2016-05-12T20:01:06-05:00 2015-06-30 470617373 Catholic Health Initiatives 12809 WEST DODGE ROAD OMAHA NE 68154 990 2014-07-01 470757164 ALEGENT CREIGHTON HEALTH ALEG 4023434323 12809 WEST DODGE ROAD OMAHA NE 68154 Jeanette Wojtalewicz CFO 2015-11-09 true Donald Neal Jr P00798244 4023434413 2014 2016-08-17 19:52:53Z Cliff A Robertson 12809 WEST DODGE ROAD OMAHA NE 68154 520830394 false X WWW.ALEGENTCREIGHTON.COM X 1992 NE THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. 13 9 6738 1005 5530852 -648788 2076103 3363280 824016976 502353858 1497176 -323465 13262454 11062396 840852709 516456069 71228560 68768701 0 0 196133647 175186869 0 0 0 512055928 420473456 779418135 664429026 61434574 -147972957 768086926 696163342 327858303 430994771 440228623 265168571 The mission of the Corporation 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 47480111 257679 69597485 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. 24606723 96043 40466949 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. 21844193 56590 31798900 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. 542071658 68358389 341307992 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. 542071658 68358389 341307992 636002685 true true false true false false false false false true true true true false true true false true false true true false false false false false true true true true true false false false false false false true false false false false false true true true true false false true 0 0 6738 true true true false false false false false false false false false X 13 9 false false true false true true true true true false false true true true true true true true true true false X JEANETTE WOJTALEWICZ 4023434323 12809 WEST DODGE ROAD OMAHA NE 68154 MICHAEL DEFREECE SECRETARY/TREASURER 1.00 11.00 X X 0 0 0 RICHARD HERINK BOARD CHAIR 1.00 11.00 X X 0 0 0 CLIFF ROBERTSON Board Member/CEO CHI Health 10.00 50.00 X X 0 1023504 178123 DR Maryanne Stevens RSM VICE CHAIR 1.00 11.00 X X 0 0 0 LARRY BUTLER Board Member 1.00 11.00 X 0 0 0 FR JAMES CLIFTON SJ Board Member 1.00 11.00 X 0 0 0 GREGORY HEIDRICK Board Member 1.00 11.00 X 2329 0 0 Sister Nadine Heimann Board Member 1.00 11.00 X 0 0 0 MARTIN M MANCUSO MD Board Member 1.00 59.00 X 0 391484 25633 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 1.00 59.00 X 0 2500443 53656 BARRY SANDSTROM Board Member 1.00 11.00 X 0 0 0 NATHANIEL BRACKETT MD BOARD MEMBER 1.00 59.00 X 0 0 0 SUSANNE L HRUZA BOARD MEMBER 1.00 11.00 X 0 0 0 AMY L MCGAHA BOARD MEMBER 1.00 59.00 X 0 234004 9616 RICK MILLER MD SVP/CHIEF QUALITY OFFICER 15.00 45.00 X 0 1383707 49751 JOAN NEUHAUS CHI HEALTH SVP COO 15.00 45.00 X 0 2169006 59034 RICHARD ROLSTON MD ACC CEO 4.00 56.00 X 0 2220612 94570 NANCY WALLACE SVP HR CHI HEALTH 15.00 45.00 X 0 506487 0 CARY WARD MD CHI HEALTH SVP CMO 12.00 48.00 X 0 494003 76501 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 5.00 55.00 X 0 696172 98208 STEVE HOUSTON SVP STRATEGY AND TECHNOLOGY, PLANNING 18.00 42.00 X 281209 0 22650 CINDY ALLOWAY PRESIDENT - LKS Hospital 56.00 4.00 X 425093 7577 26458 JANE CARMODY CHIEF NURSING OFFICER 15.00 45.00 X 0 382662 41638 KEVIN NOKELS PRESIDENT - CUMC 60.00 0.00 X 440544 7524 34668 ANN SCHUMACHER PRESIDENT - IMC 4.00 56.00 X 420616 7172 36602 JASON YUNGTUM VP/REG GENERAL COUNSEL 15.00 45.00 X 0 422347 29415 MIKE WATTERS DIV VP SR COUNSEL 10.00 50.00 X 0 312583 41629 JOSEPH HOAGBIN MD CHIEF MEDICAL OFFICER 0.00 60.00 X 349660 0 21755 MARIE KNEDLER PRESIDENT - Bergan 4.00 56.00 X 473411 8281 26638 ELIZABETH LLEWELLYN VP MISSION INTEGRATION 19.00 41.00 X 380466 0 13612 Tim Schnack VP OPERATIONAL FINANCE 9.00 51.00 X 290543 0 24118 KEVIN REAGAN MD CHIEF MEDICAL OFFICER 5.00 55.00 X 282925 1228 24327 LARRY BROWN MD FORMER ACC CEO 0.00 60.00 X 0 342734 30290 FRANK EMSICK FORMER FACILITIES OPS EXEC 0.00 0.00 X 0 205260 0 SHEREE KEELY VP BEHAVIORAL 20.00 40.00 X 215502 0 12406 PATRICIA MASEK VP MEDICAL AFFAIRS 19.00 41.00 X 213146 0 23525 PATRICIA MURDOCK-LANGAN MD CHIEF MEDICAL OFFICER 12.00 48.00 X 0 340157 10888 ANN OASAN PRESIDENT - UNINET 56.00 4.00 X 0 316234 24113 AMY HATCHER VP OF DIVISIONAL FINANCE 5.00 55.00 X 205947 0 10194 DEVIN FOX MD CHIEF MEDICAL OFFICER 15.00 45.00 X 138034 205727 17075 KENNETH LAWONN FORMER SVP/STRATEGY & TECH 0.00 0.00 X 1323472 0 10422 SCOTT WOOTEN Former SVP/CFO 0.00 0.00 X 0 1454576 0 RICHARD HACHTEN II Board Member/ACH PRS/CEO 0.00 1.00 X 0 492165 35534 ANTHONY HATCHER FORMER SECRETARY/TREASURER 0.00 60.00 X 0 422482 22026 5442897 16548131 1185075 117 true true false Monument Conulting LLC 5004 Monument Ave Richmond VA 23230 Streamline solutions 12929339 GREYTHORN 40 LAKE BELLEVUE DR BELLEVUE WA 98052 INFORMATION MANAGEMENT 6378134 PULMONARY MEDICINE SPECIALISTS PC 7710 MERCY ROAD 728 OMAHA NE 68124 PULMONARY SERVICES 2368643 HEALTH DATA SPECIALISTS LLC 1720 SAND CREEK RD POMONA KS 66076 INFORMATION PROCESSING 1576760 CONIFER HEALTH SOLUTIONS INC 2401 INTERNET BLVD 214 FRISCO TX 75034 BILLING SERVICES 1553341 81 X 0 104800 0 712249 1157454 1388777 0 3363280 Net patient services 900099 468092460 465853112 2239348 0 Management Fees 541610 14939224 14939224 0 0 Pharmacy Services 446110 3615059 0 1645523 1969536 Meaningful Use Revenue 900099 1024478 0 0 1024478 Cafeteria 722100 1377690 0 0 1377690 13304947 0 0 13304947 502353858 1487997 0 -1870 1489867 0 0 0 0 0 0 0 0 6450110 0 4214144 0 2235966 0 2235966 0 385820 1850146 821325 -2632787 0 0 821325 -2632787 -1811462 0 0 -1811462 0 0 0 0 0 0 0 0 0 0 0 0 250236 160181 90055 0 0 90055 Wellness Services 900099 1904753 1857873 46880 0 Reimbursement of Expenses 900099 1543486 521117 1022369 0 Cafeteria 722100 1377690 0 0 1377690 3910446 0 192782 3717664 8736375 516456069 483171326 5530852 24390611 1282385 1282385 67486316 67486316 1687860 1687860 136390834 131174759 5216075 6294344 5979627 314717 20634263 19602550 1031713 10179568 9670590 508978 119586980 119586980 1428290 1428290 222673 222673 165877 157583 8294 46018318 37504084 8514234 0 7664319 7281103 383216 15331014 14564463 766551 49331 46864 2467 16419020 15598069 820951 1251454 1188881 62573 73081 69427 3654 5405847 5405847 21665828 20582537 1083291 46048206 43745796 2302410 1621152 1540094 81058 Unrelated Business Taxes 384887 384887 Bad debts 39427253 37455890 1971363 Medical Supplies 52936989 52936989 Repairs and maintenance 7363918 6995722 368196 37409019 35538569 1870450 0 664429026 636002685 28426341 0 101861 4101503 61736541 15914480 97807479 74474509 0 0 2750000 8726613 8482543 10226819 3544596 503900191 107904960 392336941 395995231 11705373 10073131 47708887 49069199 44805880 44340198 85074076 85074076 5106456 5093876 768086926 696163342 59320767 45981433 106670 119326 126279582 121291107 142151284 263602905 327858303 430994771 X 440228623 265168571 440228623 265168571 768086926 696163342 X -147972957 -284168 -26802927 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 222673 232267 222673 232267 635780012 811146542 636002685 811378809 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 193039 211323 169386 232267 806015 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 4068085 657034 24025 528266 4220878 2302076 875156 1722247 831394 4068085 2983028 200542 13256 894750 2302076 2273673 1194774 11314 23450 473283 2983028 1921624 733104 16251 397306 2273673 0.0 0.0 1.0 false true true 29801201 29801201 214910811 15863446 199047365 3232115 1309532 1922583 249683754 89150884 160532870 6272310 1581098 4691212 395995231 CHI OIP 49069199 F 49069199 Investments in Related Healthcare Organizations 44340198 C 44340198 Other Liabilities 33528241 Minimum Pension Liability 24211343 Long Term Notes Payable 68522547 Environmental Remediation Liability 1233687 Payable from Related Parties 136107087 263602905 X Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE held by Alegent 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 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. 