ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM (EIN 47-0484764)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349311047
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T21:00:37-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Health Initiatives | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 WEST DODGE ROAD | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68154 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470484764 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alegent Health-Bergan Mercy Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALEG | BusinessNameControlTxt |
| Phone | 4023434323 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7500 MERCY ROAD | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68124 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeanette Wojtalewicz | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2015-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Donald Neal Jr | PreparerPersonNm |
| PTIN | P00798244 | PTIN |
| Phone | 4023434413 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cliff A Robertson | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7500 MERCY ROAD | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68124 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $501,543,722 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chihealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 3381 | TotalEmployeeCnt |
| Total Volunteers | 235 | TotalVolunteersCnt |
| Total Gross UBI | $6,260,156 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $47,585 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,397,781 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,685,785 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $524,928,508 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $462,316,675 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,588,668 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,423,749 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,969,813 | PYOtherRevenueAmt |
| CY Other Revenue | $4,667,239 | CYOtherRevenueAmt |
| PY Total Revenue | $543,884,770 | PYTotalRevenueAmt |
| CY Total Revenue | $496,093,448 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,431,749 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,737,128 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $147,898,335 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $138,164,373 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $267,158,158 | PYOtherExpensesAmt |
| CY Other Expenses | $180,947,721 | CYOtherExpensesAmt |
| PY Total Expenses | $455,488,242 | PYTotalExpensesAmt |
| CY Total Expenses | $359,849,222 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $88,396,528 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $136,244,226 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $866,964,696 | TotalAssetsBOYAmt |
| Total Assets EOY | $978,453,784 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $196,390,742 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $180,834,129 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $670,573,954 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $797,619,655 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $45,765,331 | ExpenseAmt |
| Grant | $2,145,266 | GrantAmt |
| Revenue | $23,555,761 | RevenueAmt |
| Desc | BERGAN MERCY MEDICAL CENTER IS EQUIPPED WITH THE LATEST TECHNOLOGIES IN THE DIAGNOSTIC CENTER. THE CENTER IS COMPLETELY DIGITAL SO PATIENTS ARE NEVER WAITING ON FILMS. FEMALE PATIENTS CAN COUNT ON EXPERT IMAGING TESTS INCLUDING ULTRASOUND, BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND DIGITAL MAMMOGRAPHY. THERE ARE A WIDE RANGE OF AVAILABLE TESTS AT THE DIAGNOSTIC CENTER THAT INCLUDE THE FOLLOWING: DIGITAL MAMMOGRAPHY, MRI AND OPEN MRI, CT, PET CT AND CARDIAC CT, 64-SLICE CT, FLUOROSCOPY, PULMONARY FUNCTION TESTING, ULTRASOUND, CARDIOVASCULAR IMAGING, PHLEMBOTOMY, NUCLEAR MEDICINE, DIGITAL IMAGING, EEG, EKG AND EMG, STRESS TESTING AND ARTERIOGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,253,469 | ExpenseAmt |
| Grant | $4,427,556 | GrantAmt |
| Revenue | $48,616,101 | RevenueAmt |
| Desc | Alegent Health-BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS Offer patients THE MOST COMFORTABLE AND COMPREHENSIVE operating room SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,652,307 | ExpenseAmt |
| Grant | $3,787,275 | GrantAmt |
| Revenue | $41,585,590 | RevenueAmt |
| Desc | BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS OFFER A WIDE RANGE OF CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM PROVIDES A COMPREHENSIVE RANGE OF CARDIAC SERVICES, INCLUDING BUT NOT LIMITED TO: VASCULAR AND CARDIAC SURGERY, HEART SCANS AND HEART CHECKS, CARDIAC REHABILITATION, VASCULAR ULTRASOUND, NUCLEAR STRESS TESTS, DUAL SOURCE CT SCANNER AND ANGIOPLASTY. IN 2006, MERCY HOSPITAL OPENED A NEW STATE-OF-THE-ART CARDIAC CATHETERIZATION LAB, ALLOWING PHYSICIANS TO PERFORM PROCEDURES SUCH AS HEART CATHETERIZATIONS, CORONARY INTERVENTIONS INCLUDING BALLOON ANGIOPLASTY AND STENTING, AS WELL AS IMPLANTATION OF PACEMAKERS AND DEFIBRILLATORS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $242,809,793 | ExpenseAmt |
| Grant | $30,377,031 | GrantAmt |
| Revenue | $333,550,358 | RevenueAmt |
| Desc | BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS PROVIDE A LARGE RANGE OF HOSPITAL SERVICES INCLUDING BUT NOT LIMITED TO: EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $242,809,793 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $30,377,031 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $333,550,358 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $348,480,900 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3381 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANETTE WOJTALEWICZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4023434671 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 WEST DODGE ROAD | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68154 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL DEFREECE | ||||||||||
| SECRETARY/TREASURER | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HERINK | ||||||||||
| BOARD CHAIR | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CLIFF ROBERTSON | ||||||||||
| Board Member/CEO CHI Health | 8.00 | 52.00 | Yes (X) | Yes (X) | $0 | $1,023,504 | $178,123 | |||
| DR Maryanne Stevens RSM | ||||||||||
| VICE CHAIR | 1.00 | 11.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LARRY BUTLER | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| FR JAMES CLIFTON SJ | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY HEIDRICK | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $2,329 | $0 | ||||
| Sister Nadine Heimann | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTIN M MANCUSO MD | ||||||||||
| Board Member | 1.00 | 59.00 | Yes (X) | $0 | $391,484 | $25,633 | ||||
| MICHAEL ROWAN FACHE | ||||||||||
| Board member/CHI EVP & COO | 1.00 | 59.00 | Yes (X) | $0 | $2,500,443 | $53,656 | ||||
| BARRY SANDSTROM | ||||||||||
| Board Member | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| NATHANIEL BRACKETT MD | ||||||||||
| PHYSICIAN | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSANNE L HRUZA | ||||||||||
| BOARD MEMBER | 1.00 | 11.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMY L MCGAHA | ||||||||||
| BOARD MEMBER | 1.00 | 59.00 | Yes (X) | $0 | $234,004 | $9,616 | ||||
| RICK MILLER MD | ||||||||||
| ACH SVP/CHIEF QUALITY OFFICER | 15.00 | 45.00 | Yes (X) | $0 | $1,383,707 | $49,751 | ||||
| JOAN NEUHAUS | ||||||||||
| CHI HEALTH SVP COO | 15.00 | 45.00 | Yes (X) | $0 | $2,169,006 | $59,034 | ||||
| RICHARD ROLSTON MD | ||||||||||
| ACC CEO | 4.00 | 56.00 | Yes (X) | $0 | $2,220,612 | $94,570 | ||||
| NANCY WALLACE | ||||||||||
| SVP HR CHI HEALTH | 15.00 | 45.00 | Yes (X) | $0 | $506,487 | $0 | ||||
| CARY WARD MD | ||||||||||
| CHI HEALTH SVP CMO | 6.00 | 54.00 | Yes (X) | $0 | $494,003 | $76,501 | ||||
| JEANETTE WOJTALEWICZ | ||||||||||
| CFO, CHI HEALTH | 8.00 | 52.00 | Yes (X) | $0 | $696,172 | $98,208 | ||||
| STEVE HOUSTON | ||||||||||
| SVP STRATEGY AND TECHNOLOGY | 18.00 | 42.00 | Yes (X) | $0 | $281,209 | $22,650 | ||||
| JANE CARMODY | ||||||||||
| CHIEF NURSING OFFICER | 15.00 | 45.00 | $0 | $382,662 | $41,638 | Yes (X) | ||||
| MARIE KNEDLER | ||||||||||
| PRESIDENT | 55.00 | 5.00 | $0 | $481,692 | $26,638 | Yes (X) | ||||
| JASON YUNGTUM | ||||||||||
| VP/REG GENERAL COUNSEL | 15.00 | 45.00 | $0 | $422,347 | $29,415 | Yes (X) | ||||
| MIKE WATTERS | ||||||||||
| DIV VP SR COUNSEL | 3.00 | 57.00 | $0 | $312,583 | $41,629 | Yes (X) | ||||
| JAMES KALAR MD | ||||||||||
| PHYSICIAN | 60.00 | 0.00 | $237,283 | $0 | $22,442 | Yes (X) | ||||
| MARY MCNITT | ||||||||||
| CHIEF NURSING EXECUTIVE | 50.00 | 0.00 | $183,145 | $0 | $27,539 | Yes (X) | ||||
| MATTHEW WALTERS | ||||||||||
| SENIOR MEDICAL PHYSICIST | 60.00 | 0.00 | $207,840 | $0 | $7,781 | Yes (X) | ||||
| THOMAS BAKER | ||||||||||
| RN-NURSE PRACTITIONER | 50.00 | 0.00 | $185,998 | $151 | $12,482 | Yes (X) | ||||
| SHERYL WILSON | ||||||||||
| EXECUTIVE DIRECTOR-LAB | 50.00 | 0.00 | $190,198 | $0 | $19,493 | Yes (X) | ||||
| LARRY BROWN MD | ||||||||||
| FORMER ACC CEO | 0.00 | 60.00 | $0 | $342,734 | $30,290 | Yes (X) | ||||
| FRANK EMSICK | ||||||||||
| FORMER FACILITIES OPS EXEC | 0.00 | 0.00 | $0 | $205,260 | $0 | Yes (X) | ||||
| JOSEPH HOAGBIN MD | ||||||||||
| CHIEF MEDICAL OFFICER | 28.00 | 32.00 | $0 | $349,660 | $21,755 | Yes (X) | ||||
| SHEREE KEELY | ||||||||||
| VP BEHAVIORAL | 20.00 | 40.00 | $0 | $215,502 | $12,406 | Yes (X) | ||||
| ELIZABETH LLEWELLYN | ||||||||||
| VP MISSION INTEGRATION | 19.00 | 42.00 | $0 | $380,466 | $13,612 | Yes (X) | ||||
| PATRICIA MASEK | ||||||||||
| VP MEDICAL AFFAIRS | 19.00 | 38.00 | $0 | $213,146 | $23,525 | Yes (X) | ||||
| Tim Schnack | ||||||||||
| VP OPERATIONAL FINANCE | 9.00 | 51.00 | $0 | $290,543 | $24,118 | Yes (X) | ||||
| KEVIN BONNEY | ||||||||||
| VP CHIEF DEVELOPMENT OFFICER | 5.00 | 55.00 | $0 | $238,848 | $30,330 | Yes (X) | ||||
| AMY HATCHER | ||||||||||
| VP DIVISIONAL FINANCE | 5.00 | 55.00 | $0 | $205,947 | $10,194 | Yes (X) | ||||
| KEVIN REAGAN MD | ||||||||||
| CHIEF MEDICAL OFFICER | 55.00 | 5.00 | $1,228 | $282,925 | $24,327 | Yes (X) | ||||
| KENNETH LAWONN | ||||||||||
| Former ACH SVP STRATEGY & TECH | 0.00 | 0.00 | $0 | $1,323,472 | $10,422 | Yes (X) | ||||
| SCOTT WOOTEN | ||||||||||
| Former ACH SVP/CFO | 0.00 | 0.00 | $0 | $1,454,576 | $0 | Yes (X) | ||||
| RICHARD HACHTEN II | ||||||||||
| Former Board Member/ACH President & CEO | 0.00 | 0.00 | $0 | $492,165 | $35,534 | Yes (X) | ||||
| ANTHONY HATCHER | ||||||||||
| FORMER SECRETARY/TREASURER | 0.00 | 60.00 | $0 | $422,482 | $22,026 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,005,692 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $19,920,121 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,155,338 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMPHEALTH | |||||
| 6440 S MILLROCK DR STE 175 | SALT LAKE CITY | UT | 84121 | MEDICAL SERVICES | $1,518,013 |
| Siemens HealthCare Diagnostics | |||||
| 40 Liberty Boulevard | Malvern | PA | 19355 | DIAGNOSTIC IMAGING SERVICES | $1,500,002 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | LABORATORY RESEARCH | $1,413,843 |
| AMERITEX SVCS | |||||
| 1321 S 20TH STREET | OMAHA | NE | 68108 | MAINTENANCE SERVICES | $1,278,357 |
| MIDWEST PATHOLOGY SPECIALISTS | |||||
| PO BOX 4907 | OMAHA | NE | 68108 | PATHOLOGY SERVICES | $623,926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Membership Dues | $140,000 | MembershipDuesAmt |
| Related Organizations | $216,198 | RelatedOrganizationsAmt |
| Government Grants | $5,329,587 | GovernmentGrantsAmt |
| Total Contributions | $5,685,785 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net patient services | 900099 | $426,890,920 | $426,890,920 | ||
| Laboratory Services | 621500 | $15,482,778 | $13,219,520 | $2,263,258 | |
| Pharmacy Services | 446110 | $9,027,640 | $4,354,035 | $4,673,605 | |
| Cafeteria | 722100 | $3,717,967 | $164,503 | $3,553,464 | |
