity Health Insurance Nevada Ltd
185 Berry Street	San Francisco	NV	94107	813800752	Self Insurance	NV	501(c)(3)	Type I	DH	false
Dignity Health Medical Foundation
3400 Data Drive	Rancho Cordova	CA	95670	680220314	MULTI-SPECIALTY OUTPATIENT MEDICAL CLINIC	CA	501(c)(3)	Type I	DCC	false
Dignity Health Workers Comp Self-Insurance Trust
185 Berry Street	San Francisco	CA	94107	946612446	Self Insurance	CA	501(c)(3)	Type I	DH	false
Dominican Health Services
1555 Soquel Drive	Santa Cruz	CA	95065	770056778	Community Health System	CA	501(c)(3)	Type I	DH	false
Dominican Hospital Foundation
1555 Soquel Drive	Santa Cruz	CA	95065	942450442	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
Dominican Oaks Corporation
1555 Soquel Drive	Santa Cruz	CA	95065	770127719	Operation and management of housing complex to elderly persons	CA	501(c)(3)	10	DHS	false
East Texas Clinical Services
2801 VIA FORTUNA SUITE 500	AUSTIN	TX	78746	454736213	HEALTHCARE	TX	501(c)(3)	Type I	SLHS	false
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1455 BATTERSBY AVE	ENUMCLAW	WA	98022	910715805	HOSPITAL	WA	501(c)(3)	3	FHS	false
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	611345363	HOSPITAL	KY	501(c)(3)	3	KOH	false
FLAGET MEMORIAL HOSPITAL FOUNDATION INC
4305 NEW SHEPHERDSVILLE RD	BARDSTOWN	KY	40004	562351341	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type I	FH	false
FRANCISCAN CARE CENTER
4111 N HOLLAND-SYLVANIA RD	TOLEDO	OH	43623	341931806	HEALTHCARE	OH	501(c)(3)	10	FLC	false
FRANCISCAN FOUNDATION
1717 SOUTH J ST	TACOMA	WA	98405	911145592	FUNDRAISING FOUNDATION	WA	501(c)(3)	10	FHS	false
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J ST	TACOMA	WA	98405	910564491	HOSPITAL	WA	501(c)(3)	3	CSH	false
FRANCISCAN HEALTH VENTURES FKA SJMGROUP
TACOMA FNC CTR BLDG 1145 BROADWAY	TACOMA	WA	98402	431882377	PHYSICIANS	MO	501(c)(3)	10	CSH	false
FRANCISCAN MEDICAL GROUP
1313 BROADWAY STE 200	TACOMA	WA	98402	911939739	HEALTHCARE	WA	501(c)(3)	10	FHS	false
FRANCISCAN VILLA OF SOUTH MILWAUKEE INC
3601 S CHICAGO AVE	SOUTH MILWAUKEE	WI	53172	391093829	HEALTHCARE	WI	501(c)(3)	10	CSH	false
French Hospital Medical Center Foundation
1911 Johnson Avenue	San Luis Obispo	CA	93401	203256125	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC	false
GARRISON MEMORIAL HOSPITAL
407 THIRD AVENUE SOUTHEAST	GARRISON	ND	58540	450227752	HOSPITAL	ND	501(c)(3)	3	SAMC	false
Glendale Memorial Health Foundation
1420 South Central Avenue	Glendale	CA	91204	953625651	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC	false
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	201536108	MINISTRIES	CO	501(c)(3)	Type I	CSH	false
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311778403	EDUCATION	OH	501(c)(3)	2	GSH	false
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	311206047	FUNDRAISING FOUNDATION	OH	501(c)(3)	Type I	GSH	false
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	470379755	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST ST	KEARNEY	NE	68847	470659443	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	GSH	false
HARRISON MEDICAL CENTER
2520 CHERRY AVE	BREMERTON	WA	98310	910565546	HOSPITAL	WA	501(c)(3)	3	FHS	false
HARRISON MEDICAL CENTER FOUNDATION
2520 CHERRY AVE	BREMERTON	WA	98310	911197626	FUNDRAISING FOUNDATION	WA	501(c)(3)	7	HMC	false
HEALTH FOUNDATION OF KENTUCKYONE INC
1451 HARRODSBURG RD STE D-308	LEXINGTON	KY	40504	832170324	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type II	KOH	false
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	760761782	FUNDRAISING FOUNDATION	MN	501(c)(3)	Type I	SFMC	false
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	910712166	HOSPITAL	WA	501(c)(3)	3	FHS	false
HOUSE OF MERCY
1111 6TH AVE	DES MOINES	IA	50314	421323808	SHELTER	IA	501(c)(3)	7	CHI-IA CORP	false
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
250 E Liberty St Ste 500	LOUISVILLE	KY	40202	611029768	HOSPITAL	KY	501(c)(3)	3	KOH	false
KENTUCKYONE HEALTH MEDICAL GROUP INC
100 E Liberty St Ste 800	LOUISVILLE	KY	40202	611352729	HEALTHCARE	KY	501(c)(3)	10	JHSMH	false
KENTUCKYONE HEALTH INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611029769	HEALTHCARE	KY	501(c)(3)	Type II	CSH	false
LAKEWOOD HEALTH CENTER
600 MAIN AVE S	BAUDETTE	MN	56623	410758434	HOSPITAL	MN	501(c)(3)	3	CSH	false
LAKEWOOD REGIONAL HEALTHCARE FOUNDATION
600 MAIN AVE S	BAUDETTE	MN	56623	411893795	FUNDRAISING FOUNDATION	ND	501(c)(3)	7	LHC	false
LINUS OAKES INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930821381	SENIOR LIVING	OR	501(c)(3)	10	MMC	false
LISBON AREA HEALTH SERVICES
905 MAIN ST	LISBON	ND	58054	820558836	HOSPITAL	ND	501(c)(3)	3	CSH	false
LUFKIN VISION ACQUISITIONS
PO BOX 1447	LUFKIN	TX	75901	820563768	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET	false
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742761145	HOSPITAL	TX	501(c)(3)	3	SJSC	false
MADONNA MANOR INC
2344 AMSTERDAM ROAD	VILLA HILLS	KY	51017	610654635	LIVING ASSIST	KY	501(c)(3)	10	FLC	false
Marian Regional Medical Center Foundation
1400 E Church Street	Santa Maria	CA	93454	953818027	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
Mark Twain Medical Center
768 Mountain Ranch Road	San Andreas	CA	95249	680127677	HOSPITAL	CA	501(c)(3)	3	NA	false
MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	621839548	FUNDRAISING FOUNDATION	TN	501(c)(3)	7	MHCS	false