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. Sub-Saharan Africa 1 1 Program Services SCHOOL OF NURSING 232948 1 1 0 0 1 1 232948 0 232948 false false false false false false Schedule F, Part I, Line 3(e) SUB-SAHARAN AFRICA ACH 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. true true X false false true true false true true 11878 28788390 28788390 0.0461 12665 64672698 26993857 37678841 0.0603 94028 85714 8314 0.0000 0 24543 93555116 27079571 66475545 0.1064 37 11751 1093537 151955 941582 0.0015 17 3798 720131 720131 0.0012 0 0.0 3 32495 32495 0.0001 22 7786 341154 44472 296682 0.0005 79 23335 2187317 196427 1990890 0.0032 79 47878 95742433 27275998 68466435 0.1095 0 0.0 0 0.0 1 735 735 0.0000 3 956 956 0.0000 0 0.0 4 21327 21327 0.0000 0 0.0 3 23 3061 3061 0.0000 0 0.0 11 23 26079 0 26079 0.0000 true 39427253 0 87732747 121534941 -33802194 X true true LAKESIDE AMBULATORY SURGICAL CENTER LLC AMBULATORY SURGICAL CENTER 0.52 0.48 LAKESIDE ENDOSCOPY CENTER LLC AMBURLATORY SURGICAL CENTER 0.52 0.48 AH-NORTHWEST IMAGING CENTER LLC DIAGNOSTIC TESTING 0.51 0.49 NEBRASKA SPINE LLC SPINE HOSPITAL 0.51 0.49 BERGAN MERCY SURGICAL CENTER AMBULATORY SURGICAL CENTER 0.6394 0.3606 4 1 ALEGENT HEALTH MIDLANDS HOSPITAL 11111 S 84TH ST PAPILLION NE 68046 www.chihealth.com 680001 X X X A 2 Alegent Creighton Health - Creighton University Medical Center 601 N 30th St Omaha NE 68131 www.chihealth.com H000122 X X X A 3 ALEGENT HEALTH PLAINVIEW HOSPITAL 704 N 3RD STREET PLAINVIEW NE 68769 www.chihealth.com 620002 X X X B 4 ALEGENT HEALTH LAKESIDE HOSPITAL 16901 LAKESIDE HILLS COURT OMAHA NE 68130 www.chihealth.com H000106 X X X A A false false true X X X X X X X X X 12 true true true true X www.chihealth.com/chna X www.douglascohealth.com X X true 12 true http://www.chihealth.com/documents/CHNA/implementation_plan_midlands.pdf false false true X X X X X X true true X X X true X http://www.chihealth.com/financial-assistance X http://www.chihealth.com/documents/Financial_Assistance_Application.pdf X X true X false X X X X true X false false B 3 false false true X X X X X X X X X 12 true true true true X www.chihealth.com/chna X http://www.ncdhd.ne.gov/docs/NCDHD%20CHIP%202013.pdf X X true 12 true http://www.chihealth.com/documents/CHNA/implementation_plan_plainview.pdf false false true X X X X X X true true X X X true X http://www.chihealth.com/financial-assistance X http://www.chihealth.com/documents/Financial_Assistance_Application.pdf X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - Group A. ACH served as a key member of the Steering Committee for a four county CHNA led by local health departments; the following leaders participated in survey creation, focus groups and disseminating results. Input from the greater community was also obtained in the CHNA process via survey and key informant interviews with oversamples to intentionally hear from underserved populations of Black/African American residents and Hispanic residents. Community representatives and those with special knowledge or expertise as to the health needs of the service area participated in five focus groups with 88 key informants. Alegent Creighton Health- * Beth Llewellyn-Vice President Mission Integration * Mikki Frost -Director Community Benefit and Healthier Communities Douglas County Health Department- * Adi Pour -Health Director Live Well Omaha- * Kerri Peterson -Executive Director Methodist Health System- * Ken Klaasmeyer- Vice President * Ruth Freed-Foundation Pottawattamie Health Department/VNA- * Kris Stapp-Visiting Nurses Association Sarpy/Cass County Health Department- * Diane Kelly-Director The Nebraska Medical Center- * Leslie Uttecht - Community Relations Liaison * Tadd Pullin- Vice President Marketing, Planning and Network Operations PRC is a nationally recognized consulting firm with extensive experience conducting CHNAs since 1994. This CHNA is an update to the CHNAs conducted by PRC in 2002 and 2008 that were used to develop a community report card, dialogue and priorities through the Live Well Omaha coalition. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - Group A. Alegent Creighton Health invested in the CHNA and served as an equal partner with the two other health systems serving the same MSA; The Nebraska Medical Center and Methodist Health System. Children's Hospital and Medical Center conducted a separate assessment focused on children. 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/VNA, and Sarpy/Cass County Health Department all participated in the conduction of the CHNA. Schedule H, Part V, Section B, Line 7 Facility A, 1 Facility A, 1 - Group A. The CHNA results were shared with the community at an annual Health Summit facilitated by Live Well Omaha - a 35-member healthy community collaboration, and continues to be a key financial supporter and member of the Board of the Directors of the organization. In addition, the data is shared on an easily accessible, public website www.douglascohealth.org that is partially funded by Alegent Creighton Health and other area hospitals including The Nebraska Medical Center and Methodist Health System to share tri-county health data and best practices. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - Group A. The community identified the following priorities as areas of opportunity through primary and secondary data from key informant interviews: Areas of Opportunity: 1. Access to Health Services 2. Diabetes 3. Heart Disease and Stroke 4. Maternal, Infant and Child Health 5. Mental Health and Mental Disorders 6. Nutrition and Weight Status 7. Oral Health 8. Sexually Transmitted Diseases 9. Substance Abuse Midlands' Priorities In addition to system-wide community benefit investments in which Midlands shares on a net service revenue basis, Midlands' Implementation Plan focuses on the following priorities and related strategies: 1. Substance Abuse a. Created an advocacy plan to impact tobacco free policies in Sarpy/Cass Counties b. Worked with Sarpy/Cass Health Department to target tobacco free multi-family housing and increase number of tobacco-free homes in Sarpy/Cass Counties c. Surveyed multi-family property owners d. Provided technical assistance on adopting tobacco-free policies Built tobacco-free network to drive policy change in Sarpy/Cass Counties e. Transitioned outdoor recreational facilities to tobacco-free f. Transitioned businesses to tobacco-free g. Partnered with Law Enforcement on all tobacco retail compliance measurable accomplishments to complete compliance checks 2. Binge Drinking a. Increased awareness of responsible alcohol consumption b. Provided safe and convenient meeting space for AA c. Educated minimum of 40 community and medical providers on motivational interviewing practices for intervention d. Coordinated coalition support for Papillion High Schools' distracted driving program e. Participated in Project Extra Mile coalition and policy efforts 3. Childhood Obesity a. Replicated evidence-based childhood obesity programs in Sarpy/Cass Counties b. Implemented Healthy Families at Midlands Hospital c. Trained school nurses to counsel students on BMI d. Encouraged healthy outdoor, family-centered activities through opening access to free Papillion Parks events e. Promoted 5-4-3-2-1 Go! Countdown in Sarpy/Cass Counties through a socio-ecological approach targeting kids K-5th grade. For each of the other areas of opportunity identified by the CHNA, ACH and Midlands leadership have partnered with the community to meet the health needs in a variety of ways, as outlined in other sections below. Community Priorities not addressed by the Hospital: 1. Oral Health - Currently, ACH does not offer any oral health care or future plans to provide direct oral health care. Other organizations such as Creighton School of Dentistry and Building Healthy Futures are taking on this issue. 