| Medicare/Medicaid | 900099 | $922,417 | $922,417 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,274,953 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,274,953 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $462,316,675 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,145,322 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$760,061 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,905,383 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,606,149 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,193,581 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,412,568 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,412,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,412,568 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,970,403 | SecuritiesAmt |
| Other | $9,308,024 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,970,403 | SecuritiesAmt |
| Other | $9,308,024 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,278,427 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,278,427 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $373,190 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $256,693 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,497 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $116,497 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Child Care | 624410 | $1,362,296 | $0 | $0 | $1,362,296 |
| $0 | $0 | $0 | $0 | ||
| $0 | $0 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,775,878 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $238,421 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,537,457 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,138,174 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $496,093,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $447,307,810 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,260,156 | UnrelatedBusinessRevenueAmt |
| Exclusion | $36,839,697 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,342 | TotalAmt |
| Program Services | $65,342 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,671,786 | TotalAmt |
| Program Services | $40,671,786 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,804,822 | TotalAmt |
| Program Services | $102,414,581 | ProgramServicesAmt |
| Management And General | $5,390,241 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,224,090 | TotalAmt |
| Program Services | $4,962,885 | ProgramServicesAmt |
| Management And General | $261,205 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,021,209 | TotalAmt |
| Program Services | $16,170,149 | ProgramServicesAmt |
| Management And General | $851,060 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,114,252 | TotalAmt |
| Program Services | $7,708,539 | ProgramServicesAmt |
| Management And General | $405,713 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,584,704 | TotalAmt |
| Program Services | $5,290,772 | ProgramServicesAmt |
| Management And General | $293,932 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,862 | TotalAmt |
| Program Services | $25,862 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,635 | TotalAmt |
| Program Services | $569,653 | ProgramServicesAmt |
| Management And General | $29,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,187,716 | TotalAmt |
| Program Services | $28,122,281 | ProgramServicesAmt |
| Management And General | $2,065,435 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,607 | TotalAmt |
| Program Services | $7,227 | ProgramServicesAmt |
| Management And General | $380 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,891,024 | TotalAmt |
| Program Services | $9,396,473 | ProgramServicesAmt |
| Management And General | $494,551 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,366,138 | TotalAmt |
| Program Services | $7,947,831 | ProgramServicesAmt |
| Management And General | $418,307 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,383 | TotalAmt |
| Program Services | $370,864 | ProgramServicesAmt |
| Management And General | $19,519 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,578 | TotalAmt |
| Program Services | $12,899 | ProgramServicesAmt |
| Management And General | $679 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,217,623 | TotalAmt |
| Program Services | $7,217,623 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,870,508 | TotalAmt |
| Program Services | $17,926,983 | ProgramServicesAmt |
| Management And General | $943,525 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,165,111 | TotalAmt |
| Program Services | $1,106,855 | ProgramServicesAmt |
| Management And General | $58,256 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Unrelated Business Taxes | $600,520 | $570,494 | $30,026 |
| Bad debts | $29,111,429 | $29,111,429 | |
| Medical Supplies | $63,170,931 | $63,170,931 | |
| Repairs and maintenance | $3,676,483 | $3,676,483 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,068,469 | TotalAmt |
| Program Services | $1,962,958 | ProgramServicesAmt |
| Management And General | $105,511 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,849,222 | TotalAmt |
| Program Services | $348,480,900 | ProgramServicesAmt |
| Management And General | $11,368,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,293,113 | BOYAmt |
| EOY | $10,183,223 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,934 | BOYAmt |
| EOY | $761,030 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,410,929 | BOYAmt |
| EOY | $67,455,849 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,534,000 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,102,921 | BOYAmt |
| EOY | $10,554,125 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,313 | BOYAmt |
| EOY | $25,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $590,635,557 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $338,483,435 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,577,180 | BOYAmt |
| EOY | $252,152,122 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,432,739 | BOYAmt |
| EOY | $176,253,128 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,517,567 | BOYAmt |
| EOY | $461,068,310 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,964,696 | BOYAmt |
| EOY | $978,453,784 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,886,260 | BOYAmt |
| EOY | $26,823,832 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,500 | BOYAmt |
| EOY | $14,982 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,892 | BOYAmt |
| EOY | $83,552 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,358,090 | BOYAmt |
| EOY | $153,911,763 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,390,742 | BOYAmt |
| EOY | $180,834,129 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,512,665 | BOYAmt |
| EOY | $797,558,366 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,289 | BOYAmt |
| EOY | $61,289 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,573,954 | BOYAmt |
| EOY | $797,619,655 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $866,964,696 | BOYAmt |
| EOY | $978,453,784 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $136,244,226 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,839,867 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,358,658 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $25,862 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $25,862 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | The portion of organization dues that are related to lobbying are as follows: Iowa Hospital Association - $11,640 Nebraska Hospital Association - $9,806 American Hospital Association - $4,416 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $896,842 | BeginningYearBalanceAmt |
| Contributions | $87,493 | ContributionsAmt |
| Investment Earnings Or Losses | $4,430 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $58,266 | OtherExpendituresAmt |
| End Year Balance | $930,499 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $856,084 | BeginningYearBalanceAmt |
| Contributions | $204,112 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,682 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $160,672 | OtherExpendituresAmt |
| End Year Balance | $896,842 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,292,558 | BeginningYearBalanceAmt |
| Contributions | $221,432 | ContributionsAmt |
| Investment Earnings Or Losses | $2,661 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,659,916 | OtherExpendituresAmt |
| Administrative Expenses | $651 | AdministrativeExpensesAmt |
| End Year Balance | $856,084 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,241,339 | BeginningYearBalanceAmt |
| Contributions | $118,255 | ContributionsAmt |
| Investment Earnings Or Losses | -$64,203 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,833 | OtherExpendituresAmt |
| End Year Balance | $4,292,558 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,961,188 | BeginningYearBalanceAmt |
| Contributions | $6,001 | ContributionsAmt |
| Investment Earnings Or Losses | $464,742 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $6,642 | GrantsOrScholarshipsAmt |
| Other Expenditures | $183,950 | OtherExpendituresAmt |
| End Year Balance | $4,241,339 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,322,089 | OtherCostOrOtherBasisAmt |
| Book Value | $3,322,089 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,735,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $121,493,343 | DepreciationAmt |
| Book Value | $150,242,547 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,788,004 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,465,437 | DepreciationAmt |
| Book Value | $322,567 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $279,933,022 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,024,051 | DepreciationAmt |
| Book Value | $74,908,971 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,856,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,500,604 | DepreciationAmt |
| Book Value | $23,355,948 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $252,152,122 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| CHI OIP - Fixed Income | ||
| CHI OIP - Equity Securities | ||
| CHI OIP - Money Market | ||
| CHI OIP | $176,253,128 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $176,253,128 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Intercompany Receivables | Desc |
| Book Value | $461,068,310 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $461,068,310 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Current Liabilities | $1,969,626 |
| Environmental Remediation Liability | $1,697,392 |
| Long-Term Debt - CHI | $150,244,745 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $153,911,763 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | ENDOWMENT FUNDS ARE INTENDED TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Alegent Health-Bergan Mercy Health System'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." |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | false | FPGReferenceFreeCareInd |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7635 | PersonsServedCnt |
| Total Community Benefit Expns | $8,961,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,961,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0271 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16540 | PersonsServedCnt |
| Total Community Benefit Expns | $61,152,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,382,916 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,769,121 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0447 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,254,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,530,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$275,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 24175 | PersonsServedCnt |
| Total Community Benefit Expns | $71,367,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,913,688 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,454,279 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0717 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Persons Served | 10086 | PersonsServedCnt |
| Total Community Benefit Expns | $1,135,543 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $146,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $989,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 4733 | PersonsServedCnt |