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVE	CHATTANOOGA	TN	37404	620532345	HOSPITAL	TN	501(c)(3)	3	CSH	false
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD RD STE 500	CHATTANOOGA	TN	37411	030417049	HEALTHCARE	TN	501(c)(3)	10	MHCS	false
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
PO BOX 1447	LUFKIN	TX	75902	750755367	HOSPITAL	TX	501(c)(3)	3	SLHS	false
MEMORIAL MEDICAL CENTER - LIVINGSTON
PO BOX 1447	LUFKIN	TX	75902	760436439	HOSPITAL	TX	501(c)(3)	3	MHSET	false
MEMORIAL MEDICAL CENTER - SAN AUGUSTINE
PO BOX 1447	LUFKIN	TX	75902	752663904	HOSPITAL	TX	501(c)(3)	3	MHSET	false
MEMORIAL MULTISPECIALTY ASSOCIATES
1201 FRANK AVE	LUFKIN	TX	95904	752721155	PHYSICIANS	TX	501(c)(3)	Type I	MHSET	false
MEMORIAL SPECIALTY HOSPITAL
PO BOX 1447	LUFKIN	TX	95902	752492741	HOSPITAL	TX	501(c)(3)	3	MHSET	false
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVE	DES MOINES	IA	50314	426076069	AUXILIARY	IA	501(c)(3)	Type I	MF-DM IA	false
MERCY CLINICS INC
1111 6TH AVE	DES MOINES	IA	50314	421193699	PHYSICIANS	IA	501(c)(3)	10	CHI-IA CORP	false
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVE	DES MOINES	IA	50314	421511682	EDUCATION	IA	501(c)(3)	2	CHI-IA CORP	false
Mercy Foundation Bakersfield
PO Box 119	Bakersfield	CA	93302	770201321	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVE	DES MOINES	IA	50314	237358794	FUNDRAISING FOUNDATION	IA	501(c)(3)	7	CHI-IA CORP	false
MERCY FOUNDATION INC
2700 STEWART PKWY	ROSEBURG	OR	97471	936088946	FUNDRAISING FOUNDATION	OR	501(c)(3)	7	MMC	false
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	421461064	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AHMH-Corning	false
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450435338	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	MHVC	false
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DR	COUNCIL BLUFFS	IA	51503	421178204	FUNDRAISING FOUNDATION	IA	501(c)(3)	Type I	AHBMHS	false
MERCY HOSPITAL OF DEVILS LAKE
1031 7TH ST NE	DEVILS LAKE	ND	58301	450227012	HOSPITAL	ND	501(c)(3)	3	CSH	false
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 7TH ST NE	DEVILS LAKE	ND	58301	352367360	FUNDRAISING FOUNDATION	ND	501(c)(3)	7	MHDL	false
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BLVD	VALLEY CITY	ND	58072	450226553	HOSPITAL	ND	501(c)(3)	3	CSH	false
Mercy McMahon Terrace
3865 J Street	Sacramento	CA	95816	680117340	Senior Citizen's Housing/Retirement Communities	CA	501(c)(3)	10	DCC	false
MERCY MEDICAL CENTER
1301 15TH AVE WEST	WILLISTON	ND	58801	450231183	HOSPITAL	ND	501(c)(3)	3	CSH	false
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP	false
MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER
204 N 4th Ave E	Newton	IA	50314	421470935	HOSPITAL	IA	501(c)(3)	3	CHI-IA CORP	false
Mercy Medical Center Merced Foundation
301 E 13th Street	Merced	CA	95340	770035928	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
MERCY MEDICAL CENTER INC
2700 STEWART PKWY	ROSEBURG	OR	97471	930386868	HOSPITAL	OR	501(c)(3)	3	CSH	false
MERCY MEDICAL FOUNDATION
1301 15TH AVE WEST	WILLISTON	ND	58801	450381803	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	MMC	false
NEBRASKA HEART HOSPITAL
7500 S 91ST ST	LINCOLN	NE	68526	392031968	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
Northland Healthcare Alliance
2223 East Rosser Avenue	Bismarck	ND	58501	911845296	MANAGEMENT	ND	501(c)(3)	7	NCHA	false
Northridge Hospital Foundation
18300 Roscoe Blvd	Northridge	CA	91328	237444901	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DCC	false
OAKES COMMUNITY HOSPITAL
1200 N 7TH ST	OAKES	ND	58474	450231675	HOSPITAL	ND	501(c)(3)	3	CSH	false
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH ST	OAKES	ND	58474	710966606	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	OCH	false
Pacific Central Coast Health Centers
1400 E Church Street	Santa Maria	CA	93454	770447575	Clinic	CA	501(c)(3)	3	DH	false
PINEYWOODS MEDICAL DEVELOPMENT CORP
PO BOX 1447	LUFKIN	TX	75902	752493116	PROPERTY MGMT	TX	501(c)(3)	Type I	MHSET	false
Port City Operating Company LLC
3400 Data Drive	Rancho Cordova	CA	95670	465322209	HOSPITAL	CA	501(c)(3)	3	DH	false
PROVIDENCE CARE CENTER
2025 HAYES AVENUE	SANDUSKY	OH	44870	341658625	HEALTHCARE	OH	501(c)(3)	10	FLC	false
PROVIDENCE CARE CENTERS
2025 HAYES AVENUE	SANDUSKY	OH	44870	341826099	HOLDING CO	OH	501(c)(3)	Type II	FLC	false
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
5055 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341896807	LIVING COMM	OH	501(c)(3)	10	FLC	false
PUEBLO STEPUP
1925 E ORMAN AVE STE G52	PUEBLO	CO	81004	841234295	COMMUNITY	CO	501(c)(3)	7	CHIC	false
REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE
16251 Sylvester Road SW	Burien	WA	98166	911170040	HOSPITAL	WA	501(c)(3)	3	FHS	false
SET OF COLORADO SPRINGS INC
9100 E Mineral Circle	Centennial	CO	80112	841183335	Senior Center Services	CO	501(c)(3)	7	CHIC	false
SAINT CLARE'S COMMUNITY CARE INC
25 POCONO RD	DENVILLE	NJ	07834	222876836	HEALTHCARE	NJ	501(c)(3)	10	SCHS	false
SAINT CLARE'S FOUNDATION INC
25 POCONO RD	DENVILLE	NJ	07834	222502997	FUNDRAISING FOUNDATION	NJ	501(c)(3)	7	SCHS	false
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO RD	DENVILLE	NJ	07834	223639733	MANAGEMENT	NJ	501(c)(3)	10	CSH	false
SAINT CLARE'S HOSPITAL INC
