ALEGENT CREIGHTON HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ALEGENT CREIGHTON HEALTH (EIN 47-0757164)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201421339349305962
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T19:00:44-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	470617373	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	470757164	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALEG	NameControl
Phone	4023434323	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JEANETTE WOJTALEWICZ	Name
Title	CFO	Title
Date Signed	2014-05-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ANGELA LEA	Name
PTIN	P01051055	PTIN
Phone	4023434413	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	529613323	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.ALEGENTCREIGHTON.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	NE	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND, AND SPIRIT OF EVERY PERSON.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	11639	TotalNbrEmployees
Total Nbr Volunteers	904	TotalNbrVolunteers
Total Gross UBI	4235609	TotalGrossUBI
Contributions Grants Prior Year	1765480	ContributionsGrantsPriorYear
Contributions Grants Current Year	1743766	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	254512681	ProgramServiceRevenuePriorYear
Program Service Revenue CY	491125813	ProgramServiceRevenueCY
Investment Income Prior Year	279265	InvestmentIncomePriorYear
Investment Income Current Year	334488	InvestmentIncomeCurrentYear
Other Revenue Prior Year	33792252	OtherRevenuePriorYear
Other Revenue Current Year	32167134	OtherRevenueCurrentYear
Total Revenue Prior Year	290349678	TotalRevenuePriorYear
Total Revenue Current Year	525371201	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	17646153	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	53854352	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	98434171	SalariesEtcPriorYear
Salaries Etc Current Year	153952550	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	191998	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	10000	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	10000	TotalFundrsngExpCurrentYear
Other Expense Prior Year	126804116	OtherExpensePriorYear
Other Expenses Current Year	253699153	OtherExpensesCurrentYear
Total Expenses Prior Year	243076438	TotalExpensesPriorYear
Total Expenses Current Year	461516055	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	47273240	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	63855146	RevenuesLessExpensesCY
Total Assets BOY	577369235	TotalAssetsBOY
Total Assets EOY	859767908	TotalAssetsEOY
Total Liabilities BOY	346071724	TotalLiabilitiesBOY
Total Liabilities EOY	472603423	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	231297511	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	387164485	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FAITHFUL TO THE HEALING MINISTRY OF JESUS CHRIST, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE FOR THE BODY, MIND AND SPIRIT OF EVERY PERSON. OUR COMMITMENT TO HEALING CALLS US TO: CREATE CARING AND COMPASSIONATE ENVIRONMENTS RESPECT THE DIGNITY OF EVERY PERSON CARE FOR THE RESOURCES ENTRUSTED TO US AS RESPONSIBLE STEWARDS COLLABORATE WITH OTHERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES ATTEND ESPECIALLY TO THE NEEDS OF THOSE WHO ARE POOR AND DISADVANTAGED ACT WITH INTEGRITY IN ALL ENDEAVORS TO ACHIEVE THIS MISSION, WE PLEDGE TO BE CREATIVE, VISIONARY LEADERS COMMITTED TO HOLISTIC HEALTHCARE IN THE REGION.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	34518696	Expense
Grants	4308348	Grants
Revenue	204445103	Revenue
Description	ALEGENT HEALTH LAKESIDE HOSPITAL AND ALEGENT HEALTH MIDLANDS HOSPITAL STAFF ARE FOCUSED ON RESTORING PATIENTS' HEALTH BY USING PERSONALIZED CARE AND STATE-OF-THE-ART TECHNOLOGY. THE DIAGNOSTIC CENTER AT BOTH HOSPITALS IS EQUIPPED WITH THE LATEST DIGITAL IMAGING TECHNOLOGY. HEALTHCARE PROVIDERS HAVE MEDICAL INFORMATION AT THEIR FINGER TIPS, SO DIAGNOSIS IS QUICKER AND TREATMENT CAN BE STARTED SOONER. EACH DIAGNOSTIC CENTER OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES INCLUDING BUT NOT LIMITED TO THE FOLLOWING: MRI, CT SCANNING, PET/CT SCAN, ULTRASOUND, MAMMOGRAMS, NUCLEAR MEDICINE, CLINICAL LABORATORY, X-RAY IMAGING, PULMONARY SERVICES, OUTPATIENT LABORATORY TESTING, ANGIOGRAPHY AND RADIOGRAPHY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20393335	Expense
Grants	2692718	Grants
Revenue	139363664	Revenue
Description	ALEGENT HEALTH MIDLANDS COMMUNITY HOSPITAL AND ALEGENT HEALTH LAKESIDE HOSPITAL OFFER A WIDE RANGE OF COMPREHENSIVE CARDIOVASCULAR SERVICES IN THE REGION, USING A TEAM APPROACH TO ADDRESS THE TOTAL NEEDS OF THE CARDIOVASCULAR PATIENT. CARDIAC SERVICES INCLUDE BUT ARE NOT LIMITED TO: HI-TECH DIAGNOSIS AND INTERVENTION, CARDIAC CATHETERIZATION LAB, ECHOCARDIOGRAPHY, VASCULAR ULTRASOUND, HEART SCANS AND HEART CHECKS, ANGIOPLASTY AND DRUG-ELUTING STENTS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	12247752	Expense
Grants	1615631	Grants
Revenue	84278607	Revenue
Description	THE ALEGENT CREIGHTON HEALTH EMERGENCY DEPARTMENTS PROVIDE EXPERT TREATMENT FOR ADULTS AND CHILDREN. WHETHER IT'S A LIFE-THREATENING MEDICAL CONDITION OR HIGH FEVER, EXPERIENCED STAFF IS TRAINED AND READY TO HANDLE A WIDE RANGE OF EMERGENCY SITUATIONS. ALEGENT CREIGHTON HEALTH IS CONSTANTLY WORKING TO FIND NEW AND BETTER WAYS TO MAKE SURE EACH PATIENT RECEIVES THE BEST, MOST EFFICIENT EMERGENCY CARE POSSIBLE. THE EMERGENCY DEPARTMENT CONSISTENTLY SCORES IN THE HIGHEST PERCENTILE FOR QUALITY OF CARE, NURSE AND DOCTOR UNDERSTANDING AND CARING, AS WELL AS THE LEAST AMOUNT OF TIME PATIENTS SPEND WAITING FOR EMERGENCY CARE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	375576987	Expense
Grants	45237656	Grants
Revenue	88942541	Revenue
Description	ALEGENT CREIGHTON HEALTH GIVES BACK TO OUR COMMUNITY THROUGH A VARIETY OF MEDICAL SERVICES AND PARTNERSHIPS. ALEGENT HEALTH QUICK CARE PROVIDES URGENT MEDICAL TREATMENTS, SCREENINGS AND ADULT IMMUNIZATIONS FOR PATIENTS 18 MONTHS AND OLDER. THROUGH OUR COLLABORATION WITH OTHER LOCAL COMMUNITY ORGANIZATIONS SUCH AS BOYS TOWN, CREIGHTON UNIVERSITY, OUR HEALTHY COMMUNITY PARTNERSHIP AND ONE WORLD COMMUNITY HEALTH CENTER, ALEGENT CREIGHTON HEALTH IS HELPING TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. IN ADDITION, ALEGENT CREIGHTON HEALTH ALSO PROVIDES THE FOLLOWING SERVICES: MATERNITY CARE SERVICES, MENTAL AND BEHAVIORAL HEALTH CARE, ONCOLOGY, PROCEDURE CENTER AND INPATIENT FACILITIES INCLUDING INTENSIVE CARE.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	375576987	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	45237656	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	88942541	TotalOfOtherProgramServiceRev
Total Program Service Expense	442736770	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	891	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	11639	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	4023434323	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ANTHONY HATCHER
SECRETARY/TREASURER	4.00	66.00	X	X	27000	405535	31780
JOHN HEWITT
FORMER CHAIR	4.00	12.00	X	X	0	0	0
MICHAEL DEFREECE
CHAIR	4.00	8.00	X	X	0	0	0
RICHARD II HACHTEN
PRESIDENT & CEO	12.00	53.00	X	X	535595	1660547	2994304
ANTOINETTE HARDY-WALLER RN
DIRECTOR	4.00	10.00	X		18000	0	0
ERIC GURLEY
DIRECTOR	4.00	8.00	X		0	0	0
FR JAMES CLIFTON SJ
DIRECTOR	4.00	8.00	X		0	0	0
FR TIMOTHY LANNON SJ
DIRECTOR	4.00	8.00	X		0	0	0
GUILLERMO HUERTA MD
DIRECTOR	4.00	8.00	X		0	0	0
H KEITH SCHMODE
DIRECTOR	4.00	8.00	X		19000	0	0
JOHN HARRIS MD
DIRECTOR	4.00	64.00	X		0	489822	29488
LESLIE R ANDERSEN
DIRECTOR	4.00	12.00	X		0	0	0
MARTIN M MANCUSO MD
DIRECTOR	4.00	64.00	X		19000	389077	23829
PAUL EDGETT
DIRECTOR	4.00	56.00	X		0	734377	86500
PHYLLIS HUGHES RSM DRPH
DIRECTOR	4.00	12.00	X		0	0	0
RICHARD J VIERK
DIRECTOR	4.00	8.00	X		27000	0	0
JOAN NEUHAUS
SVP COO	12.00	54.00		X	186092	576957	1683619
KENNETH LAWONN
SVP/STRATEGY & TECH	12.00	44.00		X	157210	487411	1516722
RICHARD ROLSTON MD
ACC PRESIDENT & CEO	12.00	54.00		X	194961	604451	1737544
RICK MILLER MD
SVP/CHIEF QUALITY OFFICER	12.00	44.00		X	121737	377430	1144918
SCOTT WOOTEN
SVP/CFO	12.00	52.00		X	191061	592363	1590996
BETH LLEWELLYN
VP MISSION INTEGRATION	12.00	44.00			67743	210028	257222	X
CINDY ALLOWAY
COO LAKESIDE & MIDLANDS	12.00	47.00			119181	369508	115886	X
JANE CARMODY
VP-CNO	12.00	45.00			101966	316135	66938	X
JASON YUNGTUM
VP/REG GENERAL COUNSEL	12.00	44.00			51572	159894	591119	X
JEFFRY STROHMYER MD
CHIEF MEDICAL OFFICER	12.00	44.00			74240	230173	36313	X
KEVIN NOKELS
COO CUMC	60.00	0			449413	0	189398	X
NANCY WALLACE
VP HUMAN RESOURCES	12.00	44.00			92853	287881	347302	X
PATRICIA MASEK
VP MEDICAL AFFAIRS	12.00	46.00			59814	185447	80726	X
PATRICIA MURDOCK-LANGAN MD
CHIEF MEDICAL OFFICER	12.00	48.00			0	385170	16274	X
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER	12.00	46.00			67631	209684	32542	X
SHEREE KEELY
VP BEHAVIORAL	12.00	44.00			54156	167905	61176	X
ANN SCHUMACHER
COO IMMANUEL	12.00	54.00			107937	334645	114598		X
JAMES REICHERT MD
PHYSICIAN	12.00	44.00			86522	268250	33211		X
KEITH SEASHORE
ACC CFO	12.00	44.00			70709	219224	21026		X
MARIE KNEDLER
COO BERGAN & MERCY HOSPITAL	12.00	46.00			123183	381914	165754		X
MICHAEL WESTCOTT MD
PHYSICIAN	12.00	44.00			79420	246230	34321		X
FRANK EMSICK
FORMER FACILITIES OPS EXEC	0.00	44.00			55044	170657	21014			X
LARRY BROWN MD
FORMER ACC CEO	0.00	64.00			0	342803	45707			X
MARTIN HICKEY MD
FORMER SVP/CEO CLINICS	0.00	0.00			46336	143658	0			X
PAUL EBMEIER
FORMER ACC COO	0.00	0.00			0	402090	17770			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3204376	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	11349266	TotalReportableCompFrmRltdOrgs
Total Other Compensation	13087997	TotalOtherCompensation
Number Individuals GT100 K	139	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
CONIFER HEALTH SOLUTIONS INC
2401 INTERNET BLVD 214	FRISCO	TX	75034	BILLING SERVICES	3706057
PULMONARY MEDICINE SPECIALISTS PC
7710 MERCY ROAD 728	OMAHA	NE	68124	PULMONARY SERVICES	2514709
CASSLING DIAGNOSTIC IMAGING
13808 F STREET	OMAHA	NE	68137	DIAGNOSTIC IMAGING SERVICES	1240227
HRS ERASE INC
9300 UNDERWOOD AVENUE	OMAHA	NE	68114	ACCOUNT RECONCILIATION	1178290
TENET HEALTHCARE CORPORATION
1445 ROSS AVE	DALLAS	TX	75202	HEALTH CARE	994202

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	96	NumberOfContractorsGT100K
Membership Dues	119900	MembershipDues
Related Organizations	255586	RelatedOrganizations
Government Grants	695899	GovernmentGrants
All Other Contributions	672381	AllOtherContributions
Total Contributions	1743766	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
NET PATIENT SVC REV	561300	469523130	467133256	2389874
MGMNT SVCS-AFFIL	900003	15264491	14985276	279215
MEANINGFUL USE	900099	2161829	2161829
PHARMACY SALES	446110	3022044		1059248	$1,962,796
FOOD & NUTRITION	722320	1077672			$1,077,672

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	76647	TotalRevenueColumn
Related Or Exempt Function Income	76647	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	491125813	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	559845	TotalRevenueColumn
Exclusion	$559,845	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2051996	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3749304	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1697308	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1697308	TotalRevenueColumn
Exclusion	-$1,697,308	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	95211	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	320568	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	-225357	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-225357	TotalRevenueColumn
Exclusion	-$225,357	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	214773	GrossSalesOfInventory
Cost Of Goods Sold	172250	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	42523	TotalRevenueColumn
Exclusion	$42,523	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SYSTEM REV ALLOC	812900	12630129	12609062	21067
OPER JOINT VENTURE	900003	14499430	14499430
MISC PROGRAM REV	900099	5931972	5564415	367557

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	760388	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	118648	UnrelatedBusinessRevenue
Exclusion	$641,740	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	33821919	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	525371201	TotalRevenueColumn
Related Or Exempt Function Income	517029915	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4235609	UnrelatedBusinessRevenue
Exclusion	$2,361,911	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	10013053	Total
Program Services	10013053	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	43841299	Total
Program Services	43841299	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2526019	Total
Program Services	2399718	ProgramServices
Management And General	126301	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	120042286	Total
Program Services	114040172	ProgramServices
Management And General	6002114	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7563159	Total
Program Services	7185001	ProgramServices
Management And General	378158	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12801498	Total
Program Services	12161423	ProgramServices
Management And General	640075	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11019588	Total
Program Services	10468608	ProgramServices
Management And General	550979	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2104927	Total
Program Services	1999680	ProgramServices
Management And General	105246	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	394682	Total
Program Services	374948	ProgramServices
Management And General	19734	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	205533	Total
Program Services	205533	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	10000	Total
Fundraising	10000	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28922927	Total
Program Services	27476781	ProgramServices
Management And General	1446146	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5451993	Total
Program Services	5179393	ProgramServices
Management And General	272600	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	65840175	Total
Program Services	62548167	ProgramServices
Management And General	3292009	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	38781336	Total
Program Services	36842269	ProgramServices
Management And General	1939067	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2296299	Total
Program Services	2181484	ProgramServices
Management And General	114815	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	476378	Total
Program Services	452559	ProgramServices
Management And General	23819	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5507083	Total
Program Services	5231729	ProgramServices
Management And General	275354	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23421184	Total
Program Services	22250125	ProgramServices
Management And General	1171059	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1774564	Total
Program Services	1774564	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TAXES & LICENSE	17555349	16677581	877767
BAD DEBT	30287481	30287481
RESTRUCTURING COSTS	8313007	7897357	415650
PURCHASED SERVICES	18087097	17182742	904355