| Total Community Benefit Expns | $1,042,213 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,042,213 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0032 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $34,513 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34,513 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 2219 | PersonsServedCnt |
| Total Community Benefit Expns | $293,141 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,234 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $245,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0007 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 17038 | PersonsServedCnt |
| Total Community Benefit Expns | $2,505,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $193,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,311,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 47 | ActivitiesOrProgramsCnt |
| Persons Served | 41213 | PersonsServedCnt |
| Total Community Benefit Expns | $73,873,377 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,107,188 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,766,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0787 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,016 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $16,935 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,935 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 54 | PersonsServedCnt |
| Total Community Benefit Expns | $12,938 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 54 | PersonsServedCnt |
| Total Community Benefit Expns | $30,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,889 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $29,111,429 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $96,269,560 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $134,822,341 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$38,552,781 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|
| AH BERGAN MERCY MEDICAL CENTER | |||||||
| 1 | WWW.CHIHEALTH.COM | LICENSE# 260001 | Yes (X) | Yes (X) | Yes (X) | A | |
| ALEGENT HEALTH MERCY HOSPITAL | |||||||
| 2 | WWW.CHIHEALTH.COM | LINCENSE# 780105H | Yes (X) | Yes (X) | Yes (X) | A | |
| LASTING HOOPE RECOVERY CENTER | |||||||
| 3 | WWW.CHIHEALTH.COM | LICENSE #260001 | Yes (X) | Yes (X) | A | BEHAVIORAL HEALTH HOSPITAL | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.chihealth.com/chna | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.douglascohealth.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.chihealth.com/documents/CHNA/implementation_plan_Bergan.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.chihealth.com/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.chihealth.com/documents/Financial_Assistance_Application.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. 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. b. 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 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 four 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- (in alphabetical order): 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 Bergan Mercy's Priorities In addition to system-wide community benefit investments in which Bergan Mercy shares on a net service revenue basis, Bergan mercy's Implementation Plan focuses on the following priorities and related strategies: 1. Maternal, Infant, and Child Health a. Developing and launching a parent reward program to incent low-income and refugee parents to attend educations classes and participate in prenatal care b. Hosting six trainings for refugee populations (100-120 attendees) c. Providing educational materials to Embrace the Nations for their home visits d. Creating materials for nursing students and community outreach workers that are innovative and culturally relevant interventions for improving patient care for refugee mothers 2. Heart Disease and Stroke a. Hosting Heart Health Fairs b. Teaching Heart healthy cooking classes c. Sponsoring and leading the Heart and Sole walking programs d. Providing CPR classes e. Hosting Heart Failure support groups 3. Mental and behavioral health/substance abuse a. Lasting Hope recovery Center houses community based organizations at a nominal cost including the Salvation Army, Lutheran Family Services, National Alliance for the Mentally Ill-Nebraska, and Behavioral Health Education Center of Nebraska b. Conducting Chemical dependency evaluations Community Priorities and Hospital Strategies to address the need: 1. Access to Health Services a. Subsidized home health, hospice medical care and the Neonatal Intensive Care Unit b. Provided patient transportation vouchers c. Supported the Ralston Medical Science Academy 2. Diabetes a. Provided diabetes education and support services 3. Nutrition and Weight Status a. Provided prenatal class and lactation support b. Supported strategies to promote breastfeeding, particularly among low-income and minority populations 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. Mercy Council Bluffs' Priorities: In addition to the system-wide community benefit investments in which Mercy shares on a net service revenue basis, Mercy's Implementation Plan focuses upon: 1. Obesity * Hosted and funded a facilitated community-based strategic planning session (known as a Decision Accelerators) with 56 participants representing business, government, elected officials, healthcare, schools and social services to discuss the health of Pottawattamie County based on data from the CHNA and developed a strategic plan around five areas of focus (Built Environment, Nutrition, Physical Activity, Social Marketing and Leadership/Funding). Objectives/Key Accomplishments Include: * Provided leadership and formed sustainable coalition to address obesity * Combined Live Well Pottawattamie County & Keep Council Bluffs Beautiful creating one Board of Directors; Served on BOD * Developed strategic action plans through community collaboration and to improve: Healthy Eating, Active Living, Beautification * Raised awareness of Live Well Council Bluffs messages and programming throughout the community * Hosted health fair event * Developed website and social media presence * Engaged in comprehensive communications plan * Partnered with other community organizations and funders to bring B-Cycle (bike sharing) stations to Council Bluffs * Operate/maintain Creek Top Community Garden with 90 garden plots * Hosted Kid's Safety Day in partnership with area law enforcement and emergency response personnel (educational activities, bike safety/helmet check) 2. Maternal, Infant and Child Health: * Provided education and support to teen mothers to promote healthy pregnancies and improve graduation rates. * Participation in Teen Pregnancy Task Force: Mercy donates time of an RN to go into schools to meet bimonthly with pregnant teens until delivery. The program is in partnership with the Council Bluffs School District and is intended to promote health pregnancies for the teen mothers and their babies, while also improving their graduation rates. * Provided breastfeeding education and support to new mothers * Mercy hosts a Breastfeeding Support Group every week, free of charge, to any mother needing or wanting the continued support of breastfeeding their baby. * Mercy donates time of an RN who is a Certified Childbirth Educator and Certified Lactation Counselor, to facilitate breastfeeding support group sessions twice a month at Lutheran Family Services Health Center. * Provided childbirth education and support to mothers/couples expecting a new child to promote healthy pregnancies * Hosts Prepared Childbirth Classes to expectant mothers/couples. * Participates in community-wide efforts to prevent child abuse: * Participation in Shaken Baby Task Force: Mercy representative is a member of the Shaken Baby Task Force as part of the Pottawattamie County Against Child Abuse initiative. This group meets quarterly to continue efforts to decrease child abuse 3. Medically-Integrated Wellness: Partner with the YMCA to develop medically-integrated wellness programs and ultimately create a medically-integrated wellness center co-located with Mercy Hospital for the public, patients and employees. * Open a medically integrated wellness site co-located with Mercy Hospital for the public, patients and employees * Build out current facility * Mercy established an agreement with YMCA of Greater Omaha for the purchase of the Mercy property adjacent to the hospital. * Construction currently in progress to build a 75,000 square foot medical wellness center on the property with expected completion in 2017. * Planning stage for establishing a phase 3 cardiac rehab, physical therapy and weight management programs operated by CHI Health within the new YMCA * Offer classes and engagement programs * Launched a diabetes management program in partnership with the YMCA to serve the Council Bluffs community * Acquired grant funding to subsidize cost of participation ($600 per person; subsidized cost: $150 per person) * 13-week program developed; twice a week training with a YMCA trainer and once a week (for 7 weeks) meeting with a CHI Health diabetes educator For each of the other areas of opportunity identified by the CHNA, ACH and Mercy Council Bluffs' 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. |
| Schedule H, Part V, Section B, Line 13 Facility A, 1 | Facility A, 1 - Group A. Alegent Health-Bergan Mercy 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. |
| 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% |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ALEGENT HEALTH HOSPICE | ||||
| 703 ROSARY DRIVE | CORNING | IA | 50041 | LICENSED HOSPICE |
| ALEGENT HEALTH HOSPICE | ||||
| 7070 SPRING STREET | OMAHA | NE | 68106 | LICENSED HOSPICE |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care | When Catholic Health Initiatives (the ultimate parent organization to Alegent Health-Bergan Mercy 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 Health-Bergan Mercy 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 6a Community benefit report prepared by related organization | Alegent Creighton Health |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 29111429 |
| 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 $29,111,429 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. To determine the amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy, representatives of the Alegent Creighton Health System determine if an account needs to be moved from bad debt to charity care when a patient either comes forward and completes a charity application, which is approved or if it is determined that the patient has no other resources to pay the account balance. |
| 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 needs issue across all Omaha MSA counties served, the Alegent Creighton Health system partnered with the community to made 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 Bergan Mercy Medical System 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 * 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. * 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 supports 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. |