2. Sexually Transmitted Diseases. Sexually Transmitted Disease is also an issue that is covered by other key organizations such as the Douglas County Health Department, federally qualified health centers, the Nebraska Aids Project, etc. ACH physicians and facilities respectfully treat patients with STDs, but ACH does not take a community leadership role in addressing this health issue. ACH has provided community planning resources (through its Decision Accelerator process) and financial support to the health department and FQHCs for community outreach, screening and treatment of STDs. Our sponsorship precludes leadership and active participation, given our faith based moral principles. Lakeside's Priorities In addition to system-wide community benefit investments in which Lakeside shares on a net service revenue basis, Lakeside's Implementation Plan focuses on the following priorities and related strategies: 1. Nutrition & Weight a. Provided innovative programs and outreach to reduce the incidence of childhood obesity within Lakeside zip codes b. Held 2 session of Healthy Families sessions, a free healthy ,lifestyle program for families c. Partnered with ACH internal experts to pilot new obesity outreach program d. Provided scholarships for the Health Works program. e. Participate in Breastfeeding Education Support & Training (BEST) Roundtable Group f. Lactation consultant facilitates a weekly support group for breastfeeding moms 2. Substance Abuse - Binge Drinking a. Built capacity to identify binge drinking and substance abuse issues both on an inpatient and outpatient basis within the Lakeside Campus b. Supported the Omaha-area implementation of Screening Brief Intervention and Referral to Treatment (SBIRT) c. Brought in national consultant to train medical providers and community partners (Project Extra Mile) at 2 trainings on SBIRT d. Participated in the Douglas County Health Department CHIP Plan and statewide plan on Binge Drinking Collective Impact Work Group e. Participating in Project Extra Mile Coalition meetings monthly For each of the other areas of opportunity identified by the CHNA, ACH and Lakeside leadership have partnered with the community to meet the health needs in a variety of ways, as outlined in other sections below. Community Priorities not addressed by the Hospital: 1. Oral Health - Currently, ACH does not offer any oral health care or future plans to provide direct oral health care. Other organizations such as Creighton School of Dentistry and Building Healthy Futures are taking on this issue. 2. Sexually Transmitted Diseases. Sexually Transmitted Disease is also an issue that is covered by other key organizations such as the Douglas County Health Department, federally qualified health centers, the Nebraska Aids Project, etc. ACH physicians and facilities respectfully treat patients with STDs, but ACH does not take a community leadership role in addressing this health issue. ACH has provided community planning resources (through its Decision Accelerator process) and financial support to the health department and FQHCs for community outreach, screening and treatment of STDs. Our sponsorship precludes leadership and active participation, given our faith based moral principles. (continued on Schedule O) Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Group A. Alegent Creighton Health bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - Group A. Size of family Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - Group A. PATIENTS WHO ARE CONSIDERED SELF PAY PATIENTS ARE PROVIDED AN UPFRONT DISCOUNT BASED ON THE AVERAGE MANAGED CARE CONTRACTS OF THE GEOGRAPHICAL AREA OF 50% Schedule H, Part V, Section B, Line 5 Facility B, 1 Facility B, 1 - ALEGENT HEALTH PLAINVIEW HOSPITAL. A diverse group of partners collaborated on the CHNA, which brought incredible public health, medical provider and other not-for-profit agency expertise into the planning and implementation process. Carol Plate - NCCCP/BOH Member Patricia Jones - UNL Extension in the BKR Counties Shannon Miller - Avera St. Anthony's Hospital Mikki Frost - Alegent Creighton Health Ann Koopman - Region 4 Behavioral Health System Michelle Jarman - CNCS Valerie Wecker - Avera St. Anthony's Hospital Ron Cork - Avera St. Anthony's Hospital Celine Mlady - Osmond General Hospital Leanne Fox - Heartland Counseling/ NCCCP Member Doug Fox - Region 24 Emergency Management Jack Green - Antelope Memorial Hospital Angie Rodmen - Early Development Network Charissa Sladek - Early Development Network Tammy Brown - Brown County Hospital Kelly Kalkowski - Niobrara Valley Hospital Linda Olson - Bright Horizons Amy Shane - O'Neill Public Schools Lon Knievel - Tilden Community Hospital Brad Higgins - Nebraska State Patrol Harlan Brant - Antelope County Supervisor/ BOH Member Camille Ohri - West Holt Memorial Hospital Jackie Meyer - Building Blocks and Counseling Enrichment Rick Gamel - Alegent Creighton Health/Plainview Jenny Simmon - Faith Regional Colleen Svoboda - DHHS Stephanie Arehart-Clifton - AseraCare Blanca Ramirez - DHHS Michael Coyle - West Holt Memorial Hospital Jacque Genovese - Faith Regional Linda Nekuda - Jayces Grace Home Health Kammy Ellwanger - Jayces Grace Home Health Roger Wiese - North Central District Health Department Ryan Parks - North Central District Health Department Alexa Emme - North Central District Health Department Ann Fritz - North Central District Health Department Peggy Hart - North Central District Health Department Stephanie Bunner - North Central District Health Department Sara Twibell - North Central District Health Department Veta Hungerford - North Central District Health Department Schedule H, Part V, Section B, Line 6a Facility B, 1 Facility B, 1 - ALEGENT HEALTH PLAINVIEW HOSPITAL. Avera St. Anthony's Hospital, West Holt Memorial Hospital, Osmond General Hospital, Antelope Memorial Hospital, Brown County Hospital, Niobrara Valley Hospital, Tilden Community Hospital, Faith Regional Schedule H, Part V, Section B, Line 6b Facility B, 1 Facility B, 1 - Alegent Health Plainview Hospital. Region 4 Behavioral Health System, UNL Extension in the BKR Counties, CNCS, Heartland Counseling, Early Development Network, Bright Horizons, Nebraska State Patrol, Building Blocks and Counseling Enrichment, DHHS, AseraCare, North Central District Health Department Schedule H, Part V, Section B, Line 7 Facility B, 1 Facility B, 1 - Facility Reporting Group B. CHNA was also posted on the Health Department's website and distributed to participating individuals and