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4279138	Total
Program Services	4065105	ProgramServices
Management And General	214033	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	461516055	Total
Program Services	442736770	ProgramServices
Management And General	18769282	ManagementAndGeneral
Fundraising	10000	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-17033381	BOY
EOY	1727120	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6101757	BOY
EOY	50053998	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	28969767	BOY
EOY	102363274	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2886451	BOY
EOY	2750000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4435815	BOY
EOY	8106048	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8708328	BOY
EOY	10208314	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	405362451	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	30526936	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	307419961	BOY
EOY	374835515	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4305284	BOY
EOY	60848637	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	19572249	BOY
EOY	43280902	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	90795498	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	212003004	BOY
EOY	114798602	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	577369235	BOY
EOY	859767908	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	132789131	BOY
EOY	233406728	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	444222	BOY
EOY	1060606	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	146163278	BOY
EOY	78424576	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	66675093	BOY
EOY	159711513	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	346071724	BOY
EOY	472603423	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	231297511	BOY
EOY	387164485	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	231297511	BOY
EOY	387164485	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	577369235	BOY
EOY	859767908	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	63855146	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-663382	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	54316848	ReconcilationPriorAdjustment
Reconcilation Other Changes	38358362	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	205533	FilingOrganizationsTotals
Affiliated Group Totals	211323	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	205533	FilingOrganizationsTotals
Affiliated Group Totals	211323	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	442531237	FilingOrganizationsTotals
Affiliated Group Totals	665217288	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	442736770	FilingOrganizationsTotals
Affiliated Group Totals	665428611	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

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

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	262701	CurrentYearMinus3
Current Year Minus2	106741	CurrentYearMinus2
Current Year Minus1	193039	CurrentYearMinus1
Current Year	211323	CurrentYear
Total	773804	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

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

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus1	0	CurrentYearMinus1
Current Year	0	CurrentYear
Total	0	Total

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2983028	BeginningOfYearBalance
Contributions	200542	Contributions
Investment Earnings Or Losses	13256	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	894750	OtherExpenditures
End Of Year Balance	2302076	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2273673	BeginningOfYearBalance
Contributions	1194774	Contributions
Investment Earnings Or Losses	11314	InvestmentEarningsOrLosses
Grants Or Scholarships	23450	GrantsOrScholarships
Other Expenditures	473283	OtherExpenditures
End Of Year Balance	2983028	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1921624	BeginningOfYearBalance
Contributions	733104	Contributions
Investment Earnings Or Losses	16251	InvestmentEarningsOrLosses
Other Expenditures	397306	OtherExpenditures
End Of Year Balance	2273673	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1552292	BeginningOfYearBalance
Contributions	639081	Contributions
Investment Earnings Or Losses	8441	InvestmentEarningsOrLosses
Other Expenditures	278190	OtherExpenditures
End Of Year Balance	1921624	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2368143	BeginningOfYearBalance
Contributions	-340443	Contributions
Investment Earnings Or Losses	-4285	InvestmentEarningsOrLosses
Other Expenditures	471123	OtherExpenditures
End Of Year Balance	1552292	EndOfYearBalance

Field	Value	IRS element (for citing)
Term Endowment EOY Balance	1.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21138641	OtherCostOrOtherBasis
Book Value	21138641	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	196385894	OtherCostOrOtherBasis
Depreciation	9472869	Depreciation
Book Value	186913025	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2520315	OtherCostOrOtherBasis
Depreciation	389099	Depreciation
Book Value	2131216	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104185026	OtherCostOrOtherBasis
Depreciation	20113658	Depreciation
Book Value	84071368	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	81132575	OtherCostOrOtherBasis
Depreciation	551310	Depreciation
Book Value	80581265	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	374835515	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
OTHER SECURITIES	1973553	C
CHI OIP SECURITIES	43924532	F
AH/CU SHARED STRAT. INV. FUND	14950552	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	60848637	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INVESTMENTS IN RELATED HEALTHCARE ORGANIZATIONS	Description
Book Value	43280902	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	43280902	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
LAND HELD FOR EXPANSION	4348572
INTERCOMPANY RECEIVABLES	101661800
ASSETS HELD FOR SALE	8775827
DEFERRED RENT	12403

Field	Value	IRS element (for citing)
Total Book Value Other Assets	114798602	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
THIRD PARTY PAYOR RESERVE	$1,515,805
DEFERRED COMPENSATION/RETIREMENT PROGRAMS	$312,826
MINIMUM PENSION LIABILITY	$26,852,364
CHI NOTE PAYABLE FROM RELATED PARTY	$131,030,518

Field	Value	IRS element (for citing)
Total Of Amounts	159711513	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Intended uses of endowment funds	Schedule D, Part V, Line 4	ENDOWMENT FUNDS ARE HELD BY ALEGENT HEALTH FOUNDATION TO HELP WITH THE ORGANIZATIONAL OPERATIONS OF ALEGENT CREIGHTON HEALTH.
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	ALEGENT CREIGHTON HEALTH'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013 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

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	Region
Number Of Offices	1	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConducted
Specific Services Provided	SEE PART V	SpecificServicesProvided
Total Expenditures	216762	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Offices	1	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Total Amount Spent	216762	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SUB-SAHARAN AFRICA	SCHEDULE F, PART I, LINE 3(E)	ACH HAS ONE DESIGNATED EMPLOYEE WHO IS THE LIAISON FOR THE HOSPITAL LOCATED IN TANZANIA. THE EMPLOYEE ASSISTS WITH THE PROGRAMS, SERVICES AND ACTIVITIES FOR THE HOUSES FOR HEALTH AND SCHOOL OF NURSING DEPARTMENTS.
Method used to account for expenditures on organization's financial statements	Schedule F, Part I, Line 3	SUB-SAHARAN AFRICA: ACCRUAL
Method used to account for expenditures on organization's financial statements	Schedule F, Part I, Line 3	SUB-SAHARAN AFRICA: ACCRUAL

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	4773	PersonsServed
Total Community Benefit Expense	10782176	TotalCommunityBenefitExpense
Direct Offsetting Revenue	59285	DirectOffsettingRevenue
Net Community Benefit Expense	10722891	NetCommunityBenefitExpense
Percent Of Total Expense	0.02490	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42688824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30476270	DirectOffsettingRevenue
Net Community Benefit Expense	12212554	NetCommunityBenefitExpense
Percent Of Total Expense	0.02830	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	533321	TotalCommunityBenefitExpense
Direct Offsetting Revenue	638048	DirectOffsettingRevenue
Net Community Benefit Expense	-104727	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	4773	PersonsServed
Total Community Benefit Expense	54004321	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31173603	DirectOffsettingRevenue
Net Community Benefit Expense	22830718	NetCommunityBenefitExpense
Percent Of Total Expense	0.05320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	13119	PersonsServed
Total Community Benefit Expense	917693	TotalCommunityBenefitExpense
Direct Offsetting Revenue	117488	DirectOffsettingRevenue
Net Community Benefit Expense	800205	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	1692	PersonsServed
Total Community Benefit Expense	311621	TotalCommunityBenefitExpense
Net Community Benefit Expense	311621	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	100339	TotalCommunityBenefitExpense
Net Community Benefit Expense	100339	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	442	PersonsServed
Total Community Benefit Expense	268977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63	DirectOffsettingRevenue
Net Community Benefit Expense	268914	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	15253	PersonsServed
Total Community Benefit Expense	1598630	TotalCommunityBenefitExpense
Direct Offsetting Revenue	117551	DirectOffsettingRevenue
Net Community Benefit Expense	1481079	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	20026	PersonsServed
Total Community Benefit Expense	55602951	TotalCommunityBenefitExpense
Direct Offsetting Revenue	31291154	DirectOffsettingRevenue
Net Community Benefit Expense	24311797	NetCommunityBenefitExpense
Percent Of Total Expense	0.05660	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	45	PersonsServed
Total Community Building Expense	583	TotalCommunityBuildingExpense
Net Community Building Expense	583	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	25	PersonsServed
Total Community Building Expense	60	TotalCommunityBuildingExpense
Net Community Building Expense	60	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	136335	TotalCommunityBuildingExpense
Net Community Building Expense	136335	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Net Community Building Expense	0	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	70	PersonsServed
Total Community Building Expense	136978	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	136978	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,958,000	BadDebtExpenseAmount
Amount Attributable To	346289	AmountAttributableTo
Amount Reimbursed By Medicare	77369548	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	96164288	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-18794740	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
LAKESIDE AMBULATORY SURGICAL CENTER LLC
AMBULATORY SURGICAL CENTER	0.52	0	0.48
LAKESIDE ENDOSCOPY CENTER LLC
AMBURLATORY SURGICAL CENTER	0.52	0	0.48
AH-NORTHWEST IMAGING CENTER LLC
DIAGNOSTIC TESTING	0.51	0	0.49
NEBRASKA SPINE LLC
SPINE HOSPITAL	0.51	0	0.49

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Critical Access HospitalCriticalAccessHospital
ALEGENT HEALTH MIDLANDS HOSPITAL
1	11111 S 84TH ST	PAPILLION	NE	68046	X	X	X	A
ALEGENT HEALTH LAKESIDE HOSPITAL
2	16901 LAKESIDE HILLS COURT	OMAHA	NE	68130	X	X	X	A
ALEGENT HEALTH PLAINVIEW HOSPITAL
3	704 N 3RD STREET	PLAINVIEW	NE	68769	X		X	B	X
ALEGENT CREIGHTON HEALTH - CREIGHTON UNIVERSITY MEDICAL CENTER
4	601 N 30TH ST	OMAHA	NE	68131	X	X	X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Uninsured DiscountUninsuredDiscount	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
A
1	true	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	X	false	false	true	false	false	true	X	X	X	X	true	true	X	X	X	X	X	X	X	true	false	true	X	false	false
B
3	true	X	X	X	X	X	X	X	X	X	12	true	true	true	X	X	X	X	X	X	X	X	X	X	X	true	false	true	false	false	true	X	X	X	X	true	true	X	X	X	X	X	X	X	true	false	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
THE LIGHTHOUSE HEALTHCARE RESIDENCE
17600 ARBOR STREET	OMAHA	NE	68130	SKILLED NURSING FACILITY
ACH-PLAINVIEW RURAL HEALTH CLINIC
704 N 3RD STREET	PLAINVIEW	NE	68769	RURAL HEALTH CLINIC
PLAINVIEW HOME HEALTH AGENCY
704 N 3RD STREET	PLAINVIEW	NE	68769	HOME HEALTH AGENCY