| 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 25.48%. 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 HEALTH - BERGAN MERCY 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 Health-Bergan Mercy 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 | Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers' gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted. Alegent Health-Bergan Medical System's ultimate reimbursement will be reduced by any applicable copayment/ deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Although not presented on the Medicare cost report, in order to facilitate a more accurate understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). True costs of Medicare computed using this methodology: Total Medicare Revenue: $96,269,560 Total Medicare costs: $134,822,341 Surplus or Shortfall ($38,552,781) Alegent Health-Bergan Medical System believes that excluding Medicare losses from community benefit makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), an independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay, and is typically substantially less than what Medicare pays. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM DEBT COLLECTION POLICY PROVIDES THAT ALEGENT HEALTH-BERGAN MERCY 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-PAYMENT, 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 HEALTH-BERGAN MERCY HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO Alegent Health-Bergan Mercy Medical System FOR APPROPRIATE FOLLOW-UP. ALEGENT HEALTH-BERGAN MERCY 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 - AH BERGAN MERCY MEDICAL CENTER: Line 16a URL: http://www.chihealth.com/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | A - AH BERGAN MERCY MEDICAL CENTER: 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. Mercy Hospital leadership (Marie Knedler, Vice President and Chief Operating Officer, Chris Evans, Campus Operations Leader, and others) have been part of a Pottawattamie County leadership group that has been meeting since 2011 to analyze the CHNA and pursue funding opportunities to support a community coalition to address the poor health outcomes of Pottawattamie County. On May 1 and 2, 2012, Mercy Hospital hosted and funded a facilitated community based strategic planning session (known as a Decision Accelerators) with 56 participants representing business, government, elected officials, healthcare, schools and social services to discuss the health of Pottawattamie County. During the two day Decision Accelerator, the CHNA contributed to identification of a community health priority and group consensus of the following vision: Our Vision is to Lead the State in Healthy Eating and Active Lifestyles: We will work together as a coalition dedicated to improving nutrition and physical activity where people work, play and live by helping to make the healthy choice the easy choice. 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 Bergan Mercy Medical Center resides, 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. Particular to the county in which Mercy Hospital resides, Alegent Creighton Health partners with local health departments, Live Well Council Bluffs 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. |
| 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 capital 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 capital. 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. |
| 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 Bergan Mercy Health System, 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 Bergan Mercy Health System operates 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 | IA, NE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alegent Creighton Health Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12809 West Dodge RD | AddressLine1Txt |
| City | Omaha | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68154 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 470648586 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $65,342 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| SCHOLARSHIPS | 7 | $7,000 | |||
| MERCY FUND DISTRIBUTIONS | 123 | $30,393 | Book | Patient Support | |
| CHARITY CARE | 7635 | $40,611,649 | Book | Reduction or write off of patient services | |
| WOW/CARE SUPPORT | 340 | $22,744 | Book | Patient Support |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. THE BERGAN MERCY AUXILIARY TEEN SCHOLARSHIP PROGRAM WAS SET UP IN 1986 BY BERGAN MERCY. THE PURPOSE OF THE SCHOLARSHIP PROGRAM IS TO PROVIDE COLLEGE SCHOLARSHIPS TO TEEN VOLUNTEERS WHO HAVE VOLUNTEERED THEIR SERVICES AT BERGAN MERCY MEDICAL CENTER. IN ORDER TO RECEIVE A SCHOLARSHIP IN THIS PROGRAM, THE APPLICANT MUST BE AN ACTIVE VOLUNTEER THROUGHOUT ALL THE YEARS THEY DO SERVICE, INCLUDING THEIR SENIOR YEAR. IF A STUDENT IS TO DROP OUT OF THE PROGRAM OR IS TO BE DISMISSED, THEY ARE NOT ELIGIBLE FOR THE SCHOLARSHIPS. MERCY FUND DISTRIBUTIONS ARE ESTABLISHED FOR THE DISBURSEMENT OF ALEGENT HEALTH BERGAN MERCY AUXILIARY MONIES FOR PATIENT ASSISTANCE THAT IS COMPLIANT WITH ALEGENT HEALTH POLICIES AND PROCEDURES, INTERNAL REVENUE SERVICE (IRS) REGULATIONS AND OTHER APPLICABLE FEDERAL, STATE, AND LOCAL LAWS AND REGULATIONS. |
| Schedule I, Part IV GRANTS OR ASSISTANCE PROVIDED | ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 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. THE BERGAN MERCY AUXILIARY TEEN SCHOLARSHIP PROGRAM WAS SET UP IN 1986 BY BERGAN MERCY. THE PURPOSE OF THE SCHOLARSHIP PROGRAM IS TO PROVIDE COLLEGE SCHOLARSHIPS TO TEEN VOLUNTEERS WHO HAVE VOLUNTEERED THEIR SERVICES AT BERGAN MERCY MEDICAL CENTER. IN ORDER TO RECEIVE A SCHOLARSHIP IN THIS PROGRAM, THE APPLICANT MUST BE AN ACTIVE VOLUNTEER THROUGHOUT ALL THE YEARS THEY DO SERVICE, INCLUDING THEIR SENIOR YEAR. IF A STUDENT IS TO DROP OUT OF THE PROGRAM OR IS TO BE DISMISSED, THEY ARE NOT ELIGIBLE FOR THE SCHOLARSHIPS. MERCY FUND DISTRIBUTIONS ARE ESTABLISHED FOR THE DISBURSEMENT OF ALEGENT HEALTH BERGAN MERCY AUXILIARY MONIES FOR PATIENT ASSISTANCE THAT IS COMPLIANT WITH ALEGENT HEALTH POLICIES AND PROCEDURES, INTERNAL REVENUE SERVICE (IRS) REGULATIONS AND OTHER APPLICABLE FEDERAL, STATE, AND LOCAL LAWS AND REGULATIONS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD HACHTEN II | ||||||||||||||
| Former Board Member/ACH President & CEO | $0 | $159,899 | $0 | $112,521 | $0 | $219,745 | $0 | $31,152 | $0 | $4,382 | $0 | $527,699 | $0 | $0 |
| ANTHONY HATCHER | ||||||||||||||
| FORMER SECRETARY/TREASURER | $0 | $402,703 | $0 | $0 | $0 | $19,779 | $0 | $9,100 | $0 | $12,926 | $0 | $444,508 | $0 | $0 |
| CLIFF ROBERTSON | ||||||||||||||
| Board Member/CEO CHI Health | $0 | $772,865 | $0 | $115,809 | $0 | $134,830 | $0 | $151,369 | $0 | $26,754 | $0 | $1,201,627 | $0 | $54,120 |
| MARTIN M MANCUSO MD | ||||||||||||||
| Board Member | $0 | $388,633 | $0 | $0 | $0 | $2,851 | $0 | $9,079 | $0 | $16,554 | $0 | $417,117 | $0 | $0 |
| MICHAEL ROWAN FACHE | ||||||||||||||
| Board member/CHI EVP & COO | $0 | $1,195,620 | $0 | $788,897 | $0 | $515,926 | $0 | $32,602 | $0 | $21,054 | $0 | $2,554,099 | $0 | $224,413 |
| AMY L MCGAHA | ||||||||||||||
| BOARD MEMBER | $0 | $233,848 | $0 | $0 | $0 | $156 | $0 | $8,002 | $0 | $1,614 | $0 | $243,620 | $0 | $0 |
| KENNETH LAWONN | ||||||||||||||
| Former ACH SVP STRATEGY & TECH | $0 | $18,845 | $0 | $1,241,688 | $0 | $62,939 | $0 | $9,100 | $0 | $1,322 | $0 | $1,333,894 | $0 | $0 |
| SCOTT WOOTEN | ||||||||||||||
| Former ACH SVP/CFO | $0 | $0 | $0 | $1,454,576 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,454,576 | $0 | $0 |
| RICK MILLER MD | ||||||||||||||
| ACH SVP/CHIEF QUALITY OFFICER | $0 | $153,324 | $0 | $1,000,187 | $0 | $230,196 | $0 | $30,052 | $0 | $19,699 | $0 | $1,433,458 | $0 | $0 |
| JOAN NEUHAUS | ||||||||||||||
| CHI HEALTH SVP COO | $0 | $553,100 | $0 | $1,545,813 | $0 | $70,093 | $0 | $41,502 | $0 | $17,532 | $0 | $2,228,040 | $0 | $0 |
| RICHARD ROLSTON MD | ||||||||||||||
| ACC CEO | $0 | $536,292 | $0 | $1,615,970 | $0 | $68,350 | $0 | $75,053 | $0 | $19,517 | $0 | $2,315,182 | $0 | $45,003 |
| NANCY WALLACE | ||||||||||||||
| SVP HR CHI HEALTH | $0 | $309,173 | $0 | $173,948 | $0 | $23,366 | $0 | $0 | $0 | $0 | $0 | $506,487 | $0 | $0 |
| CARY WARD MD | ||||||||||||||
| CHI HEALTH SVP CMO | $0 | $407,526 | $0 | $29,075 | $0 | $57,402 | $0 | $54,502 | $0 | $21,999 | $0 | $570,504 | $0 | $0 |
| JEANETTE WOJTALEWICZ | ||||||||||||||
| CFO, CHI HEALTH | $0 | $464,487 | $0 | $208,308 | $0 | $23,377 | $0 | $75,918 | $0 | $22,290 | $0 | $794,380 | $0 | $0 |
| STEVE HOUSTON | ||||||||||||||
| SVP STRATEGY AND TECHNOLOGY | $0 | $236,114 | $0 | $39,730 | $0 | $5,365 | $0 | $8,433 | $0 | $14,217 | $0 | $303,859 | $0 | $0 |
| LARRY BROWN MD | ||||||||||||||
| FORMER ACC CEO | $0 | $341,676 | $0 | $0 | $0 | $1,058 | $0 | $9,100 | $0 | $21,190 | $0 | $373,024 | $0 | $0 |
| FRANK EMSICK | ||||||||||||||
| FORMER FACILITIES OPS EXEC | $0 | $186,605 | $0 | $17,959 | $0 | $696 | $0 | $0 | $0 | $0 | $0 | $205,260 | $0 | $0 |
| JOSEPH HOAGBIN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $299,251 | $0 | $16,660 | $0 | $33,749 | $0 | $5,955 | $0 | $15,800 | $0 | $371,415 | $0 | $0 |
| SHEREE KEELY | ||||||||||||||
| VP BEHAVIORAL | $0 | $173,727 | $0 | $40,175 | $0 | $1,600 | $0 | $4,775 | $0 | $7,631 | $0 | $227,908 | $0 | $0 |
| ELIZABETH LLEWELLYN | ||||||||||||||
| VP MISSION INTEGRATION | $0 | $115,946 | $0 | $142,388 | $0 | $122,132 | $0 | $8,896 | $0 | $4,716 | $0 | $394,078 | $0 | $0 |
| PATRICIA MASEK | ||||||||||||||
| VP MEDICAL AFFAIRS | $0 | $156,461 | $0 | $44,255 | $0 | $12,430 | $0 | $7,535 | $0 | $15,990 | $0 | $236,671 | $0 | $0 |
| Tim Schnack | ||||||||||||||
| VP OPERATIONAL FINANCE | $0 | $240,321 | $0 | $49,241 | $0 | $981 | $0 | $9,100 | $0 | $15,018 | $0 | $314,661 | $0 | $0 |
| KEVIN BONNEY | ||||||||||||||
| VP CHIEF DEVELOPMENT OFFICER | $0 | $197,460 | $0 | $40,960 | $0 | $428 | $0 | $5,955 | $0 | $24,375 | $0 | $269,178 | $0 | $0 |
| AMY HATCHER | ||||||||||||||
| VP DIVISIONAL FINANCE | $0 | $144,291 | $0 | $48,584 | $0 | $13,072 | $0 | $5,618 | $0 | $4,576 | $0 | $216,141 | $0 | $0 |
| KEVIN REAGAN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $1,228 | $254,106 | $0 | $27,136 | $0 | $1,683 | $8,647 | $0 | $0 | $15,680 | $9,875 | $298,605 | $0 | $0 |
| JANE CARMODY | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $322,214 | $0 | $36,772 | $0 | $23,676 | $0 | $32,602 | $0 | $9,036 | $0 | $424,300 | $0 | $0 |
| MARIE KNEDLER | ||||||||||||||
| PRESIDENT | $0 | $384,762 | $0 | $90,753 | $0 | $6,177 | $0 | $12,084 | $0 | $14,554 | $0 | $508,330 | $0 | $0 |
| JASON YUNGTUM | ||||||||||||||
| VP/REG GENERAL COUNSEL | $0 | $232,111 | $0 | $170,543 | $0 | $19,693 | $0 | $7,717 | $0 | $21,698 | $0 | $451,762 | $0 | $0 |
| MIKE WATTERS | ||||||||||||||
| DIV VP SR COUNSEL | $0 | $229,154 | $0 | $39,598 | $0 | $43,831 | $0 | $22,685 | $0 | $18,944 | $0 | $354,212 | $0 | $0 |
| JAMES KALAR MD | ||||||||||||||
| PHYSICIAN | $235,758 | $0 | $0 | $0 | $1,525 | $0 | $6,766 | $0 | $15,676 | $0 | $259,725 | $0 | $0 | $0 |
| MARY MCNITT | ||||||||||||||
| CHIEF NURSING EXECUTIVE | $158,153 | $0 | $24,374 | $0 | $618 | $0 | $6,656 | $0 | $20,883 | $0 | $210,684 | $0 | $0 | $0 |
| MATTHEW WALTERS | ||||||||||||||
| SENIOR MEDICAL PHYSICIST | $207,650 | $0 | $0 | $0 | $190 | $0 | $6,983 | $0 | $798 | $0 | $215,621 | $0 | $0 | $0 |
| THOMAS BAKER | ||||||||||||||
| RN-NURSE PRACTITIONER | $184,876 | $151 | $1,000 | $0 | $122 | $0 | $720 | $0 | $11,762 | $0 | $198,480 | $151 | $0 | $0 |
| SHERYL WILSON | ||||||||||||||
| EXECUTIVE DIRECTOR-LAB | $158,105 | $0 | $26,327 | $0 | $5,766 | $0 | $5,832 | $0 | $13,661 | $0 | $209,691 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 MBO CEOS/PRESIDENTS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JEANETTE WOJTALEWICZ CLIFF ROBERTSON MICHAEL ROWAN RICHARD ROLSTON JOAN NEUHAUS MARIE KNEDLER RICHARD HACHTEN, II DURING 2014 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: JEANETTE WOJTALEWICZ - $40,766 CLIFF ROBERTSON - $113,667 RICHARD ROLSTON - $45,001 MARIE KNEDLER - $2,984 DURING 2014 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: CLIFF ROBERTSON - $54,120 MICHAEL ROWAN - $224,413 RICHARD ROLSTON - $45,003 DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS AGE, YEARS OF SERVICE OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 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 JOAN NEUHAUS - $43,127 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 242,809,793 including grants of $ 30,377,031)(Revenue $ 333,550,358) BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS PROVIDE A LARGE RANGE OF HOSPITAL SERVICES INCLUDING BUT NOT LIMITED TO: EMERGENCY DEPARTMENT, INPATIENT HOSPITAL FACILITIES, PROCEDURE CENTER, ORTHOPEDIC SERVICES, DIGESTIVE HEALTH CENTER, FAMILY LIFE CENTER, RADIOLOGY, UROLOGY AND PHYSICAL THERAPY. PATIENTS ARE AT THE CENTER OF EVERYTHING DONE AT BERGAN MERCY MEDICAL CENTER AND MERCY HOSPITAL, COUNCIL BLUFFS. |
| Form 990, Part V, Line 1c PAYMENTS TO VENDORS | PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF Catholic Health Initiatives (CHI) ARE MADE BY CHI. CHI FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY CHI ON BEHALF of ALEGENT Health-Bergan Mercy Health System ARE REPORTED TO THE IRS. |
| Form 990, Part VI, Line 16a WRITTEN POLICY FOR JOINT VENTURE ARRANGEMENTS | ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 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 Health-Bergan Mercy Health System AMENDED its BYLAWS on October 1, 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 | THE SOLE MEMBER OF ALEGENT HEALTH-BERGAN MERCY HEALTH SYSTEM IS CHI Nebraska. |