organizations. Schedule H, Part V, Section B, Line 11 Facility B, 1 Facility B, 1 - Alegent Health Plainview Hospital. The community identified the following priorities as strategic focus areas: 1. Obesity and related health concerns 2. Behavioral and mental health 3. Access to care 4. Cancer prevention 5. Safety Plainview's Priorities In addition to system-wide community benefit investments in which Plainview shares on a net service revenue basis, PLainviews 's Implementation Plan focuses on the following priorities and related strategies: 1. Obesity and related health concerns: * Provides a discounted weight management program * Educates providers in best practice healthy weight counseling 2. Behavioral and mental health- * Established Telepsychiatry program to extend access to care * Implemented a community awareness program within the community regarding services and stigma reduction * Provided education on telepsychiatry screening to law enforcement, school, community agencies, and workplaces 3. Access to care - * Provided Health Screening (30 employees, 160 public) * Hosted Blood draws for Life Serve Donation (17 people) * Hosted Free sports physicals for students, twice a year (43 physicals completed) * Provided care to uninsured and underinsured through the ACH financial assistance policy 4. Cancer prevention- * Hosted 11 screenings during Breast Cancer Awareness month * Provided Colorectal screenings and colonoscopies offered six times per month to extend access The identified priority of safety was not directly addressed in this process as other resources and assets are available in the community to address safety concerns, including law enforcement and the school system. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - Alegent Health Plainview Hospital. Alegent Health-Mercy, Corning bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. Schedule H, Part V, Section B, Line 13 Facility B, 1 Facility B, 1 - Alegent Health Plainview Hospital. Size of family Schedule H, Part V, Section B, Line 22 Facility B, 1 Facility B, 1 - Alegent Health Plainview Hospital. PATIENTS WHO ARE CONSIDERED SELF PAY PATIENTS ARE PROVIDED AN UPFRONT DISCOUNT BASED ON THE AVERAGE MANAGED CARE CONTRACTS OF THE GEOGRAPHICAL AREA OF 50% 7 ACH-PLAINVIEW RURAL HEALTH CLINIC 704 N 3RD STREET PLAINVIEW NE 68769 RURAL HEALTH CLINIC THE LIGHTHOUSE HEALTHCARE RESIDENCE 17600 ARBOR STREET OMAHA NE 68130 SKILLED NURSING FACILITY 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 ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC 3606 N 156TH ST OMAHA NE 68116 DIAGNOSTIC IMAGING CENTER Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care When Catholic Health Initiatives (the ultimate parent organization to Alegent Creighton Health system) established its financial assistance policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among urban and rural communities in 18 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (FPG), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. Alegent Creighton Health system bases its financial assistance eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain financial assistance write-offs, based on a sliding scale, ranging from 25%-100% of charges. 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 would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free care based upon the facts and circumstances. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 39427253 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology used to calculate the amounts reported in the table were worksheets 1-8 provided with the schedule H instructions. The cost to charge ratio derived from worksheet 2 was used to calculate total community benefit expense for charity care, Medicaid and other means tested. Part I, line 7, column (f): Bad debt of $39,427,253 included in functional expense total Part IX, Line 25, column (A) is subtracted for purposes of calculating the percentage in this column. Bad debt expense (at cost) for entities of Alegent Creighton Health is determined by using the cost to charge ratio from Medicare Cost Reports per entity and multiplying the ratio by the actual bad debt charges per entity. Schedule H, Part II Community Building Activities Alegent Creighton Health has a history of centralized community benefit investments, as well as hospital specific investments that address community health needs which include community building such as: * Live Well Omaha Kids- As a result of community health needs assessment conducted in 2006 which pointed to childhood obesity as a serious health need issue across all Omaha MSA counties served, the Alegent Creighton Health system partnered with the community to make a multi-year commitment to impact childhood obesity through community based best practice interventions. This initiative has had a primary focus of impact in Douglas County, but the funding to underwrite has come from the fiscal performance of all Alegent Creighton Health hospitals. The community coalition known as Live Well Omaha Kids (LWOK) is staffed and funded by Alegent Creighton Health. An Executive Committee consisting of community leaders and policy makers have directed an ecological approach to improve programs, policies and the built environment to promote physical activity and healthy eating and build capacity for healthy choices at the individual and organizational level. More than 200 volunteers and 90 organizations have participated in the planning and implementation of LWOK initiatives. A portion of this investment in LWOK is allocated to the hospitals on a net service revenue basis. * Community and economic development including support of local Chambers of Commerce * Strategic planning and consulting services for community * Sponsorship of community not for profits and fundraising events * Support of international health ministries in Tanzania and Dominican Republic * Support of the federally qualified healthcare centers * Parish nursing program; supporting 40 congregations * Community health fairs, support groups and community education * School based healthcare services * Leadership in and funding of health coalitions including- * Live Well Omaha-a coalition founded by ACH 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. Alegent Creighton Health serves on the Board of Directors, is a member at the highest level and leases staff to Live Well Omaha. * Live Well Pottawattamie County -an emerging coalition to address obesity in Pottawattamie County. ACH provides strategic planning, grant writing and staff support. * Omaha by Design- a coalition that support healthy and sustainable community development and land use * Violence prevention-a partnership with Catholic Health Initiatives, Women's Center for Advancement, University of Nebraska-Omaha and Creighton University to implement a campus based violence prevention Plan known as "Green Dot." Alegent Creighton Health also supports eCPR training to provide community capacity and skills to address the trauma associated with violence. * Metro Area Continuum of Care for the Homeless- Board service and financial support to this coalition addressing homelessness in the service area. * Hope Medical Coalition-Board service and annual operating subsidy. Alegent Creighton Health's hospitals and physicians provide specialty care to patients unable to afford medical services. * Participation in and funding of maternal health, breastfeeding, substance abuse, cancer, diabetes and other community health coalitions * Mental health coalitions including National Alliance on Mental Illness, Nebraska, Nebraska Association of Behavioral Health Care Organizations, and the Juvenile Justice Provider Forum Behavioral Health Committee. Since its opening in 1968, ACH Plainview has been providing care to patients from Pierce, northeastern Antelope and southeastern Knox counties with exceptional care and quality outcomes. ACH Plainview is a 16-bed critical access facility with inpatient and outpatient services including: emergency, laboratory, radiology, home health, specialty clinics, physical therapy, cardiac rehab, pulmonary rehab, surgery, occupational therapy and coumadin clinics. Plainview has a history of providing community education and conducting health screens and sports physicals for the community. Plainview Hospital became a not-for-profit hospital in March 2012 when it was acquired by Alegent Creighton Health and has been working to quantify and integrate its community outreach into the system's community benefit programs. 