2017-05-11T15:03:14-05:00 2016-06-30 470617373 catholic health initiatives 198 inverness drive west englewood CO 80112 990 2015-07-01 392031968 NEBRASKA HEART HOSPITAL NEBR 4023283721 7500 S 91ST ST LINCOLN NE 685269772 Jeanette Wojtalewicz CFO, CHI Health 2017-05-08 true ANGELA NOEL CPA P01051055 3032989100 2015 2021-01-29 14:40:06Z CHI Health Nebraska Heart - Lincoln Neb Cliff A Robertson 7500 S 91ST ST LINCOLN NE 685269772 75648981 false 0928 X WWW.NEHEART.COM X 2011 NE The Nebraska Heart Hospital is the Midwest's premier facility for cardiac, vascular and thoracic services. The hospital provides patients with inpatient and outpatient care. By focusing care and using technologies that center on the patient, the physicians and staff strive to provide the best treatment for each patient. 16 11 373 20 11 0 0 1462 63381730 74606398 185233 104297 823077 936824 64390040 75648981 2702444 2403822 0 0 22692510 22845696 0 0 40020171 36766432 65415125 62015950 -1025085 13633031 118451866 159279953 9104269 36305187 109347597 122974766 X The mission of Catholic Health Initiatives and Nebraska Heart Hospital is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization. false false 19166416 1117127 34671791 The Nebraska Heart Hospital (NHH) provides a comprehensive program of cardiology services. These services begin with the patient and their family practice or primary care physician, a relationship fundamental in the prevention and treatment of heart disease. The Nebraska Heart Hospital provides an inclusive series of non-invasive and invasive diagnostic testing and practices the most up-to-date interventional therapy in the treatment of heart disease. Cardiologists at the Nebraska Heart Hospital work with patients and referring physicians to assure that a team-based approach is used from diagnosis through treatment and rehabilitation. 11065996 501521 15565499 Surgeons with the Nebraska Heart Institute perform a variety of procedures to treat cardiac, vascular, and thoracic diseases. These surgeries include but are not limited to : Coronary Artery Bypass, TAVR, Transmyocardial Revascularization (TMR), Valvular Procedures, Transplantation, Vascular Disease, Peripheral Angiography, and Vein Clinic 2109368 220757 6851543 Despite advances in medicine, heart disease remains the leading cause of death in the United States. The Nebraska Heart Hospital Cardiovascular Health and Lipid Clinic is committed to working to prevent the development and progression of coronary and vascular disease using a holistic approach including risk assessment, lifestyle changes and medical treatment. A team of physicians, advanced practice clinicians, nurses and dieticians works to provide personalized risk assessment and a customized plan to decrease your risk of developing cardiovascular disease. 10807511 564417 17517565 Other programs 10807511 564417 17517565 43149291 true false false true false false false false false false true false false true true true false true false false false false false false false false true true false true true false false false false false false false false false false false false false true false false false true 0 0 373 true false false false false false false false false false false X 16 11 false false false false true true true true true false false true true true true true true false true false X Jeanette Wojtalewicz 4023434671 12809 West Dodge Road Omaha NE 68154 MICHAEL DEFREECE secretary/treasurer 1.0 11.0 X X 0 0 0 RICHARD HERINK MD Board CHAIR 1.0 12.0 X X 0 0 0 CLIFF ROBERTSON MD Board Member/CEO CHI Health 1.0 59.0 X X 0 1505835 179645 SR Maryanne Stevens RSM Board Vice Chair 1.0 11.0 X X 0 0 0 LARRY BUTLER BOARD MEMBER 1.0 11.0 X 0 0 0 FR JAMES CLIFTON SJ Board Member 1.0 11.0 X 0 0 0 GREGORY HEIDRICK Board Member 1.0 11.0 X 0 0 0 Sister Nadine Heimann Board Member 1.0 11.0 X 0 0 0 ROBERT LANIK Board Member 1.0 11.0 X 0 342925 13268 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 1.0 59.0 X 0 3895913 57577 BARRY SANDSTROM Board Member 1.0 11.0 X 0 0 0 NATHANIEL BRACKETT MD BOARD MEMBER 1.0 11.0 X 0 0 0 SUSANNE L HRUZA BOARD MEMBER 1.0 11.0 X 0 0 0 AMY L MCGAHA md BOARD MEMBER 1.0 59.0 X 0 263770 14202 Edward R O'Connor Ph d Board Member 1.0 11.0 X 0 0 0 Bill T Yates Board Member 1.0 11.0 X 0 0 0 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 5.0 55.0 X 0 874016 82856 PETER DIONISOPOULOS MD, CVSL, CMO 10.0 50.0 X 0 687588 31619 DEEPAK GANGAHAR MD, President 10.0 50.0 X 0 295772 14946 KENT HOXMEIER Perfusionist 40.0 0.0 X 143380 17810 16649 JACQUELLINE MENDOZA VP, Nursing, CV Service Line 50.0 0.0 X 227463 0 20660 TRISH WILMES Director, Clinical Quality & Director, Support Services 50.0 0.0 X 226952 0 20617 Jamie Prange DIRECTOR-SURGICAL SERVICES 40.0 0.0 X 153714 0 26592 CRYSTAL LIVINGSTON PERFUSIONIST LEAD 50.0 0.0 X 113260 22725 26703 DAN SCHONLAU VP Finance 5.0 50.0 X 0 228294 23264 MARTIN M MANCUSO MD Board Member 1.0 59.0 X 0 152726 16670 864769 8287374 545268 30 true true false 0 X 0 0 0 1462 0 0 0 1462 Patient Services 900099 73876389 73876389 0 0 Intercompany Transactions 900099 730009 730009 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74606398 101159 0 11 101148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3695 -557 0 0 3695 -557 3138 0 0 3138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Services Sold 900099 486333 0 0 486333 Cafeteria 722100 225012 0 0 225012 Laboratory Services 621500 3277 0 0 3277 222202 0 0 222202 936824 75648981 74606398 11 1041110 2403822 2403822 17360678 11631655 5729023 1065002 713551 351451 3162404 2118811 1043593 1257612 842600 415012 1491 1491 4323394 2897673 1425721 0 698234 467817 230417 231018 154782 76236 865894 580149 285745 57752 38695 19057 9331 6252 3079 3602480 2413661 1188819 64495 64495 Medical Supplies 18713446 18713446 Intercompany Allocations 7823755 7823755 Restructing Losses 126819 126819 Education 40856 27374 13482 207467 139003 68464 0 62015950 43149291 18866659 0 0 0 5634800 24003992 0 0 9446021 12682549 0 0 18717 13677 859610 2794066 69411 337768 38776497 13455776 26490273 25320721 0 0 143288 141978 0 75789746 74929746 0 19055456 118451866 159279953 5956081 7307873 0 0 0 845822 0 0 0 0 0 0 0 0 3148188 28151492 9104269 36305187 X 109347597 122974766 0 0 0 0 109347597 122974766 118451866 159279953 X 13633031 -8052 2190 X false true X true false X false false false false false true 1491 false false false 1491 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $927 CATHOLIC HEALTH ASSOCIATION - $564 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $927 CATHOLIC HEALTH ASSOCIATION - $564 1400000 1400000 22690097 4834105 17855992 0 0 0 13428230 7769225 5659005 1258170 852446 405724 25320721 Deferred Income Taxes Intercompany Receivables 19055456 19055456 Intercompany Payables 20508137 Deferred Gain 7586054 Accrued Expenses and Invoices 57301 28151492 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Nebraska Heart Hospital's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2015, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. As of June 30, 2016, CHI has a deferred tax asset of $96.1 million related to net operating loss (NOL) carryforwards. CHI believes that most of the NOL carryforwards will expire unused and has established a valuation allowance of $91.6 million against the deferred tax asset associated with these NOL carryforwards. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements." true true X false false true true true false true true 132 804530 0 804530 0.0131 240 828382 -158696 987078 0.0161 0 0 0 0 0.0 0 372 1632912 -158696 1791608 0.0292 10 425 135539 12197 123342 0.0020 6 144 23606 0 23606 0.0004 0 0 0 0 0 0.0 1 0 6101 0 6101 0.0001 2 443 46381 5322 41059 0.0007 19 1012 211627 17519 194108 0.0032 19 1384 1844539 -141177 1985716 0.0324 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 3 492 0 492 0.0000 0 0 0 0 0 0.0 1 3 492 0 492 0.0000 true 681838 0 90424280 64385809 26038471 X true true 1 1 Nebraska Heart Hospital 7500 South 91st Street Lincoln NE 68526 http://www.neheart.com h000118 X HEART HOSPITAL Nebraska Heart Hospital 1 false false true X X X X X X X X X 15 true true true true X www.chihealth.com/chna X X true 16 true www.chihealth.com/chna false false true X X X X X X true true X X X X true X http://www.chihealth.com/financial-assistance X WWW.CHIHEALTH.COM/DOCUMENTS/FINANCIAL_ASSISTANCE_APPLICATION.PDF X http://www.chihealth.com/financial-assistance X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Nebraska Heart Hospital. Over 100 individuals representing all sectors of health and community participated in a MAPP process including several leaders from Nebraska Heart Health (NHH). These stakeholders represent low-income, minority populations, medically underserved populations and the aging population. Several specifics methods were used to gain community input on the needs assessment and community health improvement plan. The information gathered from the community informed the health need prioritization process and the community health improvement plan. Online Survey: LLCHD disseminated an online survey in both English and Spanish on the City of Lincoln- Lancaster County website and by sending the link via e-mail to community partners. Hard copies were available for those without access to a computer. The survey asked participants about their perceptions of the public health services and about various aspects of their community related to health. o Community Focus Groups were held in collaboration with the State for Lincoln and Lancaster County residents. In addition to the larger focus group, two smaller focus groups were held with senior citizens at a senior center. The focus group gained input from participants on their perceptions of the local health services and about various aspects of their community related to health. Community Engagement Session: The MAPP process included a brainstorming session in order to gather input about events, trends and factors that shape the background conditions in the community. The issues focused on during the engagement session were the growth of Lincoln's population now and in the future, and the changing city landscape and development. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Nebraska Heart Hospital. CHI Health Saint Elizabeth Bryan Health Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Nebraska Heart Hospital. Lincoln Lancaster County Health Department Other input from community organizations Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Nebraska Heart Hospital. The CHNA was presented to the Community Board for Saint Elizabeth's and Nebraska Heart Hospital. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Nebraska Heart Hospital. The new CHNA and corresponding implementation plan was completed in the tax reporting year 2015. The following outlines the current implementation plan priorities and strategies. This plan was posted publicly on www.chihealth.com/chna. This is a joint plan with CHI Health St. Elizabeth and Nebraska Heart Hospital. For this plan the hospital prioritized the following health needs: Priority Health Need #1: Access to Care To address this need the hospital will implement the following strategies in 2016-2018: - Offer ED Connection program to improve healthcare access for low-income, uninsured, mentally ill, or immigrant persons who repeatedly use the emergency departments. (STE/NHH) - Provide financial assistance and support to Clinic with a Heart to improve access to healthcare for uninsured and underinsured populations. (STE) Priority Health Need #2: Behavioral Health To address this need the hospital will implement the following strategies in 2016-2018: - Provide a community-based behavioral health (BH) coalition with hospitals, providers and other key stakeholders focused on improving BH for individuals in the community. (STE) - Provide a system flow for behavioral health patients in treatment or seeking treatment through a provider service coordination process(STE) - Provide the use of BH prevention techniques with primary and integrated health clinics, schools, youth and adults in the community(STE) - Provide awareness and use of the Care Transition Model(STE) Priority Health Need #3: Chronic Disease To address this need the hospital will implement the following strategies in 2016-2018: - Provide a community tobacco cessation program to help eliminate exposure to secondhand smoke in Lancaster County (STE/NHH) - Provide a Community Asthma Education Initiative for children in Lincoln, Nebraska with diagnosed undermanaged, undiagnosed asthma, or at-risk for asthma. (STE) - Provide a Heart Failure Academy/and other education for individuals with heart failure and their families. (STE/NHH) - Provide financial assistance and support to Partnership for a Healthy Lincoln to decrease obesity, increase fruit and vegetable consumption, and increase physical activity for both adults and youth in Lancaster County. (STE/NHH) Priority Health Need #4: Injury & Violence To address this need the hospital will implement the following strategies in 2016-2018: - Provide Lancaster County middle schools with Second Step, a violence prevention program (STE/NHH) - Provide after school creative programs at the middle school. Specifically, digital storytelling and painting as a means of sharing emotions and then hold community events(s) to showcase creative works and to educate the community on violence prevention. (STE/NHH) - Create a community culture that supports violence prevention through engaging community organizations in education and programing. (STE/NHH) - Offers free education about child passenger safety on how to properly restrain their child in a child safety seat. (STE) Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Nebraska Heart Hospital. Nebraska Heart Hospital uses the department of housing and urban development (HUD) very-low income guidelines. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Nebraska Heart Hospital. The organization will not charge individuals who are eligible for financial assistance more than amounts generally billed to those who have insurance. 0 Schedule H, Part I, Line 6a Community benefit report The CHI Health system produces an annual public community benefit report that is mailed to a core constituency, placed in key places throughout the organization and distributed in community meetings. It is also available on the company's intranet site, and on its public website at http://www.chihealth.com/community-benefit. Schedule H, Part VI, Line 5 Promotion of Community Health (continued) Missouri Valley - Harrison County Home & Public Health-provided funding to Harrison County Home & Public Health (HCHPH) to host a Milk Mob Training (evidence based program) to train community health workers in breastfeeding support. Funding also allowed HCHPH to host R.E.S.P.E.C.T. program at local school assemblies for elementary-age students to learn to recognize bullies as being in danger of child abuse and neglect in their home, and how to help them as a peer. - Healthy Harrison Coalition-provided funding for referrals and vouchers distributed through local agencies such as WIC and West Central Community Action Partnership to families with low access to healthy foods. Vouchers offered participating families transportation to the County Farmer's Market, as well as a $20 voucher for fruits and vegetables. * Health professional education- * Clinical preceptorships and clinical rotations for healthcare professionals * Administration of nursing preceptorships and clinical rotations * Clinical pastoral education * Scholarships for healthcare education * Academic affiliation with Creighton University and its Health Professions Programs * Physician residency and fellowship programs training more than 230 residents