| 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 Health- Bergan Mercy Health System. * Amendment of the corporate documents of the Alegent Health- Bergan Mercy Health System. *Approve removal of a member of the governing body of the Alegent Health- Bergan Mercy Health System. * Adoption of long range and strategic plans for the Alegent Health- Bergan Mercy Health System. The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of the Alegent Health- Bergan Mercy Health System. * Removal of a member of the governing body of the Alegent Health- Bergan Mercy Health System. * Approval of issuance of debt by Alegent Health- Bergan Mercy Health System. * Approval of participation of Alegent Health- Bergan Mercy Health System in a joint venture. *Approval of formation of a new corporation by Alegent Health- Bergan Mercy Health System. * Approval of a merger involving the Alegent Health- Bergan Mercy Health System. * Approval of the sale of all or substantially all of the assets of the Alegent Health- Bergan Mercy Health System. * To require the transfer of assets by the Alegent Health- Bergan Mercy Health System 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 Health-Bergan Mercy Health System 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: 6274953, Related or Exempt Function Revenue: 6274953, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Other Miscellaneous Revenue - Total Revenue: 1775878, Related or Exempt Function Revenue: , Unrelated Business Revenue: 238421, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1537457; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer of Goodwill to Alegent Creighton Health - -6855; Avantas Sale - -1351803; |
| Form 990, Part XII, Line 2c AUDITED FINANCIAL STATEMENTS | FOR FISCAL YEAR ENDING JUNE 30, 2015, THE FINANCIAL STATEMENTS OF ALEGENT HEALTH-BERGAN MERCY MEDICAL SYSTEM 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (184 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALEGENT CREIGHTON CLINIC | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470765154 | HEALTHCARE | NE | 501(c)(3 | 3 | ACH | Yes (true) |
| ALEGENT CREIGHTON HEALTH | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470757164 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT CREIGHTON HEALTH FOUNDATION | ||||||||||
| 12809 W DODGE RD | OMAHA | NE | 68154 | 470648586 | FUNDRAISING | NE | 501(c)(3 | 7 | ACH | Yes (true) |
| ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM | ||||||||||
| 7500 MERCY RD | OMAHA | NE | 68124 | 470484764 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (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 | Yes (true) |
| ALEGENT HEALTH - IMMANUEL MEDICAL CENTER | ||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 470376615 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 470399853 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 420782518 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ALVERNA APARTMENTS | ||||||||||
| 300 SE 8TH AVE | LITTLE FALLS | MN | 56345 | 411351177 | LTERM CARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| APPLETREE COURT | ||||||||||
| 601 OAK ST | BRECKENRIDGE | MN | 56520 | 411850500 | SENIOR LIVING | MN | 501(c)(3 | 9 | SFH | Yes (true) |
| BELLEVILLE ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 274005511 | HEALTHCARE | TX | 501(c)(3 | 3 | SHSC | Yes (true) |
| BISHOP DRUMM RETIREMENT CENTER | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420725196 | LTERM CARE | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| BORNEMANN HEALTHCARE CORPORATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232187242 | HEALTHCARE | PA | 501(c)(3 | Type I | CHI | Yes (true) |
| BURLESON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742759890 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| BURLESON ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742913931 | HEALTHCARE | TX | 501(c)(3 | 9 | SJSC | Yes (true) |
| CARRINGTON HEALTH CENTER | ||||||||||
| 800 N 4TH ST | CARRINGTON | ND | 58421 | 450227311 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | HEALTHCARE | CO | 501(c)(3 | Type I | NA | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - COLORADO | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840405257 | HEALTHCARE | CO | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 420680448 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION | ||||||||||
| 6385 CORPORATE DR STE 301 | COLORADO SPRINGS | CO | 80919 | 840902211 | FUNDRAISING | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION | ||||||||||
| 6385 CORPORATE DR | COLORADO SPRINGS | CO | 80919 | 270930004 | FUNDRAISING | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CATHOLIC HEALTH INITIATIVES VIRTUAL HEALTH SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 460992796 | HEALTHCARE | CO | 501(c)(3 | Type I | CHINS | Yes (true) |
| CENTENNIAL MEDICAL GROUP INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 263946191 | PHYSICIANS | OR | 501(c)(3 | 9 | MMC | Yes (true) |
| CENTRAL KANSAS MEDICAL CENTER | ||||||||||
| 3515 BROADWAY | GREAT BEND | KS | 67530 | 480543724 | SURGERY CENTER | KS | 501(c)(3 | 3 | CHI | Yes (true) |
| CHI HEALTH CONNECT AT HOME - FARGO | ||||||||||
| 4816 AMBER VALLEY PKWY S | FARGO | ND | 58104 | 271966847 | HEALTHCARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| CHI INSTITUTE FOR RESEARCH AND INNOVATION | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 271050565 | HEALTHCARE | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI KENTUCKY INC | ||||||||||
| 3900 OLYMPIC BLVD STE 400 | ERLANGER | KY | 41018 | 202741651 | HEALTHCARE | KY | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI NATIONAL HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 451261716 | HEALTHCARE | CO | 501(c)(3 | 9 | CHI NS | Yes (true) |
| CHI NATIONAL SERVICES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 452532084 | HEALTHCARE | CO | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI NEBRASKA | ||||||||||
| 6940 O ST STE 200 | LINCOLN | NE | 68510 | 363233121 | HEALTHCARE | NE | 501(c)(3 | Type I | CHI | Yes (true) |
| CHI ST JOSEPH'S CHILDREN | ||||||||||
| 1516 5TH ST NW | ALBUQUERQUE | NM | 87102 | 710897107 | COMMUNITY | NM | 501(c)(3 | Type I | CHI | Yes (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 | Yes (true) |
| CHI ST VINCENT HOSPITAL HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 710236913 | HEALTHCARE | AR | 501(c)(3 | 3 | CHISVHS | Yes (true) |
| CHI ST VINCENT HOT SPRINGS | ||||||||||
| 300 WERNER ST | HOT SPRINGS | AR | 71913 | 261125064 | HOLDING CO | AR | 501(c)(3 | Type II | SVIMC | Yes (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 | Yes (true) |
| COMMUNITY LIMITED CARE DIALYSIS CENTER | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 237419853 | HOLDING CO | OH | 501(c)(2 | GSH | Yes (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 | Yes (true) |
| CONTINUING CARE HOSPITAL | ||||||||||
| 150 NORTH EAGLE CREEK DR | LEXINGTON | KY | 40509 | 611400619 | LT ACH | KY | 501(c)(3 | 3 | SJHS | Yes (true) |
| COVENANT HOME CARE | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 232028429 | HOME HEALTH | PA | 501(c)(3 | Type II | CHI NHC | Yes (true) |
| ENUMCLAW REGIONAL HOSPITAL ASSOCIATION | ||||||||||
| 1450 BATTERSBY AVE | ENUMCLAW | WA | 98022 | 910715805 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| FLAGET HEALTHCARE INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 611345363 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| FLAGET MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 4305 NEW SHEPHERDSVILLE RD | BARDSTOWN | KY | 40004 | 562351341 | FUNDRAISING | KY | 501(c)(3 | Type I | FH | Yes (true) |
| FRANCISCAN CARE CENTER | ||||||||||
| 4111 N HOLLAND-SYLVANIA RD | TOLEDO | OH | 43623 | 341931806 | HEALTHCARE | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| FRANCISCAN FOUNDATION | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911145592 | FUNDRAISING | WA | 501(c)(3 | 9 | FHS | Yes (true) |
| FRANCISCAN HEALTH SYSTEM | ||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 910564491 | HEALTHCARE | WA | 501(c)(3 | 3 | CHI | Yes (true) |
| FRANCISCAN HEALTH VENTURES FKA SJMGROUP | ||||||||||
| TACOMA FNC CTR BLDG 1145 BROADWAY | TACOMA | WA | 98402 | 431882377 | PHYSICIANS | MO | 501(c)(3 | 9 | CHI | Yes (true) |
| FRANCISCAN LIVING COMMUNITIES | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 341892096 | HEALTHCARE | OH | 501(c)(3 | Type I | SFH | Yes (true) |
| FRANCISCAN MEDICAL GROUP | ||||||||||
| 1313 BROADWAY STE 200 | TACOMA | WA | 98402 | 911939739 | HEALTHCARE | WA | 501(c)(3 | 9 | FHS | Yes (true) |
| FRANCISCAN VILLA OF SOUTH MILWAUKEE INC | ||||||||||
| 3601 S CHICAGO AVE | SOUTH MILWAUKEE | WI | 53172 | 391093829 | HEALTHCARE | WI | 501(c)(3 | 9 | CHI | Yes (true) |
| GARRISON MEMORIAL HOSPITAL | ||||||||||
| 407 THIRD AVENUE SOUTHEAST | GARRISON | ND | 58540 | 450227752 | HEALTHCARE | ND | 501(c)(3 | 3 | SAMC | Yes (true) |
| GLOBAL HEALTH INITIATIVES | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 201536108 | MINISTRIES | CO | 501(c)(3 | Type I | CHI | Yes (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 | Yes (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 | Yes (true) |
| GOOD SAMARITAN HOSPITAL | ||||||||||
| PO BOX 1990 | KEARNEY | NE | 68848 | 470379755 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION | ||||||||||
| 111 W 31ST ST | KEARNEY | NE | 68847 | 470659443 | FUNDRAISING | NE | 501(c)(3 | 7 | GSH | Yes (true) |
| GOOD SAMARITAN HOSPITAL FOUNDATION - DAYTON | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 237296923 | FUNDRAISING | OH | 501(c)(3 | 7 | SHP | Yes (true) |
| HARRISON MEDICAL CENTER | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 910565546 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| HARRISON MEDICAL CENTER FOUNDATION | ||||||||||
| 2520 CHERRY AVE | BREMERTON | WA | 98310 | 911197626 | FUNDRAISING | WA | 501(c)(3 | 7 | HMC | Yes (true) |
| HEALTH SET | ||||||||||
| 2420 W 26TH AVE STE 460D | DENVER | CO | 80211 | 841102943 | LOW INC CARE | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| HEALTHCARE AND WELLNESS FOUNDATION | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 760761782 | FUNDRAISING | MN | 501(c)(3 | Type I | SFMC | Yes (true) |
| HIGHLINE MEDICAL CENTER | ||||||||||
| 16251 SYLVESTER RD SW | BURIEN | WA | 98166 | 910712166 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| HOUSE OF MERCY | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421323808 | SHELTER | IA | 501(c)(3 | 7 | CHI-IA CORP | Yes (true) |
| JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029768 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| KENTUCKYONE HEALTH MEDICAL GROUP INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611352729 | HEALTHCARE | KY | 501(c)(3 | 9 | JHSMH | Yes (true) |
| KENTUCKYONE HEALTH INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611029769 | HEALTHCARE | KY | 501(c)(3 | 9 | CHI | Yes (true) |
| LAKEWOOD HEALTH CENTER | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 410758434 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| LAKEWOOD REGIONAL HEALTHCARE FOUNDATION | ||||||||||
| 600 MAIN AVE S | BAUDETTE | MN | 56623 | 411893795 | FUNDRAISING | ND | 501(c)(3 | 7 | LHC | Yes (true) |
| LINUS OAKES INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930821381 | SENIOR LIVING | OR | 501(c)(3 | 9 | MMC | Yes (true) |
| LISBON AREA HEALTH SERVICES | ||||||||||
| 905 MAIN ST | LISBON | ND | 58054 | 820558836 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| LUFKIN VISION ACQUISITIONS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75901 | 820563768 | PROPERTY MGMT | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| MADISON ST JOSEPH HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742761145 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| MADONNA MANOR INC | ||||||||||
| 2344 AMSTERDAM ROAD | VILLA HILLS | KY | 51017 | 610654635 | LIVING ASSIST | KY | 501(c)(3 | 1 | FLC | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM FOUNDATION INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 621839548 | FUNDRAISING | TN | 501(c)(3 | 7 | MHCS | Yes (true) |