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 28.29%. 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 System 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 system 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 The Alegent Creighton Health system does not consider Medicare shortfalls to be community benefit, per the recommendation of the Catholic Health Association. The Medicare charges reported on line 5 and 6 are from Medicare cost reports which used a cost to charge ratio. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance ALEGENT CREIGHTON HEALTH SYSTEM DEBT COLLECTION POLICY PROVIDES THAT ALEGENT CREIGHTON HEALTH SYSTEM WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAUMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G MEDICAID) AND TO NOT QUALIFY FOR COVERAGE UNDER THE FINANCIAL ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE ALEGENT CREIGHTON HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO ALEGENT CREIGHTON HEALTH SYSTEM FOR APPROPRIATE FOLLOW-UP. ALEGENT CREIGHTON HEALTH SYSTEM 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: 1. NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; 2. NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND 3. NO CHI COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CHI 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 A - ALEGENT HEALTH MIDLANDS HOSPITAL: Line 16a URL: http://www.chihealth.com/financial-assistance; B - ALEGENT HEALTH PLAINVIEW HOSPITAL: Line 16a URL: http://www.chihealth.com/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website A - ALEGENT HEALTH MIDLANDS HOSPITAL: Line 16b URL: http://www.chihealth.com/documents/Financial_Assistance_Application.pdf; B - ALEGENT HEALTH PLAINVIEW HOSPITAL: Line 16b URL: http://www.chihealth.com/documents/Financial_Assistance_Application.pdf; Schedule H, Part VI, Line 2 Needs assessment The process to develop assessments of the community health needs (CHNA) is collaborative in nature and involves health departments, existing health coalitions, community members and hospital leadership, and is supported by the Alegent Creighton Health's Community Benefit and Healthier Communities Department staff. Each Alegent Creighton Health hospital participates in the CHNA process for the county in which the facility is located at least every 3 years in partnership with the local health departments. The assessment varies in each community but includes review of primary data (such as surveys, key informant interviews, focus groups) and secondary data (such as County Health Rankings, BRFRSS, YRBS, census data etc) Leadership from Alegent Creighton Health participate in multiple internal and external venues to garner community input, prioritize community health needs and develop community health improvement plans. The CHNA report for each community is made available to the public by posting the report on the Alegent Creighton Health external website and by making it available in community venues. The CHNAs are integrated into the governance and planning for Alegent Creighton Health on two levels: * Reporting to the Board of Directors * Reporting into the annual strategic planning and budgeting processes of Alegent Creighton Health. * Implementation plans approved by Board of Directors. Particular to the county in which Lakeside, Creighton University Medical Center, and Midlands Hospitals reside, Alegent Creighton Health partners with the local health department, Live Well Omaha, and competing health systems to retain Professional Research Consultants to conduct a CHNA for the Omaha/Council Bluffs metropolitan service area. The CHNA covers four counties served by the Alegent Creighton Health Omaha and Council Bluffs hospitals. The CHNA reports data at the county level and for Douglas County, by four quadrants within the county. Alegent Creighton Health leaders serve on the CHNA Steering Committee and participate in key informant interviews conducted at hospital locations; they also participate in the implementation plans. The CHNA is shared in multiple venues with the public, including at the Live Well Omaha Summit. Alegent Creighton Health is one of the founders of Live Well Omaha. In addition, Alegent Creighton Health has joined with local health systems and health departments to fund the web based Community Health Dashboard. (http://www.douglascohealth.org/). The CHNA process for the hospital included both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Healthy Survey) and secondary research (vital statistics and other existing health-related data). These quantitative components allow for trending and comparison to benchmark data against the state and national levels. Qualitative data input includes primary research gathered through a series of key informant interviews. The survey instrument used for the CHNA is based largely on the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System, with the final survey questions developed by the Sponsors and PRC, similar to previous CHNAs used in the region allowing for data trending. A telephone interview methodology that incorporates both landlines and cell phone interviews was employed for the CHNA. The CHNA consisted of stratified random sample of 2,000 individuals age 18 and older in the service area, including 1,000 interviews in Douglas County; 400 in Sarpy County; 200 in Cass County and 400 in Pottawattamie County. In addition, to better represent racial/ethnic groups, two oversamples were applied in Douglas County (100 additional interviews with Black/African American residents and 100 additional interviews with Hispanic residents). In all, 2,200 interviews were completed throughout the service area. As part of the CHNA, there were five focus groups and 88 key informant interviews which included physicians, other health professionals, media, agencies serving vulnerable populations and individual community members. Particular to Pierce County, NE, the county in which Plainview Hospital is located, hospital leadership and other community leaders from Antelope, Boyd, Brown, Cherry, Holt, Keya Paha, Knox, Pierce and Rock Counties, NE participate in a CHNA led by the North Central District Health Department. North Central District Health Department retains Ionia Research to administer both online and mailed surveys to randomly selected