Form990 Schedule H Part VI Form990ScheduleHPartVI (38 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	WHEN CATHOLIC HEALTH INITIATIVES (THE ULTIMATE PARENT ORGANIZATION TO ALEGENT CREIGHTON HEALTH SYSTEM) ESTABLISHED ITS FINANCIAL ASSISTANCE POLICY IT WAS DETERMINED THAT ESTABLISHING A HOUSEHOLD INCOME SCALE BASED ON THE HUD VERY LOW INCOME GUIDELINES MORE ACCURATELY REFLECTS THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES IN 17 STATES SERVED BY CHI HOSPITALS AND HEALTH CARE FACILITIES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), WE FIND THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 250% (AND SOMETIMES 300%) OF FPG. ALEGENT CREIGHTON HEALTH SYSTEM BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL (AND ULTIMATELY PHYSICAL) WELL-BEING AND SURVIVAL. SUCH A PATIENT MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THE FACTS AND CIRCUMSTANCES.
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6A	THE ALEGENT CREIGHTON HEALTH PREPARES ITS OWN ANNUAL WRITTEN COMMUNITY BENEFIT REPORT. ITS COMMUNITY BENEFIT REPORT IS NOT CONTAINED IN THAT OF A RELATED ORGANIZATION. THE ALEGENT CREIGHTON HEALTH SYSTEM PRODUCES AN ANNUAL PUBLIC COMMUNITY BENEFIT REPORT THAT IS MAILED TO A CORE CONSTITUENCY AND PLACED IN KEY PLACES THROUGHOUT THE ORGANIZATION. IT IS ALSO AVAILABLE ON THE COMPANY'S INTRANET SITE, AND ON ITS PUBLIC WEBSITE AT HTTP://WWW.ALEGENTCREIGHTON.COM/COMMUNITY-BENEFIT.
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	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 $30,287,481 INCLUDED IN FUNCTIONAL EXPENSE TOTAL PART IX, LINE 25, COLUMN (A) IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN. THE DENOMINATOR USED TO CALCULATE THE COST TO CHARGE RATIO IS $431,228,574. 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.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	30,287,481
Community Building Activities	Schedule H, Part II	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. ALEGENT CREIGHTON HEALTH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. - LIVE WELL POTTAWATTAMIE COUNTY -AN EMERGING COALITION TO ADDRESS OBESITY IN POTTAWATTAMIE COUNTY. ACH PROVIDES STRATEGIC PLANNING, GRANT WRITING AND STAFF SUPPORT. - OMAHA BY DESIGN- A COALITION THAT SUPPORT HEALTHY AND SUSTAINABLE COMMUNITY DEVELOPMENT AND LAND USE - VIOLENCE PREVENTION-A PARTNERSHIP WITH CATHOLIC HEALTH INITIATIVES, WOMEN'S CENTER FOR ADVANCEMENT, UNIVERSITY OF NEBRASKA-OMAHA AND CREIGHTON UNIVERSITY TO IMPLEMENT A CAMPUS BASED VIOLENCE PREVENTION PLAN KNOWN AS "GREEN DOT". ALEGENT CREIGHTON HEALTH ALSO SUPPORTS ECPR TRAINING TO PROVIDE COMMUNITY CAPACITY AND SKILLS TO ADDRESS THE TRAUMA ASSOCIATED WITH VIOLENCE. - METRO AREA CONTINUUM OF CARE FOR THE HOMELESS- BOARD SERVICE AND FINANCIAL SUPPORT TO THIS COALITION ADDRESSING HOMELESSNESS IN THE SERVICE AREA. - HOPE MEDICAL COALITION-BOARD SERVICE AND ANNUAL OPERATING SUBSIDY. ALEGENT CREIGHTON HEALTH'S HOSPITALS AND PHYSICIANS PROVIDE SPECIALTY CARE TO PATIENTS UNABLE TO AFFORD MEDICAL SERVICES. - PARTICIPATION IN AND FUNDING OF MATERNAL HEALTH, BREASTFEEDING, SUBSTANCE ABUSE, CANCER, DIABETES AND OTHER COMMUNITY HEALTH COALITIONS - MENTAL HEALTH COALITIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS, NEBRASKA, NEBRASKA ASSOCIATION OF BEHAVIORAL HEALTH CARE ORGANIZATIONS, AND THE JUVENILE JUSTICE PROVIDER FORUM BEHAVIORAL HEALTH COMMITTEE. SINCE ITS OPENING IN 1968, ACH PLAINVIEW HAS BEEN PROVIDING CARE TO PATIENTS FROM PIERCE, NORTHEASTERN ANTELOPE AND SOUTHEASTERN KNOX COUNTIES WITH EXCEPTIONAL CARE AND QUALITY OUTCOMES. ACH PLAINVIEW IS 16 BED CRITICAL ACCESS FACILITY WITH INPATIENT AND OUTPATIENT SERVICES INCLUDING: EMERGENCY, LABORATORY, RADIOLOGY, HOME HEALTH, SPECIALTY CLINICS, PHYSICAL THERAPY, CARDIAC REHAB, PULMONARY REHAB, SURGERY, OCCUPATIONAL THERAPY AND COUMADIN CLINICS. PLAINVIEW HAS A HISTORY OF COMMUNITY EDUCATION AND CONDUCTING HEALTH SCREENS AND SPORTS PHYSICALS FOR THE COMMUNITY. PLAINVIEW HOSPITAL BECAME A NOT-FOR-PROFIT HOSPITAL IN MARCH 2012 WHEN IT WAS ACQUIRED BY ALEGENT CREIGHTON HEALTH AND HAS BEEN WORKING TO QUANTIFY AND INTEGRATE ITS COMMUNITY OUTREACH INTO THE SYSTEM'S COMMUNITY BENEFIT PROGRAMS.
Bad debt expense - methodology used to estimate amount	Schedule H, Part III, Line 2	COSTING METHODOLOGY FOR AMOUNTS REPORTED ON LINE 2 IS DETERMINED USING THE ORGANIZATION'S COST/CHARGE RATIO OF 24.26%. WHEN DISCOUNTS ARE EXTENDED TO SELF-PAY PATIENTS, THESE PATIENT ACCOUNT DISCOUNTS ARE RECORDED AS A REDUCTION IN REVENUE, NOT AS BAD DEBT EXPENSE.
Bad debt expense - methodology used to estimate amount as community benefit	Schedule H, Part III, Line 3	ALEGENT CREIGHTON HEALTH SYSTEM DOES NOT BELIEVE THAT ANY PORTION OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE SINCE AMOUNTS DUE FROM THOSE INDIVIDUALS' ACCOUNTS WILL BE RECLASSIFIED FROM BAD DEBT EXPENSE TO CHARITY CARE WITHIN 30 DAYS FOLLOWING THE DATE THAT THE PATIENT IS DETERMINED TO QUALIFY FOR CHARITY CARE.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	ALEGENT CREIGHTON HEALTH SYSTEM DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES. THE CONSOLIDATED FOOTNOTE READS AS FOLLOWS: "THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT ROUTINELY ASSESSES THE ADEQUACY OF THE ALLOWANCES 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 PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO THE TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY EACH FACILITY. IN ACCORDANCE WITH ACCOUNTING STANDARDS UPDATE (ASU) NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICES REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCES FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH ENTITIES, THE PROVISION FOR BAD DEBTS IS PRESENTED ON THE CONSOLIDATED STATEMENT OF OPERATIONS AS A DEDUCTION FROM PATIENT SERVICES REVENUES (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) SINCE CHI ACCEPTS AND TREATS ALL PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY."
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	THE ALEGENT CREIGHTON HEALTH SYSTEM DOES NOT CONSIDER MEDICARE SHORTFALLS TO BE COMMUNITY BENEFIT, PER THE RECOMMENDATION OF THE CATHOLIC HEALTH ASSOCIATION. THE MEDICARE CHARGES REPORTED ON LINE 5 AND 6 ARE FROM MEDICARE COST REPORTS WHICH USED A COST TO CHARGE RATIO.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	THE ALEGENT CREIGHTON HEALTH SYSTEM'S SELF PAY BILLING AND BAD DEBT POLICY HAS A CLEARLY DELINEATED PROCESS AND GUIDELINES FOR COLLECTION AGENCIES TO FOLLOW, INCLUDING EXPLICIT INSTRUCTIONS TO ADHERE TO THE SAME FINANCIAL ASSISTANCE GUIDELINES AS ALEGENT CREIGHTON HEALTH. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITALS' CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; * NEITHER CHI HOSPITALS NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; AND * NO CATHOLIC HEALTH INITIATIVES' COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL. FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE CATHOLIC HEALTH INITIATIVES MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - ACH SERVED AS A KEY MEMBER OF THE STEERING COMMITTEE FOR A TRI-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.;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - ACH SERVED AS A KEY MEMBER OF THE STEERING COMMITTEE FOR A TRI-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.;
Community Served by Needs Assessment	Schedule H, Part V Section B, Line 3	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - A DIVERSE GROUP OF PARTNERS COLLABORATED ON THE CHNA, WHICH BROUGHT INCREDIBLE PUBLIC HEALTH, MEDICAL PROVIDER AND OTHER NOT-FOR-PROFIT AGENCY EXPERTISE INTO THE PLANNING AND IMPLEMENTATION PROCESS. CAROL PLATE - NCCCP/BOH MEMBER PATRICIA JONES - UNL EXTENSION IN THE BKR COUNTIES SHANNON MILLER - AVERA ST. ANTHONY'S HOSPITAL MIKKI FROST - ALEGENT CREIGHTON HEALTH ANN KOOPMAN - REGION 4 BEHAVIORAL HEALTH SYSTEM MICHELLE JARMAN - CNCS VALERIE WECKER - AVERA ST. ANTHONY'S HOSPITAL RON CORK - AVERA ST. ANTHONY'S HOSPITAL CELINE MLADY - OSMOND GENERAL HOSPITAL LEANNE FOX - HEARTLAND COUNSELING/ NCCCP MEMBER DOUG FOX - REGION 24 EMERGENCY MANAGEMENT JACK GREEN - ANTELOPE MEMORIAL HOSPITAL ANGIE RODMEN - EARLY DEVELOPMENT NETWORK CHARISSA SLADEK - EARLY DEVELOPMENT NETWORK TAMMY BROWN - BROWN COUNTY HOSPITAL KELLY KALKOWSKI - NIOBRARA VALLEY HOSPITAL LINDA OLSON - BRIGHT HORIZONS AMY SHANE - O'NEILL PUBLIC SCHOOLS LON KNIEVEL - TILDEN COMMUNITY HOSPITAL BRAD HIGGINS - NEBRASKA STATE PATROL HARLAN BRANT - ANTELOPE COUNTY SUPERVISOR/ BOH MEMBER CAMILLE OHRI - WEST HOLT MEMORIAL HOSPITAL JACKIE MEYER - BUILDING BLOCKS AND COUNSELING ENRICHMENT RICK GAMEL - ALEGENT CREIGHTON HEALTH/PLAINVIEW JENNY SIMMON - FAITH REGIONAL COLLEEN SVOBODA - DHHS STEPHANIE AREHART-CLIFTON - ASERACARE BLANCA RAMIREZ - DHHS MICHAEL COYLE - WEST HOLT MEMORIAL HOSPITAL JACQUE GENOVESE - FAITH REGIONAL LINDA NEKUDA - JAYCES GRACE HOME HEALTH KAMMY ELLWANGER - JAYCES GRACE HOME HEALTH ROGER WIESE - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT RYAN PARKS - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT ALEXA EMME - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT ANN FRITZ - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT PEGGY HART - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT STEPHANIE BUNNER - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT SARA TWIBELL - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT VETA HUNGERFORD - NORTH CENTRAL DISTRICT HEALTH DEPARTMENT;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - 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. ;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - 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. ;
Other Hospital Facilities included in Needs Assessment	Schedule H, Part V Section B, Line 4	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - AVERA ST. ANTHONY'S HOSPITAL AND WEST HOLT MEMORIAL HOSPITAL;
Availability of Needs Assessment	Schedule H, Part V Section B, Line 5c	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - THE CHNA RESULTS WERE SHARED WITH THE COMMUNITY AT AN ANNUAL HEALTH SUMMIT FACILITATED BY LIVE WELL OMAHA - A 35 MEMBER HEALTHY COMMUNITY COLLABORATION, AND CONTINUES TO BE A KEY FINANCIAL SUPPORTER AND MEMBER OF THE BOARD OF THE DIRECTORS OF THE ORGANIZATION. IN ADDITION, THE DATA IS SHARED ON AN EASILY ACCESSIBLE, PUBLIC WEBSITE WWW.DOUGLASCOHEALTH.ORG THAT IS PARTIALLY FUNDED BY ALEGENT CREIGHTON HEALTH AND OTHER AREA HOSPITALS INCLUDING THE NEBRASKA MEDICAL CENTER AND METHODIST HEALTH SYSTEM TO SHARE TRI-COUNTY HEALTH DATA AND BEST PRACTICES. ;
Availability of Needs Assessment	Schedule H, Part V Section B, Line 5c	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - THE CHNA RESULTS WERE SHARED WITH THE COMMUNITY AT AN ANNUAL HEALTH SUMMIT FACILITATED BY LIVE WELL OMAHA - A 35 MEMBER HEALTHY COMMUNITY COLLABORATION, AND CONTINUES TO BE A KEY FINANCIAL SUPPORTER AND MEMBER OF THE BOARD OF THE DIRECTORS OF THE ORGANIZATION. IN ADDITION, THE DATA IS SHARED ON AN EASILY ACCESSIBLE, PUBLIC WEBSITE WWW.DOUGLASCOHEALTH.ORG THAT IS PARTIALLY FUNDED BY ALEGENT CREIGHTON HEALTH AND OTHER AREA HOSPITALS INCLUDING THE NEBRASKA MEDICAL CENTER AND METHODIST HEALTH SYSTEM TO SHARE TRI-COUNTY HEALTH DATA AND BEST PRACTICES. ;
Availability of Needs Assessment	Schedule H, Part V Section B, Line 5c	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - CHNA WAS ALSO POSTED ON THE RESPECTIVE HEALTH AGENCY'S WEBSITES AND WAS SHARED WITH PARTICIPATING INDIVIDUALS AND ORGANIZATIONS.;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - TWO HEALTH NEEDS IDENTIFIED IN THE PRIMARY DATA WILL NOT BE ADDRESSED BY THE HOSPITAL: 1) ORAL HEALTH; AND 2) SEXUALLY TRANSMITTED DISEASES. 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. 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. THE FINAL LIST OF HEALTH PRIORITIES SELECTED BY THE COMMUNITY IS BEING ADDRESSED BY ACH IN EITHER SYSTEM-WIDE OR INDIVIDUAL HOSPITAL IMPLEMENTATION STRATEGIES.;
Needs not addressed in Needs Assessment	Schedule H, Part V Section B, Line 7	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - TWO HEALTH NEEDS IDENTIFIED IN THE PRIMARY DATA WILL NOT BE ADDRESSED BY THE HOSPITAL: 1) ORAL HEALTH; AND 2) SEXUALLY TRANSMITTED DISEASES. 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. 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. THE FINAL LIST OF HEALTH PRIORITIES SELECTED BY THE COMMUNITY IS BEING ADDRESSED BY ACH IN EITHER SYSTEM-WIDE OR INDIVIDUAL HOSPITAL IMPLEMENTATION STRATEGIES.;
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 10	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - ALEGENT CREIGHTON HEALTH BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES.;
Used federal poverty guidelines (FPG) to determine eligibility	Schedule H, Part V Section B, Line 10	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - ALEGENT CREIGHTON HEALTH BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - ALEGENT CREIGHTON HEALTH BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - THE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE IS BASED ON A FINANCIAL ASSISTANCE SLIDING FEE SCHEDULE UTILIZING A DERIVATIVE OF THE CURRENT US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) VERY LOW INCOME GUIDELINES, WHICH ARE UPDATED YEARLY. 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.;
Used FPG to determine eligibility for providing discounted care criteria	Schedule H, Part V Section B, Line 11	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - ALEGENT CREIGHTON HEALTH BASES ITS FINANCIAL ASSISTANCE ELIGIBILITY ON HUD'S 130% OF VERY LOW INCOME GUIDELINES BASED ON GEOGRAPHY, AND AFFORDS THE UNINSURED AND UNDERINSURED THE ABILITY TO OBTAIN FINANCIAL ASSISTANCE WRITE-OFFS, BASED ON A SLIDING SCALE, RANGING FROM 25%-100% OF CHARGES.;
Other factors included in calculating amounts charges to patients	Schedule H, Part V Section B, Line 12h	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.;
Other factors included in calculating amounts charges to patients	Schedule H, Part V Section B, Line 12h	(2) ALEGENT HEALTH LAKESIDE HOSPITAL - SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.;
Other factors included in calculating amounts charges to patients	Schedule H, Part V Section B, Line 12h	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - SIZE OF FAMILY IS ALSO USED IN THE CALCULATION.;
Other ways hospital publicized Financial Assistance Policy	Schedule H, Part V Section B, Line 14g	(1) ALEGENT HEALTH MIDLANDS HOSPITAL - INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENTCREIGHTON.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT CREIGHTON HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY TO PATIENTS.;
Other ways hospital publicized Financial Assistance Policy	Schedule H, Part V Section B, Line 14g	(3) ALEGENT HEALTH PLAINVIEW HOSPITAL - INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE AT WWW.ALEGENTCREIGHTON.COM AND THROUGH BROCHURES PROVIDED AT THE MAIN PATIENT REGISTRATION AREAS. LETTERS AND BILLING STATEMENTS SENT OUT TO PATIENTS INCLUDE A STATEMENT THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND HOW TO OBTAIN ADDITIONAL INFORMATION. COUNSELORS OF THE ALEGENT CREIGHTON HEALTH SYSTEM ALSO DISSEMINATE INFORMATION ON THE FINANCIAL ASSISTANCE POLICY TO PATIENTS.;
Needs assessment.	Schedule H, Part VI, Line 2	THE PROCESS TO DEVELOP ASSESSMENTS OF THE COMMUNITY HEALTH NEEDS (CHNA) IS COLLABORATIVE IN NATURE AND INVOLVES HEALTH DEPARTMENTS, EXISTING HEALTH COALITIONS, COMMUNITY MEMBERS AND HOSPITAL LEADERSHIP, AND IS SUPPORTED BY THE ALEGENT CREIGHTON HEALTH'S COMMUNITY BENEFIT AND HEALTHIER COMMUNITIES DEPARTMENT STAFF. EACH ALEGENT CREIGHTON HEALTH HOSPITAL PARTICIPATES IN THE CHNA PROCESS FOR THE COUNTY IN WHICH THE FACILITY IS LOCATED AT LEAST EVERY 3 YEARS IN PARTNERSHIP WITH THE LOCAL HEALTH DEPARTMENTS. THE ASSESSMENT VARIES IN EACH COMMUNITY BUT INCLUDES REVIEW OF PRIMARY DATA (SUCH AS SURVEYS, KEY INFORMANT INTERVIEWS, FOCUS GROUPS) AND SECONDARY DATA (SUCH AS COUNTY HEALTH RANKINGS, BRFRSS, YRBS, CENSUS DATA ETC) LEADERSHIP FROM ALEGENT CREIGHTON HEALTH PARTICIPATE IN MULTIPLE INTERNAL AND EXTERNAL VENUES TO GARNER COMMUNITY INPUT, PRIORITIZE COMMUNITY HEALTH NEEDS AND DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS. THE CHNA REPORT FOR EACH COMMUNITY IS MADE AVAILABLE TO THE PUBLIC BY POSTING THE REPORT ON THE ALEGENT CREIGHTON HEALTH EXTERNAL WEBSITE AND BY MAKING IT AVAILABLE IN COMMUNITY VENUES. THE CHNAS ARE INTEGRATED INTO THE GOVERNANCE AND PLANNING FOR ALEGENT CREIGHTON HEALTH ON TWO LEVELS- * REPORTING INTO THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH HEALTH PLANNING OVERSIGHT * 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 CREIGHTON UNIVERSITY MEDICAL CENTER RESIDES, ALEGENT CREIGHTON HEALTH PARTNERS WITH LOCAL HEALTH DEPARTMENTS, LIVE WELL OMAHA AND COMPETING HEALTH SYSTEMS TO RETAIN PROFESSIONAL RESEARCH CONSULTANTS TO CONDUCT A CHNA FOR THE OMAHA/COUNCIL BLUFFS METROPOLITAN SERVICE AREA. THE CHNA COVERS FOUR COUNTIES SERVED BY THE ALEGENT CREIGHTON HEALTH OMAHA AND COUNCIL BLUFFS HOSPITALS. THE CHNA REPORTS DATA AT THE COUNTY LEVEL AND FOR DOUGLAS COUNTY, BY FOUR QUADRANTS WITHIN THE COUNTY. ALEGENT CREIGHTON HEALTH LEADERS SERVE ON THE CHNA STEERING COMMITTEE AND PARTICIPATE IN KEY INFORMANT INTERVIEWS CONDUCTED AT HOSPITAL LOCATIONS. 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-ONE 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.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	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- WWW.ALEGENTCREIGHTON .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.
Community information.	Schedule H, Part VI, Line 4	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 PER CENT BY 2017. THE MEDIAN HOUSEHOLD INCOME IS $56,445 WHICH SURPASSES THE NATIONAL AVERAGE OF $53,046, WITH A PER CAPITA INCOME OF $27,307. GREATER OMAHA IS A WELL-EDUCATED COMMUNITY. NEARLY 91 PERCENT OF ADULTS, AGE 25 AND OLDER, ARE HIGH SCHOOL GRADUATES AND 32 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER, COMPARED TO 27.9 PERCENT NATIONALLY. GREATER OMAHA OFFERS A LARGE AND DIVERSE WORKFORCE FOR EMPLOYERS OF ALL SIZES AND INDUSTRIES. THE GREATER OMAHA POPULATION NOT ONLY POSSESSES THE EDUCATION AND DEMOGRAPHIC QUALITIES THAT EMPLOYERS ARE LOOKING FOR, BUT ALSO THE NATIONALLY RECOGNIZED MIDWEST WORK ETHIC THAT IS SIMPLY PART OF THE FABRIC OF THE REGION. OMAHA IS HOME TO MANY MAJOR COMPANIES AND LARGE EMPLOYERS, INCLUDING FIVE FORTUNE 500 COMPANIES, MAKING IT FOURTH IN THE NATION FOR NUMBER OF SUCH COMPANIES PER CAPITA. RECENT RECOGNITIONS 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.
Promotion of community health	Schedule H, Part VI, Line 5	ALEGENT CREIGHTON HEALTH ("ACH") 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. ACH SERVES ON THE BOARD OF DIRECTORS, IS A MEMBER AT THE HIGHEST LEVEL AND LEASES STAFF TO LIVE WELL OMAHA. 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 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 * ALEGENT CREIGHTON HEALTH IS THE SOLE COMPREHENSIVE MENTAL HEALTH PROVIDER IN THE OMAHA MSA AREA * ALEGENT CREIGHTON HEALTH IS A JOINT VENTURE PARTNER IN A NOT-FOR-PROFIT HOSPICE INPATIENT HOSPITAL AND PROVIDES THE MANAGEMENT SUPPORT CONTRACT. * ALEGENT HEALTH BUDGETS FOR AN EMERGENCY FUND AS A SUBSET OF OTHER COMMUNITY DONATIONS TO RESPOND TO CRISIS OR UNPLANNED FUNDING NEEDS OF A VITAL COMMUNITY SERVICE, WHICH HAS FIRST USED IN FY2011 WITH THE ECONOMIC DOWNTURN. BOARD OF DIRECTORS - ALEGENT CREIGHTON HEALTH IS GOVERNED BY A BOARD OF DIRECTORS PRIMARILY COMPRISED OF VOLUNTEER MEMBERS OF OUR LOCAL COMMUNITY WHO ARE LEADERS IN THE FIELDS OF BUSINESS, HEALTHCARE, ACCOUNTING AND MEDICINE AND UNDERSTAND THEIR ROLE IN PROVIDING STRONG CORPORATE GOVERNANCE. EMERGENCY DEPARTMENT - ALEGENT CREIGHTON HEALTH HOSPITALS HAVE FULL-TIME EMERGENCY DEPARTMENTS THAT ARE OPEN TO THE PUBLIC AND PROVIDE MEDICAL SCREENING EXAMINATIONS AND STABILIZING TREATMENT WITHIN THE CAPABILITIES AND CAPACITY OF THE HOSPITALS REGARDLESS OF BUT NOT LIMITED TO THE PATIENT'S RACE, COLOR, SEX, AGE, AND/OR ABILITY TO PAY. THE HOSPITALS ARE IN COMPLIANCE WITH THE FEDERAL EMTALA REGULATIONS. IN ADDITION, ALEGENT CREIGHTON HEALTH, TOGETHER WITH UNRELATED HOSPITALS IN THE AREA, WORKS CLOSELY WITH LOCAL FIRE AND RESCUE DEPARTMENTS TO ENSURE THAT AMBULANCES TAKE PATIENTS TO THE APPROPRIATE HOSPITAL. THIS IS GENERALLY THE HOSPITAL THAT IS CLOSEST GEOGRAPHICALLY WITH EXCEPTIONS BASED ON PATIENT PREFERENCE, PATIENT'S PHYSICIAN PREFERENCE, AND CAPACITY OR THE AVAILABILITY OF SPECIALIZED FACILITIES OR PROGRAMS RELATED TO THE PATIENT'S CONDITION. FINALLY, ALEGENT CREIGHTON HEALTH MAINTAINS DETAILED PROCEDURES REGARDING WHEN AND UNDER WHAT CIRCUMSTANCES A PATIENT CAN BE TRANSFERRED. UNDER THIS POLICY, NO PATIENT WILL BE TRANSFERRED BASED ON RACE, CREED, RELIGION OR ABILITY TO PAY.
Affiliated health care system	Schedule H, Part VI, Line 6	ALEGENT CREIGHTON 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 73 HOSPITALS; 40 LONG-TERM CARE, ASSISTED- AND RESIDENTIAL-LIVING FACILITIES; TWO COMMUNITY HEALTH-SERVICES ORGANIZATIONS; TWO ACCREDITED NURSING COLLEGES; AND HOME HEALTH AGENCIES. TOGETHER, THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFIT IN THE 2013 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 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 OMAHA, NE COMMUNITIES.
State filing of community benefit report	Schedule H, Part VI, Line 7	IA, NE
STATE FILING OF COMMUNITY BENEFIT REPORT	SCHEDULE H, PART VI, LINE 7	THE ALEGENT CREIGHTON HEALTH SYSTEM FILES REPORTS WITH THE NEBRASKA HOSPITAL ASSOCIATION AND IOWA HOSPITAL ASSOCIATION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
CREIGHTON UNIVERSITY
2500 CALIFORNIA PLAZA	OMAHA	NE	68178	470376583	501(C)(3)	8728741	GENERAL SUPPORT
GREATER OMAHA CHAMBER FOUNDATION
1301 HARNEY STREET	OMAHA	NE	68102	470258610	501(C)(3)	315000	GENERAL SUPPORT
ALEGENT CREIGHTON HEALTH FOUNDATION
12809 W DODGE ROAD	OMAHA	NE	68154	470648586	501(C)(3)	236342	GENERAL SUPPORT
MISSOURI VALLEY CANCER CONSORTIUM
6818 GROVER STREET	OMAHA	NE	68130	470773531	501(C)(3)	147536	GENERAL SUPPORT
YMCA OF GREATER OMAHA
430 S 20TH ST	OMAHA	NE	68102	470376586	501(C)(3)	105000	GENERAL SUPPORT
NEBRASKA SYNOD ELCA
4980 S 118TH STREET STE D	OMAHA	NE	68137	363514308	501(C)(3)	46761	GENERAL SUPPORT
OMAHA SYMPHONY ASSOCIATION
1605 HOWARD ST	OMAHA	NE	68102	476039304	501(C)(3)	40000	GENERAL SUPPORT
HOSPICE HOUSE
12809 W DODGE ROAD	OMAHA	NE	68154	364003095	501(C)(3)	100000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
10100 J STREET	OMAHA	NE	68127	135613797	501(C)(3)	25000	GENERAL SUPPORT
DOWNTOWN OMAHA INC FOUNDATION
PO BOX 8252	OMAHA	NE	68108	311752228	501(C)(3)	25000	GENERAL SUPPORT
UNITED WAY OF THE MIDLANDS
1805 HARNEY ST	OMAHA	NE	68102	470376605	501(C)(3)	19518	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
9850 NICHOLAS STREET	OMAHA	NE	68114	237040934	501(C)(3)	17860	GENERAL SUPPORT
AMERICAN LUNG ASSOCIATION
14 WALL STREET NO 8C	NEW YORK	NY	10005	131632524	501(C)(3)	12060	GENERAL SUPPORT
LUTHERAN FAMILY SERVICES OF NEBRASKA
124 S 24TH ST STE 230	OMAHA	NE	68102	237267972	501(C)(3)	11450	GENERAL SUPPORT
WELLNESS COUNCIL OF MIDLANDS
3534 S 108TH ST	OMAHA	NE	68144	470642708	501(C)(3)	10275	GENERAL SUPPORT
COUNCIL BLUFFS COMMUNITY HEALTH CENTER
300 WEST BROADWAY	COUNCIL BLUFFS	IA	51503	261570400	501(C)(3)	10000	GENERAL SUPPORT
MARCH OF DIMES
1275 MAMAROMECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)(3)	10000	GENERAL SUPPORT
VOICES FOR CHILDREN IN NEBRASKA
7521 MAIN STREET NO 103	OMAHA	NE	68127	363528940	501(C)(3)	10000	GENERAL SUPPORT
AFRICAN AMERICAN EMPOWERMENT NETWORK
105 N 31ST AVE SUITE 101	OMAHA	NE	68131	264296811	501(C)(3)	10000	GENERAL SUPPORT
BLUE BARN THEATER
614 S 11TH ST	OMAHA	NE	68142	470742394	501(C)(3)	10000	GENERAL SUPPORT
COUNCIL BLUFFS COMMUNITY BETTERMENT FOUNDATION
149 WEST BROADWAY	COUNCIL BLUFFS	IA	51502	421504843	501(C)(3)	10000	GENERAL SUPPORT
CITY OF CORNING
601 6TH STREET	CORNING	IA	50841	426004418	501(C)(3)	9000	GENERAL SUPPORT
CATHOLIC CHARITIES OF ARCHDIOCESE OF OMAHA
3300 N 60TH STREET	OMAHA	NE	68104	470376612	501(C)(3)	8000	GENERAL SUPPORT
OMAHA COMMUNITY PLAYHOUSE
6915 CASS STREET	OMAHA	NE	68132	470399856	501(C)(3)	7000	GENERAL SUPPORT
AMERICAN RED CROSS
2912 S 80TH AVE	OMAHA	NE	68124	136080629	501(C)(3)	6250	GENERAL SUPPORT
JUNIOR ACHIEVEMENT OF THE MIDLANDS
13506 WEST MAPLE ROAD	OMAHA	NE	68164	470468426	501(C)(3)	6000	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION
12838 AUGUSTA AVENUE	OMAHA	NE	68144	131623888	501(C)(3)	5500	GENERAL SUPPORT
PAPILLION RECREATION DEPARTMENT
1100 W LINCOLN ROAD	PAPILLION	NE	68046	476006318	501(C)(3)	1000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	28	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Amount Of Cash GrantAmountOfCashGrant
CHARITY CARE/FINANCIAL ASSISTANCE	4773	43801390	BOOK	REDUCTION OR WRITE OFF OF PATIENT SERVICES
WOW/CARE SUPPORT	276	35909	BOOK	PATIENT SUPPORT DURING HOSPITAL STAY
SCHOLARSHIPS	4				4000