25 POCONO RD	DENVILLE	NJ	07834	223319886	HEALTHCARE	NJ	501(c)(3)	3	SCHS	false
SAINT ELIZABETH FOUNDATION
555 S 70TH ST	LINCOLN	NE	68510	470625523	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SERMC	false
SAINT ELIZABETH HEALTH SERVICES
555 S 70TH ST	LINCOLN	NE	68510	363233120	HOSPITAL	NE	501(c)(3)	3	SERMC	false
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 S 70TH ST	LINCOLN	NE	68510	470379836	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
SAINT FRANCIS MEDICAL CENTER
2620 W FAIDLEY	GRAND ISLAND	NE	68803	470376601	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	470630267	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SFMC	false
Saint Francis Memorial Hospital
900 Hyde Street	San Francisco	CA	94109	941156295	HOSPITAL	CA	501(c)(3)	3	DCC	false
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL ST	BEREA	KY	40403	260152877	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS	false
SAINT JOSEPH HEALTH SYSTEM INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	611334601	HOSPITAL	KY	501(c)(3)	3	KOH	false
SAINT JOSEPH HOSPITAL FOUNDATION INC
701 Bob Olink Dr 200	LEXINGTON	KY	40504	611159649	FUNDRAISING FOUNDATION	KY	501(c)(3)	Type I	SJHS	false
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	260438748	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS	false
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DR	MOUNT STERLING	KY	40353	272884584	FUNDRAISING FOUNDATION	KY	501(c)(3)	7	SJHS	false
SAINT JOSEPH'S HOSPITAL FOUNDATION
2500 Fairway Street	DICKINSON	ND	58601	363418207	FUNDRAISING FOUNDATION	ND	501(c)(3)	Type I	SJHHC	false
San Gabriel Valley Medical Center Foundation
438 West Las Tunas Drive	San Gabriel	CA	91776	953430341	INACTIVE	CA	501(c)(3)	Type I	DH	false
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH ST	SCHUYLER	NE	68661	363630014	FUNDRAISING FOUNDATION	NE	501(c)(3)	Type I	AHMHS	false
Sierra Nevada Memorial-Miners Hospital
155 Glasson Way	Grass Valley	CA	95945	941439787	HOSPITAL	CA	501(c)(3)	3	DCC	false
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	440545809	HOSPITAL	MO	501(c)(3)	3	CSH	false
St Francis Foundation of Santa Barbara
2323 De La Vina St Suite 104	Santa Barbara	CA	93105	237137119	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
St Francis Hospital Support Corporation
601 E Micheltorena Street	Santa Barbara	CA	93103	770022302	INACTIVE	CA	501(c)(3)	Type I	DH	false
St Johns Healthcare Foundation
1600 North Rose Avenue	Oxnard	CA	93030	202865781	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
St Josephs Foundation (Phoenix)
350 West Thomas Road	Phoenix	AZ	85013	942941245	FUNDRAISING FOUNDATION	AZ	501(c)(3)	Type I	DH	false
St Josephs Foundation of San Joaquin
1800 N California Street	Stockton	CA	95204	510432777	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
St Mary Medical Center Foundation
1050 Linden Avenue	Long Beach	CA	90813	237153876	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
St Mary Professional Building Inc
1050 Linden Avenue	Long Beach	CA	90813	237373088	INACTIVE	CA	501(c)(3)	Type I	DH	false
St Marys Medical Center Foundation
450 Stanyan Street	San Francisco	CA	94117	943336143	FUNDRAISING FOUNDATION	CA	501(c)(3)	Type I	DH	false
St Rose Dominican Health Foundation
3001 St Rose Parkway	Henderson	NV	89052	880349432	FUNDRAISING FOUNDATION	NV	501(c)(3)	Type I	DH	false
ST ALEXIUS MEDICAL CENTER
900 EAST BROADWAY AVENUE	BISMARCK	ND	58501	450226711	HOSPITAL	ND	501(c)(3)	3	CSH	false
ST ANTHONY HOSPITAL
2801 St Anthony Way	PENDLETON	OR	97801	930391614	HOSPITAL	OR	501(c)(3)	3	CSH	false
ST ANTHONY HOSPITAL FOUNDATION
2801 St Anthony Way	PENDLETON	OR	97801	930992727	FUNDRAISING FOUNDATION	OR	501(c)(3)	Type I	SAH	false
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DR	MORRILTON	AR	72110	710245507	HOSPITAL	AR	501(c)(3)	3	SVIMC	false
ST CATHERINE HOSPITAL
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	480543721	HOSPITAL	KS	501(c)(3)	3	CSH	false
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE ST	GARDEN CITY	KS	67846	200598702	FUNDRAISING FOUNDATION	KS	501(c)(3)	Type I	SCH	false
ST CLARE COMMONS
12469 Five Point Road	TOLEDO	OH	43551	270163752	LIVING COMM	OH	501(c)(3)	10	FLC	false
ST DOMINIC OF ONTARIO OREGON
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	930433692	HEALTHCARE	OR	501(c)(4)		CSH	false
ST FRANCIS HOME
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410729978	LTERM CARE	MN	501(c)(3)	10	CSH	false
ST FRANCIS LIFE CARE CORPORATION
19 POCONO RD	DENVILLE	NJ	07834	222536017	ELDERLY CARE	NJ	501(c)(3)	10	SCHS	false
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DR	BRECKENRIDGE	MN	56520	410695598	HOSPITAL	MN	501(c)(3)	3	CSH	false
ST JOSEPH FOUNDATION OF BRYAN TEXAS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742351158	FUNDRAISING FOUNDATION	TX	501(c)(3)	Type II	SJSC	false
ST JOSEPH MANOR
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742847594	HEALTHCARE	TX	501(c)(3)	10	SJSC	false
ST JOSEPH MEDICAL CENTER INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	520591461	HOSPITAL	MD	501(c)(3)	3	CSH	false
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	203159302	PHYSICIANS	TX	501(c)(3)	3	SJSC	false
ST JOSEPH PHYSICIAN ENTERPRISE INC
201 INTERNATIONAL CIRCLE STE 212	HUNT VALLEY	MD	21030	521311775	PHYSICIANS	MD	501(c)(3)	Type I	SJMC	false