and fellows annually * Research - unfunded staff support of the National Cancer Institute Community Oncology Research Program (NCORP) * Financial and in-kind contributions- * Corporate sponsorships * Tanzania health ministry * Staff service on health related board and coalitions * Participation in and funding of maternal health, breastfeeding, substance abuse, cancer, diabetes and other community health coalitions. * Participation in and sponsorship of mental health coalitions including Kim Foundation, Community Alliance Foundation, Voices for Children, Youth Emergency Service, Project Harmony and El Centro de las Americas. * Employee costs of coordinating community events not sponsored by CHI Health * In-kind donations (staff time, space, etc.) supporting grants for Behavioral Health, Telepsych, Community Link and 54321Go. * Community building activities- * 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 * Presentations to high school students about healthcare careers * Community and economic development including support of local Chambers of Commerce * Strategic planning and consulting services for community * The primary care and pediatric physician clinics that are part of the parent corporation provide access to care through the system's Financial Assistance Policy and participate in medical student preceptorships that advance the healthcare provider education process. * CHI Health has Open Medical staffs * CHI Health is a joint venture partner in a not-for-profit Hospice inpatient hospital and provides the management support contract. Alegent Creighton Health system is governed by a board of directors primarily comprised of volunteer members of our local community who are leaders in the fields of business, healthcare, accounting and medicine and understand their role in providing strong corporate governance. The Alegent Creighton Health hospitals have full-time emergency departments that are open to the public and provide medical screening examinations and stabilizing treatment within the capabilities and capacities of the hospitals regardless of but not limited to the patient's race, color, sex, age, and/or ability to pay. The hospitals are in compliance with the federal EMTALA regulations. In addition, together with unrelated hospitals in the area, work closely with local fire and rescue departments to ensure that ambulances take patients to the appropriate hospital. This is generally the hospital that is closest geographically with exceptions based on patient preference, patient's physician preference, and capacity or the availability of specialized facilities or programs related to the patient's condition. Finally, the Alegent Creighton Health hospitals maintain detailed procedures regarding when and under what circumstances a patient can be transferred. Under this policy, no patient will be transferred based on race, creed, religion or ability to pay. Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care NEBRASKA HEART HOSPITAL PROVIDES FREE AND DISCOUNTED CARE TO PATIENTS WITH A FINANCIAL NEED. THE AMOUNT OF ANY SUCH FREE OR DISCOUNTED CARE PROVIDED BY NEBRASKA HEART HOSPITAL TAKES INTO CONSIDERATION THE MEDICAL NECESSITY OF THE CARE, THE PATIENT'S HOUSEHOLD SIZE, INCOME, LIQUID ASSETS, AS WELL AS OTHER MEDICAL LIABILITIES. NEBRASKA HEART HOSPITAL USES THE DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY-LOW INCOME GUIDELINES IN ITS FINANCIAL ASSISTANCE PROCESS, WHICH MORE ACCURATELY REFLECT THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES. THE HUD VERY-LOW INCOME GUIDELINES ARE GENERALLY 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES (FPG), ALLOWING MORE PATIENTS TO QUALIFY FOR FINANCIAL ASSISTANCE UNDER NEBRASKA HEART HOSPITAL'S POLICY #15 AND 16. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS MAY BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL WELL BEING AND SURVIVAL. SUCH PATIENTS MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THESE EXTENUATING FACTS AND CIRCUMSTANCES. NEBRASKA HEART HOSPITAL'S ELIGIBILITY CRITERION FOR THE APPLICATION OF DISCOUNTS IS BASED UPON 130% OF THE ANNUALLY UPDATED HUD VERY-LOW INCOME GUIDELINES. THE HUD GUIDELINES TAKE INTO CONSIDERATION FAMILY INCOMES THAT DO NOT EXCEED 50% OF THE MEDIAN FAMILY INCOME FOR A GEOGRAPHIC AREA AND UTILIZE A SLIDING SCALE APPROACH BASED UPON FAMILY INCOME AND SIZE. Schedule H, Part I, Line 7g Subsidized Health Services There are no physician clinics included in subsidized health services. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 681838 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 Presentations to high school students about healthcare careers * Community and economic development including support of local Chambers of Commerce * Strategic planning and consulting services for community partners to build capacity to address health and social needs of the community 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 43.07%. 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 Nebraska Heart Hospital does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Nebraska Heart Hospital does not issue separate company audited financial statements. However, the organization is included in the consolidated financial statements of Catholic Health Initiatives. The consolidated footnote reads as follows: "The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration historical business and economic conditions, trends in health care coverage, and other collection indicators. Management routinely assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category. The results of these reviews are used to modify, as necessary, the provision for bad debts and to establish appropriate allowances for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, CHI follows established guidelines for placing certain balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by each facility. The provision for bad debts is presented on the consolidated statements of operations as a deduction from patient services revenues (net of contractual allowances and discounts) since CHI accepts and treats substantially all patients without regard to the ability to pay." 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. Nebraska Heart Hospital's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). The true costs of Medicare are the same amounts as reported in Schedule H, Part III, Lines 5 and 6. Nebraska Heart Hospital believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Nebraska Heart Hospital's debt collection policy provides that Nebraska heart Hospital will perform a reasonable review of each inpatient account prior to turning an account for to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through Nebraska Heart Hospital's community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the Nebraska Heart Hospital's community assistance policy is required to be returned immediately by the third-party collection agent to Nebraska Heart Hospital for appropriate follow-up. Nebraska Heart Hospital requires its third-party collection agents to include a message on all statements indicating that if a patient or patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospitals' contracts with third party collection agencies include the following standards: * Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect. Schedule H, Part V, Section B, Line 16a FAP website - Nebraska Heart Hospital: Line 16a URL: http://www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Nebraska Heart Hospital: Line 16b URL: WWW.CHIHEALTH.COM/DOCUMENTS/FINANCIAL_ASSISTANCE_APPLICATION.PDF; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Nebraska Heart Hospital: Line 16c URL: http://www.chihealth.com/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The process of identifying the community health needs in Lancaster County served by NHH was accomplished by using data and community