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FINANCIAL ASSISTANCE/CHARITY CARE	SCHEDULE I, PART III	ALEGENT CREIGHTON HEALTH RECOGNIZES THE RIGHT TO QUALITY HEALTHCARE REGARDLESS OF AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. BUSINESS OFFICE STAFF HELPS PATIENTS SEEK LOCAL, STATE, AND FEDERAL REIMBURSEMENT AT NO CHARGE WHEN NO OTHER SOURCE OF PAYMENT IS AVAILABLE. FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS WITH DEMONSTRATED INABILITY TO PAY FOR MEDICALLY NECESSARY SERVICES. THESE FUNDS ARE DIRECTLY USED TO OFFSET THE PATIENTS ACCOUNTS RECEIVABLE.
Procedures for monitoring use of grant funds	Schedule I, Part I, Line 2	MOST DISBURSEMENTS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PROGRAMS ARE MADE DIRECTLY IN THE ACTIVE CONDUCT OF THE ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OR FUNCTION OF THE ORGANIZATION. OTHERWISE, DISTRIBUTIONS IN FURTHERANCE OF THE INSTITUTION'S EXEMPT PROGRAMS ARE MADE IN ACCORDANCE WITH PROCEDURES OR SUBJECT TO CONDITIONS ESTABLISHED BY THE INSTITUTION'S GOVERNING BOARD OR MANAGEMENT DESIGNED TO ENSURE THAT RECIPIENTS OF SUCH DISBURSEMENTS FROM THE ORGANIZATION ARE ADEQUATELY INVESTIGATED AND GRANTED TO QUALIFIED RECIPIENTS. ALEGENT CREIGHTON HEALTH ONLY DISTRIBUTES FUNDS TO OTHER 501(C)(3) ORGANIZATIONS WITH THE SAME MISSION AND PURPOSE AS THE ALEGENT CREIGHTON HEALTH SYSTEM. THESE DISTRIBUTIONS ARE MONITORED TO ENSURE THEY ARE BEING USED AS SPECIFIED BY THE ORGANIZATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN SCHUMACHER
COO IMMANUEL	63367	196460	26668	82680	17902	55505	21871	67810	6077	18840	135885	421295	5791	17955
ANTHONY HATCHER
SECRETARY/TREASURER	27000	372807	0	0	0	32728	0	15000	0	16780	27000	437315	0	0
BETH LLEWELLYN
VP MISSION INTEGRATION	38392	119030	17436	54058	11915	36940	60318	187008	2413	7483	130474	404519	3602	11168
CINDY ALLOWAY
COO LAKESIDE & MIDLANDS	75740	234824	26982	83655	16459	51029	23787	73749	4475	13875	147443	457132	5798	17976
FRANK EMSICK
FORMER FACILITIES OPS EXEC	34813	107934	11391	35316	8840	27407	488	1513	4637	14376	60169	186546	0	0
JAMES REICHERT MD
PHYSICIAN	57866	179407	17701	54878	10955	33965	3049	9451	5051	15660	94622	293361	0	0
JANE CARMODY
VP-CNO	64929	201307	26215	81278	10822	33550	13480	41794	2845	8819	118291	366748	4871	15103
JASON YUNGTUM
VP/REG GENERAL COUNSEL	47973	148738	1289	3995	2310	7161	138920	430705	5242	16252	195734	606851	0	0
JEFFRY STROHMYER MD
CHIEF MEDICAL OFFICER	68755	213168	1981	6141	3504	10864	3591	11133	5265	16324	83096	257630	0	0
JOAN NEUHAUS
SVP COO	93800	290816	62371	193374	29921	92767	409186	1268632	1415	4386	596693	1849975	13017	40357
JOHN HARRIS MD
DIRECTOR	0	473461	0	0	0	16361	0	7500	0	21988	0	519310	0	0
KEITH SEASHORE
ACC CFO	56766	175996	11529	35745	2414	7483	0	0	5127	15899	75836	235123	0	0
KENNETH LAWONN
SVP/STRATEGY & TECH	80148	248490	52377	162389	24685	76532	364922	1131396	4976	15428	527108	1634235	11528	35741
KEVIN NOKELS
COO CUMC	256527	0	108297	0	84589	0	163976	0	25422	0	638811	0	20843	0
LARRY BROWN MD
FORMER ACC CEO	0	316479	0	0	0	26324	0	18641	0	27066	0	388510	0	0
MARIE KNEDLER
COO BERGAN & MERCY HOSPITAL	77247	239496	30688	95145	15248	47273	35363	109639	5061	15691	163607	507244	6413	19884
MARTIN HICKEY MD
FORMER SVP/CEO CLINICS	0	0	0	0	46336	143658	0	0	0	0	46336	143658	46336	143658
MARTIN M MANCUSO MD
DIRECTOR	19000	328042	0	0	0	61035	0	7500	0	16329	19000	412906	0	0
MICHAEL WESTCOTT MD
PHYSICIAN	52438	162575	16015	49653	10967	34002	5487	17012	2883	8939	87790	272181	0	0
NANCY WALLACE
VP HUMAN RESOURCES	51456	159537	25398	78742	15999	49602	82011	254265	2689	8337	177553	550483	4678	14503
PATRICIA MASEK
VP MEDICAL AFFAIRS	31736	98396	15016	46553	13062	40498	15779	48921	3908	12118	79501	246486	3076	9538
PATRICIA MURDOCK-LANGAN MD
CHIEF MEDICAL OFFICER	0	353262	0	8400	0	23508	0	13750	0	2524	0	401444	0	0
PAUL EBMEIER
FORMER ACC COO	0	211292	0	110956	0	79842	0	1063	0	16707	0	419860	0	22752
PAUL EDGETT
DIRECTOR	0	440982	0	214258	0	79137	0	64715	0	21785	0	820877	0	57444
PAUL STRAWHECKER
CHIEF DEVELOPMENT OFFICER	45590	141349	16224	50300	5817	18035	3900	12092	4036	12514	75567	234290	1164	3609
RICHARD II HACHTEN
PRESIDENT & CEO	208740	647172	159495	494494	167360	518881	726283	2251752	3968	12301	1265846	3924600	142888	443007
RICHARD ROLSTON MD
ACC PRESIDENT & CEO	110320	342031	66136	205047	18505	57373	418404	1297212	5348	16580	618713	1918243	9921	30759
RICK MILLER MD
SVP/CHIEF QUALITY OFFICER	58827	182387	41535	128773	21375	66270	272210	843954	7013	21741	400960	1243125	8897	27583
SCOTT WOOTEN
SVP/CFO	93232	289058	64833	201006	32996	102299	383121	1187820	4891	15164	579073	1795347	14310	44368
SHEREE KEELY
VP BEHAVIORAL	33438	103670	12877	39923	7841	24312	12135	37625	2784	8632	69075	214162	3014	9344