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	741282696	HOSPITAL	TX	501(c)(3)	3	SJSC	false
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	454088170	HOSPITAL	TX	501(c)(3)	3	SJSC	false
ST JOSEPH REGIONAL HEALTH PARTNERS ACO
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	463265423	HEALTHCARE	TX	501(c)(3)	10	SJSC	false
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742455161	MANAGEMENT	TX	501(c)(3)	Type I	SLHS	false
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVE	PARK RAPIDS	MN	56470	410695603	HOSPITAL	MN	501(c)(3)	3	CSH	false
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
2500 Fairway St	DICKINSON	ND	58601	450226429	HOSPITAL	ND	501(c)(3)	3	CSH	false
ST LEONARD
8100 CLYO ROAD	CENTERVILLE	OH	45458	341940863	LIVING COMM	OH	501(c)(3)	10	FLC	false
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	273733278	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	261947374	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	260335902	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S COMMUNITY HEALTH SERVICES
6624 FANNIN ST STE 1100	HOUSTON	TX	77030	760536234	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE STE 855	HOUSTON	TX	77004	453811485	FUNDRAISING FOUNDATION	TX	501(c)(3)	7	SLHS	false
ST LUKE'S HEALTH SYSTEM CORPORATION
PO Box 20269	HOUSTON	TX	77225	760536232	MANAGEMENT	TX	501(c)(3)	Type I	CSH	false
ST LUKE'S HOSPITAL AT THE VINTAGE
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	263734606	HOSPITAL	TX	501(c)(3)	3	SLHS	false
ST LUKE'S PROPERTIES CORPORATION
1213 Hermann Drive Ste 855	HOUSTON	TX	77004	760531716	PROPERTY MGMT	TX	501(c)(3)	Type I	SLHS	false
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN ST STE 2505	HOUSTON	TX	77030	454120549	PROPERTY MGMT	TX	501(c)(3)	Type I	SLCDC-SL	false
ST MARY'S COMMUNITY HOSPITAL
1301 Grundman Boulevard	NEBRASKA CITY	NE	68410	470443636	HOSPITAL	NE	501(c)(3)	3	CHI NEBRASKA	false
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVE	NEBRASKA CITY	NE	68410	470707604	FUNDRAISING FOUNDATION	NE	501(c)(3)	7	SMCH	false
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	510169537	FUNDRAISING FOUNDATION	AR	501(c)(3)	Type I	SVIMC	false
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710236917	HOSPITAL	AR	501(c)(3)	3	CSH	false
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710830696	HEALTHCARE	AR	501(c)(3)	10	SVIMC	false
SYLVANIA FRANCISCAN HEALTH
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	341412964	HEALTHCARE	OH	501(c)(3)	Type I	CSH	false
SYLVANIA FRANCISCAN HEALTH FOUNDATION
1715 INDIAN WOOD CIR 200	MAUMEE	OH	43537	455357161	FUNDRAISING FOUNDATION	OH	501(c)(3)	Type I	FLC	false
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVE	SANDUSKY	OH	44870	341826097	ASSIST LIVING	OH	501(c)(3)	10	FLC	false
THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	741385192	HOSPITAL	TX	501(c)(3)	3	SLHS	false
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK ST ACCOUNTING-3 W	CINCINNATI	OH	45206	310537486	HOSPITAL	OH	501(c)(3)	3	CSH	false
THE PHYSICIAN NETWORK
2000 Q ST STE 500	LINCOLN	NE	68503	470780857	PHYSICIANS	NE	501(c)(3)	Type I	CHI NEBRASKA	false
TOTAL HEALTHCARE
9100 E Mineral Circle	Centennial	CO	80112	840927232	HOSPITAL	CO	501(c)(3)	3	CHIC	false
TRINITY HEALTH FOUNDATION
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	311329423	FUNDRAISING FOUNDATION	OH	501(c)(3)	Type I	THS	false
TRINITY HEALTH SYSTEM
380 SUMMIT AVENUE	STEUBENVILLE	OH	43952	341818681	HEALTHCARE	OH	501(c)(3)	Type I	NA	false
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREET	DENNISON	OH	44621	275401105	HOSPITAL	OH	501(c)(3)	3	SFH	false
TRI-STATE HEALTH SERVICES INC
ONE ROSS PARK BLVD	STEUBENVILLE	OH	43952	341522484	ASSIST LIVING	OH	501(c)(3)	7	THS	false
UNITY FAMILY HEALTHCARE
815 SE 2ND ST	LITTLE FALLS	MN	56345	410721642	HOSPITAL	MN	501(c)(3)	3	CSH	false
VILLA NAZARETH INC
801 PAGE DR	FARGO	ND	58103	450226714	LTERM CARE	ND	501(c)(3)	10	CSH	false
VISITING NURSE ASSOCIATION OF ST CLARE'S INC
191 WOODPORT RD	SPARTA	NJ	07871	221768334	HOME HEALTH	NJ	501(c)(3)	10	SCHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (80 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line2USAddress/AddressLine2Txt
AGH Phoenix LLC
220 E Las Colinas Blvd Suite 1000	Irving	TX	75039	471584330	Holding Company	AZ	NA	N/A	false	false
American Mercy Home Care LLC
1700 EDISON DR	MILFORD	OH	45150	830486150	HOME HEALTH	OH	NA	N/A	false	false
Arizona Care Network LLC (ACN LLC)
350 W Thomas Rd	Phoenix	AZ	85013	454494682	Care Network	AZ	NA	N/A	false	false
Audubon Land Company LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	841513085	Real Estate	CO	NA	N/A	false	false
AVON EMERGENCY AND URGENT CARE CENTER LLC
9100 E Mineral Circle	Centennial	CO	80112	811727282	HEALTHCARE SRVC	CO	NA	N/A	false	false
BAYLOR CHI ST LUKES HEALTH SERVICES LLC
6624 Fannin St Ste 1100	HOUSTON	TX	77030	472079184	HEALTHCARE SRVC	TX	NA	N/A	false	false
BERGAN MERCY SURGERY CENTER LLC
7710 Mercy Rd Ste 200	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	Alegent Creighton Health	Related	false	false	$956,636	$2,137,026	0.5333
BERYWOOD OFFICE PROPERTIES LLC
2501 Citico Avenue	CHATTANOGA	TN	37404	621875199	PHYS OFFICE	TN	NA	N/A	false	false
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY STE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC IMAGING	KY	NA	N/A	false	false
