2025-05-13T12:30:23-05:00 2024-06-30 470617373 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2023-07-01 392031968 NEBRASKA HEART HOSPITAL NEBR 4023283721 7500 S 91ST ST LINCOLN NE 685269772 NICK O'TOOL MARKET CFO 4023283721 2025-05-13 1 1 MARK STOCKI P00642127 3032989100 2023 2025-03-06 01:10:19Z CHI HEALTH NEBRASKA HEART TIM BRICKER 12809 WEST DODGE ROAD OMAHA NE 68154 74941468 0 0928 X WWW.CHIHEALTH.COM X 2011 NE THE NEBRASKA HEART HOSPITAL IS THE MIDWEST'S PREMIER FACILITY FOR CARDIAC, VASCULAR AND THORACIC SERVICES. THE HOSPITAL PROVIDES PATIENTS WITH INPATIENT AND OUTPATIENT CARE. BY FOCUSING CARE AND USING TECHNOLOGIES THAT CENTER ON THE PATIENT, THE PHYSICIANS AND STAFF STRIVE TO PROVIDE THE BEST TREATMENT FOR EACH PATIENT. 15 10 323 19 0 0 1280182 0 74547587 74220779 7266 15427 847167 705262 76682202 74941468 5000 28925 0 0 19485211 23733018 0 0 0 49501969 50368905 68992180 74130848 7690022 810620 205943790 206770377 4784649 4779011 201159141 201991366 X AS AN AFFILIATE OF COMMONSPIRIT HEALTH, WE MAKE THE HEALING PRESENCE OF GOD KNOWN IN OUR WORLD BY IMPROVING THE HEALTH OF THE PEOPLE WE SERVE, ESPECIALLY THOSE WHO ARE VULNERABLE, WHILE WE ADVANCE SOCIAL JUSTICE FOR ALL. 0 0 24876743 16026 41122211 THE NEBRASKA HEART HOSPITAL (NHH) PROVIDES A COMPREHENSIVE PROGRAM OF CARDIOLOGY SERVICES. THESE SERVICES BEGIN WITH THE PATIENT AND THEIR FAMILY PRACTICE OR PRIMARY CARE PHYSICIAN, A RELATIONSHIP FUNDAMENTAL IN THE PREVENTION AND TREATMENT OF HEART DISEASE. THE NEBRASKA HEART HOSPITAL PROVIDES AN INCLUSIVE SERIES OF NON-INVASIVE AND INVASIVE DIAGNOSTIC TESTING AND PRACTICES THE MOST UP-TO-DATE INTERVENTIONAL THERAPY IN THE TREATMENT OF HEART DISEASE. CARDIOLOGISTS AT THE NEBRASKA HEART HOSPITAL WORK WITH PATIENTS AND REFERRING PHYSICIANS TO ASSURE THAT A TEAM-BASED APPROACH IS USED FROM DIAGNOSIS THROUGH TREATMENT AND REHABILITATION. 14447664 5235 13433442 SURGEONS WITH THE NEBRASKA HEART INSTITUTE PERFORM A VARIETY OF PROCEDURES TO TREAT CARDIAC, VASCULAR, AND THORACIC DISEASES. THESE SURGERIES INCLUDE BUT ARE NOT LIMITED TO: CORONARY ARTERY BYPASS, TAVR, TRANSMYOCARDIAL REVASCULARIZATION (TMR), VALVULAR PROCEDURES, TRANSPLANTATION, VASCULAR DISEASE, PERIPHERAL ANGIOGRAPHY, AND VEIN CLINIC. 1248664 2584 6629294 DESPITE ADVANCES IN MEDICINE, HEART DISEASE REMAINS THE LEADING CAUSE OF DEATH IN THE UNITED STATES. THE NEBRASKA HEART HOSPITAL CARDIOVASCULAR HEALTH AND LIPID CLINIC IS COMMITTED TO WORKING TO PREVENT THE DEVELOPMENT AND PROGRESSION OF CORONARY AND VASCULAR DISEASE USING A HOLISTIC APPROACH INCLUDING RISK ASSESSMENT, LIFESTYLE CHANGES AND MEDICAL TREATMENT. A TEAM OF PHYSICIANS, ADVANCED PRACTICE CLINICIANS, NURSES AND DIETICIANS WORKS TO PROVIDE PERSONALIZED RISK ASSESSMENT AND A CUSTOMIZED PLAN TO DECREASE YOUR RISK OF DEVELOPING CARDIOVASCULAR DISEASE. 