Form990 Schedule J Part III Form990ScheduleJPartIII (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Housing allowance or residence for personal use	Schedule J, Part I, Line 1a	AS PART OF THE EXECUTIVE COMPENSATION ARRANGEMENT, EXECUTIVES ARE PROVIDED WITH A SET SUM, APPROXIMATELY 30 - 40% OF THEIR BASE SALARY, WHICH CAN BE USED TO ELECT VARIOUS BENEFITS. SOME OF THE BENEFITS AVAILABLE FOR ELECTION INCLUDE HEALTH CLUB DUES, AUTOMOBILE ALLOWANCE, HOUSING ALLOWANCE, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT CREIGHTON HEALTH OR REIMBURSED TO THE EXECUTIVE AFTER THE APPROPRIATE SUBSTANTIATION FOR THE EXPENSE IS PROVIDED. THE AMOUNT PAID FOR THESE BENEFITS ARE INCLUDED IN THE EXECUTIVE'S WAGES AS TAXABLE INCOME.
Personal services	Schedule J, Part I, Line 1a	AS PART OF THE EXECUTIVE COMPENSATION ARRANGEMENT, EXECUTIVES ARE PROVIDED WITH A SET SUM, APPROXIMATELY 30 - 40% OF THEIR BASE SALARY, WHICH CAN BE USED TO ELECT VARIOUS BENEFITS. SOME OF THE BENEFITS AVAILABLE FOR ELECTION INCLUDE HEALTH CLUB DUES, AUTOMOBILE ALLOWANCE, HOUSING ALLOWANCE, FINANCIAL PLANNING FEES AND LEGAL FEES. PAYMENT FOR THESE BENEFITS ARE EITHER MADE DIRECTLY BY ALEGENT CREIGHTON HEALTH OR REIMBURSED TO THE EXECUTIVE AFTER THE APPROPRIATE SUBSTANTIATION FOR THE EXPENSE IS PROVIDED. THE AMOUNT PAID FOR THESE BENEFITS ARE INCLUDED IN THE EXECUTIVE'S WAGES AS TAXABLE INCOME.
GOVERNANCE OF EXECUTIVE COMPENSATION	SCHEDULE J, PART I, LINE 3	ACTING AS PRUDENT STEWARDS OF ITS FINANCIAL RESOURCES, THE ALEGENT CREIGHTON HEALTH BOARD COMPENSATION COMMITTEE RECOMMENDS AND THE BOARD EXECUTIVE COMMITTEE APPROVES EXECUTIVE COMPENSATION PHILOSOPHY, POLICY AND GUIDELINES. IT DOES SO WITH THE OBJECTIVE OF ATTRACTING AND RETAINING TOP EXECUTIVE TALENT TO ENSURE ALEGENT CREIGHTON HEALTH IS ABLE TO FULFILL ITS FAITH-BASED MISSION AND ACHIEVE ITS VISION OF BECOMING WORLD-CLASS. THE ALEGENT CREIGHTON HEALTH COMPENSATION COMMITTEE FOLLOWS A THOROUGH AND INTENTIONAL PROCESS THAT INCLUDES CONSULTATION WITH INDEPENDENT, EXPERT COUNSEL AND CAREFULLY COMPARES COMPENSATION LEVELS TO MARKET-BASED COMPENSATION OF SIMILAR SIZED, NON-PROFIT AND FOR-PROFIT HEALTH SYSTEMS AND ALSO UTILIZES A BLEND OF NON-PROFIT AND GENERAL INDUSTRY DATA FOR EXECUTIVE ROLES WHERE THE RECRUITING MARKET IS ARGUABLY BROADER THAN THE NON-PROFIT SECTOR. TOTAL COMPENSATION INCLUDES BASE COMPENSATION, AND ALSO INCLUDES PERFORMANCE-BASED INCENTIVE COMPENSATION FOR ACHIEVING BOARD-SET GOALS FOR CLINICAL QUALITY, PATIENT SAFETY AND SATISFACTION, PHYSICIAN PERCEPTION, STRATEGIC AND FACILITY PLANNING AND FINANCIAL PERFORMANCE. IT MAY ALSO INCLUDE OTHER CASH PAYMENTS SUCH AS ONE-TIME RELOCATION COSTS, AND/OR CASH PAYMENTS FOR DEFERRED COMPENSATION.
Severance or change-of-control payment	Schedule J, Part I, Line 4a	THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS AS EXECUTIVES OF ALEGENT CREIGHTON HEALTH DURING THE 2012 CALENDAR YEAR AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE AS COMPENSATION ON SCHEDULE J: RICHARD HACHTEN, II - $444,672 MARTIN HICKEY, MD - $189,994 SEVERANCE PAID TO RICHARD HACHTEN IN CALENDAR YEAR 2012 RELATES TO A CORRECTION MADE TO REPORT ADDITIONAL SEVERANCE OWED TO HIM FROM A PREVIOUS SEPARATION OF SERVICE. THE ADDITIONAL SEVERANCE WAS REPORTED ON A CORRECTED W-2C AND APPLICABLE TAXES WERE SUBMITTED TO THE IRS.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	SCHEDULE J, PART I, LINE 4B: THE FOLLOWING REPORTABLE INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH DURING THE 2012 CALENDAR YEAR. AMOUNTS DEFERRED FROM THE PLAN WERE INCLUDED IN COLUMN C OF THE SCHEDULE J: RICHARD HACHTEN II - $155,803 SCOTT WOOTEN - $64,619 JANE CARMODY - $23,850 NANCY WALLACE - $20,943 RICK MILLER, MD - $42,174 KENNETH LAWONN - $107,846 JOAN NEUHAUS - $63,430 MARIE KNEDLER - $58,178 SHEREE KEELY - $25,941 ELIZABETH LLEWELLYN - $31,429 PATRICIA MASEK - $26,283 ANN SCHUMACHER - $51,778 CINDY ALLOWAY - $40,325 KEVIN NOKELS - $53,175 JASON YUNGTUM - $24,139 PAUL STRAWHECKER - $15,992 SCHEDULE J, PART I, LINE 4B: THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED A PAY OUT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FROM ALEGENT CREIGHTON HEALTH DURING THE 2012 CALENDAR YEAR. AMOUNTS PAID OUT FROM THE PLAN WERE INCLUDED IN THE INDIVIDUALS TAXABLE WAGES AND REPORTED IN COLUMN E OF THE SCHEDULE J: RICHARD HACHTEN II - $141,223 SCOTT WOOTEN - $58,678 JANE CARMODY - $19,974 NANCY WALLACE - $19,182 RICK MILLER, MD - $36,480 RICHARD ROLSTON, ME - $40,680 KENNETH LAWONN - $47,270 JOAN NEUHAUS - $53,374 MARIE KNEDLER - $26,297 SHEREE KEELY - $12,358 ELIZABETH LLEWELLYN - $14,770 PATRICIA MASEK - $12,614 PAUL STRAWHECKER - $4,772 ANN SCHUMACHER - $23,746 CINDY ALLOWAY - $23,774 KEVIN NOKELS - $20,843 PAUL EBMEIER - $22,752
Compensation contingent on net earnings of the organization	Schedule J, Part I, Line 6a	COMPENSATION FOR MEMBERS OF MANAGEMENT OF ALEGENT CREIGHTON HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT CREIGHTON HEALTH MANAGEMENT ARE ELIGIBLE FOR AN ANNUAL INCENTIVE BONUS. INCENTIVE AWARDS ARE BASED ON FOUR INDIVIDUAL PERFORMANCE MEASURES WHICH ARE LINKED TO FOUR SYSTEM PERFORMANCE GOALS. FOR EACH MANAGER, 75% OF THE INCENTIVE AWARD WILL BE DETERMINED BY SYSTEM PERFORMANCE GOALS AND 25% DETERMINED BY INDIVIDUAL PERFORMANCE MEASURES. ONE OF THE FOUR SYSTEM PERFORMANCE GOALS IS DEPENDENT ON THE FINANCIAL RESULTS OF THE ENTIRE ALEGENT CREIGHTON HEALTH SYSTEM FOR THE FISCAL YEAR.
Compensation contingent on net earnings of a related organization	Schedule J, Part I, Line 6b	COMPENSATION FOR MEMBERS OF MANAGEMENT OF ALEGENT CREIGHTON HEALTH AND RELATED ENTITIES IS DETERMINED AT A SYSTEM LEVEL. MEMBERS OF ALEGENT CREIGHTON HEALTH MANAGEMENT ARE ELIGIBLE FOR AN ANNUAL INCENTIVE BONUS. INCENTIVE AWARDS ARE BASED ON FOUR INDIVIDUAL PERFORMANCE MEASURES WHICH ARE LINKED TO FOUR SYSTEM PERFORMANCE GOALS. FOR EACH MANAGER, 75% OF THE INCENTIVE AWARD WILL BE DETERMINED BY SYSTEM PERFORMANCE GOALS AND 25% DETERMINED BY INDIVIDUAL PERFORMANCE MEASURES. ONE OF THE FOUR SYSTEM PERFORMANCE GOALS IS DEPENDENT ON THE FINANCIAL RESULTS OF THE ENTIRE ALEGENT CREIGHTON HEALTH SYSTEM FOR THE FISCAL YEAR.
POTENTIAL SEVERANCE PAYMENTS	SCHEDULE J, PART II	THE ALEGENT CREIGHTON HEALTH EXECUTIVES HAVE A PROVISION IN THEIR COMPENSATION AGREEMENT THAT PROVIDES FOR POTENTIAL SEVERANCE PAYMENTS IN THE EVENT OF TERMINATION WITHOUT CAUSE OR CHANGE OF CONTROL. THE AMOUNT OF SEVERANCE AN EXECUTIVE MAY OR MAY NOT RECEIVE IF TERMINATED ACCORDING TO THE COMPENSATION AGREEMENT IS INCLUDED AS DEFERRED COMPENSATION IN COLUMN C.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GUILLERMO HUERTA MD - BOARD MEMBER
PULMONARY MEDICINE SPECIALIST PC - PRESIDENT	2487514	HEALTHCARE SERVICES	false
MICHAEL DEFREECE BOARD MEMBER
HAPX, LLC - OFFICER	109204	SUPPLIER PAYMENT NETWORK	false
MICHAEL DEFREECE BOARD MEMBER
SON IS EMPLOYED	133555	EMPLOYMENT	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
New program services	Form 990, Part III, Line 2	ALEGENT CREIGHTON HEALTH ACQUIRED THE OPERATIONS OF CREIGHTON UNIVERSITY MEDICAL CENTER, A HOSPITAL LOCATED IN NORTHERN OMAHA, NEBRASKA.
BOX 3 FORM 1096	FORM 990, PART V, LINE 1A	PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF THE ALEGENT CREIGHTON HEALTH SYSTEM ARE MADE BY ALEGENT CREIGHTON HEALTH. ALEGENT CREIGHTON HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS.
FORM 990, PART I LINE 5 AND PART V, LINE 2A	FORM 990, PART V, LINE 2A	ALEGENT CREIGHTON HEALTH IS A COMMON PAY AGENT FOR RELATED ENTITIES WITHIN THE ALEGENT CREIGHTON HEALTH SYSTEM. THE NUMBER OF EMPLOYEES ON FORM 990, PART I, LINE 5 AND PART V, LINE 2A REPRESENT EMPLOYEES OF ALEGENT CREIGHTON HEALTH AND EMPLOYEES OF RELATED ENTITIES. THE PAYROLL EXPENSES OF RELATED ENTITIES ARE ALLOCATED BY ALEGENT CREIGHTON HEALTH TO EACH ENTITY.
Family/business relationships amongst interested persons	Form 990, Part VI, Section A, Line 2	PAUL EDGETT III AND SR PHYLLIS HUGHES - BUSINESS RELATIONSHIP
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ALEGENT CREIGHTON HEALTH HAS TWO CORPORATE MEMBERS, IMMANUEL HEALTH SYSTEMS (IHS) AND CATHOLIC HEALTH INITIATIVES (CHI).
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	CHI AND IHS SHALL APPOINT SIX OF THE VOTING MEMBERS OF THE BOARD OF DIRECTORS, PROVIDED THAT EACH CORPORATE MEMBER SHALL RATIFY THE OTHER CORPORATE MEMBER'S APPOINTMENTS, WITH THE EXCEPTION OF THE REPRESENTATIVE OF THE CORPORATE MEMBER WHICH APPOINTMENT WILL NOT REQUIRE RATIFICATION BY THE OTHER CORPORATE MEMBER. IF A CORPORATE MEMBER DOES NOT RATIFY THE APPOINTMENT OF ONE OR MORE OF THE DIRECTORS APPOINTED BY THE OTHER CORPORATE MEMBER, THEN THE PROCESS WILL BE REPEATED UNTIL ALL OF THE DIRECTOR POSITIONS ARE FILLED.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE BUSINESS AND AFFAIRS OF ALEGENT CREIGHTON HEALTH SHALL BE MANAGED BY OR UNDER THE DIRECTION OF THE BOARD OF DIRECTORS EXCEPT THAT THE FOLLOWING ACTIONS SHALL BE EFFECTIVE ONLY IF APPROVED BY THE BOARD OF DIRECTORS AND BY BOTH CORPORATE MEMBERS: (I) ADOPTION OR AMENDMENT OF THE UNIFIED PHILOSOPHY AND MISSION OF THE CORPORATION; (II) SALE, LEASE, TRANSFER, ENCUMBRANCE OR DISPOSITION OF THE TANGIBLE PROPERTY OR INVESTMENTS HAVING A FAIR MARKET VALUE IN ANY INDIVIDUAL TRANSACTION IN EXCESS OF $3 MILLION OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; PROVIDED THAT TRANSFERS OF INVESTMENTS BETWEEN THE CORPORATION AND ANOTHER PARTICIPANT SHALL NOT REQUIRE THE APPROVAL OF CHI AND IHS; PROVIDED FURTHER THAT APPROVAL OF THE CORPORATE MEMBERS SHALL NOT BE REQUIRED FOR ANY TRANSFER OF ASSETS TO CHI BY THE CORPORATION PURSUANT TO THE TERMS OF THE ALEGENT FINANCING AGREEMENT(AFA); (III) INCURRENCE, ASSUMPTION OR GUARANTY IN ANY INDIVIDUAL TRANSACTION OF LONG-TERM INDEBTEDNESS, INCLUDING CAPITAL LEASES, OUTSTANDING FOR MORE THAN 365 DAYS, IN EXCESS OF $2 MILLION OR 2% OF THE TOTAL LONG TERM INDEBTEDNESS OF ALL PARTICIPANTS, OR SUCH GREATER AMOUNT AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS; AND (IV) MERGER, DISSOLUTION, CONSOLIDATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, EXCEPT FOR A MERGER IN WHICH (I) THE CORPORATION IS THE SURVIVING ENTITY, AND (II) THE TOTAL BOOK VALUE OF THE ASSETS OF THE MERGING ENTITY DOES NOT EXCEED 2% OF THE TOTAL BOOK VALUE OF THE ASSETS OF ALL THE PARTICIPANTS, OR SUCH GREATER VALUE AS MAY BE DETERMINED FROM TIME TO TIME BY CHI AND IHS. B. THE ARTICLES OF INCORPORATION AND BYLAWS MAY BE AMENDED, RESTATED OR REPEALED, OR NEW ARTICLES OF INCORPORATION OR BYLAWS ADOPTED ONLY UPON THE APPROVAL OF THE BOARD OF DIRECTORS OF THE CORPORATION AND CHI AND IHS. C. THE ACTIONS THAT CAN BE TAKEN WITHOUT THE APPROVAL OF THE CORPORATE MEMBERS INCLUDE, WITHOUT LIMITATION: (I) TERMINATION OF THE AFA IN ACCORDANCE WITH ITS TERMS. (II) FORMATION OF THE UNIFIED ALEGENT CREIGHTON HEALTH SYSTEM (III) PREPAYMENT OF THE FULL AMOUNTS OUTSTANDING ON NOTES TO CHI UNDER THE AFA, FOR PURPOSES OF EXERCISING THE RIGHTS OF TERMINATION OF THE AFA, OR FORMATION OF THE UNIFIED ALEGENT CREIGHTON HEALTH SYSTEM CREDIT, AND THE TAKING OF ALL ACTIONS NECESSARY OR APPROPRIATE TO OBTAIN FUNDING OR OTHERWISE MAKE ARRANGEMENTS TO PREPAY SUCH NOTES, INCLUDING WITHOUT LIMITATION INCURRENCE OF INDEBTEDNESS NECESSARY OR APPROPRIATE TO PREPAY NOTES OUTSTANDING.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	CHI NEBRASKA'S (THE ORGANIZATION'S CORPORATE MEMBER) CFO IS RESPONSIBLE FOR REVIEWING THE FINAL TAX RETURN PREPARED BY THE CHI TAX DEPARTMENT FOR ANY POTENTIAL ERRORS, OMISSIONS, OR CLARIFICATIONS NEEDED FOR PROPER PRESENTATION. AFTER THE FINAL CHANGES ARE MADE TO THE FORM 990, THE RETURNS ARE POSTED TO A SECURED BOARD COLLABORATION SITE FOR REVIEW BY THE BOARD MEMBERS. SUBSEQUENT TO DISTRIBUTION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	WRITTEN CONFLICT OF INTEREST POLICY - ANNUAL COMPLETION OF THE DISCLOSURE STATEMENT IS REQUIRED BY THE BOARD OF DIRECTORS. STATED DISCLOSURES ARE INVESTIGATED BY THE ALEGENT CREIGHTON HEALTH COMPLIANCE OFFICER AND REPORTED TO THE CONFLICTS OF INTEREST COMMITTEE. THE CONFLICTS OF INTEREST COMMITTEE REVIEWS THE INVESTIGATION AND MAKES RECOMMENDATIONS TO THE GOVERNANCE COMMITTEE. THE GOVERNANCE COMMITTEE MAKES THE FINAL DETERMINATION OF WHETHER OR NOT THERE IS A DISQUALIFYING EVENT AND COMMUNICATES IT TO THE BOARD OF DIRECTORS. AT ANY TIME A BOARD MEMBER OR KEY EMPLOYEE MAY DECLARE A CONFLICT OF INTEREST AND RECUSE HIS/HERSELF FROM THE DISCUSSION. THE INDIVIDUAL IS ALSO REQUIRED TO DISCLOSE ANY KNOWN OR POSSIBLE CONFLICTS OF INTEREST THAT ARISE DURING THE CALENDAR YEAR.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE GOVERNING BOARD OF ALEGENT CREIGHTON HEALTH ENGAGED THE SERVICES OF AN INDEPENDENT CONSULTING FIRM THAT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT THAT IS QUALIFIED TO AND REGULARLY PERFORMS EXECUTIVE AND OFFICER COMPENSATION STUDIES. THE CONSULTING FIRM CONDUCTED A REVIEW AND ANALYSIS OF THE TOTAL COMPENSATION PAID TO THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION, BASED ON COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS AND DETERMINED THAT THE COMPENSATION WAS REASONABLE. THE CONSULTING FIRM ISSUED AN OPINION LETTER AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PAID TO EMPLOYEES IDENTIFIED AS DISQUALIFIED PERSONS. THE OPINION LETTER SETTING FORTH THE FINDINGS WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS WERE MAINTAINED. THIS PROCESS WAS USED FOR THE FOLLOWING EMPLOYEES: PRESIDENT AND CHIEF EXECUTIVE OFFICER SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER CHIEF EXECUTIVE OFFICER ALEGENT CREIGHTON CLINIC SENIOR VICE PRESIDENT AND SYSTEM CHIEF OPERATIONS OFFICER SENIOR VICE PRESIDENT STRATEGY AND TECHNOLOGY VICE PRESIDENT OPERATIONS (BERGAN MERCY & MERCY) VICE PRESIDENT OPERATIONS (IMMANUEL) VICE PRESIDENT OPERATIONS (LAKESIDE) VICE PRESIDENT OPERATIONS (MIDLANDS) MEDICAL DIRECTORS
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	SEE DISCLOSURE FOR 15A.
WRITTEN POLICY FOR JOINT VENTURE AGREEMENTS	FORM 990, PART VI, LINE 16A	ALEGENT CREIGHTON HEALTH HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ALEGENT CREIGHTON HEALTH'S SYSTEM-WIDE JOINT VENTURE MODEL 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 PURPOSE 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 PARTNER'S 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.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE CONFLICT OF INTEREST POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE AT WWW.ALEGENTCREIGHTON.COM. ALEGENT CREIGHTON HEALTH DOES NOT MAKE THE FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE AT WWW.SOS.STATE.NE.US.
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	PENSION MEASUREMENT DATE TRANSITION ADJUSTMENT - 12039827; OMAHA AMBULATORY INVESTMENT COMP. DISSOLUTION SETTLEMENT - 136394; BERGAN MERCY SURGERY CENTER DISTRIBUTION - 226128; ASSET REVALUATION ADJUSTMENT FOR CHI ACQUISITION - 13070282; UNRESTRICTED MINORITY INTEREST - 189503; PURCHASE ACCOUNTING ADJ. FOR CUMC ACQUISITION - 12696228;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT HEALTH QUICKCARE LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12809 WEST DODGE ROAD	AddressLine1
City	OMAHA	City
State	NE	State
ZIP Code	68154	ZIPCode