| MEMORIAL HEALTH CARE SYSTEM INC | ||||||||||
| 2525 DE SALES AVE | CHATTANOOGA | TN | 37404 | 620532345 | HEALTHCARE | TN | 501(c)(3 | 3 | CHI | Yes (true) |
| MEMORIAL HEALTH PARTNERS FOUNDATION INC | ||||||||||
| 5600 BRAINERD RD STE 500 | CHATTANOOGA | TN | 37411 | 030417049 | HEALTHCARE | TN | 501(c)(3 | 9 | MHCS | Yes (true) |
| MEMORIAL HEALTH SYSTEM OF EAST TEXAS | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 750755367 | HEALTHCARE | TX | 501(c)(3 | 3 | CHI | Yes (true) |
| MEMORIAL MEDICAL CENTER - LIVINGSTON | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 760436439 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MEMORIAL MEDICAL CENTER - SAN AUGUSTINE | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752663904 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MEMORIAL MULTISPECIALTY ASSOCIATES | ||||||||||
| 1201 FRANK AVE | LUFKIN | TX | 95904 | 752721155 | PHYSICIANS | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| MEMORIAL SPECIALTY HOSPITAL | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 95902 | 752492741 | HEALTHCARE | TX | 501(c)(3 | 3 | MHSET | Yes (true) |
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 426076069 | AUXILIARY | IA | 501(c)(3 | Type I | MF-DM IA | Yes (true) |
| MERCY CLINICS INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421193699 | PHYSICIANS | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421511682 | EDUCATION | IA | 501(c)(3 | 2 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 237358794 | FUNDRAISING | IA | 501(c)(3 | 7 | CHI-IA CORP | Yes (true) |
| MERCY FOUNDATION INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 936088946 | FUNDRAISING | OR | 501(c)(3 | 7 | MMC | Yes (true) |
| MERCY HEALTH CARE FOUNDATION | ||||||||||
| PO BOX 368 | CORNING | IA | 50841 | 421461064 | FUNDRAISING | IA | 501(c)(3 | Type I | AHMH-Corning | Yes (true) |
| MERCY HEALTHCARE FOUNDATION | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450435338 | FUNDRAISING | ND | 501(c)(3 | Type I | MHVC | Yes (true) |
| MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS | ||||||||||
| 800 MERCY DR | COUNCIL BLUFFS | IA | 51503 | 421178204 | FUNDRAISING | IA | 501(c)(3 | Type I | AHBMHS | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 450227012 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY HOSPITAL OF DEVILS LAKE FOUNDATION | ||||||||||
| 1031 7TH ST NE | DEVILS LAKE | ND | 58301 | 352367360 | FUNDRAISING | ND | 501(c)(3 | 7 | MHDL | Yes (true) |
| MERCY HOSPITAL OF VALLEY CITY | ||||||||||
| 570 CHAUTAUQUA BLVD | VALLEY CITY | ND | 58072 | 450226553 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450231183 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||
| ONE ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTHCARE | IA | 501(c)(3 | 3 | CHI-IA CORP | Yes (true) |
| MERCY MEDICAL CENTER INC | ||||||||||
| 2700 STEWART PKWY | ROSEBURG | OR | 97471 | 930386868 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| MERCY MEDICAL FOUNDATION | ||||||||||
| 1301 15TH AVE WEST | WILLISTON | ND | 58801 | 450381803 | FUNDRAISING | ND | 501(c)(3 | Type I | MMC | Yes (true) |
| MERCY PROFESSIONAL PRACTICE ASSOCIATES INC | ||||||||||
| 1111 6TH AVE | DES MOINES | IA | 50314 | 421470935 | PHYSICIANS | IA | 501(c)(3 | 9 | CHI-IA CORP | Yes (true) |
| NEBRASKA HEART HOSPITAL | ||||||||||
| 7500 S 91ST ST | LINCOLN | NE | 68526 | 392031968 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (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 | Yes (true) |
| OAKES COMMUNITY HOSPITAL | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 450231675 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| OAKES COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 1200 N 7TH ST | OAKES | ND | 58474 | 710966606 | FUNDRAISING | ND | 501(c)(3 | Type I | OCH | Yes (true) |
| PINEYWOODS MEDICAL DEVELOPMENT CORP | ||||||||||
| PO BOX 1447 | LUFKIN | TX | 75902 | 752493116 | PROPERTY MGMT | TX | 501(c)(3 | Type III-FI | MHSET | Yes (true) |
| PROVIDENCE CARE CENTER | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341658625 | HEALTHCARE | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| PROVIDENCE CARE CENTERS | ||||||||||
| 2025 HAYES AVENUE | SANDUSKY | OH | 44870 | 341826099 | HOLDING CO | OH | 501(c)(3 | Type II | FLC | Yes (true) |
| PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION | ||||||||||
| 5055 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341896807 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| PUEBLO STEPUP | ||||||||||
| 1925 E ORMAN AVE STE G52 | PUEBLO | CO | 81004 | 841234295 | COMMUNITY | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE | ||||||||||
| 12844 MILITARY RD S | TUKWILA | WA | 98168 | 911170040 | HEALTHCARE | WA | 501(c)(3 | 3 | FHS | Yes (true) |
| SET OF COLORADO SPRINGS INC | ||||||||||
| 2864 S CIRCLE DR STE 450 | COLORADO SPRINGS | CO | 80906 | 841183335 | LTERM CARE | CO | 501(c)(3 | 7 | CHIC | Yes (true) |
| SAINT CLARE'S COMMUNITY CARE INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222876836 | HEALTHCARE | NJ | 501(c)(3 | Type II | SCHS | Yes (true) |
| SAINT CLARE'S FOUNDATION INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 222502997 | FUNDRAISING | NJ | 501(c)(3 | 7 | SCHS | Yes (true) |
| SAINT CLARE'S HEALTH SERVICES INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223639733 | MANAGEMENT | NJ | 501(c)(3 | Type II | CHI | Yes (true) |
| SAINT CLARE'S HOSPITAL INC | ||||||||||
| 25 POCONO RD | DENVILLE | NJ | 07834 | 223319886 | HEALTHCARE | NJ | 501(c)(3 | 3 | SCHS | Yes (true) |
| SAINT ELIZABETH FOUNDATION | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470625523 | FUNDRAISING | NE | 501(c)(3 | 7 | SERMC | Yes (true) |
| SAINT ELIZABETH HEALTH SERVICES | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 363233120 | HEALTHCARE | NE | 501(c)(3 | 3 | SERMC | Yes (true) |
| SAINT ELIZABETH REGIONAL MEDICAL CENTER | ||||||||||
| 555 S 70TH ST | LINCOLN | NE | 68510 | 470379836 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER | ||||||||||
| 2620 W FAIDLEY | GRAND ISLAND | NE | 68803 | 470376601 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| SAINT FRANCIS MEDICAL CENTER FOUNDATION | ||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 470630267 | FUNDRAISING | NE | 501(c)(3 | 7 | SFMC | Yes (true) |
| SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC | ||||||||||
| 305 ESTILL ST | BEREA | KY | 40403 | 260152877 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH HEALTH SYSTEM INC | ||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 611334601 | HEALTHCARE | KY | 501(c)(3 | 3 | KOH | Yes (true) |
| SAINT JOSEPH HOSPITAL FOUNDATION INC | ||||||||||
| ONE SAINT JOSEPH DRIVE | LEXINGTON | KY | 40504 | 611159649 | FUNDRAISING | KY | 501(c)(3 | Type I | SJHS | Yes (true) |
| SAINT JOSEPH LONDON FOUNDATION INC | ||||||||||
| 1001 SAINT JOSEPH LANE | LONDON | KY | 40741 | 260438748 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH MOUNT STERLING FOUNDATION INC | ||||||||||
| 225 FALCON DR | MOUNT STERLING | KY | 40353 | 272884584 | FUNDRAISING | KY | 501(c)(3 | 7 | SJHS | Yes (true) |
| SAINT JOSEPH'S HOSPITAL FOUNDATION | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 363418207 | FUNDRAISING | ND | 501(c)(3 | Type I | SJHHC | Yes (true) |
| SAMARITAN BEHAVIORAL HEALTH INC | ||||||||||
| 601 S EDWIN C MOSES BLVD | DAYTON | OH | 45417 | 020633634 | HEALTHCARE | OH | 501(c)(3 | 7 | SHP | Yes (true) |
| SAMARITAN HEALTH PARTNERS | ||||||||||
| 110 N MAIN ST STE 500 | DAYTON | OH | 45402 | 311107411 | HEALTHCARE | OH | 501(c)(3 | Type I | CHI | Yes (true) |
| SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 104 W 17TH ST | SCHUYLER | NE | 68661 | 363630014 | FUNDRAISING | NE | 501(c)(3 | Type I | AHMHS | Yes (true) |
| SJRMC JOPLIN MISSOURI | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 440545809 | HEALTHCARE | MO | 501(c)(3 | 3 | CHI | Yes (true) |
| SL AUGUSTA CORP | ||||||||||
| PO BOX 20269 | HOUSTON | TX | 77225 | 760226623 | TITLE HOLDING | TX | 501(c)(2 | SLPC | Yes (true) | |
| ST ALEXIUS MEDICAL CENTER | ||||||||||
| 900 EAST BROADWAY AVENUE | BISMARCK | ND | 58501 | 450226711 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| ST ANTHONY HOSPITAL | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930391614 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST ANTHONY HOSPITAL FOUNDATION | ||||||||||
| 1601 SE COURT AVE | PENDLETON | OR | 97801 | 930992727 | FUNDRAISING | OR | 501(c)(3 | Type I | SAH | Yes (true) |
| ST ANTHONY'S HOSPITAL ASSOCIATION | ||||||||||
| FOUR HOSPITAL DR | MORRILTON | AR | 72110 | 710245507 | HEALTHCARE | AR | 501(c)(3 | 3 | SVIMC | Yes (true) |
| ST CATHERINE HOSPITAL | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 480543721 | HEALTHCARE | KS | 501(c)(3 | 3 | CHI | Yes (true) |
| ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION | ||||||||||
| 401 EAST SPRUCE ST | GARDEN CITY | KS | 67846 | 200598702 | FUNDRAISING | KS | 501(c)(3 | Type I | SCH | Yes (true) |
| ST CLARE COMMONS | ||||||||||
| 5942 RENAISSANCE PLACE STE A | TOLEDO | OH | 43623 | 270163752 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| ST DOMINIC OF ONTARIO OREGON | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930433692 | HEALTHCARE | OR | 501(c)(4 | CHI | Yes (true) | |
| ST FRANCIS HOME | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410729978 | LTERM CARE | MN | 501(c)(3 | 9 | CHI | Yes (true) |
| ST FRANCIS LIFE CARE CORPORATION | ||||||||||
| 19 POCONO RD | DENVILLE | NJ | 07834 | 222536017 | ELDERLY CARE | NJ | 501(c)(3 | 9 | SCHS | Yes (true) |
| ST FRANCIS MEDICAL CENTER | ||||||||||
| 2400 ST FRANCIS DR | BRECKENRIDGE | MN | 56520 | 410695598 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| ST FRANCIS OF BAKER CITY | ||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 930412495 | HEALTHCARE | OR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH FOUNDATION OF BRYAN TEXAS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742351158 | FUNDRAISING | TX | 501(c)(3 | Type I | SJSC | Yes (true) |
| ST JOSEPH HEALTH MINISTRIES | ||||||||||
| 1929 LINCOLN HWY E STE 150 | LANCASTER | PA | 17602 | 232342997 | HEALTHCARE | PA | 501(c)(3 | Type I | CHI | Yes (true) |
| ST JOSEPH MANOR | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742847594 | HEALTHCARE | TX | 501(c)(3 | 9 | SJSC | Yes (true) |
| ST JOSEPH MEDICAL CENTER FOUNDATION | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 232649362 | FUNDRAISING | PA | 501(c)(3 | Type I | SJRHN | Yes (true) |
| ST JOSEPH MEDICAL CENTER INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 520591461 | HEALTHCARE | MD | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH MEDICAL GROUP | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 208544021 | HEALTHCARE | PA | 501(c)(3 | 9 | BHC | Yes (true) |
| ST JOSEPH PHYSICIAN ASSOCIATES | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 203159302 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH PHYSICIAN ENTERPRISE INC | ||||||||||
| 201 INTERNATIONAL CIRCLE STE 212 | HUNT VALLEY | MD | 21030 | 521311775 | PHYSICIANS | MD | 501(c)(3 | Type I | SJMC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH CENTER | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 741282696 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH NETWORK | ||||||||||
| 2500 BERNVILLE RD PO BOX 316 | READING | PA | 19603 | 231352211 | HEALTHCARE | PA | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH REGIONAL HEALTH PARTNERS | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 454088170 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH REGIONAL HEALTH PARTNERS ACO | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 463265423 | HEALTHCARE | TX | 501(c)(3 | 3 | SJSC | Yes (true) |
| ST JOSEPH SERVICES CORPORATION | ||||||||||
| 2801 FRANCISCAN DRIVE | BRYAN | TX | 77802 | 742455161 | MANAGEMENT | TX | 501(c)(3 | Type I | SFH | Yes (true) |
| ST JOSEPH'S AREA HEALTH SERVICES | ||||||||||
| 600 PLEASANT AVE | PARK RAPIDS | MN | 56470 | 410695603 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| ST JOSEPH'S HOSPITAL AND HEALTH CENTER | ||||||||||
| 30 WEST 7TH ST | DICKINSON | ND | 58601 | 450226429 | HEALTHCARE | ND | 501(c)(3 | 3 | CHI | Yes (true) |