households through the district. The CHNA includes data from the Public Health Action Network, Behavior Risk Factor Surveillance System, Youth Risk Behavior Survey, Bureau of Census, Healthy communities' databases (Population Heath Institute, University of Wisconsin, Robert Wood Johnson Foundation) and Healthy People 2020. The CHNA has been shared in multiple venues and hospital leadership has participated in the community health improvement plan developed collaboratively with the community. On October 12, 2012, North Central Health Department hosted a community meeting in O'Neil, NE to present the CHNA and engage community leadership in analysis, validation and community strategic planning around prioritized health issues. Using the evidence based Mobilizing for Action through Planning and Partnership (MAPP) process. Participants at the October meeting identified the following criteria to guide decisions about prioritizing strategic focus areas: * Issues that are doable/achievable * Issues that address a critical need * Resources available (or could be accessed) - both human and financial * Those that could provide a community focus (those upon which we can make a collective impact) Suggested issues were clustered according to similar area of focus. Five strategic focus areas as follows emerged as a result of the exercise that built consensus. Focus groups were also held with key community stakeholders, including a meeting in December at Foster, NE in Pierce County in which Plainview Hospital leadership attended. A Community Health Improvement Plan (CHIP) process to develop goals, objectives and actions steps around the priority community health issues was hosted by NCDHD on February 8 and 22, 2013. ACH Plainview leadership participated in the CHIP which contributed to ACH Plainview's Implementation Plan. Suggested issues were clustered according to similar area of focus. The following five strategic focus areas emerged as a result of the exercise that built consensus around the question- Based on the data presented, and our collective understanding of our communities' needs, what are our priority strategic focus areas? 1. Obesity and related health concerns 2. Behavioral and mental health 3. Access to care 4. Cancer prevention 5. Safety Schedule H, Part VI, Line 3 Patient education of eligibility for assistance There are several financial assistance access points throughout a patient's care cycle. Bills contain financial assistance verbiage; signs are posted in clinics and hospital, and there is information on financial assistance posted at registration points throughout clinics and hospitals. Information on The Alegent Creighton Health System's financial assistance policies are located several places on the system's website- http://www.chihealth.com. All efforts are made to establish whether patients are eligible for financial assistance prior to service if possible, otherwise as soon as possible following service. Alegent Creighton Health representatives help patients seek reimbursement from local, state and federal programs at no charge to the patient. After these efforts and resources have been exhausted, patients are assisted in the application process for financial assistance consistent with Alegent Creighton Health's Financial Assistance Policy. The application process requires that the patient complete a personal financial application and provide verification documents. Verification includes employment verification and obtaining documentation of the applicant's financial condition such as federal tax return, pay stub, net worth and/or liquid assets and reasonable household or business expenses. Financial assistance may still be granted in certain circumstances involving a catastrophic occurrence resulting in medical bills grossly exceeding the patient's ability to pay, and in these situations, the patient's responsibility will be limited to 20% of the family's gross annual income. Schedule H, Part VI, Line 4 Community information Alegent Creighton Health system serves the nine counties of Greater Omaha Combined Statistical Area (CSA), with an estimated population of over 925,858, ranking 56th out of 166 CSAs in total population. The CSA consists of 3 Iowa and 6 Nebraska counties on both sides of the Missouri River and covers 4407 square miles. Located in Douglas County, the city of Omaha has a population of 419,041. Nearly 1.3 million people live within a 60-mile radius of Omaha. Characterized by steady growth, the CSA grew by 14.9 percent between 2000 and 2011; the 2016 projected population is more than 946,000, a 7.3 percent increase. Approximately 36 percent of the population is 25 years of age or younger with a median age of 35.2 years compared to a U.S. median age of 37.6. 50.6% of the population is female. Racial minorities comprise about 17.4 percent of Greater Omaha's population, including an African-American populace of 7.8 percent and a growing Hispanic population of 9.8 percent. In 2012 Greater Omaha was predicted to have 387,514 total housing units and housing units are projected to increase another 5 percent by 2017. The median household income is $56,445 which surpasses the national average of $53,046, with a per capita income of $27,307. Greater Omaha is a well-educated community. Nearly 91 percent of adults, age 25 and older, are high school graduates and 32 percent have a bachelor's degree or higher, compared to 27.9 percent nationally. Greater Omaha offers a large and diverse workforce for employers of all sizes and industries. The Greater Omaha population not only possesses the education and demographic qualities that employers are looking for, but also the nationally recognized Midwest work ethic that is simply part of the fabric of the region. Omaha is home to many major companies and large employers, including five Fortune 500 companies, making it fourth in the nation for number of such companies per capita. Recent recognition for the greater Omaha area include: among the 10 Best Cities for Professional Women, among the 10 Best Cities for Consumer Banking; among the 10 Best Cities to Raise a Family; and among the Best Cities for Job Seekers. Plainview is located in Northeast Nebraska in Pierce County. Served by U.S. Highway 20 and State Highway 13, Plainview is 32 miles northwest of Norfolk, NE; 55 miles southwest of Yankton, SD; 75 miles west of Sioux City, IA; and 145 miles northwest of Omaha, NE. The population of Pierce County is 7,166, with 1,213 residents living in Plainview. The population in Plainview has dropped by nearly 8 percent since 2000. Alegent Creighton Health Plainview Hospital serves the primarily rural residents of Pierce, Antelope and Knox counties. Pierce County is ranked fourth out of 79 counties in health outcomes. The median age is 37.9 compared to 35.3 statewide. The racial makeup is predominately Caucasian. Schedule H, Part VI, Line 5 Promotion of community health Alegent Creighton 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 Alegent Creighton 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 (childbirth, diabetes, oncology, physical activity, healthy eating and cooking, health careers, cancer, sports medicine etc) * Support groups (cancer, bereavement, youth etc) * Community health fairs and screenings * Immunization clinics * Parish nursing program and faith community outreach * School based healthcare services * Health professional education- * Clinical