26003579 5080 13035832 OTHER PROGRAM SERVICES 26003579 5080 13035832 66576650 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 323 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X NICK O'TOOL 4023434323 12809 WEST DODGE ROAD OMAHA NE 68154 JOHN PETERSDORF BOARD MEMBER 1.00 49.00 X 0 2089747 992820 EVERT KUIPER FORMER CEO CHI HEALTH 0.00 0.00 X 0 2787233 48534 TIMOTHY BRICKER BOARD MEMBER/CEO CENTRAL REGION 1.00 49.00 X X 0 2499192 116526 RICK THOMPSON MD PRESIDENT 50.00 0.00 X 59844 1485591 43706 JEANETTE WOJTALEWICZ FORMER CFO, CHI HEALTH 0.00 0.00 X 0 1344835 12367 DEREK VANCE FORMER PRESIDENT 0.00 0.00 X 0 1032975 25180 NICK O'TOOL MARKET CFO 1.00 49.00 X 0 349020 50949 KIRTIBALA GUPTA MD BOARD MEMBER/PHYSICIAN 1.00 49.00 X 0 346502 47524 HEATHER MORGAN MD BOARD MEMBER/PHYSICIAN 1.00 49.00 X 0 320425 58377 EMILY MANNSCHRECK PHARMACY DIRECTOR 10.00 40.00 X 50347 177758 46593 KEVIN MENDENHALL NURSING SUPERVISOR 50.00 0.00 X 218037 0 49784 MICHELE MURPHY FORMER HCE 0.00 50.00 X 0 204041 45196 STEVE TYNDALL MEDICAL DIRECTOR 40.00 10.00 X 210828 30642 5242 GERALD SCHWARZ FORMER HCE 0.00 50.00 X 0 207401 36687 JONI STREET FORMER HCE 0.00 50.00 X 0 192953 50822 ANDREW BONNESS PERFUSIONIST 50.00 0.00 X 187193 747 45600 REBECCA ECKERT VP PATIENT CARE SERVICES 50.00 0.00 X 184135 0 48963 CYNTHIA ALLOWAY BOARD MEMBER 1.00 11.00 X 0 0 0 KELLY BACON BOARD MEMBER 1.00 11.00 X 0 0 0 KENT BARNEY TREASURER 1.00 11.00 X X 0 0 0 KATE CUTLER BOARD MEMBER 1.00 11.00 X 0 0 0 KEVIN FITZGERALD SECRETARY 1.00 11.00 X X 0 0 0 SISTER NADINE HEIMANN OSF BOARD MEMBER 1.00 40.00 X 0 0 0 LG SEARCEY BOARD MEMBER 1.00 11.00 X 0 0 0 SISTER MAURITA SOUKUP BOARD CHAIR 1.00 11.00 X X 0 0 0 DAVE TAYLOR BOARD MEMBER 1.00 11.00 X 0 0 0 MARDELL WILSON BOARD MEMBER 1.00 11.00 X 0 0 0 BILL YATES VICE CHAIR 1.00 11.00 X X 0 0 0 910384 13069062 1724870 46 1 1 0 SPECTRANETICS CORPORATION 9965 FEDERAL DRIVE COLORADO SPRINGS CO 80921 MEDICAL SERVICES 225690 1 NET PATIENT SERVICES 900099 74220779 74220779 0 0 74220779 8872 8872 6555 0 6555 6555 6555 INSURANCE RECOVERIES 900099 283674 0 0 283674 SERVICES SOLD 900099 240000 0 0 240000 CAFETERIA 722100 155058 0 0 155058 26530 26530 705262 74941468 74220779 0 720689 X 28925 28925 103621 98440 5181 18600458 17670435 930023 932055 885452 46603 2781156 2642098 139058 1315728 1249942 65786 102708 97573 5135 3348 3348 12605514 11957603 647911 1458 977 481 1605612 1402440 203172 1372155 919344 452811 1236330 828341 407989 19787 13257 6530 1154 773 381 1037500 695125 342375 2001988 1341332 660656 252878 252878 MEDICAL SUPPLIES 25790818 25790818 0 0 INTERCOMPANY ALLOCATION 3308088 0 3308088 0 REPAIRS AND MAINTENANCE 780157 741149 39008 0 DUES & SUBSCRIPTIONS 125004 118754 6250 0 124406 93872 30534 74130848 66576650 7554198 0 199 399 26076880 24676349 0 9257742 8081025 0 0 13677 13677 4803177 4797391 0 46465223 25038975 21274343 21426248 0 233237 257606 0 74786413 74786413 69498122 72731269 205943790 206770377 4602953 4611595 0 34900 34900 0 0 0 0 0 146796 132516 4784649 4779011 X 201159141 201991366 0 201159141 201991366 205943790 206770377 X 810620 14885 6720 X 0 1 X 1 0 X 0 0 0 0 0 1 3348 0 0 0 3348 0 PART II-B, LINE 