input through the Mobilizing for Action through Planning and Partnership (MAPP) Process, and support through the Saint Elizabeth/NHH Community Benefit Action Team (CBAT). The MAPP process is a community-driven strategic planning approach used to improve community health through applying strategic thinking to prioritize public health issues and identify the resources to address them. The LLHD MAPP process included stakeholders from across the community representing all of the local health service agencies and several community agencies representing the population served in Lancaster County. NHH staff participated on both the Steering Committee and several Work Groups as part of both the assessment and planning process. The MAPP process included several assessments that collected and reviewed both primary and secondary data: * Community Health Status Assessment: This process involved collecting data on core indicators and selecting additional key indicators tailored to the community. - County Health Rankings - Behavioral Risk Factors Surveillance System Data - Youth Risk Behavior System Data - Vital Statistics Data - US Census Bureau - Lincoln Lancaster County Health Department * Community Themes & Strengths Assessment: This assessment involved community dialogue and focus groups; a community survey; key stakeholder interviews; and reporting the results and identified challenges and opportunities. * Forces of Change Assessment/Community Engagement Sessions: This assessment involved a brainstorming session to gather input about events, trends and factors that shape the background conditions in the community. * Following completion of these assessments and community engagement opportunities, the MAPP Steering Committee met to review the data and applied scoring criteria to rank and prioritize the top health needs for Lancaster County. Summary of Assessment Findings The Lincoln-Lancaster County MAPP Steering Committee scored a list of 80 potential health priority issues on the basis of seven criteria. The seven scoring criteria included: 1. Magnitude/Size of the Problem 2. Comparison with State Results 3. Historical Trends 4. Economic/Social Impact 5. Changeability 6. Capacity of the Local Public Health System 7. Readiness/Political Will As a result, the following health needs were ranked in the upper quartile: Highest Ranked Issues as Scored Upper Quartile *Diabetes (overall & minorities) *STI's (Chlamydia & Gonorrhea) *Excessive and Binge Drinking *Falls (elderly) *Food Insecurity *Substance Abuse (including prescription drugs) *Heart Disease *Smoking (adults and youth) *Dental Caries *Breast Cancer Mortality *LBW Babies (African Americans) *Child Abuse/Neglect *Uninsured/Access (including behavioral health & dental) *Distracted Driving *Obesity (adults and youth) *Mental Health *Hypertension *Inadequate Prenatal Care *Colorectal Cancer Screening *Physical Inactivity *Violence/Abuse *Suicide (15-24) The Steering Committee then determined that in order to create a plan that was achievable and measurable, further prioritization was needed. Through discussion, four issues were prioritized: access to care (including access to dental care and some mental health services); behavioral health issues including substance abuse and suicide; chronic disease prevention; and injury prevention including violence/abuse. These broad categories encompass most of the issues scored high on the list except for STDs (Chlamydia and Gonorrhea), maternal and child health issues (inadequate prenatal care and LBW babies), and food insecurity. However, STDs and food insecurity are the focus of other efforts by the public health and health community; and food insecurity is also a community wide effort of many non-profit agencies. Prioritized Community Health Needs 1. Access to Care (including access to dental care/mental health services) 2. Behavioral Health (including substance abuse and suicide) 3. Chronic Disease Prevention 4. Injury Prevention (including violence/abuse) Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Nebraska Heart Hospital includes information concerning its financial assistance policy on its website. In addition, Nebraska Heart Hospital prominently displays its financial assistance policy, in both English and Spanish, in obvious locations throughout the hospitals, including the emergency rooms and other patient intake areas, as well as in Nebraska Heart Hospital outpatient facilities. Nebraska Heart Hospital's registration clerks are trained to provide consultation to those who have no insurance or potentially inadequate insurance concerning their financial options including application for Medicaid and for financial assistance under Nebraska Heart Hospital's financial assistance policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. Nebraska Heart Hospital's registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non-English-speaking individuals. Nebraska Heart Hospital's staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies. Schedule H, Part VI, Line 4 Community information For the purpose of the CHNA and future implementation strategy, Nebraska Heart Hospital considers its primary community to be the City of Lincoln and the surrounding County (Lancaster) which includes 75%-90% of the patients served by the hospitals. This was determined by an interdisciplinary team from Nebraska Heart Health [Community Benefit Action Team (CBAT)] and aligns with a shared definition agreed upon with community partners including other local health systems and the health department. Lancaster County includes residents living in the towns of Bennet, Davey, Denton, Firth, Hallam, Hickman, Lincoln, Malcolm, Martell, Panama, Raymond, Roca, Sprague, Walton, and Waverly. Lancaster County covers an area of 839 square miles in southeastern Nebraska with a population density of 360 persons per square mile (2014). Lincoln Lancaster Total Population is 301,795. Under 5 years 20,219 5 - 14 years 39,085 15 - 24 years 56,538 25 - 44 years 79,768 45 - 64 years 69,624 65 - 84 years 31,329 85 and older 5,232 Gender Female: 151,024 Male: 150,771 Race/Ethnicity White, NH: 249,985 African American, NH: 11,080 Native American, NH: 1,769 Asian/Pacific Islander, NH: 12,265 2+ Races, NH: 6,889 Hispanic: 19,807 Minority: 51,810 A review of the socioeconomic factors shows that the City of Lincoln, Lancaster County, and the State of Nebraska overall have a low unemployment rate. Despite this, a notable portion of the population lives in poverty. Poverty estimates for 2013 indicated that 14.0% of the overall population and 16% of children are below the poverty level. In comparison, 12.9%of families in Nebraska had an income level that was below the poverty threshold. Nearly half of students (43.4%) enrolled in the Lincoln Public Schools qualified for free and reduced meals. Median Household Income is $51,916 Percent of Persons in Poverty is 14.0% Percent of Children in Poverty is 16% Unemployment Rate is 2.9% High School Graduation Rate is 86% Some College was 75% Percent of Uninsured adults age 65 and older is 15% Percent of Uninsured Children under 19 years is 5% Schedule H, Part VI, Line 5 Promotion of community health 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 (heart disease, car seat safety checks, community behavioral health support, diabetes, cancer, physical activity and healthy eating and cooking) * Support groups (cardiac, cancer, bereavement, youth, etc.) * Community health fairs and screenings * Parish nursing program and faith community outreach * School based healthcare services * Healthy Families-this program is a free, 8-week health and nutrition program for families with a child between the ages of 4-18 who has been identified in the top 85th percentile of body mass index. This program invites the whole family to participate in learning about physical activity, eating healthy, and setting