Field	Value	IRS element (for citing)
EIN	203437352	EIN
Primary Activities	EXPRESS CARE CLINIC	PrimaryActivities
Legal Domicile State	NE	LegalDomicileState
Total Income	1596621	TotalIncome
EOY Assets	136953	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ALEGENT CREIGHTON HEALTH	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (153 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2
ALEGENT CREIGHTON CLINIC
12809 WEST DODGE ROAD	OMAHA	NE	68154	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	HEALTHCARE	NE	501(C)(3)	3	NA	true
ALEGENT HEALTH - BERGAN MERCY HEALTH SYS
7500 MERCY ROAD	OMAHA	NE	68124	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	HEALTHCARE	IA	501(C)(3)	3	AHIMC	true
ALEGENT HEALTH FOUNDATION
12809 WEST DODGE ROAD	OMAHA	NE	68154	FUNDRAISING	NE	501(C)(3)	7	ACH	true
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND STREET	OMAHA	NE	68122	HEALTHCARE	NE	501(C)(3)	3	ACH	true
ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE
104 W 17TH STREET	SCHUYLER	NE	68661	HEALTHCARE	NE	501(C)(3)	3	AHIMC	true
ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA
PO BOX 368	CORNING	IA	50841	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	true
ALVERNA APARTMENTS
300 SE 8TH AVENUE	LITTLE FALLS	MN	56345	LTERM CARE	MN	501(C)(3)	9	CHI	true
APPLETREE COURT
601 OAK STREET	BRECKENRIDGE	MN	56520	SENIOR HOMES	MN	501(C)(3)	9	SFH	true
BISHOP DRUMM RETIREMENT CENTER
1111 6TH AVENUE	DES MOINES	IA	50314	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	true
BORNEMANN HEALTH CORPORATION
2500 BERNVILLE RD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
CARRINGTON HEALTH CENTER
800 NORTH 4TH STREET	CARRINGTON	ND	58421	HEALTHCARE	ND	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	9	NA	true
CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	FUNDRAISING	CO	501(C)(3)	7	CHIC	true
CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION
6385 CORPORATE DRIVE	COLORADO SPRINGS	CO	80919	FUNDRAISING	CO	501(C)(3)	9	CHI	true
CATHOLIC HEALTH INITIATIVES-COLORADO
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	3	CHI	true
CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES
1111 6TH AVENUE	DES MOINES	IA	50314	HEALTHCARE	IA	501(C)(3)	3	CHI	true
CENTENNIAL MEDICAL GROUP INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	PHYSICIANS	OR	501(C)(3)	9	MMC	true
CENTRAL KANSAS MEDICAL CENTER
3515 BROADWAY	GREAT BEND	KS	67530	SURGERY CNTR	KS	501(C)(3)	3	CHI	true
CHI HEALTH CONNECT AT HOME - FARGO
4816 AMBER VALLEY PARKWAY SOUTH	FARGO	ND	58104	HEALTHCARE	ND	501(C)(3)	9	CHI	true
CHI KENTUCKY INC
3900 OLYMPIC BLVD SUITE 400	ERLANGER	KY	41018	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	true
CHI NATIONAL HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	9	CHI NHC	true
CHI NATIONAL SERVICES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	true
CHI NEBRASKA
6940 O STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	true
COMMUNITY LIMITED CARE DIALYSIS CENTER
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	DIALYSIS	OH	501(C)(2)	N/A	GSH	true
COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA
631 N 8TH STREET	MISSOURI VALLEY	IA	51555	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHCMH	true
CONTINUING CARE HOSPITAL
150 NORTH EAGLE CREEK DRIVE	LEXINGTON	KY	40509	LTACH	KY	501(C)(3)	3	SJHS	true
COVENANT HOME CARE
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HOME HEALTH	PA	501(C)(3)	11 - Type II	NA	true
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
1450 BATTERSBY AVENUE	ENUMCLAW	WA	98022	HEALTHCARE	WA	501(C)(3)	3	FHS	true
FLAGET HEALTHCARE INC
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	HEALTHCARE	KY	501(C)(3)	3	KOH	true
FLAGET MEMORIAL HOSPITAL FOUNDATION
4305 NEW SHEPHERDSVILLE ROAD	BARDSTOWN	KY	40004	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	true
FRANCISCAN FOUNDATION
1717 SOUTH J STREET	TACOMA	WA	98405	FUNDRAISING	WA	501(C)(3)	9	FHS	true
FRANCISCAN HEALTH SYSTEM
1717 SOUTH J STREET	TACOMA	WA	98405	HEALTHCARE	WA	501(C)(3)	3	CHI	true
FRANCISCAN MEDICAL GROUP
1708 SOUTH YAKIMA AVENUE	TACOMA	WA	98405	HEALTHCARE	WA	501(C)(3)	9	FHS	true
FRANCISCAN VILLA OF SOUTH MILWAUKEE
3601 SOUTH CHICAGO AVENUE	SOUTH MILWAUKEE	WI	53172	HEALTHCARE	WI	501(C)(3)	9	CHI	true
GETTYSBURG MEDICAL CENTER
606 EAST GARFIELD AVENUE	GETTYSBURG	SD	57442	HEALTHCARE	SD	501(C)(3)	3	SMHC	true
GLOBAL HEALTH INITIATIVES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	true
GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	EDUCATION	OH	501(C)(3)	2	GSH	true
GOOD SAMARITAN FOUNDATION OF CINCINNATI INC
619 OAK STREET - ACCOUNTING 3 WEST	CINCINNATI	OH	45206	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	true
GOOD SAMARITAN HOSPITAL
PO BOX 1990	KEARNEY	NE	68848	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
GOOD SAMARITAN HOSPITAL FOUNDATION
111 W 31ST STREET	KEARNEY	NE	68847	FUNDRAISING	NE	501(C)(3)	7	GSH	true
ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK
6624 FANNIN	HOUSTON	TX	77030	PHY PRACTICES	TX	501(C)(3)	3	SLHS	true
HEALTH SET
4200 WEST CONEJOS PLACE 436	DENVER	CO	80204	LOW INC.CARE	CO	501(C)(3)	7	CHIC	true
HEALTHCARE AND WELLNESS FOUNDATION
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	true
HIGHLINE MEDICAL CENTER
16251 SYLVESTER RD SW	BURIEN	WA	98166	HEALTHCARE	WA	501(C)(3)	3	FHS	true
HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL
7601 OSLER DRIVE	TOWSON	MD	21204	HEALTHCARE	MD	501(C)(3)	9	SJMC	true
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	true
JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC
539 S 4TH STREET	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	3	KOH	true
JEWISH PHYSICIAN GROUP INC
539 S 4TH STREET	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	9	JHSMH	true
KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	HEALTHCARE	KY	501(C)(3)	9	CHI	true
LAKEWOOD HEALTH CENTER
600 MAIN AVENUE SOUTH	BAUDETTE	MN	56623	HEALTHCARE	MN	501(C)(3)	3	CHI	true
LINUS OAKES INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	SENIOR LIVING	OR	501(C)(3)	9	MMC	true
LISBON AREA HEALTH SERVICES
905 MAIN STREET	LISBON	ND	58054	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MEMORIAL HEALTH CARE SYSTEM FOUNDATION
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	FUNDRAISING	TN	501(C)(3)	7	MHCS	true
MEMORIAL HEALTH CARE SYSTEM INC
2525 DE SALES AVENUE	CHATTANOOGA	TN	37404	HEALTHCARE	TN	501(C)(3)	3	CHI	true
MEMORIAL HEALTH PARTNERS FOUNDATION INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	HEALTHCARE	TN	501(C)(3)	9	MHCS	true
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	true
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	true
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	true
MERCY FOUNDATION INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	FUNDRAISING	OR	501(C)(3)	7	MMC	true
MERCY HEALTH CARE FOUNDATION
PO BOX 368	CORNING	IA	50841	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	true
MERCY HEALTHCARE FOUNDATION
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	FUNDRAISING	ND	501(C)(3)	11 - Type III - FI	MHVC	true
MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS
800 MERCY DRIVE	COUNCIL BLUFFS	IA	51503	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	true
MERCY HOSPITAL OF DEVILS LAKE
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY HOSPITAL OF DEVILS LAKE FOUNDATION
1031 SEVENTH STREET NE	DEVILS LAKE	ND	58301	FUNDRAISING	ND	501(C)(3)	7	CHI	true
MERCY HOSPITAL OF VALLEY CITY
570 CHAUTAUQUA BOULEVARD	VALLEY CITY	ND	58072	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER
1301 15TH AVENUE WEST	WILLISTON	ND	58801	HEALTHCARE	ND	501(C)(3)	3	CHI	true
MERCY MEDICAL CENTER - CENTERVILLE
ONE ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	true
MERCY MEDICAL CENTER INC
2700 STEWART PARKWAY	ROSEBURG	OR	97470	HEALTHCARE	OR	501(C)(3)	3	CHI	true
MERCY MEDICAL FOUNDATION
1301 15TH AVENUE WEST	WILLISTON	ND	58801	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	true
MERCY PROFESSIONAL PRACTICE ASSOCIATES INC
1111 6TH AVENUE	DES MOINES	IA	50314	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	true
MLIFECARES
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	true
MNMCH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	KS	501(C)(3)	3	SJRMC	true
MT ST JOSEPH INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	NURSING CARE	OR	501(C)(3)	11 - Type I	CHI	true
NEBRASKA HEART HOSPITAL
7500 SOUTH 91ST STREET	LINCOLN	NE	68526	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
OAKES COMMUNITY HOSPITAL
314 SOUTH 8TH STREET	OAKES	ND	58474	HEALTHCARE	ND	501(C)(3)	3	CHI	true
OAKES COMMUNITY HOSPITAL FOUNDATION
1200 N 7TH STREET	OAKES	ND	58474	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	true
PUEBLO STEPUP
1925 EAST ORMAN AVE SUITE G52	PUEBLO	CO	81004	COMMUNITY	CO	501(C)(3)	7	CHIC	true
SET OF COLORADO SPRINGS INC
2864 S CIRCLE DRIVE SUITE 450	COLORADO SPRINGS	CO	80906	LTERM CARE	CO	501(C)(3)	7	CHIC	true
SAINT CLARE'S COMMUNITY CARE
25 POCONO ROAD	DENVILLE	NJ	07834	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	true
SAINT CLARE'S FOUNDATION
25 POCONO ROAD	DENVILLE	NJ	07834	FUNDRAISING	NJ	501(C)(3)	7	SCHS	true
SAINT CLARE'S HEALTH SERVICES INC
25 POCONO ROAD	DENVILLE	NJ	07834	MANAGEMENT	NJ	501(C)(3)	7	CHI	true
SAINT CLARE'S HOSPITAL
25 POCONO ROAD	DENVILLE	NJ	07834	HEALTHCARE	NJ	501(C)(3)	3	SCHS	true
SAINT ELIZABETH FOUNDATION
555 SOUTH 70TH STREET	LINCOLN	NE	68510	FUNDRAISING	NE	501(C)(3)	7	SERMC	true
SAINT ELIZABETH HEALTH SERVICES
555 SOUTH 70TH STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	3	SERMC	true
SAINT ELIZABETH REGIONAL MEDICAL CENTER
555 SOUTH 70TH STREET	LINCOLN	NE	68510	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER
2620 WEST FAIDLEY	GRAND ISLAND	NE	68803	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
SAINT FRANCIS MEDICAL CENTER FOUNDATION
PO BOX 9804	GRAND ISLAND	NE	68802	FUNDRAISING	NE	501(C)(3)	7	SFMC	true
SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC
305 ESTILL STREET	BEREA	KY	40403	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH HEALTH SYSTEM INC
424 LEWIS HARGETT CIRCLE 160	LEXINGTON	KY	40503	HEALTHCARE	KY	501(C)(3)	3	CHI	true
SAINT JOSEPH LONDON FOUNDATION INC
1001 SAINT JOSEPH LANE	LONDON	KY	40741	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH MEDICAL FOUNDATION INC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	PHY PRACTICES	KY	501(C)(3)	3	SJHS	true
SAINT JOSEPH MOUNT STERLING FOUNDATION INC
225 FALCON DRIVE	MOUNT STERLING	KY	40353	FUNDRAISING	KY	501(C)(3)	7	SJHS	true
SAINT JOSEPH'S HOSPITAL FOUNDATION
30 WEST 7TH STREET	DICKINSON	ND	58601	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	true
SAMARITAN BEHAVIORAL HEALTH
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	HEALTHCARE	OH	501(C)(3)	3	SHP	true
SAMARITAN HEALTH FOUNDATION
2222 PHILADELPHIA DRIVE	DAYTON	OH	45406	FUNDRAISING	OH	501(C)(3)	7	SHP	true
SAMARITAN HEALTH PARTNERS
110 NORTH MAIN STREET	DAYTON	OH	45402	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	true
SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC
104 W 17TH STREET	SCHUYLER	NE	68661	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMHS	true
SJMGROUP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	true
SJRMC JOPLIN MISSOURI
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	MO	501(C)(3)	3	CHI	true
SL AUGUSTA CORP
PO BOX 20269	HOUSTON	TX	77225	TITLE HOLDING	TX	501(C)(2)	N/A	SL PROPERTIES	true
ST JOSEPH HEALTH MINISTRIES
1929 LINCOLN HWY E STE 150	LANCASTER	PA	17602	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S MEDICAL TOWER CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL PROPERTIES	true
ST ANTHONY HOSPITAL
1601 SE COURT AVENUE	PENDLETON	OR	97801	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST ANTHONY HOSPITAL FOUNDATION
1601 SE COURT AVENUE	PENDLETON	OR	97801	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	true
ST ANTHONY'S HOSPITAL ASSOCIATION
FOUR HOSPITAL DRIVE	MORRILTON	AR	72110	HEALTHCARE	AR	501(C)(3)	3	SVIMC	true
ST CATHERINE HOSPITAL
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	HEALTHCARE	KS	501(C)(3)	3	CHI	true
ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION
401 EAST SPRUCE STREET	GARDEN CITY	KS	67846	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	true
ST DOMINIC OF ONTARIO OREGON
351 SW 9TH STREET	ONTARIO	OR	97914	HEALTHCARE	OR	501(C)(4)	N/A	CHI	true
ST FRANCIS HOME
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	LTERM CARE	MN	501(C)(3)	9	CHI	true
ST FRANCIS LIFE CARE CORPORATION
19 POCONO ROAD	DENVILLE	NJ	07834	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	true
ST FRANCIS MEDICAL CENTER
2400 ST FRANCIS DRIVE	BRECKENRIDGE	MN	56520	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST FRANCIS OF BAKER CITY
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	HEALTHCARE	OR	501(C)(3)	3	CHI	true
ST JOHN'S MERCY REGIONAL FOUNDATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	FUNDRAISING	MO	501(C)(3)	7	SJRMC	true
ST JOSEPH COMMUNITY HEALTH
300 CENTRAL AVENUE SW	ALBUQUERQUE	NM	87102	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	true
ST JOSEPH HOSPITAL FOUNDATION INC
ONE SAITN JOSEPH DRIVE	LEXINGTON	KY	40504	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	true
ST JOSEPH MEDICAL CENTER FOUNDATION
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	true
ST JOSEPH MEDICAL CENTER FOUNDATION
7601 OSLER DRIVE	TOWSON	MD	21204	FUNDRAISING	MD	501(C)(3)	7	SJMC	true
ST JOSEPH MEDICAL CENTER INC
7601 OSLER DRIVE	TOWSON	MD	21204	HEALTHCARE	MD	501(C)(3)	3	CHI	true
ST JOSEPH MEDICAL GROUP
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	9	BHC	true
ST JOSEPH PHYSICIAN ENTERPRISE INC
7601 OSLER DRIVE	TOWSON	MD	21204	PHYSICIANS	MD	501(C)(3)	11 - Type I	SJMC	true
ST JOSEPH REGIONAL HEALTH NETWORK
2500 BERNVILLE ROAD PO BOX 316	READING	PA	19603	HEALTHCARE	PA	501(C)(3)	3	CHI	true
ST JOSEPH'S AREA HEALTH SERVICES
600 PLEASANT AVENUE	PARK RAPIDS	MN	56470	HEALTHCARE	MN	501(C)(3)	3	CHI	true
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
30 WEST 7TH STREET	DICKINSON	ND	58601	HEALTHCARE	ND	501(C)(3)	3	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true	R LAND HOSPITAL
ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	CHI	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SL CDC	true
ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST LUKE'S HEALTH SYSTEM FOUNDATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	INVESTMENT MANAGEMENT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S PROPERTIES CORPORATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SLHS	true
ST LUKE'S FOUNDATION
1213 HERMANN DRIVE SUITE 855	HOUSTON	TX	77004	FUNDRAISING	TX	501(C)(3)	7	SLHS	true
ST LUKE'S MEDICAL CENTER
6624 FANNIN	HOUSTON	TX	77030	HEALTHCARE	TX	501(C)(3)	3	SLHS	true
ST MARY'S COMMUNITY HOSPITAL
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	true
ST MARY'S HEALTHCARE CENTER
801 EAST SIOUX AVENUE	PIERRE	SD	57501	HEALTHCARE	SD	501(C)(3)	3	CHI	true
ST MARY'S HOSPITAL FOUNDATION
1314 3RD AVENUE	NEBRASKA CITY	NE	68410	FUNDRAISING	NE	501(C)(3)	7	SMH	true
ST VINCENT FOUNDATION
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	true
ST VINCENT INFIRMARY MEDICAL CENTER
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	3	CHI	true
ST VINCENT MEDICAL GROUP
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	HEALTHCARE	AR	501(C)(3)	9	SVIMC	true
ST LUKE'S SUGAR LAND PROPERTIES CORPORATION
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	PROPERTY MGMT	TX	501(C)(3)	11 - Type I	SL CDC - SL	true
THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH
619 OAK STREET ACCOUNTING-3 W	CINCINNATI	OH	45206	HEALTHCARE	OH	501(C)(3)	3	CHI	true
THE PHYSICIAN NETWORK
2000 Q STREET SUITE 500	LINCOLN	NE	68503	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	true
TOTAL HEALTHCARE
188 INVERNESS DRIVE WEST SUITE 500	ENGLEWOOD	CO	80112	HEALTHCARE	CO	501(C)(3)	3	CHIC	true
UNITY FAMILY HEALTHCARE
815 SE 2ND STREET	LITTLE FALLS	MN	56345	HEALTHCARE	MN	501(C)(3)	3	CHI	true
VILLA NAZARETH INC
801 PAGE DRIVE	FARGO	ND	58103	LT CARE	ND	501(C)(3)	9	CHI	true
VISITING NURSE ASSOCIATION OF ST CLARE'S
191 WOODPORT ROAD	SPARTA	NJ	07871	HOME HEALTH	NJ	501(C)(3)	9	SCHS	true
WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL
16251 SYLVESTER RD SW	BURIEN	WA	98166	AUXILIARY	WA	501(C)(3)	11 - Type II	HMC	true
WOODLANDS DOCTOR GROUP
17200 ST LUKES WAY SUITE 170	THE WOODLANDS	TX	77384	PHY PRACTICES	TX	501(C)(3)	9	SL CHS	true