1: THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $1,023 CATHOLIC HEALTH ASSOCIATION - $442 NEBRASKA HOSPITAL ASSOCIATION - $1,883 1400000 1400000 23279013 8830623 14448390 18558142 15194476 3363666 3228068 1013876 2214192 21426248 INTERCOMPANY RECEIVABLES 72614483 ROU OPERATING LEASE 116786 72731269 LONG TERM PORTION OF LEASE LIABILITIES 34605 CURRENT PORTION OF LEASE LIABILITIES 82007 OTHER CURRENT LIABILITIES 2862 PHYSICIAN RECRUIT AND GUARANTEE PAYABLE - ST 13042 132516 X PART X, LINE 2: NEBRASKA HEART HOSPITAL'S FINANCIAL INFORMATION IS INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS, WHICH INCLUDES THE FOLLOWING DISCLOSURE: COMMONSPIRIT REVIEWS ITS TAX POSITIONS QUARTERLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 1 1 1 0 1 1 262 406163 0 406163 0.00550 925 3010174 2769950 240224 0.00320 0 0 0 1187 3416337 2769950 646387 0.00870 7 208 61812 709 61103 0.00080 3 299 261743 0 261743 0.00350 0 0 0 0 1 0 1 0 1 0.00000 4 1 60260 0 60260 0.00080 15 508 383816 709 383107 0.00510 15 1695 3800153 2770659 1029494 0.01380 1 1590484 0 30747802 36908060 -6160258 X 1 1 1 1 NEBRASKA HEART HOSPITAL 7500 SOUTH 91ST STREET LINCOLN NE 68526 HTTP://WWW.NEHEART.COM H000118 X HEART HOSPITAL NEBRASKA HEART HOSPITAL 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://WWW.CHIHEALTH.COM/CHNA X X 1 22 1 WWW.CHIHEALTH.COM/CHNA 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CHIHEALTH.COM/EN/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE.HTML X X X X X X 1 X 0 X X X X 1 X 0 0 NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT CHNA, CHI HEALTH NEBRASKA HEART HOSPITAL (NHH) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN THIS CYCLE OF THE CHNA PROCESS, LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT (LLCHD) PILOTED AND IMPLEMENTED A NEW SHORTENED VERSION OF A COMMUNITY HEALTH STATUS ASSESSMENT IN THE FORM OF THE FIVE-QUESTION GEOSPATIAL COMMUNITY SURVEY. THIS SURVEY (PRIMARY DATA SOURCE) IN COMBINATION WITH THE ARRAY OF INDICATORS FROM SECONDARY DATA SOURCES (BIRTH, DEATH, BRFSS, YRBS, HOSPITAL DISCHARGE DATA) HELPS PROVIDE A ROBUST UNDERSTANDING OF HEALTH BEHAVIORS AND OUTCOMES IN LANCASTER COUNTY. THE GEOSPATIAL COMMUNITY SURVEY PROVIDED CENSUS TRACT ESTIMATES FOR THE SELF-REPORTED HEALTH STATUS OF THE COMMUNITY. THE LLCHD TEAM WAS UNABLE TO FIND SURVEY METHODOLOGY MATCHING THEIR FOCUS, AND ADAPTED A MODIFIED GEO-SPATIAL METHODOLOGY, USING GIS TO IDENTIFY 1 OUT OF EVERY 7 HOMES ON EVERY BLOCK OF THE CITY AND COUNTY. ROUGHLY 14,000 ADDRESSES WERE IDENTIFIED FOR THE INITIAL ROUND OF SURVEYING (THE METHODOLOGY ALLOWS FOR EASY SHIFTING IN THE FUTURE (I.E. HOME 2 OUT 7) TO AVOID SURVEY FATIGUE). THE SURVEY HAS NO METHOD FOR COLLECTING ADDITIONAL DEMOGRAPHIC INFORMATION, WHICH IS CURRENTLY OBTAINED THROUGH THE CENSUS. THE FOCUS OF THE SURVEY IS SOLELY HOW HEALTH IS EXPERIENCED BASED ON WHERE A PERSON LIVES. THE TOOL WAS TRANSLATED INTO FIVE ADDITIONAL LANGUAGES BASED ON THE TOP LANGUAGE NEEDS IDENTIFIED THROUGH OTHER