realistic goals as a family. * Childcare-provided the Nutrition & Physical Activity Self-Assessment in Child Care (NAP SACC) Learning Collaborative for child care programs in Douglas, Sarpy and Cass Counties in Nebraska. Ten child care programs sent a total of 30 providers through a series of five workshops to learn about best practices for teaching healthy eating and physical activity habits to young children. * Breastfeeding-provided funding and planning support to host a 5 day training in York, NE for clinic and community healthcare workers to obtain their Certified Lactation Counselor (CLC) designation. CHI Health also provided funds towards the planning of a continuing education event (Beyond Best Practices: Creating a Supportive Environment for Breastfeeding Parents) for clinic and hospital professionals (nurses, medical assistants, dieticians, health coaches/navigators and providers) in addition to support for an online course called Breastfeeding the NICU Infant for hospital-based NICU nursing staff. Eighty professionals were enrolled in February of 2016. * In collaboration with CHI Health Saint Elizabeth, Nebraska Heart provides tobacco cessation counseling in the hospital and the NHI clinic as well as hosts a free 8-week course which is open to the broader community. The course is offered 4 times per year. * Provided counseling and assistance in enrolling individuals in means tested insurance programs to improve access to care. * Provide 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: Omaha/Council Bluffs Metro - Hope Medical Outreach Coalition-Board service 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. - Metro Area Continuum of Care for the Homeless-Board service and financial support to this coalition addressing homelessness in the service area. - Live Well Omaha-a coalition founded by Alegent Creighton Health (now CHI 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-a community coalition using a collective impact approach to address childhood obesity. - African American Empowerment Network- Support of the Step Up summer jobs program a workforce development initiative serving a typically low-income part of the community. - Community Link-a partnership with Catholic Health Initiatives 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 Catholic Health Initiatives, Women's Center for Advancement and Creighton University to implement a campus based violence prevention program known as "Green Dot". - Together, Inc.- provided funds to support the newly developed homeless case management project to be housed out of the CUMC emergency department and then at University Campus. The program will connect high utilizers of the emergency department, who are identified as homeless, with a case manager who will then assist them in finding sustainable housing and accessing other resources associated with social determinants of health. - YMCA-provided support of the Omaha Metro YMCA's Strong Community Campaign to provide for youth programming, medically based wellness, and youth and family memberships for low-income community members. - Pottawattamie County Development-provided support for the administration and delivery of The Big Garden project serving families identified by local healthcare agencies as needing support to access healthy foods at low cost. The program builds the family's skill for self-sustaining a garden and year-round preparation, planning, care, and harvest in a personal garden. - Project Extra Mile-provided funding for the evaluation of a clinic based Screening, Brief Intervention & Referral to Treatment (SBIRT) program that was piloted at the CHI Health 161st and Maple clinic, then implemented at the 132nd & West Center CHI Health Clinic. Lincoln - Partnership for a Healthy Lincoln-provided financial and partnership support as part of the community health improvement plan to PHL, a non-profit health coalition dedicate to improving the health, wellness, and fitness of all those in our community. - Clinic with a Heart-in addition to staffing free clinics each month, provided financial support for infrastructure and program implementation to this free clinic serving the uninsured and underinsured. Kearney - Buffalo County Community Health Partners-provided financial support and leadership to this health coalition that is a county-wide effort to address the leading health issues in the county. - Be Well Buffalo County Program-provided funding that supported establishment of Be Well coalition to advocate for a healthy community culture through infrastructure, education and programs to support healthy choices. Grand Island - Third City Community Clinic-provided funding to support the Access to Healthcare project which aims is to be proactive in the treatment and management of chronic disease in low-income and minority patients to 1) ensure a better quality of life for the patient 2) minimize their emergency room visits and hospital admissions to reduce costs to the patients and the healthcare provider(s). Nebraska City - People United for Families-provided financial support for Partners for Otoe County, a non-profit organization dedicated to building a healthy community where every child and family thrives. P4OC collaborates with individuals, organizations, local businesses, institutions, and agencies to take responsibility for improving the health and quality of life in our community. - Growing Great Kids-provided support for this program, which is a program housed out of Southeast District Health Department (SEDHD). The program provides home visiting services delivered by nursing staff, for families at risk for adverse childhood experiences during the prenatal to age 3 timeframe, to offer support in the prenatal time period as well as parenting support and resources as baby grows. Schedule H, Part VI, Line 6 Affiliated health care system CHI Health Nebraska Heart, along with its affiliated outpatient facilities, are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Englewood, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and/or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 104 hospitals, including four academic medical centers, and 30 critical access facilities; community health service organizations; accredited nursing colleges; home health agencies; and other facilities that span the inpatient and outpatient continuum of care. Together, these facilities provided $1.1 billion in financial assistance and community benefit in the 2016 fiscal year, including services for the poor, free clinics, education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. CHI Health Nebraska Heart operates with its wholly owned affiliates and community partners, along with its fundraising arm, the St. Elizabeth Foundation, to serve the health care needs of the Lincoln, Nebraska communities. Schedule H, Part VI, Line 7 State filing of community benefit report NE true Financial Assistance 132 2403822 Book Reduction or write-off of patient services Schedule I, Part III PROCEDURES FOR Grant to indiviudals CHI HEALTH NEBRASKA HEART RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. GRANTS ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION. true true false false false false false true false CLIFF ROBERTSON MD Board Member/CEO CHI Health 0 790178 0 500149 0 215508 0 139775 0 39870 0 1685480 0 65659 MARTIN M MANCUSO MD Board Member 0 149719 0 0 0 3007 0 10455 0 6215 0 169396 0 0 ROBERT LANIK Board Member 0 1 0 0 0 342924 0 6636 0 6632 0 356193 0 0 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 0 1273340 0 1763164 0 859409 0 15775 0 41802 0 3953490 0 242516 AMY L MCGAHA md BOARD MEMBER 0 263705 0 0 0 65 0 13149 0 1053 0 277972 0 0 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 0 516339 0 229990 0 127687 0 60392 0 22464 0 956872 0 0 DAN SCHONLAU VP Finance 0 192706 0 12775 0 22813 0 13734 0 9530 0 251558 0 0 PETER DIONISOPOULOS