| ST LEONARD | ||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 341940863 | LIVING COMM | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| ST LEONARD FOUNDATION | ||||||||||
| 8100 CLYO ROAD | CENTERVILLE | OH | 45458 | 320102715 | FUNDRAISING | OH | 501(c)(3 | 7 | SLEO | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260274448 | MANAGEMENT | TX | 501(c)(3 | Type I | SLHS | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - PMC | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 273733278 | HEALTHCARE | TX | 501(c)(3 | 3 | SLCDC | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 261947374 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 260335902 | HEALTHCARE | TX | 501(c)(3 | 3 | SLCDC | Yes (true) |
| ST LUKE'S COMMUNITY HEALTH SERVICES | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536234 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S FOUNDATION | ||||||||||
| 1213 HERMANN DRIVE STE 855 | HOUSTON | TX | 77004 | 453811485 | FUNDRAISING | TX | 501(c)(3 | 7 | SLHS | Yes (true) |
| ST LUKE'S HEALTH SYSTEM CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760536232 | MANAGEMENT | TX | 501(c)(3 | Type I | CHI | Yes (true) |
| ST LUKE'S HOSPITAL AT THE VINTAGE | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 263734606 | HEALTHCARE | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S MEDICAL GROUP | ||||||||||
| 6624 FANNIN ST | HOUSTON | TX | 77030 | 760458535 | PHYSICIANS | TX | 501(c)(3 | 3 | SLHS | Yes (true) |
| ST LUKE'S MEDICAL TOWER CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760531713 | PROPERTY MGMT | TX | 501(c)(3 | Type I | CHI-SLH | Yes (true) |
| ST LUKE'S PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 1100 | HOUSTON | TX | 77030 | 760531716 | PROPERTY MGMT | TX | 501(c)(3 | Type I | SLHS | Yes (true) |
| ST LUKE'S SUGAR LAND PROPERTIES CORPORATION | ||||||||||
| 6624 FANNIN ST STE 2505 | HOUSTON | TX | 77030 | 454120549 | PROPERTY MGMT | TX | 501(c)(3 | Type I | SLCDC-SL | Yes (true) |
| ST MARY'S COMMUNITY HOSPITAL | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470443636 | HEALTHCARE | NE | 501(c)(3 | 3 | CHI NEBRASKA | Yes (true) |
| ST MARY'S HOSPITAL FOUNDATION | ||||||||||
| 1314 3RD AVE | NEBRASKA CITY | NE | 68410 | 470707604 | FUNDRAISING | NE | 501(c)(3 | 7 | SMCH | Yes (true) |
| ST VINCENT FOUNDATION | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 510169537 | FUNDRAISING | AR | 501(c)(3 | Type I | SVIMC | Yes (true) |
| ST VINCENT INFIRMARY MEDICAL CENTER | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710236917 | HEALTHCARE | AR | 501(c)(3 | 3 | CHI | Yes (true) |
| ST VINCENT MEDICAL GROUP | ||||||||||
| TWO ST VINCENT CIRCLE | LITTLE ROCK | AR | 72205 | 710830696 | HEALTHCARE | AR | 501(c)(3 | 9 | SVIMC | Yes (true) |
| SYLVANIA FRANCISCAN HEALTH | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 341412964 | HEALTHCARE | OH | 501(c)(3 | Type I | CHI | Yes (true) |
| SYLVANIA FRANCISCAN HEALTH FOUNDATION | ||||||||||
| 1715 INDIAN WOOD CIR 200 | MAUMEE | OH | 43537 | 455357161 | FUNDRAISING | OH | 501(c)(3 | Type I | FLC | Yes (true) |
| THE COMMONS OF PROVIDENCE | ||||||||||
| 5000 PROVIDENCE DRIVE | SANDUSKY | OH | 44870 | 341826097 | ASSIST LIVING | OH | 501(c)(3 | 9 | FLC | Yes (true) |
| THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH | ||||||||||
| 619 OAK ST ACCOUNTING-3 W | CINCINNATI | OH | 45206 | 310537486 | HEALTHCARE | OH | 501(c)(3 | 3 | CHI | Yes (true) |
| THE PHYSICIAN NETWORK | ||||||||||
| 2000 Q ST STE 500 | LINCOLN | NE | 68503 | 470780857 | PHYSICIANS | NE | 501(c)(3 | Type I | CHI NEBRASKA | Yes (true) |
| TOTAL HEALTHCARE | ||||||||||
| 188 INVERNESS DRIVE WEST STE 500 | ENGLEWOOD | CO | 80112 | 840927232 | HEALTHCARE | CO | 501(c)(3 | 3 | CHIC | Yes (true) |
| TRINITY HOSPITAL TWIN CITY | ||||||||||
| 819 NORTH FIRST STREET | DENNISON | OH | 44621 | 275401105 | HEALTHCARE | OH | 501(c)(3 | 3 | SFH | Yes (true) |
| UNITY FAMILY HEALTHCARE | ||||||||||
| 815 SE 2ND ST | LITTLE FALLS | MN | 56345 | 410721642 | HEALTHCARE | MN | 501(c)(3 | 3 | CHI | Yes (true) |
| VILLA NAZARETH INC | ||||||||||
| 801 PAGE DR | FARGO | ND | 58103 | 450226714 | LTERM CARE | ND | 501(c)(3 | 9 | CHI | Yes (true) |
| VISITING NURSE ASSOCIATION OF ST CLARE'S INC | ||||||||||
| 191 WOODPORT RD | SPARTA | NJ | 07871 | 221768334 | HOME HEALTH | NJ | 501(c)(3 | 9 | SCHS | Yes (true) |
| WOODLANDS DOCTOR GROUP | ||||||||||
| 17200 ST LUKES WAY STE 170 | THE WOODLANDS | TX | 77384 | 274499340 | PHYSICIANS | TX | 501(c)(3 | 9 | SLCHS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alegent Health Northwest Imaging Center LLC | ||||||||||||||
| 3606 N 156th St | OMAHA | NE | 68116 | 061786985 | OP Diagnostics | NE | ACH | Related | -$147,872 | $429,431 | false | $0 | Yes (true) | 0.51 |
| Audubon Ambulatory Surgery Center LLC | ||||||||||||||
| 3030 North Circle Dr | COLORADO SPRINGS | CO | 80909 | 841482638 | AMBUL SURG CTR | CO | CHIC | Related | $3,069,333 | $3,517,273 | false | $0 | Yes (true) | 0.561 |
| Audubon Land Company LLC | ||||||||||||||
| 5390 N Academy Blvd STE 300 | COLORADO SPRINGS | CO | 80918 | 841513085 | Real Estate | CO | CHIC | Related | $116,620 | $10,842,022 | false | $0 | false | 0.694 |
| AVANTAS LLC | ||||||||||||||
| 11128 JOHN GALT BLVD STE 400 | OMAHA | NE | 68137 | 392045003 | Staffing of Nurses | NE | AHBMHS | Related | $270,464 | $4,883,491 | false | -$449,169 | false | 0.95 |
| BERGAN MERCY SURGERY CENTER LLC | ||||||||||||||
| 7710 Mercy Rd Ste 200 | OMAHA | NE | 68124 | 208671994 | AMBUL SURG CTR | NE | ACH | Related | $262,283 | $2,676,707 | false | $0 | false | 0.6357 |
| BERYWOOD OFFICE PROPERTIES LLC | ||||||||||||||
| 400 BERYWOOD TRAIL | CLEVELAND | TN | 37312 | 621875199 | PHYS OFFICE | TN | MHCS | Related | $77,646 | $976,529 | false | $0 | Yes (true) | 0.63 |
| BLUEGRASS REGIONAL IMAGING CENTER | ||||||||||||||
| 1218 SOUTH BROADWAY STE 310 | LEXINGTON | KY | 40504 | 611386736 | DIAGNOSTIC IMAGING | KY | SJHS | Related | $216,144 | $3,219,211 | false | $0 | false | 0.65 |
| CATHOLIC HEALTH INITIATIVES PHYSICIAN SERVICES LLC | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 462945938 | PRACTICE MGMT SRVC | DE | CHI | Related | -$572,398 | $4,681,573 | false | $0 | Yes (true) | 0.8 |
| CENTRAL NEBRASKA HOME CARE SERVICES | ||||||||||||||
| PO BOX 1146 4502 N SECOND AVE | KEARNEY | NE | 68848 | 470692112 | HEALTHCARE SRVC | NE | na | Related | -$49,959 | $152,789 | false | -$22,980 | Yes (true) | 1 |
| CENTRAL NEBRASKA REHABILITATION SERVICES LLC | ||||||||||||||
| 3004 W FAIDLEY AVENUE | GRAND ISLAND | NE | 68803 | 810653461 | Physical Therapy | NE | SFMC | Related | $2,441,607 | $3,412,341 | false | $0 | false | 0.51 |
| CHI OPERATING INVESTMENT PROGRAM LP | ||||||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470727942 | INVESTMENTS | CO | CHI | Unrelated | $0 | $0 | false | $0 | Yes (true) | 1 |
| CHICAMSURG Surgery Centers LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 465683027 | SURGERY CENTER | CO | CHIC | Related | $0 | $0 | false | $0 | false | 0.51 |
| CHICLARKIN VENTURES LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 474210888 | URGENT CARE | CO | CHIC | Related | $0 | $0 | false | $0 | Yes (true) | 0.87 |
| Colorado Springs CK Leasing LLC | ||||||||||||||
| 8770 W Bryn Mawr Ste 1370 | CHICAGO | IL | 60631 | 262982714 | REAL ESTATE | CO | CHI | Related | $120,659 | $1,039,682 | false | $0 | Yes (true) | 0.66 |
| HC SL VINTAGE I LLC | ||||||||||||||
| 18000 W SARAH LANE STE 250 | BROOKFIELD | WI | 53045 | 270453767 | PROPERTY HOLDING | WI | SL HOSP-VINTAGE | Related | $1,365,254 | $55,596,761 | false | $0 | false | 0.51 |
| HEALTHCARE SUPPORT SERVICES LLC | ||||||||||||||
| PO BOX 9804 | GRAND ISLAND | NE | 68802 | 721546196 | LAUNDRY | NE | na | Related | $317,516 | $3,231,655 | false | $98,557 | false | 1 |
| Heartland Oncology LLC | ||||||||||||||
| 2337 E Crawford St | Salina | KS | 67401 | 464265403 | ONCOLOGY | KS | SCH | Related | $0 | $0 | false | $0 | false | 0.51 |
| HIGHLINE IMAGING LLC | ||||||||||||||
| PO BOX 184 | BRUSH PRAIRIE | WA | 98606 | 200460005 | DIAGNOSTIC IMAGING | WA | HMC | Related | $65,074 | $1,408,012 | false | $0 | false | 0.8 |
| LAKESIDE AMBULATORY SURGICAL CENTER LLC | ||||||||||||||
| 17031 LAKESIDE HILLS DR | OMAHA | NE | 68130 | 204267902 | AMBUL SURG CTR | NE | ACH | Related | $3,533,817 | $1,380,299 | false | $0 | false | 0.5393 |
| LAKESIDE ENDOSCOPY CENTER LLC | ||||||||||||||
| 17001 LAKESIDE HILLS PLZ STE 201 | OMAHA | NE | 68130 | 205544496 | ENDOSCOPY SRVC | NE | ACH | Related | $1,590,148 | $895,940 | false | $0 | false | 0.5096 |
| LINCOLN CK LEASING LLC | ||||||||||||||
| 6003 Old Cheney Rd | Lincoln | NE | 68516 | 262496856 | Real Estate | NE | SERMC | Related | $488,450 | $230,998 | false | $0 | false | 0.5376 |
| NEBRASKA SPINE HOSPITAL LLC | ||||||||||||||
| 6901 N 72ND ST | OMAHA | NE | 68122 | 270263191 | SPINE HOSPITAL | NE | ACH | Related | $13,895,341 | $16,839,322 | false | $0 | false | 0.51 |
| NORTH RIVER SURGERY CENTER LLC | ||||||||||||||
| 2209 WILDWOOD AVE | SHERWOOD | AR | 72120 | 710799771 | AMBUL SURG CTR | AR | SVIMC | Related | $141,898 | $0 | false | $0 | false | 0.5745 |
| ORTHOCOLORADO LLC | ||||||||||||||
| 11650 WEST 2ND PLACE | LAKEWOOD | CO | 80255 | 371577105 | ORTHO HOSPITAL | CO | THC | Related | $9,103,000 | $2,202,895 | false | $0 | false | 0.6 |
| PENINSULA RADIATION ONCOLOGY LLC | ||||||||||||||
| 314 MLK JR WAY STE 11 | TACOMA | WA | 98405 | 870808610 | HEALTHCARE SRVC | WA | FHS | Related | $278,198 | $2,753,330 | false | $0 | false | 0.6 |
| Penrad Imaging | ||||||||||||||
| 1390 Kelly Johnson Blvd | COLORADO SPRINGS | CO | 80920 | 841072619 | Medical Imaging | CO | CHIC | Related | -$9,742 | $2,091,440 | false | $0 | false | 0.7 |
| PMC HOSPITAL LLC | ||||||||||||||
| 3100 MAIN ST STE 500 | HOUSTON | TX | 77002 | 273280598 | HOSPITAL | TX | SL CDC-PMC | Related | $5,287,747 | $67,411,280 | false | $0 | Yes (true) | 0.51 |
| PRAIRIE HEALTH VENTURES LLC | ||||||||||||||
| 421 S 9TH ST STE 102 | LINCOLN | NE | 68508 | 204962103 | TECH SRVC | NE | AH-IMC | Related | $0 | $0 | false | $0 | Yes (true) | 0.6575 |
| Pueblo Ambulatory Surgery Center LLC | ||||||||||||||
| 188 INVERNESS DRIVE WEST 500 | ENGLEWOOD | CO | 80112 | 621488737 | SURGERY CENTER | CO | CHIC | Related | $0 | $0 | false | $0 | false | 0.51 |
| Saint JOSEPH - PAML LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 452116736 | MGMT SVCS | KY | SJHS | Related | $60,881 | $406,070 | false | $0 | Yes (true) | 0.625 |
| SAINT JOSEPH - SCA HOLDINGS LLC | ||||||||||||||
| 1451 Harrodsburg RD | LEXINGTON | KY | 40503 | 453801157 | OP SURGERY | DE | SJHS | Related | $0 | $0 | false | $0 | Yes (true) | 0.51 |
| SAINT JOSEPH-ANC HOME CARE SERVICES | ||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 263330545 | HOME HEALTH | KY | JHSMH | Related | $7,722,504 | $1,056,144 | false | $0 | false | 1 |
| SCA Premier Surgery Center of Louisville LLC | ||||||||||||||
| 200 Abraham Flexner Way | LOUISVILLE | KY | 40202 | 721386840 | SURGERY CENTER | KY | JHSMH | Related | -$177,796 | $2,205,015 | false | $0 | false | 0.51 |
| ST FRANCIS LAND COMPANY | ||||||||||||||
| 5390 N ACADEMY BLVD STE 300 | COLORADO SPRINGS | CO | 80918 | 263134100 | REAL ESTATE | CO | CHIC | Related | -$217,802 | $12,693,252 | false | $0 | false | 0.51 |
| ST FRANCIS MEDICAL CENTER ASSOCIATES | ||||||||||||||
| 1717 SOUTH J ST | TACOMA | WA | 98405 | 911352698 | MED OFFICE | WA | FHS | Related | $265,783 | $1,961,020 | false | $0 | false | 0.6108 |
| ST LUKE'S DIAGNOSTIC CATH LAB LLP | ||||||||||||||
| 6624 FANNIN ST STE 800 | HOUSTON | TX | 77030 | 710959365 | DIAGNOSTICS | TX | SLHS HOLDINGS | Related | $611,532 | $1,117,217 | false | $0 | false | 0.6145 |
| ST LUKE'S LAKESIDE HOSPITAL LLC | ||||||||||||||
| 6624 FANNIN STE 2505 | HOUSTON | TX | 77030 | 300427437 | HOSPITAL | TX | SL CDC-W | Related | $277,867 | $42,485,184 | false | $0 | Yes (true) | 0.51 |
| ST LUKE'S THE WOODLANDS SLEEP CENTER LLC | ||||||||||||||
| 6624 FANNIN STE 800 | HOUSTON | TX | 77030 | 462795726 | DIAGNOSTICS | TX | SLHSH | Related | -$76,879 | $1,171,971 | false | $0 | Yes (true) | 0.51 |
| Superior Medical Imaging LLC | ||||||||||||||
| 5000 North 26th ST | LINCOLN | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | $0 | $0 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LEXINGTON LLC | ||||||||||||||