SERVICES OFFERED BY THE LLCHD. NEARLY 500 SURVEYS WERE DISTRIBUTED, EACH WITH A CODE THAT CORRELATED TO THEIR CENSUS TRACT. THE PILOT HAD MORE THAN A 20% COMPLETION RATE AFTER TWO MAILINGS, SENT TWO WEEKS APART. BEYOND SENDING THE SURVEY TO ONE IN EVERY SEVEN PARCELS, THE LLCHD PARTNERED WITH THE CULTURAL CENTERS OF LINCOLN (CCL), THE COMMISSION FOR THE BLIND, AND THE HOMELESS COALITION, TO IDENTIFY AND SURVEY 11 EQUITY GROUPS TO BETTER ENSURE ENGAGEMENT AND REPRESENTATION AS PRIORITIES EMERGE FROM THE DATA FOR COMMUNITY HEALTH IMPROVEMENT PLANNING THE CCL INCLUDES THE ASIAN COMMUNITY AND CULTURAL CENTER, EL CENTRO DE LAS AMERICAS, GOOD NEIGHBOR COMMUNITY CENTER, INDIAN CENTER, MALONE CENTER, AND PONCA TRIBE OF NEBRASKA. EACH CENTER REPRESENTS A DISTINCT CONSTITUENCY, BUT THEY SHARE MANY CHARACTERISTICS, VALUES, AND GOALS. CCL SERVES AS A MODEL OF MULTICULTURAL COLLABORATION, ENCOURAGING DIALOGUE TO INCREASE UNDERSTANDING OF HEALTH, BEHAVIORAL HEALTH, SOCIAL, ECONOMIC, AND EDUCATIONAL NEEDS. BUILDING ON THE CHNA STEERING COMMITTEE'S SURVEY ANALYSIS, THE LLCHD TEAM COLLABORATED WITH THE CCL TO ARRANGE 2-HOUR CONVERSATIONS WITH COMMUNITY MEMBERS FROM NINE ETHNIC MINORITY GROUPS IN LANCASTER COUNTY. FOURTEEN CONVERSATIONS WERE COMPLETED (FIVE GROUPS HAD TWO CONVERSATIONS: AFRICAN AMERICAN, HISPANIC, MIDDLE-EASTERN, NATIVE AMERICAN, AND SUDANESE COMMUNITIES) WITH AN AVERAGE OF 10 PARTICIPANTS REPRESENTING 15 DIFFERENT COUNTRIES OF ORIGIN. NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 6A: CHI HEALTH NEBRASKA HEART HOSPITAL AND ST. ELIZABETH CONDUCTED A JOINT CHNA IN PARTNERSHIP WITH BRYAN HEALTH. NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 6B: LINCOLN LANCASTER COUNTY HEALTH DEPARTMENT NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 7D: THIS CHNA WAS COMPLETED IN PARTNERSHIP WITH THE HEALTH DEPARTMENT AND WAS REVIEWED BY THE BOARD OF HEALTH ON SEPTEMBER 15TH, 2021 NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 11: THE MOST RECENT CHNA AND CORRESPONDING IMPLEMENTATION PLAN WAS COMPLETED IN THE TAX REPORTING YEAR 2022. THE FOLLOWING OUTLINES THE CURRENT IMPLEMENTATION PLAN PRIORITIES AND STRATEGIES. THIS PLAN WAS POSTED PUBLICLY ON WWW.CHIHEALTH.COM/CHNA. THE COMMUNITY IDENTIFIED THE FOLLOWING PRIORITIES AS TOP HEALTH NEEDS THROUGH PRIMARY DATA COLLECTION AND REVIEW VIA SURVEYS AND FOCUS GROUPS, AS WELL AS A SECONDARY DATA REVIEW AND VALIDATION. TOP HEALTH NEEDS (FROM 2022 CHNA): 1. ACCESS TO CARE2. BEHAVIORAL HEALTH 3. CANCER4. CHRONIC & INFECTIOUS DISEASE (OBESITY, DIABETES, CARDIOVASCULAR DISEASE AND RELATED HEALTH BEHAVIORS) 5. SOCIAL DETERMINANTS OF HEALTH6. VIOLENCE/INJURYFOR THIS PLAN THE HOSPITAL PRIORITIZED THE FOLLOWING HEALTH NEEDS:PRIORITY HEALTH NEED #1: ACCESS TO CARETO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:- 1.1 ENGAGE WITH COMMUNITY PARTNERS AND KEY SERVICE PROVIDERS IN EXISTING EFFORTS TO IMPROVE ACCESS POINTS AND COORDINATION OF HEALTH CARE SERVICES ACROSS THE CITY OF LINCOLN AND LANCASTER