MD, CVSL, CMO 0 676838 0 10000 0 750 0 15775 0 15844 0 719207 0 0 DEEPAK GANGAHAR MD, President 0 259616 0 0 0 36156 0 14946 0 0 0 310718 0 0 KENT HOXMEIER Perfusionist 135423 17810 0 0 7957 0 0 9316 3400 3933 146780 31059 0 0 JACQUELLINE MENDOZA VP, Nursing, CV Service Line 188599 0 12700 0 26164 0 12968 0 7692 0 248123 0 0 0 TRISH WILMES Director, Clinical Quality & Director, Support Services 205839 0 11602 0 9511 0 8289 0 12328 0 247569 0 0 0 Jamie Prange DIRECTOR-SURGICAL SERVICES 143575 0 4407 0 5732 0 9028 0 17564 0 180306 0 0 0 CRYSTAL LIVINGSTON PERFUSIONIST LEAD 113260 22725 0 0 0 0 8229 0 18474 0 139963 22725 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. Schedule J, Part I, Line 4a Severance or change-of-control payment Post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives (CHI) and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. The following reportable individuals received severance payments from Catholic Health Initiatives (a Related Organization) during the 2014 calendar year, and these severance payments were included in the individual's W-2 income and reportable compensation on Schedule J: ROBERT LANIK - $344,861 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan During the 2015 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. The following reportable individuals were eligible to participate in that plan: CLIFF ROBERTSON MICHAEL ROWAN JEANETTE WOJTALEWICZ During 2015 the following contributions were made by CHI to the deferred compensation plan: CLIFF ROBERTSON - $124,000 JEANETTE WOJTALEWICZ - $44,617 During 2015 the following distributions were made by CHI from the deferred compensation plan: CLIFF ROBERTSON - $65,659 MICHAEL ROWAN - $242,516 Due to the "super" vesting rules under the CHI deferred compensation plan, participants who have met certain requirements such as age, years of service or more than 5 years of plan participation are eligible to receive their 2015 contributions in cash. These cash payouts are included in the participant's reportable compensation in column (iii) Other Reportable Compensation on Schedule J Part II. During 2015, the following contributions that would have been made by CHI to the deferred compensation plan were paid in cash: MICHAEL ROWAN - $313,628 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. Form 990, Part III, Line 4d Description of other program services (Expenses $ 10,807,511 including grants of $ 564,417)(Revenue $ 17,517,565) Other programs Form 990, Part VI, Line 15a PROCESS FOR DETERMINING CEO'S COMPENSATION Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group 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 have been reviewed annually since and revised based on market data, where applicable. For other members of management who were paid under CHI Health for calendar year 2015, CHI Health completes a compensation market study to determine salary. Form 990, Part VI, Line 1a Delegate broad authority to a committee PURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS Of the Articles REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 6 Classes of members or stockholders ACCORDING TO THE BYLAWS OF NEBRASKA HEART HOSPITAL, THE ENTITY'S SOLE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: - APPROVE MEMBERS OF THE NEBRASKA HEART HOSPITAL BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE NEBRASKA HEART HOSPITAL - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE NEBRASKA HEART HOSPITAL. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE NEBRASKA HEART HOSPITAL - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL - APPROVAL OF ISSUANCE OF DEBT BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF PARTICIPATION OF THE NEBRASKA HEART HOSPITAL IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY THE NEBRASKA HEART HOSPITAL - APPROVAL OF A MERGER INVOLVING THE NEBRASKA HEART HOSPITAL - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE NEBRASKA HEART HOSPITAL - TO REQUIRE THE TRANSFER OF ASSETS BY THE NEBRASKA HEART HOSPITAL TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Form 990, Part VI, Line 11b Review of form 990 by governing body Following the preparation of the form 990 by tax analysts of Catholic Health Initiatives, a related organization, the return is reviewed by the CHI tax director and the local chief financial officer. After incorporation of any changes resulting from this review, the form 990 is reviewed at the finance committee meeting and the chief financial officer and CHI tax director are present at the meeting to answer questions. Additionally, the board of directors are provided the final form 990 and related schedules to review and are able 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 Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report 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 report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI 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 COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. The Board Chair or designee shall make such 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 will assume the Chair's role. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make 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, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such 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 within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the Board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. 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 will act as it would in reviewing transactions with unrelated third parties. The transaction is not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. Form 990, Part VI, Line 15b Process to establish compensation of other employees EXECUTIVE COMPENSATION PAID BY THE FILING ORGANIZATION WAS SET BY THE EXECUTIVE COMMITTEE, UTILIZING COMPARABILITY STUDIES COMPLETED BY HR ADVANTAGE TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. 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 (HTTP://WWW.SOS.NE.GOV/BUSINESS). THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 222202, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 222202; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other Changes - 2190; ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HEALTHCARE NE 501(c)(3 3 ACH true ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true ALEGENT CREIGHTON HEALTH FOUNDATION 12809 W DODGE RD OMAHA NE 68154 470648586 FUNDRAISING NE 501(c)(3 7 ACH true ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true ALEGENT HEALTH - COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HEALTHCARE IA 501(c)(3 3 CHI NEBRASKA true ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(c)(3 3 CHI NEBRASKA true ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(c)(3 9 CHI true APPLETREE COURT 601 OAK ST BRECKENRIDGE MN 56520 411850500 SENIOR LIVING MN 501(c)(3 9 SFH true BAYLOR ST LUKE'S HEALTH VENTURES 17200 ST LUKES WAY STE 170 THE WOODLANDS TX 77384 274499340 PHYSICIANS TX 501(c)(3 9 SLCHS true BELLEVILLE ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 274005511 HEALTHCARE TX 501(c)(3 3 SHSC true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVE DES MOINES IA 50314 420725196 LTERM CARE IA 501(c)(3 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(c)(3 Type I CHI true BRAZOSPORT HEALTH FOUNDATION INC 129 CIRCLE WAY STE 102 LAKE JACKSON TX 77566 760080110 FUNDRAISING TX 501(c)(3 Type I BRHS true BRAZOSPORT REGIONAL PHYSICIAN SERVICES 100 MEDICAL DRIVE LAKE JACKSON TX 77566 800240261 HEALTHCARE TX 501(c)(3 3 BRHS true BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(c)(3 3 SJSC true BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 HEALTHCARE TX 501(c)(3 9 SJSC true CARRINGTON HEALTH CENTER 800 N 4TH ST CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(c)(3 Type I NA true CATHOLIC HEALTH