preceptorships for healthcare professionals * Scholarships and mentorships * Affiliation with and support of Creighton University School of Medicine * Physician residency and fellowship programs training more than 200 residents and fellows annually * Research-Participation in the Missouri Valley Cancer Consortium * Financial and in-kind contributions * Support of the Federally Qualified Healthcare Centers (and Hope Medical Coalition which provides access to medical services specifically for the underserved) * Corporate sponsorships * Tanzania and Dominican Republic health ministries * Staff service on health related board and coalitions * Subsidized healthcare service including behavioral health, NICU, home health and hospice * Community building activities- * Community and economic development including support of local Chambers of Commerce * Strategic planning and consulting services for community * Health coalitions * Live Well Omaha-a coalition founded by ACH 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 coalition funded and staffed for seven years by ACH to address childhood obesity * Live Well Pottawattamie-an emerging coalition to address obesity in Pottawattamie County. ACH provides strategic planning, grant writing and staff support. * Violence prevention-a partnership with Catholic Health Initiatives, Women's Center for Advancement, University of Nebraska-Omaha and Creighton University to implement a campus based violence prevention Plan known as "Green Dot" * Metro Area Continuum of Care for the Homeless- Board service and financial support to this coalition addressing homelessness in the service area. * Hope Medical Coalition-Board service and annual operating subsidy. ACH hospitals and physicians provide specialty care to patients unable to afford medical services. * Participation in and funding of maternal health, breastfeeding, substance abuse, cancer, diabetes and other community health coalitions * Mental health coalitions including National Alliance on Mental Illness, Nebraska Association of Behavioral Health Care Organizations, and the Juvenile Justice Provider Forum Behavioral Health Committee. * 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. * Alegent Creighton Health has Open Medical staffs * Alegent Creighton Health is one of three health systems that fund the operations of a coalition that exists to provide access for the patients of three area federally qualified healthcare centers to specialty physician services and hospital based diagnostics and treatment - Hope Medical Outreach Coalition. * Alegent Creighton Health is the sole, comprehensive mental health provider in the Omaha MSA area operating a breakeven point of revenue. * Alegent Creighton Health is a joint venture partner in a not-for-profit Hospice inpatient hospital and provides the management support contract. Schedule H, Part VI, Line 6 Affiliated health care system Alegent Creighton Health Lakeside, Midlands, Plainview, and Creighton University Medical Center, 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 101 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 $981 million in charity care and community benefit in the 2015 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. Alegent Creighton Health Lakeside, Midlands, Plainview, and Creighton University Medical Center operate with its wholly owned affiliates and community partners, along with its fundraising arm, the Alegent Creighton Health Foundation, to serve the health care needs of the Greater Omaha, Nebraska communities. Schedule H, Part VI, Line 7 State filing of community benefit report NE true Alegent Creighton Health Foundation 12809 West Dodge RD Omaha NE 68154 470648586 501(C)(3) 78534 General Support Nebraska Synod ELCA 6757 Newport Ave 200 Omaha NE 68152 363514308 501(C)(3) 51000 General Support Archdiocese of Omaha 100 N 62nd St Omaha NE 68132 470376538 10000 General Support College of Saint Mary 7000 Mercy RD Omaha NE 68106 470424785 501(C)(3) 20000 General Support Mount St Francis 7550 assisi Heights Colorado Springs CO 80919 841121793 501(C)(3) 12500 General Support Sisters of Mercy of the Americas- Omaha Regional 7262 Mercy RD 1 Omaha NE 68124 470816981 501(C)(3) 12500 General Support 6 0 CHARITY CARE/FINANCIAL ASSISTANCE 11878 67454137 Book Reduction or write off of patient services WOW/CARE SUPPORT 332 10679 Book Reduction or write off of patient services SCHOLARSHIPS 19 21500 Schedule I, Part I, Line 2 Description Of Procedure 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 I, Part III FINANCIAL ASSISTANCE/CHARITY CARE ALEGENT CREIGHTON HEALTH 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. 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. false true false false false false false true false RICHARD HACHTEN II Board Member/ACH PRS/CEO 0 159899 0 112521 0 219745 0 31152 0 4382 0 527699 0 0 ANTHONY HATCHER FORMER SECRETARY/TREASURER 0 402703 0 0 0 19779 0 9100 0 12926 0 444508 0 0 CLIFF ROBERTSON Board Member/CEO CHI Health 0 772865 0 115809 0 134830 0 151369 0 26754 0 1201627 0 54120 MARTIN M MANCUSO MD Board Member 0 388633 0 0 0 2851 0 9079 0 16554 0 417117 0 0 MICHAEL ROWAN FACHE Board member/CHI EVP & COO 0 1195620 0 788897 0 515926 0 32602 0 21054 0 2554099 0 224413 AMY L MCGAHA BOARD MEMBER 0 233848 0 0 0 156 0 8002 0 1614 0 243620 0 0 KENNETH LAWONN FORMER SVP/STRATEGY & TECH 18845 0 1241688 0 62939 0 9100 0 1322 0 1333894 0 0 0 SCOTT WOOTEN Former SVP/CFO 0 0 0 1454576 0 0 0 0 0 0 0 1454576 0 0 RICK MILLER MD SVP/CHIEF QUALITY OFFICER 0 153324 0 1000187 0 230196 0 30052 0 19699 0 1433458 0 0 JOAN NEUHAUS CHI HEALTH SVP COO 0 553100 0 1545813 0 70093 0 41502 0 17532 0 2228040 0 0 RICHARD ROLSTON MD ACC CEO 0 536292 0 1615970 0 68350 0 75053 0 19517 0 2315182 0 45003 NANCY WALLACE SVP HR CHI HEALTH 0 309173 0 173948 0 23366 0 0 0 0 0 506487 0 0 CARY WARD MD CHI HEALTH SVP CMO 0 407526 0 29075 0 57402 0 54502 0 21999 0 570504 0 0 JEANETTE WOJTALEWICZ CFO, CHI HEALTH 0 464487 0 208308 0 23377 0 75918 0 22290 0 794380 0 0 STEVE HOUSTON SVP STRATEGY AND TECHNOLOGY, PLANNING 236114 0 39730 0 5365 0 8433 0 14217 0 303859 0 0 0 LARRY BROWN MD FORMER ACC CEO 0 341676 0 0 0 1058 0 9100 0 21190 0 373024 0 0 FRANK EMSICK FORMER FACILITIES OPS EXEC 0 186605 0 17959 0 696 0 0 0 0 0 205260 0 0 SHEREE KEELY VP BEHAVIORAL 173727 0 40175 0 1600 0 4775 0 7631 0 227908 0 0 0 PATRICIA MASEK VP MEDICAL AFFAIRS 156461 0 44255 0 12430 0 7535 0 15990 0 236671 0 0 0 PATRICIA MURDOCK-LANGAN MD CHIEF MEDICAL OFFICER 0 321419 0 18144 0 594 0 8200 0 2688 0 351045 0 0 ANN OASAN PRESIDENT - UNINET 0 246052 0 63632 0 6550 0 9100 0 15013 0 340347 0 0 AMY HATCHER VP OF DIVISIONAL FINANCE 144291 0 48584 0 13072 0 5618 0 4576 0 216141 0 0 0 DEVIN FOX MD CHIEF MEDICAL OFFICER 138034 190587 0 14900 0 240 0 8295 0 8780 138034 222802 0 0 CINDY ALLOWAY PRESIDENT - LKS Hospital 337595 6962 75537 0 11961 615 9100 0 17358 0 451551 7577 0 0 JANE CARMODY CHIEF NURSING OFFICER 0 322214 0 36772 0 23676 0 32602 0 9036 0 424300 0 0 KEVIN NOKELS PRESIDENT - CUMC 356009 7230 81120 0 3415 294 9100 2820 22748 0 472392 10344 0 0 ANN SCHUMACHER PRESIDENT - IMC 337812 6882 81011 0 1793 290 9100 2684 24818 0 454534 9856 0 0 JASON YUNGTUM VP/REG GENERAL COUNSEL 0 232111 0 170543 0 19693 0 7717 0 21698 0 451762 0 0 MIKE WATTERS DIV VP SR COUNSEL 0 229154 0 39598 0 43831 0 22685 0 18944 0 354212 0 0 JOSEPH HOAGBIN MD CHIEF MEDICAL OFFICER 299251 0 16660 0 33749 0 5955 0 15800 0 371415 