CBCC Outsmarting Cancer LLC
6501 Truxtun Avenue	Bakersfield	CA	93309	461602286	Radiation / Oncology including Cyberknife	CA	NA	N/A	false	false
CENTRAL NEBRASKA REHABILITATION SERVICES LLC
3004 W FAIDLEY AVENUE	GRAND ISLAND	NE	68803	810653461	Physical Therapy	NE	NA	N/A	false	false
CENTURA-SCA HOLDINGS LLC
569 BROOK VILLAGE STE 901	BIRMINGHAM	AL	35209	474823023	OP SURGERY CENTER	AL	NA	N/A	false	false
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	NA	N/A	false	false
CHICAMSURG Surgery Centers LLC
1A Burton Hills Blvd	Nashville	TN	37215	465683027	SURGERY CENTER	CO	NA	N/A	false	false
CHICLARKIN VENTURES LLC
9100 E Mineral Circle	Centennial	CO	80112	474210888	URGENT CARE	CO	NA	N/A	false	false
Colorado Springs CK Leasing LLC
630 Southpointe Court 200	COLORADO SPRINGS	CO	80906	262982714	REAL ESTATE	CO	NA	N/A	false	false
Community Mercy Home Care Services of Springfield LLC
1700 EDISON DR	MILFORD	OH	45150	311746556	HOME HEALTH	OH	NA	N/A	false	false
DE JV LLC
8686 New Trails Drive	The Woodlands	TX	77381	320496548	Emergency Care	NV	NA	N/A	false	false
DHHP Surgery Centers LLC
1513 S Grand Avenue Ste 350	Los Angeles	CA	90015	831847466	SURGERY	CA	NA	N/A	false	false
DHRT Holdings LLC
185 Berry Street Suite 300	San Francisco	CA	94107	352484591	Holding Company	DE	NA	N/A	false	false
Dignity- GoHealthUrgent Care Management LLC
5555 Glenridge Connector Suite 700	Atlanta	GA	30342	352548698	Management Services	DE	NA	N/A	false	false
Dignity Health at Home LLC
1700 EDISON DR	MILFORD	OH	45150	824674115	HEALTHCARE SRVC	DE	NA	N/A	false	false
Dignity Health Specialty Pharmacy LLC
185 Berry Street Suite 300	San Francisco	CA	94107	320589462	Specialty Pharmacy Services	DE	NA	N/A	false	false
DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC
15305 Dallas Parkway	Addison	TX	75001	202999237	Surgery	TX	NA	N/A	false	false				Suite 1600 LB 28
DignityUSP NorCal Surgery Centers LLC
15306 Dallas Parkway	Addison	TX	75001	202468509	SURGERY	TX	NA	N/A	false	false				Suite 1600 LB 28
DIGNITYUSP PHOENIX SURGERY CENTERS LLC
15307 Dallas Parkway	Addison	TX	75001	134248908	Surgery	TX	NA	N/A	false	false				Suite 1600 LB 28
DignityUSPJohn Muir East Bay Surg Ctrs LLC
15308 Dallas Parkway	Addison	TX	75001	352584991	SURGERY	TX	NA	N/A	false	false				Suite 1600 LB 28
Dignity-Abrazo Health Network LLC
3030 N Central Avenue Suite 1402	Phoenix	AZ	85012	465477985	Management Services	AZ	NA	N/A	false	false
Dominican Magnetic Resonance Imaging Center
1545 Soquel Drive	Santa Cruz	CA	94065	770095477	Imaging Center	CA	NA	N/A	false	false
Folsom Sierra Endoscopy Center LP
1650 Creekside Drive 1600	Folsom	CA	95630	680482416	Endoscopy	CA	NA	N/A	false	false
Franciscan Medical Pavilion Bonney Lake LLC
6622 Wollochet Dr NW	Gig Harbor	WA	98335	463494108	Real Estate	WA	NA	N/A	false	false
FRANCISCAN SPECIALTY CARE LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	813725123	HEALTHCARE SRVC	WA	NA	N/A	false	false
Good Samaritan Home Care Services of Vincenne IN LLC
1700 EDISON DR	MILFORD	OH	45150	201792869	HOME HEALTH	OH	NA	N/A	false	false
HC SL VINTAGE I LLC
18000 W SARAH LANE STE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLDING	WI	NA	N/A	false	false
HEALTHCARE SUPPORT SERVICES LLC
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	N/A	false	false
Heartland Oncology LLC
2337 E Crawford St	Salina	KS	67401	464265403	ONCOLOGY	KS	NA	N/A	false	false
Highline Physical Therapy Group
181 S 333rd Street STE 250	Federal Way	WA	98003	911431904	Physical Therapy	WA	NA	N/A	false	false
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	Related	false	false	$3,316,157	$4,026,861	0.6037
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	Related	false	false	$1,073,338	$611,791	0.5337
LINCOLN CK LEASING LLC
555 SOUTH 70TH STREET	Lincoln	NE	68510	262496856	Real Estate	NE	NA	N/A	false	false
Mercy Davis Cancer Center Management Co LLC
2740 M Street	Merced	CA	95340	943358445	Management of Cancer Center	CA	NA	N/A	false	false
Mercy Rehabilitation Hospital LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	814437201	HEALTHCARE SRVC	TX	NA	N/A	false	false
Military Road Properties LLC
181 S 333rd Street STE 250	Federal Way	WA	98003	912067879	Real Estate	WA	NA	N/A	false	false
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND ST STE 20300	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	Related	false	false	$10,932,701	$20,014,794	0.51
NICU Operating CO of Santa Cruz LLC
1555 Soquel Drive	Santa Cruz	CA	95065	460502935	Neonatal Healthcare	CA	NA	N/A	false	false
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	NA	N/A	false	false
NSC Channel Islands LLC
3000 Riverchase Galleria Suite 500	Birmingham	AL	35244	770418197	Ambulatory surgical center	CA	NA	N/A	false	false
OMG Arizona LLC
130 Sutter Street 2nd Flr	San Francisco	CA	94104	471708588	Medical Office	AZ	NA	N/A	false	false
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80228	371577105	ORTHO HOSPITAL	CO	NA	N/A	false	false
Park Rapids Area Health Care
600 Pleasant Avenue S	Park Rapids	MN	56470	204926259	HEALTHCARE SRVC	MN	NA	N/A	false	false
Pasadena Urgency Center LLC
4600 E SAM HOUSTON PKWY SOUTH	PASADENA	TX	77505	812482854	URGENT CARE	TX	NA	N/A	false	false
Patient Transport Services of Columbus Inc
1700 EDISON DR	MILFORD	OH	45150	264601285	Ambulance	OH	NA	N/A	false	false