INITIATIVES - COLORADO 188 INVERNESS DRIVE WEST STE 500 ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(c)(3 3 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DR STE 301 COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(c)(3 7 CHIC true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DR COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(c)(3 Type I CHI true CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 460992796 HEALTHCARE CO 501(c)(3 Type I CHINS true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PKWY ROSEBURG OR 97471 263946191 PHYSICIANS OR 501(c)(3 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CENTER KS 501(c)(3 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PKWY S FARGO ND 58104 271966847 HEALTHCARE MN 501(c)(3 9 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(c)(3 Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD STE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(c)(3 Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(c)(3 9 CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(c)(3 Type I CHI true CHI NEBRASKA 6940 O ST STE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(c)(3 Type I CHI true CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3 Type I CHI true CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(c)(3 Type I CHI true CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER 6624 FANNIN ST HOUSTON TX 77030 741161938 HEALTHCARE TX 501(c)(3 3 SLHS true CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HEALTHCARE AR 501(c)(3 3 CHISVHS true CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(c)(3 Type II SVIMC true CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 1 MERCY LANE STE 201 HOT SPRINGS AR 71913 261125131 HEALTHCARE AR 501(c)(3 3 CHISVHS true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 237419853 HOLDING CO OH 501(c)(2 GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION 631 N 8TH ST MISSOURI VALLEY IA 51555 421294399 FUNDRAISING IA 501(c)(3 Type I AH-CMHMV true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DR LEXINGTON KY 40509 611400619 LT ACH KY 501(c)(3 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 232028429 HOME HEALTH PA 501(c)(3 Type II CHI NHC true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(c)(3 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(c)(3 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE RD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(c)(3 Type I FH true FRANCISCAN CARE CENTER 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 341931806 HEALTHCARE OH 501(c)(3 9 FLC true FRANCISCAN FOUNDATION 1717 SOUTH J ST TACOMA WA 98405 911145592 FUNDRAISING WA 501(c)(3 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J ST TACOMA WA 98405 910564491 HEALTHCARE WA 501(c)(3 3 CHI true FRANCISCAN HEALTH VENTURES FKA SJMGROUP TACOMA FNC CTR BLDG 1145 BROADWAY TACOMA WA 98402 431882377 PHYSICIANS MO 501(c)(3 9 CHI true FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 341892096 HEALTHCARE OH 501(c)(3 Type I SFH true FRANCISCAN MEDICAL GROUP 1313 BROADWAY STE 200 TACOMA WA 98402 911939739 HEALTHCARE WA 501(c)(3 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 S CHICAGO AVE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(c)(3 9 CHI true GARRISON MEMORIAL HOSPITAL 407 THIRD AVENUE SOUTHEAST GARRISON ND 58540 450227752 HEALTHCARE ND 501(c)(3 3 SAMC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(c)(3 Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311778403 EDUCATION OH 501(c)(3 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK ST ACCOUNTING-3 W CINCINNATI OH 45206 311206047 FUNDRAISING OH 501(c)(3 Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 470379755 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST ST KEARNEY NE 68847 470659443 FUNDRAISING NE 501(c)(3 7 GSH true GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON 110 N MAIN ST STE 500 DAYTON OH 45402 237296923 FUNDRAISING OH 501(c)(3 7 SHP true HARRISON MEDICAL CENTER 2520 CHERRY AVE BREMERTON WA 98310 910565546 HEALTHCARE WA 501(c)(3 3 FHS true HARRISON MEDICAL CENTER FOUNDATION 2520 CHERRY AVE BREMERTON WA 98310 911197626 FUNDRAISING WA 501(c)(3 7 HMC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 760761782 FUNDRAISING MN 501(c)(3 Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 910712166 HEALTHCARE WA 501(c)(3 3 FHS true HOUSE OF MERCY 1111 6TH AVE DES MOINES IA 50314 421323808 SHELTER IA 501(c)(3 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029768 HEALTHCARE KY 501(c)(3 3 KOH true KENTUCKYONE HEALTH MEDICAL GROUP INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611352729 HEALTHCARE KY 501(c)(3 9 JHSMH true KENTUCKYONE HEALTH INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611029769 HEALTHCARE KY 501(c)(3 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVE S BAUDETTE MN 56623 410758434 HEALTHCARE MN 501(c)(3 3 CHI true LAKEWOOD REGIONAL HEALTHCARE FOUNDATION 600 MAIN AVE S BAUDETTE MN 56623 411893795 FUNDRAISING ND 501(c)(3 7 LHC true LINUS OAKES INC 2700 STEWART PKWY ROSEBURG OR 97471 930821381 SENIOR LIVING OR 501(c)(3 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN ST LISBON ND 58054 820558836 HEALTHCARE ND 501(c)(3 3 CHI true LUFKIN VISION ACQUISITIONS PO BOX 1447 LUFKIN TX 75901 820563768 PROPERTY MGMT TX 501(c)(3 Type III-FI MHSET true MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(c)(3 3 SJSC true MADONNA MANOR INC 2344 AMSTERDAM ROAD VILLA HILLS KY 51017 610654635 LIVING ASSIST KY 501(c)(3 1 FLC true MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC 2525 DE SALES AVE CHATTANOOGA TN 37404 621839548 FUNDRAISING TN 501(c)(3 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVE CHATTANOOGA TN 37404 620532345 HEALTHCARE TN 501(c)(3 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD RD STE 500 CHATTANOOGA TN 37411 030417049 HEALTHCARE TN 501(c)(3 9 MHCS true MEMORIAL HEALTH SYSTEM OF EAST TEXAS PO BOX 1447 LUFKIN TX 75902 750755367 HEALTHCARE TX 501(c)(3 3 CHI true MEMORIAL MEDICAL CENTER - LIVINGSTON PO BOX 1447 LUFKIN TX 75902 760436439 HEALTHCARE TX 501(c)(3 3 MHSET true MEMORIAL MEDICAL CENTER - SAN AUGUSTINE PO BOX 1447 LUFKIN TX 75902 752663904 HEALTHCARE TX 501(c)(3 3 MHSET true MEMORIAL MULTISPECIALTY ASSOCIATES 1201 FRANK AVE LUFKIN TX 95904 752721155 PHYSICIANS TX 501(c)(3 Type III-FI MHSET true MEMORIAL SPECIALTY HOSPITAL PO BOX 1447 LUFKIN TX 95902 752492741 HEALTHCARE TX 501(c)(3 3 MHSET true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVE DES MOINES IA 50314 426076069 AUXILIARY IA 501(c)(3 Type I MF-DM IA true MERCY CLINICS INC 1111 6TH AVE DES MOINES IA 50314 421193699 PHYSICIANS IA 501(c)(3 9 CHI-IA CORP true MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVE DES MOINES IA 50314 421511682 EDUCATION IA 501(c)(3 2 CHI-IA CORP true MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVE DES MOINES IA 50314 237358794 FUNDRAISING IA 501(c)(3 7 CHI-IA CORP true MERCY FOUNDATION INC 2700 STEWART PKWY ROSEBURG OR 97471 936088946 FUNDRAISING OR 501(c)(3 7 MMC true MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING IA 50841 421461064 FUNDRAISING IA 501(c)(3 Type I AHMH-Corning true MERCY HEALTHCARE FOUNDATION 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450435338 FUNDRAISING ND 501(c)(3 Type I MHVC true MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DR COUNCIL BLUFFS IA 51503 421178204 FUNDRAISING IA 501(c)(3 Type I AHBMHS true MERCY HOSPITAL OF DEVILS LAKE 1031 7TH ST NE DEVILS LAKE ND 58301 450227012 HEALTHCARE ND 501(c)(3 3 CHI true MERCY HOSPITAL OF DEVILS LAKE FOUNDATION 1031 7TH ST NE DEVILS LAKE ND 58301 352367360 FUNDRAISING ND 501(c)(3 7 MHDL true MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BLVD VALLEY CITY ND 58072 450226553 HEALTHCARE ND 501(c)(3 3 CHI true MERCY MEDICAL CENTER 1301 15TH AVE WEST WILLISTON ND 58801 450231183 HEALTHCARE ND 501(c)(3 3 CHI true MERCY MEDICAL CENTER - CENTERVILLE ONE ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTHCARE IA 501(c)(3 3 CHI-IA CORP true MERCY MEDICAL CENTER - NEWTON DBA SKIFF MEDICAL CENTER 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(c)(3 9 CHI-IA CORP true MERCY MEDICAL CENTER INC 2700 STEWART PKWY ROSEBURG OR 97471 930386868 HEALTHCARE OR 501(c)(3 3 CHI true MERCY MEDICAL FOUNDATION 1301 15TH AVE WEST WILLISTON ND 58801 450381803 FUNDRAISING ND 501(c)(3 Type I MMC true NEBRASKA HEART HOSPITAL 7500 S 91ST ST LINCOLN NE 68526 392031968 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true North Central Health Care Alliance dba PrimeCare Health Group 401 N 9th St BISMARCK ND 585014507 450439894 HEALTHCARE ND 501(c)(3 9 NHCA true OAKES COMMUNITY HOSPITAL 1200 N 7TH ST OAKES ND 58474 450231675 HEALTHCARE ND 501(c)(3 3 CHI true OAKES COMMUNITY HOSPITAL FOUNDATION 1200 N 7TH ST OAKES ND 58474 710966606 FUNDRAISING ND 501(c)(3 Type I OCH true PINEYWOODS MEDICAL DEVELOPMENT CORP PO BOX 1447 LUFKIN TX 75902 752493116 PROPERTY MGMT TX 501(c)(3 Type III-FI MHSET true PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 HEALTHCARE OH 501(c)(3 9 FLC true PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 HOLDING CO OH 501(c)(3 Type II FLC true PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 LIVING COMM OH 501(c)(3 9 FLC true PUEBLO STEPUP 1925 E ORMAN AVE STE G52 PUEBLO CO 81004 841234295 COMMUNITY CO 501(c)(3 7 CHIC true REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE 12844 MILITARY RD S TUKWILA WA 98168 911170040 HEALTHCARE WA 501(c)(3 3 FHS true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DR STE 450 COLORADO SPRINGS CO 80906 841183335 LTERM CARE CO 501(c)(3 7 CHIC true SAINT CLARE'S COMMUNITY CARE INC 25 POCONO RD DENVILLE NJ 07834 222876836 HEALTHCARE NJ 501(c)(3 Type II SCHS true SAINT CLARE'S FOUNDATION INC 25 POCONO RD DENVILLE NJ 07834 222502997 FUNDRAISING NJ 501(c)(3 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO RD DENVILLE NJ 07834 223639733 MANAGEMENT NJ 501(c)(3 Type II CHI true SAINT CLARE'S HOSPITAL INC 25 POCONO RD DENVILLE NJ 07834 223319886 HEALTHCARE NJ 501(c)(3 3 SCHS true SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 FUNDRAISING NE 501(c)(3 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 S 70TH ST LINCOLN NE 68510 363233120 HEALTHCARE NE 501(c)(3 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 S 70TH ST LINCOLN NE 68510 470379836 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 W FAIDLEY GRAND ISLAND NE 68803 470376601 HEALTHCARE NE 501(c)(3 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 470630267 FUNDRAISING NE 501(c)(3 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL ST BEREA KY 40403 260152877 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 611334601 HEALTHCARE KY 501(c)(3 3 KOH true SAINT JOSEPH HOSPITAL FOUNDATION INC ONE SAINT JOSEPH DRIVE LEXINGTON KY 40504 611159649 FUNDRAISING KY 501(c)(3 Type I SJHS true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 260438748 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DR MOUNT STERLING KY 40353 272884584 FUNDRAISING KY 501(c)(3 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH ST DICKINSON ND 58601 363418207 FUNDRAISING ND 501(c)(3 Type I SJHHC true SAMARITAN BEHAVIORAL HEALTH INC 601 S EDWIN C MOSES BLVD DAYTON OH 45417 020633634 HEALTHCARE OH 501(c)(3 7 SHP true SAMARITAN HEALTH PARTNERS 110 N MAIN ST STE 500 DAYTON OH 45402 311107411 HEALTHCARE OH 501(c)(3 Type I CHI true SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC 104 W 17TH ST SCHUYLER NE 68661 363630014 FUNDRAISING NE 501(c)(3 Type I AHMHS true SJRMC JOPLIN MISSOURI 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 440545809 HEALTHCARE MO 501(c)(3 3 CHI true SL AUGUSTA CORP PO BOX 20269 HOUSTON TX 77225 760226623 TITLE HOLDING TX 501(c)(2 SLPC true ST ALEXIUS MEDICAL CENTER 900 EAST BROADWAY AVENUE BISMARCK ND 58501 450226711 HEALTHCARE ND 501(c)(3 3 CHI true ST ANTHONY HOSPITAL 1601 SE COURT AVE PENDLETON OR 97801 930391614 HEALTHCARE OR 501(c)(3 3 CHI true ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVE PENDLETON OR 97801 930992727 FUNDRAISING OR 501(c)(3 Type I SAH true ST ANTHONY'S HOSPITAL ASSOCIATION FOUR HOSPITAL DR MORRILTON AR 72110 710245507 HEALTHCARE AR 501(c)(3 3 SVIMC true ST CATHERINE HOSPITAL 401 EAST SPRUCE ST GARDEN CITY KS 67846 480543721 HEALTHCARE KS 501(c)(3 3 CHI true ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE ST GARDEN CITY KS 67846 200598702 FUNDRAISING KS 501(c)(3 Type I SCH true ST CLARE COMMONS 5942 RENAISSANCE PLACE STE A TOLEDO OH 43623 270163752 LIVING COMM OH 501(c)(3 9 FLC true ST DOMINIC OF ONTARIO OREGON 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930433692 HEALTHCARE OR 501(c)(4 CHI true ST FRANCIS HOME 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410729978 LTERM CARE MN 501(c)(3 9 CHI true ST FRANCIS LIFE CARE CORPORATION 19 POCONO RD DENVILLE NJ 07834 222536017 ELDERLY CARE NJ 501(c)(3 9 SCHS true ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DR BRECKENRIDGE MN 56520 410695598 HEALTHCARE MN 501(c)(3 3 CHI true ST FRANCIS OF BAKER CITY 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 930412495 HEALTHCARE OR 501(c)(3 3 CHI true ST JOSEPH FOUNDATION OF BRYAN TEXAS 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUNDRAISING TX 501(c)(3 Type I SJSC true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3 9 SJSC true ST JOSEPH MEDICAL CENTER INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 520591461 HEALTHCARE MD 501(c)(3 3 CHI true ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH PHYSICIAN ENTERPRISE INC 201 INTERNATIONAL CIRCLE STE 212 HUNT VALLEY MD 21030 521311775 PHYSICIANS MD 501(c)(3 Type I SJMC true ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS 2801 FRANCISCAN DRIVE BRYAN TX 77802 454088170 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH REGIONAL HEALTH PARTNERS ACO 2801 FRANCISCAN DRIVE BRYAN TX 77802 463265423 HEALTHCARE TX 501(c)(3 3 SJSC true ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 MANAGEMENT TX 501(c)(3 Type I SFH true ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVE PARK RAPIDS MN 56470 410695603 HEALTHCARE MN 501(c)(3 3 CHI true ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH ST DICKINSON ND 58601 450226429 HEALTHCARE ND 501(c)(3 3 CHI true ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LIVING COMM OH 501(c)(3 9 FLC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260274448 MANAGEMENT TX 501(c)(3 Type I SLHS true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC 6624 FANNIN ST STE 2505 HOUSTON TX 77030 273733278 HEALTHCARE TX 501(c)(3 3 SLCDC true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND 6624 FANNIN ST STE 2505 HOUSTON TX 77030 261947374 HEALTHCARE TX 501(c)(3 3 SLHS true ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS 6624 FANNIN ST STE 2505 HOUSTON TX 77030 260335902 HEALTHCARE TX 501(c)(3 3 SLCDC true ST LUKE'S COMMUNITY HEALTH SERVICES 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536234 HEALTHCARE TX 501(c)(3 3 SLHS true ST LUKE'S FOUNDATION 1213 HERMANN DRIVE STE 855 HOUSTON TX 77004 453811485 FUNDRAISING TX 501(c)(3 7 SLHS true ST LUKE'S HEALTH SYSTEM CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760536232 MANAGEMENT TX 501(c)(3 Type I CHI true ST LUKE'S HOSPITAL AT THE VINTAGE 6624 FANNIN ST STE 2505 HOUSTON TX 77030 263734606 HEALTHCARE TX 501(c)(3 3 SLHS true ST LUKE'S MEDICAL GROUP 6624 FANNIN ST HOUSTON TX 77030 760458535 PHYSICIANS TX 501(c)(3 3 SLHS true ST LUKE'S MEDICAL TOWER CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531713 PROPERTY MGMT TX 501(c)(3 Type I CHI-SLH true ST LUKE'S PROPERTIES CORPORATION 6624 FANNIN ST STE 1100 HOUSTON TX 77030 760531716 PROPERTY MGMT TX 501(c)(3 Type I SLHS true 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 true ST MARY'S COMMUNITY HOSPITAL 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