COUNTY. -1.1.1 SUPPORT AND PARTICIPATE IN THE LLCHD CHIP ACCESS TO CARE WORK GROUP AND OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT WORK AROUND MATERNAL CHILD HEALTH, PREVENTATIVE CARE, AND BARRIERS TO CARE. FY2024 ACTIONS AND IMPACT:PARTICIPATED IN LLCHD CHIP ACCESS TO CARE WORKGROUP WHICH SET THE FOLLOWING PRIORITIES.PROVIDED FINANCIAL SUPPORT TO CLINIC WITH A HEART TO ENSURE GREATER HEALTHCARE ACCESS IN THE COMMUNITY.SUPPORTED MADONNA MEDICAL TRANSPORT PROGRAM THROUGH PARTNERSHIP AND A FINANCIAL CONTRIBUTION OF $10,000 TO ENSURE COMMUNITY MEMBERS COULD CONTINUE TO ACCESS NEEDED HEALTH CARE.SUPPORTED BRAVEBE CHILD ADVOCACY CENTER.NEWLY ADDED STRATEGY AROUND FOOD SECURITY, BASED ON REQUESTS MADE BY COMMUNITY PARTNERS.MEASURES:BOOKS FOR BABIES:FUNDS PROVIDED: $5,000MADONNA MEDICAL TRANSPORT:FUNDS PROVIDED: $10,000DURING THE LAST FISCAL YEAR, CMT PROVIDED 4,574 NON-EMERGENCY MEDICAL TRIPS. OF THOSE TRIPS, 611 WERE TO ST. ELIZABETH PROPERTIES, 1454 WERE TO B=BRYAN HEALTH PROPERTIES, 618 WERE TO DIALYSIS CENTERS AND THE OTHER TRIPS WERE TO MEDICAL OFFICES, SURGICAL CENTERS AND DIAGNOSTIC CENTERS.BRAVEBE: SUBMITTED A $599,996 MISSION AND MINISTRY FUND APPLICATION TO SUPPORT THEIR WORK. THE APPLICATION WAS FUNDED, WITH THE PROJECT COMMENCING IN FY25. CLINIC WITH A HEART: NO MEASURES TO REPORTSTATEWIDE DOUBLE UP FOODS BUCKS: FUNDS PROVIDED: $12,500-1.1.2 IDENTIFY AND IMPLEMENT SOLUTIONS TO REDUCE PREVENTABLE READMISSIONS AND OPTIMIZE TRANSITIONS OF CARE. FY2024 ACTIONS AND IMPACT:FORMED A READMISSIONS COMMITTEE AND WORKED TO IMPROVE DOCUMENTATION IN EPIC FOR MORE ACCURATE ANALYSIS OF ROOT CAUSES OF READMISSIONS. HEALTH EQUITY COMMITTEE PRIORITIZED CLOSING THE GENDER DISPARITY GAP IN HOSPITAL READMISSIONS AS THE FY25 CLINICAL QUALITY GOAL, THEREFORE ACTIONS AND MEASURES WILL BE REPORTED IN SUBSEQUENT REPORTING CYCLES.MEASURES: NO MEASURES TO REPORT.-1.1.3 PARTNER WITH AGING PARTNERS (AREA AGENCY ON AGING) TO IDENTIFY GAPS IN CARE SPECIFIC TO THE AGING AND DISABLED POPULATIONS AND IDENTIFY RELEVANT ACTIONS AND MEASURES OF SUCCESS FOR IDENTIFIED WORK. FY2024 ACTIONS AND IMPACT:CONTINUED PARTNERSHIP WITH AGING PARTNERS TO DETERMINE HEALTH NEEDS OF THE AGING POPULATION. CONTINUED TO EXPLORE ALIGNMENT AS THE ORGANIZATION MOVED INTO A BUILDING ACROSS THE STREET FROM ST. ELIZABETH.BEGAN PURSUING AN AGE FRIENDLY HEALTH SYSTEM DESIGNATION AT ST. ELIZABETH.MEASURES:OBTAINED LEVEL 1 AGE FRIENDLY HEALTH SYSTEM DESIGNATION.-1.1.4 EXPLORE AND IDENTIFY WAYS TO PROMOTE IMPROVED ALIGNMENT BETWEEN PRIMARY AND CARDIOVASCULAR SPECIALTY CARE IN THE LINCOLN COMMUNITY AND IDENTIFY RELEVANT ACTIONS AND MEASURES OF SUCCESS FOR IDENTIFIED WORK.FY2024 ACTIONS AND IMPACT:THE ANNUAL FALL CARDIOLOGY CONFERENCE WAS HELD OCTOBER 21, 2023; FOUR HOURS OF CME WAS PROVIDED; POST CONFERENCE SURVEYS INDICATED THE TOPICS OF DESIRE FOR FUTURE CONFERENCES; MEMBERS OF SPECIALTY AREAS INCLUDING CARDIOLOGY AND VASCULAR AND CARDIAC SURGERY WERE AVAILABLE AND VISITED WITH PRIMARY CARE COLLEAGUES IN THE PRIMARY AND SECONDARY SERVICE AREAS.MEASURES:OBTAINED LEVEL 1 AGE FRIENDLY HEALTH SYSTEM DESIGNATION.