0 0 0 MARIE KNEDLER PRESIDENT - Bergan 377111 7651 90753 0 5547 630 9100 2984 14554 0 497065 11265 0 0 ELIZABETH LLEWELLYN VP MISSION INTEGRATION 115946 0 142388 0 122132 0 8896 0 4716 0 394078 0 0 0 Tim Schnack VP OPERATIONAL FINANCE 240321 0 49241 0 981 0 9100 0 15018 0 314661 0 0 0 KEVIN REAGAN MD CHIEF MEDICAL OFFICER 254106 1228 27136 0 1683 0 0 8647 15680 0 298605 9875 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 the following related organizations: Catholic Health Initiatives (CHI) and Franciscan Health System (FHS). CHI and FHS 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 4b Supplemental nonqualified retirement plan DURING THE 2014 CALENDAR YEAR, CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MARKET BASED ORGANIZATION CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN CHI'S SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON MICHAEL ROWAN JEANETTE WOJTALEWICZ DURING 2014 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $113,667 JEANETTE WOJTALEWICZ - $40,766 DURING 2014 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $54,120 MICHAEL ROWAN - $224,413 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE WERE ELIGIBLE TO RECEIVE THEIR 2014 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 2014, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MICHAEL ROWAN - $266,409 RICHARD HACHTEN II - $22,269 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. MICHAEL DEFREECE BOARD MEMBER SON IS EMPLOYED 188212 EMPLOYMENT false Form 990, Part III, Line 4d Description of other program services (Expenses $ 542,071,658 including grants of $ 68,358,389)(Revenue $ 341,307,992) 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. THEREFORE NO FORM 1099S ARE ISSUED BY Alegent Creighton Health. 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,CHI'S SYSTEM WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL. Form 990, Part VI, Line 4 Significant changes to organizational documents Alegent Creighton Health AMENDED its BYLAWS on July 19, 2013. The amendment made CHI Nebraska, a Nebraska nonprofit corporation, the sole member of the corporation. 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 Catholic Health Initiatives ("CHI") have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the CHI Nebraska's Board: * Approve members of the 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 CHI Board directly or through powers delegated to the CHI 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 CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to 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 Department AND THE LOCAL CHIEF FINANCIAL OFFICER. AFTER INCORPORATION OF ANY CHANGES RESULTING FROM THIS REVIEW, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AND MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD A WEEK IN ADVANCE OF THE FINANCE COMMITTEE MEETING. 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 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 Alegent Creighton Health HAS ADOPTED THE CONFLICT OF INTEREST POLICY AND CONFLICT INVESTIGATION PROCESS OF CATHOLIC HEALTH INITIATIVES, A RELATED ORGANIZATION. ALL OFFICERS, TRUSTEES AND EMPLOYEES ARE COVERED BY A CONFLICT OF INTEREST POLICY. ADDITIONALLY, ALL OFFICERS, TRUSTEES AND EMPLOYEES ARE REQUIRED TO ACT IN ACCORDANCE WITH CHI'S STANDARDS OF CONDUCT, WHICH INCLUDE THE AVOIDANCE OF CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS. 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 15a Process to establish compensation of top management official Compensation for the top management official was established and paid by the following related organizations: Catholic Health Initiatives (CHI) and Franciscan Health System (FHS) CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 14, 2015. In addition, 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. FHS USES AN EXTERNAL COMPENSATION FIRM WHO UTILIZES ACTUAL MARKET DATA COMPENSATION FROM SIMILAR INSTITUTIONS WITH COMPARABLE POSITIONS AND COMPENSATION LEVELS AND CONSIDERING THE ORGANIZATION'S GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY EVALUATES AND APPROVES THE EXECUTIVE COMPENSATION ARRANGEMENT FOR EACH EXECUTIVE FOR FAIR MARKET VALUE ALONG WITH OTHER APPLICABLE FACTORS RELIED ON BY THE BOARD'S DETERMINATION. THE SUPPORTING DOCUMENTATION BECOMES PART OF THE MINUTES OF THE MEETING. THIS PROCESS IS COMPLETED YEARLY 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 CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 13304947, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 13304947; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Miscellaneous Revenue - Total Revenue: 3910446, Related or Exempt Function Revenue: , Unrelated Business Revenue: 192782, Revenue Excluded from Tax Under Sections 512, 513, or 514: 3717664; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Resource Pool Contributions - -28137394; Benefit Plan Accrual Adjustment - -2661131; Medical Staff Activity Adjustment - 477056; Investment Entities Distributions - 2166739; NonControlling Interest - Avantas - 1351803; Form 990, Part XII, Line 2c AUDITED FINANCIAL STATEMENTS FOR FISCAL YEAR ENDING JUNE 30, 2015, THE FINANCIAL STATEMENTS OF ALEGENT CREIGHTON HEALTH ARE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI). THE CHI FINANCE COMMITTEE OVERSEES THE INDEPENDENT AUDIT PROCESS AND SELECT THE INDEPENDENT AUDITOR TO CONDUCT THE CONSOLIDATED FINANCIAL STATEMENT AUDIT. ALEGENT HEALTH QUICKCARE LLC 12809 WEST DODGE ROAD OMAHA NE 68154 203437352 EXPRESS CARE CLINIC NE 30768678 300094 ALEGENT CREIGHTON HEALTH ALEGENT CREIGHTON HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER LLC 12809 WEST DODGE ROAD OMAHA NE 68154 470757164 HOSPITAL NE 161427078 49132657 ALEGENT CREIGHTON HEALTH ALEGENT HEALTH PARTNERS LLC 12809 WEST DODGE ROAD OMAHA NE 68154 ACCOUNTABLE CARE ORGANIZATION NE 3 2214 ALEGENT CREIGHTON HEALTH 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 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 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 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HEALTHCARE NE 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 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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 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 MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVE DES MOINES IA 50314 421470935 PHYSICIANS IA 501(c)(3 9 CHI-IA CORP 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 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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 HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(c)(3 Type I CHI true ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 HEALTHCARE TX 501(c)(3 9 SJSC true ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232649362 FUNDRAISING PA 501(c)(3 Type I SJRHN 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 MEDICAL GROUP 2500 BERNVILLE RD PO BOX 316 READING PA 19603 208544021 HEALTHCARE PA 501(c)(3 9 BHC 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 NETWORK 2500 BERNVILLE RD PO BOX 316 READING PA 19603 231352211 HEALTHCARE PA 501(c)(3 3 CHI 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 LEONARD FOUNDATION 8100 CLYO ROAD CENTERVILLE OH 45458 320102715 FUNDRAISING OH 501(c)(3 7 SLEO 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 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