PENINSULA RADIATION ONCOLOGY LLC
314 MLK JR WAY STE 11	TACOMA	WA	98405	870808610	HEALTHCARE SRVC	WA	NA	N/A	false	false
Penrad Imaging LLC
1390 Kelly Johnson Blvd	COLORADO SPRINGS	CO	80920	841072619	Medical Imaging	CO	NA	N/A	false	false
Performance Medical Equipment & Respiratory Svsc LLC
19625 62nd Avenue South STE 101	Kent	WA	98032	452901632	Holding Company	WA	NA	N/A	false	false
Plaza Surgery Center LP
525 E Plaza Drive Suite 100	Santa Maria	CA	93454	770573567	Surgery	CA	NA	N/A	false	false
PMC HOSPITAL LLC
3100 MAIN ST STE 500	HOUSTON	TX	77002	273280598	HOSPITAL	TX	NA	N/A	false	false
Precision Medicine Alliance LLC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	352569159	Diagnostic Services	CO	NA	N/A	false	false
Pueblo Ambulatory Surgery Center LLC
25 Montebello Rd	Pueblo	CO	81003	621488737	SURGERY CENTER	CO	NA	N/A	false	false
Radiation Oncology Centers of Ventura County
1700 N ROSE AVENUE SUITE 120	OXNARD	CA	93030	770191706	IMAGING	CA	NA	N/A	false	false
RBR Management LLC
91 Corporate Park Drive Suite 120	Henderson	NV	89074	271466450	Ambulance	NV	NA	N/A	false	false
Reid-ANC Home Care Services LLC
1700 EDISON DR	MILFORD	OH	45150	371454747	HOME HEALTH	IN	NA	N/A	false	false
SAINT JOSEPH - SCA HOLDINGS LLC
1451 Harrodsburg RD	LEXINGTON	KY	40503	453801157	OP SURGERY	DE	NA	N/A	false	false
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DR	MILFORD	OH	45150	263330545	HOME HEALTH	KY	NA	N/A	false	false
Santa Cruz Comprehensive Imaging LLC
1661 Soquel Drive Suite G	Santa Cruz	CA	95065	010550623	Imaging	CA	NA	N/A	false	false
Santa Cruz Land & Building LP
1555 Soquel Drive	Santa Cruz	CA	95065	770285236	REAL ESTATE	CA	NA	N/A	false	false
Santa Cruz Surgery Center LLC
3003 PAUL SWEET ROAD	SANTA CRUZ	CA	95065	770194916	SURGERY	CA	NA	N/A	false	false
SMI Imaging LLC
6740 E Camelback Road Suite 101	Scottsdale	AZ	85251	264000683	Imaging Center	CA	NA	N/A	false	false
Southeastern Home Care LLC
1700 EDISON DR	MILFORD	OH	45150	271219638	HOME HEALTH	OH	NA	N/A	false	false
St Joseph's Surgery Center LP
15305 Dallas Parkway	Addison	TX	75001	201019390	Surgery	TX	NA	N/A	false	false				Suite 1600 LB 28
St Elizabeth Home Care Services LLC
1700 EDISON DR	MILFORD	OH	45150	261236191	HOME HEALTH	KY	NA	N/A	false	false
ST FRANCIS LAND COMPANY
5390 N ACADEMY BLVD STE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	NA	N/A	false	false
ST LUKE'S DIAGNOSTIC CATH LAB LLP
6624 FANNIN ST STE 800	HOUSTON	TX	77030	710959365	DIAGNOSTICS	TX	NA	N/A	false	false
ST LUKE'S LAKESIDE HOSPITAL LLC
6624 FANNIN STE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	NA	N/A	false	false
ST LUKE'S THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN STE 800	HOUSTON	TX	77030	462795726	DIAGNOSTICS	TX	NA	N/A	false	false
Templeton Surgery Center LLC
1310 Las Tablas Road Suite 104	Templeton	CA	94365	202246616	Surgery	CA	NA	N/A	false	false
The Medical Pavilion at St John's
1700 Rose Avenue	Oxnard	CA	93030	770332349	Real Estate	CA	NA	N/A	false	false
THREE SPRING IMAGING LLC
1 Mercado St STE 200A	DURANGO	CO	81301	813571570	HEALTHCARE SRVC	CO	NA	N/A	false	false
Valley Physicians Surgery Center At Northridge LLC
18330 Roscoe Blvd	Northridge	CA	91328	800864336	Surgery	CA	NA	N/A	false	false
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE STE 100	CLIVE	IA	50325	205345295	HEALTHCARE SRVC	IA	NA	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (92 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
Alegent HealthCreighton St Joseph Managed Care Services Inc
12809 West Dodge Rd	Omaha	NE	68154	470802396	Managed Care	NE	NA	C Corporation	false
All Saints Insurance Company SPC Ltd
				980556913	Insurance		NA	C Corporation	false	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS Valley Inc
2801 FRANCISCAN DRIVE	BRYAN	TX	77802	742466914	Healthcare	TX	NA	C Corporation	false
Alternative Insurance Management Service Inc
3900 OLYMPIC BLVD STE 400	Erlanger	KY	41018	841112049	Management Services	CO	NA	C Corporation	false
AMERICAN NURSING CARE Inc
1700 EDISON DR	MILFORD	OH	45150	311085414	HOME HEALTH	OH	NA	C Corporation	false
AMERIMED INC
1700 EDISON DR	MILFORD	OH	45150	311158699	HOME HEALTH	OH	NA	C Corporation	false
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	Fitness Club	KY	NA	C Corporation	false
BrazoSport Health Alliance
1 WEST WAY COURT	LAKE JACKSON	TX	77566	760518376	Health Care	TX	NA	C Corporation	false
Caduceus Medical Associates INC
5600 Brainerd Road Ste 500	Chattanooga	TN	37411	621570736	Healthcare	TN	NA	C Corporation	false
Captive Management Initiatives Ltd
				980663022	Captive Management		NA	C Corporation	false	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
Catholic Health Initiatives Center for Translational Research
198 INVERNESS DRIVE WEST	Englewood	CO	80112	272269511	Research	CO	NA	C Corporation	false
CHI St Luke's Health - Memorial Condominium Association Inc
1201 W Frank Ave	Lufkin	TX	75904	834184717	Condo Assoc	TX	NA	C Corporation	false
ClearRiver Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464495960	Insurance	TN	NA	C Corporation	false
Coastal Surgical Specialists Inc
921 Oak Park Blvd Suite 101	Pismo Beach	CA	93449	743000596	Healthcare	CA	NA	S Corporation	false
Comcare Services Inc
5570 DTC Parkway	Englewood	CO	80111	840904813	Inactive	CO	NA	C Corporation	false
CONSOLIDATED HEALTH SERVICES