-1.1.5 SUPPORT THE ON-GOING OR INCREASED AVAILABILITY OF EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT PROGRAMMING THAT LEVERAGES PRIMARY AND SPECIALTY CARE ACCESS POINTS (I.E. TOBACCO CESSATION CLASSES, DIABETES SELF- MANAGEMENT, HEART FAILURE, ETC.) TO ENCOURAGE REFERRAL AND FEEDBACK LOOP PROCESSES.FY2024 ACTIONS AND IMPACT:THE 2023 FALL CARDIOLOGY CONFERENCE WAS HELD OCTOBER 21, 2024; TOPICS INCLUDED: IMAGING MODALITIES FOR VASCULAR AND CARDIAC DISEASE; THERAPIES FOR STRUCTURAL HEART DISEASE INCLUDING TAVR AND TRADITIONAL OPEN-HEART THERAPIES; DISCUSSION OF PREVENTION OF STROKE FOR PATIENTS WITH AFIB; DISCUSSION OF THERAPY FOR SLEEP APNEA WHICH MAY CONTRIBUTE TO CORONARY ARTERY DISEASE, PULMONARY DYSFUNCTION AND HEART FAILURE; PANEL DISCUSSIONS ALONG WITH LECTURE PRESENTATIONS AND CASE PRESENTATION WAS UTILIZED.MEASURES:TOBACCO CESSATION: NO MEASURES TO REPORT.LMEP FAMILY MEDICINE RESIDENTS: EIGHT RESIDENTS SPEND FOUR WEEKS INDIVIDUALLY WITH NEBRASKA HEART PHYSICIANS.WOUNDS CENTER VISITS ARE MADE TO ST. ELIZABETH HOSPITAL, ST. MARY'S HOSPITAL AND THE HOSPITAL IN FALLS CITY; THE AVERAGE MONTHLY PATIENTS SEEN IN THESE THREE CLINICS ARE 112 PATIENTS.PRIORITY HEALTH NEED #2: BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, AND VIOLENCE)TO ADDRESS THIS NEED THE HOSPITAL WILL IMPLEMENT THE FOLLOWING STRATEGIES IN FISCAL YEARS 2023- 2025:-2.1 PROVIDE ENTRY POINTS FOR BEHAVIORAL HEALTH CARE AND ENGAGE IN THE BEHAVIORAL HEALTH CONTINUUM TO ENSURE PROPER REFERRAL OF THOSE NEEDING CARE -2.1.1 ASSESS THE BARRIERS AND NEED FOR INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE, INCLUDING INCREASED NEED FOR CARE COORDINATION IN THE HEALTH CARE SETTING, AND IDENTIFY STRATEGIES FOR ADDRESSING KNOWN BARRIERS.FY2024 ACTIONS AND IMPACT:CONTINUED TO INTEGRATE BEHAVIORAL HEALTH IN THE PRIMARY CARE SETTING. THE FULL TIME BEHAVIORAL HEALTH SPECIALIST MOVED TO THE NEW YANKEE HILL FAMILY HEALTH CENTER, REACHING MORE PATIENTS WITH BEHAVIORAL HEALTH SERVICES. A PSYCHIATRIC NURSE PRACTITIONER HAS BEEN ADDED TO THE TEAM, AND THEY BEGAN RECRUITING FOR A FULL TIME THERAPIST. THERE IS ALSO A FULLTIME PA ON STAFF TO SUPPORT MEDICAL AND BEHAVIORAL HEALTH NEEDS OF PATIENTS, AND THE NEW CLINIC IS ACCEPTING REFERRALS FROM ALL LINCOLN BASED CHI HEALTH CLINICS. BEHAVIORAL HEALTH STAFFING WILL CONTINUE TO BE A PRIORITY AS FAMILY HEALTH CENTERS ARE DEVELOPED THROUGHOUT THE SYSTEM. PROVIDED ACCESS OPPORTUNITIES WITH APRN WORKING ONE SUNDAY A MONTH. DUE TO GROWTH, WE POSTED A FULL TIME THERAPIST POSITION WHICH HAS BEEN FILLED. MEASURES:482 BILLABLE OFFICE VISITS (LIMPH WAS OFF SIGNIFICANT PORTION OF FY24)8.8% NO SHOW RATESTAFF HIRED: 1 (START DATE: DECEMBER 2024)-2.1.2 SUPPORT PROVIDER AND STAFF RESILIENCY THROUGH GRAND ROUNDS PRESENTATIONS AND EXPLORE OTHER INTERNAL AND COMMUNITY BEHAVIORAL HEALTH NEEDS THROUGH THE ALIGNMENT OF THE PSYCHIATRY DEPARTMENT