| 200 ABRAHAM FLEXNER WAY | LOUISVILLE | KY | 40202 | 621179539 | SURGERY CENTER | KY | SJHS | Related | $187,315 | $2,777,419 | false | $0 | Yes (true) | 0.51 |
| SURGERY CENTER OF LOUISVILLE LLC | ||||||||||||||
| 200 Abraham Flexner Way | LOUISVILLE | KY | 40202 | 621179537 | SURGERY CENTER | KY | JHSMH | Related | $11,207 | $803,899 | false | $0 | Yes (true) | 0.51 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (62 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alegent HealthCreighton St Joseph Managed Care Services Inc | |||||||||||||||||||
| 12809 West Dodge Rd | Omaha | NE | 68154 | 470802396 | Managed Care | NE | CHI Nebraska | C Corporation | -$3,506,547 | $6,404,877 | 1 | Yes (true) | |||||||
| All Saints Insurance Company SPC Ltd | |||||||||||||||||||
| Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | |||||||
| ALLIANCE HEALTH PROVIDERS OF BRAZOS | |||||||||||||||||||
| 2801 FRACNISCAN DRIVE | BRYAN | TX | 77802 | 742466914 | Healthcare | TX | SJSC | C Corporation | $204,115 | $535,165 | 1 | Yes (true) | |||||||
| Alternative Insurance Management Service Inc | |||||||||||||||||||
| 3900 OLYMPIC BLVD STE 400 | Erlanger | KY | 41018 | 841112049 | Management Services | CO | CHI | C Corporation | $7,902 | $6,274,993 | 1 | Yes (true) | |||||||
| AMERICAN NURSING CARE Inc | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311085414 | HOME HEALTH | OH | CHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| AMERIMED INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311158699 | HOME HEALTH | OH | ANC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| BC HOLDING COMPANY INC | |||||||||||||||||||
| 1850 BLUEGRASS AVE | LOUISVILLE | KY | 40215 | 311542851 | Fitness Club | KY | JHSMH | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Caduceus Medical Associates INC | |||||||||||||||||||
| 5600 Brainerd Road Ste 500 | Chattanooga | TN | 37411 | 621570736 | Healthcare | TN | MHCS | C Corporation | $0 | $1,008 | 1 | Yes (true) | |||||||
| Captive Management Initiatives Ltd | |||||||||||||||||||
| 980663022 | Captive Management | CHI | C Corporation | $38,500 | $164,455 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Carmona-DeSoto Building Horizontal Property Regime Inc | |||||||||||||||||||
| 300 Werner St | Hot Springs | AR | 71913 | 710771076 | Healthcare | AR | CHI-SVHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Catholic Health Initiatives Center for Translational Research | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 272269511 | Research | CO | CIRI | Trust | $207 | $1,241,259 | 1 | Yes (true) | |||||||
| CGH REALTY COMPANY INC | |||||||||||||||||||
| 2500 Bernville Rd | Reading | PA | 19603 | 232326801 | Real Estate | PA | SJHM | C Corporation | $9,432 | $57,096 | 1 | Yes (true) | |||||||
| CHI St Luke's Health Baylor College of Medicine Medical Center Condominium | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 465079545 | Condo Assoc | TX | CHI-SLHBCM | C Corporation | $0 | $0 | 1 | Yes (true) | Assoc | ||||||
| ClearRiver Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464495960 | Insurance | TN | PHPSI | C Corporation | $36,560 | $6,936,559 | 1 | Yes (true) | |||||||
| Comcare Services Inc | |||||||||||||||||||
| 5570 DTC Parkway | Englewood | CO | 80111 | 840904813 | Inactive | CO | CHIC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| CONSOLIDATED HEALTH SERVICES | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311378212 | HOME HEALTH | OH | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Des Moines Medical Center Inc | |||||||||||||||||||
| 1111 6TH AVE | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corporation | $66,600 | $1,084,162 | 0.9298 | Yes (true) | |||||||
| East Texas Clinical Services Inc | |||||||||||||||||||
| 2801 Via Fortuna 500 | Austin | TX | 78746 | 454736213 | Healthcare | TX | MHSET | C Corporation | $0 | $16,782 | 1 | Yes (true) | |||||||
| First Initiatives Insurance LTD | |||||||||||||||||||
| 980203038 | Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| Franciscan Services Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corporation | $0 | $11,732,007 | 1 | Yes (true) | |||||||
| Good Samaritan Outreach Services | |||||||||||||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470659440 | Medical Clinic | NE | CHI Nebraska | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Health Systems Enterprises Inc | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 470664558 | MGMT | NE | GSH | C Corporation | $117,378 | $1,101,845 | 1 | Yes (true) | |||||||
| Healthcare MGMT Services Organization INC | |||||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| HeartlandPlains Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464368223 | Insurance | NE | PHPSI | C Corporation | $16,717 | $3,317,219 | 1 | Yes (true) | |||||||
| Highline Medical Group | |||||||||||||||||||
| 15811 AMBUAN Blvd SW STE A | Burien | WA | 98166 | 911407026 | Medical Services | WA | HMC | C Corporation | $4,004,636 | $7,896,793 | 1 | Yes (true) | |||||||
| Medquest | |||||||||||||||||||
| 1301 15TH AVENUE WEST | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MMC Williston | C Corporation | $680,617 | $2,138,655 | 1 | Yes (true) | |||||||
| Mercy Park Apartments LTD | |||||||||||||||||||
| 1111 6th AVE | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corporation | $1,871,589 | $2,272,598 | 1 | Yes (true) | |||||||
| Mercy Services Corp | |||||||||||||||||||
| 2700 STEWART PARKWAY | Roseburg | OR | 97471 | 930824308 | Retail Sales | OR | MMC | C Corporation | $2,365,469 | $1,363,682 | 1 | Yes (true) | |||||||
| MHI Clinical Services | |||||||||||||||||||
| 1201 W Frank Ave | Lufkin | TX | 75904 | 461967952 | Healthcare | TX | MHSET | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Mountain Management Services Inc | |||||||||||||||||||
| 6028 Shallowford Rd | Chattanooga | TN | 37421 | 621570739 | MGMT SVC ORG | TN | MHCS | C Corporation | $30,454,753 | $7,395,265 | 1 | Yes (true) | |||||||
| Nazareth Assurance Company | |||||||||||||||||||
| 030304831 | Insurance | CHI | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| PATIENT TRANSPORT SERVICES INC | |||||||||||||||||||
| 1700 EDISON DR | MILFORD | OH | 45150 | 311100798 | HOME HEALTH | OH | ANC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| PhysicianHealth System Network | |||||||||||||||||||
| 1149 MARKET ST | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Prominence Health Plan Services Inc (fka CollabHealth Plan Services Inc) | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461224037 | Admin Services | CO | PHI | C Corporation | $5,403,442 | $38,272,607 | 1 | Yes (true) | |||||||
| Prominence Health Inc (fka CollabHealth Managed Solutions Inc) | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 461222808 | Holding Co | CO | CHI | C Corporation | $0 | $23,806,707 | 1 | Yes (true) | |||||||
| QCA Health Plan Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710794605 | Insurance | AR | QCHI | C Corporation | $0 | $64,017,278 | 1 | Yes (true) | |||||||
| QualChoice Holdings Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 274075520 | Holding Co | AR | PHPS | C Corporation | $0 | $10,190 | 1 | Yes (true) | |||||||
| QualChoice Life and Health Insurance Company Inc | |||||||||||||||||||
| 12615 Chenal Parkway STE 300 | Little Rock | AR | 72211 | 710386640 | Insurance | AR | QCH | C Corporation | $0 | $7,484,480 | 1 | Yes (true) | |||||||
| RiverLink Health | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464380824 | Insurance | OH | PHPS | C Corporation | $18,330 | $3,418,330 | 1 | Yes (true) | |||||||
| RiverLink Health of Kentucky Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464828332 | Insurance | KY | PHPS | C Corporation | $28,342 | $5,528,676 | 1 | Yes (true) | |||||||
| Saint Clare's Primary Care Inc | |||||||||||||||||||
| 66 FORD RD | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corporation | $1,080,457 | $1,584,958 | 1 | Yes (true) | |||||||
| SAMARITAN FAMILY CARE INC | |||||||||||||||||||
| 40 W FOURTH ST STE 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| SFH ASSURANCE LTD | |||||||||||||||||||
| 981056892 | Insurance | SFH | C Corporation | $0 | $0 | 1 | Yes (true) | PO BOX 10073 APO | Georgetown | GRAND CAYMAN | CJ | KY11001 | CJ | ||||||
| SJH Services Corporation | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| SJL PHYSICIAN MANAGEMENT SERVICES INC | |||||||||||||||||||
| 200 Abraham Flexner Way | Louisville | KY | 40202 | 270164198 | Mgmt | KY | SJHS | C Corporation | $51,739 | $0 | 1 | Yes (true) | |||||||
| SLMT Parking Inc | |||||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637140 | Parking | TX | SLHS | C Corporation | $3,907,811 | $14,848,162 | 1 | Yes (true) | |||||||
| SoundPath Health Inc | |||||||||||||||||||
| 32129 Weyerhaeuser Way S STE 201 | Federal Way | WA | 98001 | 421720801 | Insurance | WA | PHPS | C Corporation | $152,264,069 | $31,407,675 | 1 | Yes (true) | |||||||
| St Alexius Health Services Inc | |||||||||||||||||||
| 900 East Broadway Avenue | Bismarck | ND | 58501 | 450402812 | Healthcare | ND | SAMC | C Corporation | $0 | $1,263 | 1 | Yes (true) | |||||||
| St Anthony Development Company | |||||||||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | SAH | C Corporation | $1,570,570 | $2,201,473 | 1 | Yes (true) | |||||||
| St Joseph Development Company Inc | |||||||||||||||||||
| 1717 SOUTH J ST | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| ST JOSEPH OFFICE PARK ASSOCIATION | |||||||||||||||||||
| 1451 HARRODSBURG RD STE D202 | Lexington | KY | 40504 | 611079899 | Mgmt | KY | SJHS | C Corporation | $0 | $0 | 0.85 | Yes (true) | |||||||
| St Luke's 6620 Main Condominium Association | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 300355517 | Condo Assoc | TX | SLPC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| St Luke's Anesthesiology Associates | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 461517163 | Medical Clinic | TX | CHI-SLH | C Corporation | $4,178,843 | $2,295,469 | 1 | Yes (true) | |||||||
| St Luke's Episcopal Hospital Physician Hospital Organization Inc | |||||||||||||||||||
| 6720 Bertner MC4-262 | Houston | TX | 77030 | 760377932 | PHO | TX | CHI-SLH | C Corporation | $550,615 | $0 | 0.6 | Yes (true) | |||||||
| St Luke's Health System Holdings Inc (fka SLEHS Holdings Inc) | |||||||||||||||||||
| 6624 Fannin STE 800 | Houston | TX | 77030 | 760637138 | Holding Co | TX | SLHS | C Corporation | $1,919,866 | $25,724,802 | 1 | Yes (true) | |||||||
| St Luke's Medical Arts Center I Condominium Association | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 300355518 | Condo Assoc | TX | SLPC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| St Luke's Medical Tower Condominium Association | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 760298751 | Condo Assoc | TX | SLMTC | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| St Vincent Community Health Services Inc | |||||||||||||||||||
| TWO ST VINCENT CIRCLE | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corporation | $4,570,363 | $16,185,431 | 1 | Yes (true) | |||||||
| StableView Health Inc | |||||||||||||||||||
| 198 INVERNESS DRIVE WEST | Englewood | CO | 80112 | 464373713 | Insurance | KY | PHPS | C Corporation | $28,342 | $5,528,676 | 1 | Yes (true) | |||||||
| Sugar Land Doctor Group | |||||||||||||||||||
| 1317 Lake Point Parkway | Sugar Land | TX | 77478 | 454270163 | Medical Clinic | TX | SLCDC-SL | C Corporation | $788,883 | $991,134 | 1 | Yes (true) | |||||||
| The Texas Heart Institute at St Luke's Episcopal Hospital Denton A Cooley B | |||||||||||||||||||
| 6624 Fannin STE 1100 | Houston | TX | 77030 | 900064009 | Condo Assoc | TX | CHI-SLH | C Corporation | $0 | $0 | 1 | Yes (true) | uilding Comdominium Association | ||||||
| Towson Management Inc | |||||||||||||||||||
| 7601 OSLER DR | Towson | MD | 21204 | 521710750 | Mgmt Services | MD | FSI | C Corporation | $0 | $0 | 1 | Yes (true) | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Avantas LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionTypeTxt |
| Involved | $1,357,803 | InvolvedAmt |
| Method Of Amount Determination | Fair Market Value | MethodOfAmountDeterminationTxt |
Comments