1700 EDISON DR	MILFORD	OH	45150	311378212	HOME HEALTH	OH	NA	C Corporation	false
Des Moines Medical Center Inc
1111 6TH AVE	Des Moines	IA	50314	420837382	Real Estate	IA	NA	C Corporation	false
Dignity Health Holding Corporation
185 Berry Street Suite 300	San Francisco	CA	94107	460675371	Holding Co	NV	NA	C Corporation	false
Dignity Health Insurance Ltd (Cayman Island corporation)
				981065338	Insurance		NA	C Corporation	false	PO Box 1051 KY1-1102	Grand Cayman Islands	GRAND CAYMAN	CJ	KY11001	CJ
Dignity Health Provider Resources Inc
185 Berry Street Suite 300	San Francisco	CA	94107	473366764	Health Plan	CA	NA	C Corporation	false
Diversified Health Resources Inc
100 MEDICAL DRIVE	LAKE JACKSON	TX	77566	760222679	Health Care	TX	NA	C Corporation	false
First Initiatives Insurance LTD
				980203038	Insurance		NA	C Corporation	false	PO BOX 10073 APO	Georgetown	GRAND CAYMAN	CJ	KY11001	CJ
Franciscan City Urgent Care Services PS dba City MD - Franciscan Urgent Car
C/O CPGUSA 1345 AVE OF THE AMERICAS	NEW YORK	NY	10105	812174959	Healthcare	NY	NA	C Corporation	false							e
Franciscan Services Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232487967	Healthcare	CO	NA	C Corporation	false
Good Samaritan Outreach Services
PO Box 1990	Kearney	NE	68848	470659440	Medical Clinic	NE	NA	C Corporation	false
HarvestPlains Health of Iowa
32129 Weyerhaeuser Way S STE 201	FEDERAL WAY	WA	98001	473451750	Insurance	WA	NA	C Corporation	false
Health Services of the Pacific Central Coast Inc
1400 E Church Street	Santa Maria	CA	93454	770074057	Healthcare	CA	NA	C Corporation	false
Health Systems Enterprises Inc
PO BOX 1990	Kearney	NE	68848	470664558	MGMT	NE	NA	C Corporation	false
Healthcare MGMT Services Organization INC
1149 MARKET ST	Tacoma	WA	98402	911865474	Health Org.	WA	NA	C Corporation	false
HeartlandPlains Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464368223	Insurance	NE	NA	C Corporation	false
Highline Medical Group
1717 S J Street	Tacoma	WA	98405	911407026	Medical Services	WA	NA	C Corporation	false
Integrated Medical Services
9250 N 3rd Street Suite 4010	Phoenix	AZ	85020	860783428	Multi-specialty physicians group	AZ	NA	C Corporation	false
KOMG-Louisville Region Inc
201 Abraham Flexner Way	Louisville	KY	40202	832481198	Healthcare	KY	NA	C Corporation	false
Management Services Organization of Santa Maria Inc
1400 E Church Street	Santa Maria	CA	93454	770318135	Health Care Mgmt	CA	NA	C Corporation	false
Medical Office Building Horizontal Property Regime Inc
300 Werner St	Hot Springs	AR	71913	710720429	Real Estate	AR	NA	C Corporation	false
Medquest
1301 15TH AVENUE WEST	Williston	ND	58801	450392137	Sale of DME	ND	NA	C Corporation	false
Memorial CV Service Line Management Company LLC
1201 W Frank Ave	Lufkin	TX	75904	463622849	Heath Care	TX	NA	C Corporation	false
Mercy Park Apartments LTD
1111 6th AVE	Des Moines	IA	50314	421202422	Housing	IA	NA	C Corporation	false
Mercy Services Corp
2700 STEWART PARKWAY	Roseburg	OR	97471	930824308	Retail Sales	OR	NA	C Corporation	false
MHI Clinical Services
1201 W Frank Ave	Lufkin	TX	75904	461967952	Healthcare	TX	NA	C Corporation	false
Millenium Surgery Center Inc
9300 Stockdale Hwy 200	Bakersfield	CA	93311	770513445	Healthcare	CA	NA	S Corporation	false
Mountain Management Services Inc
6028 Shallowford Rd	Chattanooga	TN	37421	621570739	MGMT SVC ORG	TN	NA	C Corporation	false
North Central Health Care Alliance
PO Box 5538	Bismark	ND	58506	450439894	Healthcare	ND	NA	C Corporation	false
PATIENT TRANSPORT SERVICES INC
1700 EDISON DR	MILFORD	OH	45150	311100798	HOME HEALTH	OH	NA	C Corporation	false
QCA Health Plan Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	710794605	Insurance	AR	NA	C Corporation	false
QualChoice Advantage
32129 WEYERHAEUSER WAY S STE 201	FEDERAL WAY	WA	98001	473433912	Insurance	WA	NA	C Corporation	false
QualChoice Health Plan Services Inc (fka CollabHealth Plan Services Inc)
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461224037	Admin Services	CO	NA	C Corporation	false
QualChoice Health Inc (fka CollabHealth Managed Solutions Inc)
198 INVERNESS DRIVE WEST	Englewood	CO	80112	461222808	Holding Co	CO	NA	C Corporation	false
QualChoice Holdings Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	274075520	Holding Co	AR	NA	C Corporation	false
QualChoice Life and Health Insurance Company Inc
12615 Chenal Parkway STE 300	Little Rock	AR	72211	710386640	Insurance	AR	NA	C Corporation	false
QualChoice of Nebraska
2401 S 73rd St	Omaha	NE	68124	810738827	Inactive	NE	NA	C Corporation	false
RiverLink Health
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464380824	Insurance	OH	NA	C Corporation	false
RiverLink Health of Kentucky Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464828332	Insurance	KY	NA	C Corporation	false
Ross Park Pharmacy Inc
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341832654	Pharmacy	OH	NA	C Corporation	false
RUSHWINC Properties Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	753160650	Lease negotiations	GA	NA	C Corporation	false
Saint Clare's Primary Care Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	222441202	Billing Services	NJ	NA	C Corporation	false
SJH Services Corporation
198 INVERNESS DRIVE WEST	Englewood	CO	80112	232307408	Healthcare	CO	NA	C Corporation	false
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR STE 160	Lexington	KY	40503	270164198	Mgmt	KY	NA	C Corporation	false