AND MISSION INTEGRATION.FY2023 ACTIONS AND IMPACT: NO UPDATES TO REPORTMEASURES: NO MEASURES TO REPORT. -2.1.3 PARTNER WITH THE LLCHD BEHAVIORAL HEALTH CHIP WORKGROUP TO SUPPORT YOUTH MENTAL HEALTH, ACCESS TO BEHAVIORAL HEALTH CARE, AND SUICIDE, AS WELL AS OTHER NEED AREAS IDENTIFIED BY THE WORKGROUP. FY2024 ACTIONS AND IMPACT: NO UPDATES TO REPORTMEASURES: NO MEASURES TO REPORT-2.1.4 PREVENT VIOLENCE AND BUILD CAPACITY OF THE HEALTH CARE WORKFORCE TO APPROPRIATELY INTERVENE WHEN IT IS SUSPECTED.FY2024 ACTIONS AND IMPACT: ENCOURAGED STAFF PARTICIPATION IN MANDATORY EDUCATIONAL MODULES AS WELL AS RECRUITED TASK FORCE MEMBERS.INCREASE STAFF CAPACITY FOR CARE MANAGEMENT OF SURVIVORS OF HUMAN TRAFFICKING AND SEXUAL ABUSE.REGISTERED ONLINE CLASSES: THE ONLINE NUMBER INCLUDES THE NUMBER OF SIGN ONS BUT DOES NOT ACCOUNT FOR THE NUMBER OF ATTENDEES THAT MAY HAVE BEEN WATCHING TOGETHER ONLINE. HOSTED A HUMAN TRAFFICKING AWARENESS CONFERENCE. MANY ATTENDEES MADE COMMENTS THAT THEY LEARNED MORE ABOUT HOW HUMAN TRAFFICKING IS PRESENT IN OUR COMMUNITY AND FURTHERMORE WHAT TO DO TO HELP CONTRIBUTE TO REDUCING THE ISSUES HUMAN TRAFFICKING CAUSES IN OUR AREA. MEASURES:# IN PERSON CONFERENCE ATTENDEES: 135# REGISTERED TO ATTEND CONFERENCE ONLINE: 125 NEBRASKA HEART HOSPITAL PART V, SECTION B, LINE 13H: THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS. THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION. PATIENT COOPERATION STANDARDS - A PATIENT MUST COOPERATE WITH THE HOSPITAL FACILITY IN PROVIDING THE INFORMATION AND DOCUMENTATION NECESSARY TO DETERMINE ELIGIBILITY. SUCH COOPERATION INCLUDES COMPLETING ANY REQUIRED APPLICATIONS OR FORMS. THE PATIENT IS RESPONSIBLE FOR NOTIFYING THE HOSPITAL FACILITY OF ANY CHANGE IN FINANCIAL SITUATION THAT WOULD IMPACT THE ASSESSMENT OF ELIGIBILITY. A PATIENT MUST EXHAUST ALL OTHER PAYMENT OPTIONS, INCLUDING PRIVATE COVERAGE, FEDERAL, STATE AND LOCAL MEDICAL ASSISTANCE PROGRAMS, AND OTHER FORMS OF ASSISTANCE PROVIDED BY THIRD PARTIES PRIOR TO BEING APPROVED. AN APPLICANT FOR FINANCIAL ASSISTANCE IS RESPONSIBLE FOR APPLYING TO PUBLIC PROGRAMS FOR AVAILABLE COVERAGE. HE OR SHE IS ALSO EXPECTED TO PURSUE PUBLIC OR PRIVATE HEALTH INSURANCE PAYMENT OPTIONS FOR CARE PROVIDED BY A COMMONSPIRIT HOSPITAL ORGANIZATION WITHIN A HOSPITAL FACILITY. A PATIENT'S AND, IF APPLICABLE, ANY GUARANTOR'S COOPERATION IN APPLYING FOR APPLICABLE PROGRAMS AND IDENTIFIABLE FUNDING SOURCES, INCLUDING COBRA COVERAGE (A FEDERAL LAW ALLOWING FOR A TIME-LIMITED EXTENSION OF EMPLOYEE HEALTHCARE BENEFITS), SHALL BE REQUIRED. IF A HOSPITAL FACILITY DETERMINES THAT COBRA COVERAGE IS POTENTIALLY AVAILABLE, AND THAT A PATIENT IS NOT A MEDICARE OR MEDICAID BENEFICIARY, THE PATIENT OR GUARANTOR SHALL PROVIDE THE HOSPITAL FACILITY WITH INFORMATION NECESSARY TO DETERMINE THE MONTHLY COBRA PREMIUM FOR SUCH PATIENT, AND SHALL COOPERATE WITH HOSPITAL FACILITY STAFF TO DETERMINE WHETHER HE OR SHE QUALIFIES FOR HOSPITAL FACILITY COBRA PREMIUM ASSISTANCE, WHICH