Form990 Schedule R Part III Form990ScheduleRPartIII (38 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
AUDUBON LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	841513085	REAL ESTATE	CO	CHIC	RELATED	34991	8665388	false	$0	false	0.501
AVANTAS LLC
11128 JOHN GALT BLVD SUITE 400	OMAHA	NE	68137	392045003	STAFFING OF NURSES	NE	AHBMHS	RELATED	-210405	4806071	false	-$439,536	false	0.95
BERYWOOD OFFICE PROPERTIES LLC
400 BERYWOOD TRAIL	CLEVELAND	TN	37312	621875199	PHYS OFFICE	TN	MHCS	RELATED	57545	1013237	false	$0	true	0.63
BLUEGRASS REGIONAL IMAGING CENTER
1218 SOUTH BROADWAY SUITE 310	LEXINGTON	KY	40504	611386736	DIAGNOSTIC	KY	SJHS	RELATED	308428	3317191	false	$0	false	0.65
CENTRAL NEBRASKA HOME CARE SERVICES
PO BOX 1146-4510 SECOND AVENUE	KEARNEY	NE	68848	470692112	HEALTHCARE SRVC	NE	NA	RELATED	228435	675251	false	$0	true	1
CENTRAL NEBRASKA REHAB SERVICES
3004 W FAIDLEY AVE	GRAND ISLAND	NE	68802	810653461	PHYSICAL THERAPY	NE	SFMC	RELATED	1710199	2712656	false	$0	false	0.51
CHI OPERATING INVESTMENT PROGRAM LP
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	470727942	INVESTMENTS	CO	CHI	UNRELATED	344962532	4617413792	false	$0	true	0.7992
HEALTHCARE SUPPORT SERVICES
PO BOX 9804	GRAND ISLAND	NE	68802	721546196	LAUNDRY	NE	NA	RELATED	98583	3190677	false	$0	false	1
MRI AT ST JOESPH MEDICAL CENTER LLC
7253 AMBASSADOR ROAD	BALTIMORE	MD	21244	521958002	MEDICAL IMAGING	MD	SJMC	RELATED	423167	2174155	false	$0	true	0.51
NORTH RIVER SURGERY CENTER LLC
2209 WILDWOOD AVENUE	SHERWOOD	AR	72120	710799771	AMBUL SURG CTR	AR	SVIMC	RELATED	81071	1077536	false	$0	false	0.5745
O'DEA MEDICAL ARTS LIMITED PARTNERSHIP
7601 OSLER DRIVE	TOWSON	MD	21204	521682964	REAL ESTATE	MD	TMI	RELATED	9490	0	false	$0	true	0.6658
ORTHOCOLORADO LLC
11650 WEST 2ND PLACE	LAKEWOOD	CO	80255	371577105	ORTHO HOSPITAL	CO	THC	RELATED	1846153	8411844	false	$0	false	0.6
PENINSULA RADIATION ONCOLOGY LLC
315 MARTIN LUTHER KING JR WAY 111	TACOMA	WA	98405	710799771	HEALTHCARE SRVC	WA	FHS	RELATED	256567	3262002	false	$0	false	0.6
PENRAD IMAGING
1390 KELLY JOHNSON BLVD	COLORADO SPRINGS	CO	80920	841072619	MEDICAL IMAGING	CO	CHIC	RELATED	715094	3489436	false	$0	false	0.7
RUXTON SURGICENTER LLC
8322 BELLONA AVENUE SUITE 201	BALTIMORE	MD	21204	522095835	SURGERY CENTER	MD	SJMC	RELATED	-69345	0	false	$0	true	0.51
SAINT JOSEPH - SCA HOLDINGS LLC
1451 HARRDOSBURG ROAD	LEXINGTON	KY	40504	453801157	OP SURGERY	DE	SJHS	RELATED	0	0	false	$0	true	0.51
SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	721386840	SURGERY CENTER	KY	JH	RELATED	3388	666017	false	$0	true	0.51
ST FRANCIS LAND COMPANY LLC
5390 N ACADEMY BLVD SUITE 300	COLORADO SPRINGS	CO	80918	263134100	REAL ESTATE	CO	CHIC	RELATED	-130967	13823763	false	$0	false	0.51
ST FRANCIS MEDICAL CENTER ASSOCIATES
1717 SOUTH J STREET	TACOMA	WA	98405	911352698	MED. OFFICE	WA	FHS	RELATED	238717	1907063	false	$0	false	0.5846
ST JOSEPH-PAML LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	452116736	MGMT SVCS	KY	SJHS	RELATED	30446	1149003	false	$0	true	0.625
SUPERIOR MEDICAL IMAGING LLC
5000 NORTH 26TH STREET	LINCOLN	NE	68521	262884555	OP DIAGNOSTICS	NE	SERMC	RELATED	-200323	821112	false	$0	true	0.51
SURGERY CENTER OF LEXINGTON LLC
424 LEWIS HARGETT CIRCLE STE 160	LEXINGTON	KY	40503	621179539	SURGERY CENTER	DE	SJHS	RELATED	-200318	4079584	false	$0	true	0.51
SURGERY CENTER OF LOUISVILLE LLC
200 ABRAHAM FLEXNER WAY	LOUISVILLE	KY	40202	621179537	SURGERY CENTER	KY	JH	RELATED	-15452	396101	false	$0	true	0.51
ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC
3606 N 156TH STREET	OMAHA	NE	68116	061786985	OP DIAGNOSTICS	NE	ACH	RELATED	116752	776649	false	$0	true	0.51
BERGAN MERCY SURGERY CENTER LLC
7710 MERCY ROAD STE 100	OMAHA	NE	68124	208671994	AMBUL SURG CTR	NE	ACH	RELATED	142085	3294472	false	$0	false	0.6394
LAKESIDE AMBULATORY SURGICAL CENTER LLC
17031 LAKESIDE HILLS DR	OMAHA	NE	68130	204267902	AMBUL SURG CTR	NE	ACH	RELATED	3465880	1951221	false	$0	false	0.516
LAKESIDE ENDOSCOPY CENTER LLC
17001 LAKESIDE HILLS PLZ STE 201	OMAHA	NE	68130	205544496	ENDOSCOPY SRVC	NE	ACH	RELATED	1455294	1013126	false	$0	false	0.5228
NEBRASKA SPINE HOSPITAL LLC
6901 N 72ND STREET	OMAHA	NE	68122	270263191	SPINE HOSPITAL	NE	ACH	RELATED	10501730	17301869	false	$0	false	0.51
PRAIRIE HEALTH VENTURES LLC
421 S 9TH ST 102	LINCOLN	NE	68508	204962103	TECH SERVICES	NE	AH-IMC	RELATED	1011804	5564586	false	$68,565	true	0.627
SAINT JOSEPH-ANC HOME CARE SERVICES
1700 EDISON DRIVE SUITE 300	MILFORD	OH	45150	263330545	HOME HEALTH	KY	JH	RELATED	3208139	9684824	false	$0	false	0.969
LINCOLN CK LEASING LLC
8770 BRYN MAWR SUITE 1370	CHICAGO	IL	60631	262496856	REAL ESTATE	NE	SERMC	RELATED	397452	439334	false	$0	false	0.5376
HIGHLINE IMAGING LLC
275 SW 160TH ST	BURIEN	WA	98166	200460005	DIAGNOSTIC	WA	HMC	RELATED	840222	1784058	false	$0	false	0.8
HC SL VINTAGE I LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	270453767	PROPERTY HOLD	WI	SL CDC - VINTAGE	RELATED	1027057	105658490	false	$0	false	0.51
ST LUKES HOSPITAL AT THE VINTAGE LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	263734516	HOSPITAL	TX	SL CDC - VINTAGE	RELATED	-19253743	69158748	false	$0	true	0.51
PMC HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	273280598	HOSPITAL	TX	SL CDC - PMC	RELATED	1092540	20751174	false	$0	true	0.51
ST LUKES DIAGNOSTIC CATH LAB LLP
6620 MAIN ST SUITE 1520	HOUSTON	TX	77030	710959365	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	273448	868814	false	$0	false	0.573
ST LUKES LAKESIDE HOSPITAL LLC
6624 FANNIN SUITE 2505	HOUSTON	TX	77030	300427437	HOSPITAL	TX	SL CDC - WOODLANDS	RELATED	1106628	25874619	false	$0	true	0.51
ST LUKES THE WOODLANDS SLEEP CENTER LLC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	462795726	DIAGNOSTIC	TX	SLHS HOLDINGS	RELATED	0	0	false	$0	false	0.51