SoundPath Health Inc
32129 Weyerhaeuser Way S STE 201	Federal Way	WA	98001	421720801	Insurance	WA	NA	C Corporation	false
St Mary Health Ventures Inc
1050 Linden Avenue	Long Beach	CA	90813	951912528	Retail Pharmacy	CA	NA	C Corporation	false
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	NA	C Corporation	false
St Joseph Development Company Inc
1717 SOUTH J ST	Tacoma	WA	98405	911480569	Rental	WA	NA	C Corporation	false
St Luke's Health System Holdings Inc
6624 Fannin STE 800	Houston	TX	77030	760637138	Holding Co	TX	NA	C Corporation	false
St Mary's Multi Specialty Clinic
1625 Prater Way Suite 102	Sparks	NV	89434	113763590	Healthcare	NV	NA	C Corporation	false
St Vincent Community Health Services Inc
TWO ST VINCENT CIRCLE	Little Rock	AR	72205	710710785	Healthcare	AR	NA	C Corporation	false
StableView Health Inc
198 INVERNESS DRIVE WEST	Englewood	CO	80112	464373713	Insurance	KY	NA	C Corporation	false
STE Holdings
12809 West Dodge Rd	Omaha	NE	68154	822383629	Holding Co	NE	NA	C Corporation	false
Sugar Land Doctor Group
1317 Lake Point Parkway	Sugar Land	TX	77478	454270163	Medical Clinic	TX	NA	C Corporation	false
Towson Management Inc
7601 OSLER DR	Towson	MD	21204	521710750	Mgmt Services	MD	NA	C Corporation	false
TRINITY MANAGEMENT SERVICES ORGANIZATION
380 SUMMIT AVE	STEUBENVILLE	OH	43952	341471026	Mgmt Services	OH	NA	C Corporation	false
US HealthWorks Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582420844	Occupational Medical Services	CA	NA	C Corporation	false
US HealthWorks Medical Group of Alaska LLC
25124 Springfield Court Suite 200	Valencia	CA	91355	631219117	Occupational Medical Services	AK	NA	C Corporation	false
US HealthWorks Medical Group of Arizona Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582625710	Occupational Medical Services	AZ	NA	C Corporation	false
US HealthWorks Medical Group of Florida Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582654983	Occupational Medical Services	FL	NA	C Corporation	false
US HealthWorks Medical Group of Georgia Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582625714	Occupational Medical Services	GA	NA	C Corporation	false
US HealthWorks Medical Group of Kentucky Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	473277440	Occupational Medical Services	KY	NA	C Corporation	false
US HealthWorks Medical Group of Maine Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582654976	Occupational Medical Services	ME	NA	C Corporation	false
US HealthWorks Medical Group of Ohio Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	311540841	Occupational Medical Services	OH	NA	C Corporation	false
US HealthWorks of Colorado Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	811053593	Occupational Medical Services	CO	NA	C Corporation	false
US HealthWorks of Illinois Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	461384805	Occupational Medical Services	IL	NA	C Corporation	false
US HealthWorks of Indiana Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	351991196	Occupational Medical Services	IN	NA	C Corporation	false
US HealthWorks of Kansas City Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	462754415	Occupational Medical Services	KS	NA	C Corporation	false
US HealthWorks of Minnesota Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	452494357	Occupational Medical Services	MN	NA	C Corporation	false
US HealthWorks of New Jersey Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	043323869	Occupational Medical Services	NJ	NA	C Corporation	false
US HealthWorks of North Carolina Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	562029468	Occupational Medical Services	NC	NA	C Corporation	false
US HealthWorks of Pennsylvania Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	582660955	Occupational Medical Services	PA	NA	C Corporation	false
US HealthWorks of Tennessee Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	452697510	Occupational Medical Services	TN	NA	C Corporation	false
US HealthWorks of Washington Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	911173613	Occupational Medical Services	WA	NA	C Corporation	false
US HealthWorks of Wisconsin Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	461384564	Occupational Medical Services	WI	NA	C Corporation	false
USHW Holding Corporation
25124 Springfield Court Suite 200	Valencia	CA	91355	208050895	Occupational Medical Services	DE	NA	C Corporation	false
USHW of California Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	954585828	Occupational Medical Services	CA	NA	C Corporation	false
USHW of Texas Inc
25124 Springfield Court Suite 200	Valencia	CA	91355	742785392	Occupational Medical Services	TX	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ALEGENT CREIGHTON CLINIC
J	$724,514	FMV
ALEGENT CREIGHTON CLINIC
Q	$3,175,882	COST
CHI HEALTH FOUNDATION
C	$336,220	BOOK
CHI HEALTH FOUNDATION
B	$114,699	BOOK

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Electing OrganizationElectingOrganizationInd	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	470757164	Yes (X)	$0	$207,946	$207,946	$538,302,659	$538,510,605	$1,000,000	$250,000	$0	$0	$0
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND ST	Omaha	NE	68122	470376615	Yes (X)	$0	$6,310	$6,310	$158,616,261	$158,622,571	$1,000,000	$250,000	$0	$0	$0