Form990 Schedule R Part IV Form990ScheduleRPartIV (49 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line2NameOfRelatedOrg/BusinessNameLine2
ALTERNATIVE INSURANCE MANAGEMENT SERVICE
3900 OLYMPIC BOULEVARD SUITE 400	ERLANGER	KY	41018	841112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	6272746	1	true
AMERICAN NURSING CARE
1700 EDISON DRIVE	MILFORD	OH	45150	311085414	HOME HEALTH	OH	CHS	C CORPORATION	5118606	51920207	1	true
AMERIMED INC
1700 EDISON DRIVE	MILFORD	OH	45150	311158699	HOME HEALTH	OH	ANC	C CORPORATION	2134392	14669219	1	true
BC HOLDING COMPANY INC
1850 BLUEGRASS AVE	LOUISVILLE	KY	40215	311542851	FITNESS CLUB	KY	JH	C CORPORATION	0	0	1	true
CADUCEUS MEDICAL ASSOCIATES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1008	1	true
CAPTIVE MANAGEMENT INITIATIVES
				980663022	CAPTIVE MANAGEMENT		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	272269511	RESEARCH	CO	CIRI	C CORPORATION	-2286538	1241259	1	true
CGH REALTY COMPANY INC
2500 BERNVILLE RD	READING	PA	19603	232326801	REAL ESTATE	PA	SJHM	C CORPORATION	0	0	1	true
COMCARE SERVICES
4231 W 16TH AVENUE	DENVER	CO	80204	840904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	1	true
CONSOLIDATED HEALTH SERVICES
1700 EDISON DRIVE	MILFORD	OH	45150	311378212	HOME HEALTH	OH	CHI	C CORPORATION	-879467	52379487	1	true
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	61204	1064032	0.9298	true
FIRST INITIATIVES INSURANCE LTD
				980203038	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
FRANCISCAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232487967	HEALTHCARE	CO	CHI	C CORPORATION	-7868	718254	1	true
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-257418	180468	1	true
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C CORPORATION	87278	1377820	1	true
HEALTHCARE MGMT SERVICES ORG INC
1149 MARKET ST	TACOMA	WA	98402	911865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
MEDQUEST
1301 15TH AVENUE WEST	WILLISTON	ND	58801	450392137	SALE OF DME	ND	MMC WILLISTON	C CORPORATION	153510	1152715	1	true
MERCY PARK APARTMENTS LTD
1111 6TH AVENUE	DES MOINES	IA	50314	421202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	369231	1937218	1	true
MERCY SERVICES CORP
2700 STEWART PARKWAY	ROSEBURG	OR	97470	930824308	RETAIL SALES	OR	MMC	C CORPORATION	-440596	1423377	1	true
MHSERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	431457881	DME	MO	SJRMC	C CORPORATION	0	0	1	true
MOUNTAIN MANAGEMENT SERVICES INC
5600 BRAINERD ROAD SUITE 500	CHATTANOOGA	TN	37411	621570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	96044	6465179	1	true
NAZARETH ASSURANCE COMPANY
				030304831	INSURANCE		CHI	C CORPORATION	0	0	1	true	PO BOX 10073 APO	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1001	CJ
PATIENT TRANSPORT SERVICES INC
1700 EDISON DRIVE	MILFORD	OH	45150	311100798	HOME HEALTH	OH	ANC	C CORPORATION	-164340	5488275	1	true
PHYSICIAN HEALTH SYSTEM NETWORK
1149 MARKET ST	TACOMA	WA	98402	911746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	1	true
SAINT CLARES PRIMARY CARE INC
66 FORD ROAD	DENVILLE	NJ	07834	222441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-357263	1361242	1	true
SAMARITAN FAMILY CARE INC
40 W FOURTH ST 1700	DAYTON	OH	45402	311299450	HEALTHCARE	OH	SHP	C CORPORATION	0	0	1	true
SJH SERVICES CORPORATION
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	232307408	HEALTHCARE	CO	FSI	C CORPORATION	-197039	3331737	1	true
SJL PHYSICIAN MANAGEMENT SERVICES INC
424 LEWIS HARGETT CR 160	LEXINGTON	KY	40503	270164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	1	true
ST ANTHONY DEVELOPMENT COMPANY
1415 SOUTHGATE	PENDLETON	OR	97801	931216943	ATHLETIC CLUB	OR	SAH	C CORPORATION	114663	2936102	1	true
ST VINCENT COMMUNITY HEALTH SERVICES INC
TWO ST VINCENT CIRCLE	LITTLE ROCK	AR	72205	710710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2408638	15225732	1	true
ST JOSEPH DEVELOPMENT COMPANY INC
1717 SOUTH J STREET	TACOMA	WA	98405	911480569	RENTAL	WA	FSI	C CORPORATION	655478	12357418	1	true
ST JOSEPH OFFICE PARK ASSOCIATION
1401 HARRODSBURG ROAD BLDG B70	LEXINGTON	KY	40504	611079899	MANAGEMENT	KY	SJHS	C CORPORATION	0	882139	0.85	true
TOWSON MANAGEMENT INC
7601 OSLER DRIVE	TOWSON	MD	21204	521710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	516457	197196	1	true
COLLABHEALTH MANAGED SOLUTIONS INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461222808	HOLDING CO	CO	CHI	C CORPORATION	0	23806707	1	true
COLLABHEALTH PLAN SERVICES INC
198 INVERNESS DRIVE WEST	ENGLEWOOD	CO	80112	461224037	ADMIN SERVICES	CO	CHMS	C CORPORATION	-1082933	38272608	1	true
HIGHLINE MEDICAL GROUP
15811 AMBAUM BLVD SW 170	BURIEN	WA	98166	911407026	MEDICAL SERVICES	WA	HMC	C CORPORATION	-6049147	5689139	1	true
SOUNDPATH HEALTH INC
32129 WEYERHAEUSER WAY S SUITE 201	FEDERAL WAY	WA	98001	421720801	INSURANCE	WA	CHPS	C CORPORATION	-154741	10976973	0.556	true
SLEHS HOLDINGS INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637138	HOLDING CO	TX	SLHS	C CORPORATION	1425313	33114103	1	true
ST LUKE'S ANESTHESIOLOGY ASSOCIATES
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	461517163	MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true
SLMT PARKING INC
6624 FANNIN SUITE 800	HOUSTON	TX	77030	760637140	PARKING	TX	SLHS	C CORPORATION	1117934	13768221	1	true
ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355517	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC
6720 BERTNER	HOUSTON	TX	77030	760377932	PHO	TX	SLMC	C CORPORATION	6	0	0.6	true
ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	300355518	CONDOMINIUM ASSOC	TX	SLPC	C CORPORATION	0	0	1	true
ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	760298751	CONDOMINIUM ASSOC	TX	SLMTC	C CORPORATION	0	0	1	true
SUGAR LAND DOCTOR GROUP
1317 LAKE POINTE PARKWAY	SUGAR LAND	TX	77478	454270163	MEDICAL CLINIC	TX	SL CHS	C CORPORATION	-1159411	566590	1	true
THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B
6624 FANNIN SUITE 1100	HOUSTON	TX	77030	900064009	CONDOMINIUM ASSOC	TX	SLMC	C CORPORATION	0	0	1	true							UILDING CONDOMINIUM ASSOCIATION
ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC
12809 WEST DODGE ROAD	OMAHA	NE	68154	470802396	MANAGED CARE	NE	ACH	C CORPORATION	5312313	4520865	1	true
ALL SAINTS INSURANCE COMPANY SPC LTD
					INSURANCE		SLHS	C CORPORATION	0	43866961	1	true	PO BOX 69 GT 720 WEST BAY ROAD	GEORGETOWN	GRAND CAYMAN	CJ	KY-1102	CJ
VINTAGE DOCTOR GROUP
6624 FANNIN SUITE 1100	HOUSTON	TX	77030		MEDICAL CLINIC	TX	SLMC	C CORPORATION	0	0	1	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ALEGENT CREIGHTON CLINIC
A	3923230	COST
AH - BERGAN MERCY HEALTH SYSTEM
A	146545	COST
AH - IMMANUEL MEDICAL CENTER
A	237171	COST
AH - BERGAN MERCY HEALTH SYSTEM
J	472238	COST
AH - IMMANUEL MEDICAL CENTER
J	458031	COST
ALEGENT CREIGHTON CLINIC
K	529090	COST
AH - BERGAN MERCY HEALTH SYSTEM
K	1294085	COST
AH - IMMANUEL MEDICAL CENTER
K	156518	COST
ALEGENT HEALTH CREIGHTON ST JOSEPH MANAGED CARE SERVICES
L	878169	FMV
ALEGENT CREIGHTON CLINIC
L	17496289	COST
AH - BERGAN MERCY HEALTH SYSTEM
L	1292925	COST
AH - BERGAN MERCY HEALTH SYSTEM
M	604423	COST
AH - BERGAN MERCY HEALTH SYSTEM
N	32522168	COST
AH - IMMANUEL MEDICAL CENTER
N	16250202	COST
ALEGENT CREIGHTON CLINIC
N	8996044	COST

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Electing OrgElectingOrg	Total Grassroots LobbyingTotalGrassrootsLobbying	Total Direct LobbyingTotalDirectLobbying	Total Lobbying ExpendituresTotalLobbyingExpenditures	Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures	Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures	Lobbying NontaxableLobbyingNontaxableAmount	Grassroots NontaxableGrassrootsNontaxableAmount	Tot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontx	Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx	Share Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
ALEGENT CREIGHTON HEALTH
12809 WEST DODGE ROAD	OMAHA	NE	68154	470757164	X	0	205533	205533	442531237	442736770	$1,000,000	$250,000	0	0	0
ALEGENT HEALTH IMMANUEL MEDICAL CENTER
6901 NORTH 72ND ST	OMAHA	NE	68122	470376615	X	0	5790	5790	222686051	222691841	$1,000,000	$250,000	0	0	0