MAY BE OFFERED FOR A LIMITED TIME TO ASSIST IN SECURING INSURANCE COVERAGE. A HOSPITAL FACILITY SHALL MAKE AFFIRMATIVE EFFORTS TO HELP A PATIENT OR PATIENT'S GUARANTOR APPLY FOR PUBLIC AND PRIVATE PROGRAMS. PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 11B (CONTINED): IN ACKNOWLEDGING THE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, CHI HEALTH NEBRASKA HEART HOSPITAL PRIORITIZED ACCESS TO CARE AND BEHAVIORAL HEALTH IN ORDER TO MOST EFFECTIVELY FOCUS RESOURCES AND MEANINGFULLY IMPACT THE SELECTED HEALTH ISSUES. AS DESCRIBED IN THE PROCESS ABOVE, THE HOSPITAL TOOK INTO CONSIDERATION EXISTING PARTNERSHIPS, AVAILABLE RESOURCES, THE HOSPITAL'S LEVEL OF EXPERTISE, EXISTING INITIATIVES (OR LACK THEREOF), POTENTIAL FOR IMPACT, AND THE COMMUNITY'S INTEREST IN THE HOSPITAL ENGAGING IN THAT AREA IN ORDER TO SELECT THE PRIORITIES. THE HOSPITAL WILL NOT ADDRESS THE FOLLOWING HEALTH NEEDS FOR THE FOLLOWING REASONS: CANCER, CHRONIC, AND INFECTIOUS DISEASE. THE HOSPITALS DID NOT PRIORITIZE THESE HEALTH NEEDS FOR THREE KEY REASONS. FIRST, THERE IS A LARGE BODY OF EXISTING EFFORTS IN THE COMMUNITY THAT ARE WORKING TO REDUCE CHRONIC DISEASE AND NEGATIVE IMPACTS ASSOCIATED WITH SUCH DISEASES AS CANCER, HEART DISEASE, AND STROKE. SECOND, IN ORDER TO MAXIMIZE IMPACT, ST. ELIZABETH AND NHH HAVE PRIORITIZED ACCESS TO HEALTHCARE SERVICES AS IMPROVING ACCESS POINTS, REDUCING BARRIERS TO PREVENTIVE CARE, AND IMPROVING THE QUALITY OF HEALTHCARE. THIRD, THE HOSPITALS HAVE BEEN AWARDED A GRANT TO ENHANCE ONCOLOGY NAVIGATION IN PARTNERSHIP WITH NEBRASKA CANCER COALITION AND CHI HEALTH CLINICS. THESE EFFORTS IMPROVE THE ABILITY OF HEALTH CARE SERVICE PROVIDERS AND COMMUNITY PARTNERS TO ADDRESS CHRONIC DISEASE ON AN INDIVIDUAL BASIS. SOCIAL DETERMINANTS OF HEALTH. THE HOSPITALS DID NOT WRITE A SPECIFIC STRATEGY AROUND THIS HEALTH AREA IN ORDER TO FOCUS ON THE NEEDS PRIORITIZED. THERE IS SIGNIFICANT WORK IN THE COMMUNITY AROUND THE SOCIAL DETERMINANTS OF HEALTH THAT CHI HEALTH ST. ELIZABETH AND NHH LEADERSHIP AND STAFF ARE ACTIVELY INVOLVED IN SUCH AS, PARTICIPATING ON THE BOARD OF DIRECTORS FOR THE COMMUNITY HEALTH ENDOWMENT, PARTNERING WITH THE HEALTH DEPARTMENT TO ADDRESS COMMUNITY NEEDS, AND USE AND PROMOTION OF SOCIAL NEEDS REFERRAL PLATFORMS, SUCH AS UNITE US AND MYLNK. THE HOSPITALS WILL ALSO INDIRECTLY ADDRESS THE SOCIAL DETERMINANTS OF HEALTH THROUGH A NUMBER OF THE ACTIVITIES THAT FALL UNDER THE PRIORITIZED HEALTH NEEDS BELOW. VIOLENCE/INJURY. THIS HEALTH NEED WAS NOT PRIORITIZED IN ORDER TO FOCUS AND MEANINGFULLY IMPACT OTHER AREAS OF NEED. IN FY21, CHI HEALTH ST. ELIZABETH RECEIVED A TWO-YEAR GRANT TO INCREASE THE CAPACITY OF THE HEALTH SYSTEM AND COMMUNITY PARTNERS TO IDENTIFY AND RESPOND TO HUMAN TRAFFICKING AND INTERPERSONAL VIOLENCE. THIS WORK IS PART OF A SYSTEM WIDE EFFORT TO PREVENT AND TREAT VIOLENCE IN CHI HEALTH COMMUNITIES THAT PERSISTS BEYOND THE INITIAL GRANT TERM. CHI HEALTH ST. ELIZABETH ALSO HAS A ROBUST TRAUMA PROGRAM, IN WHICH PREVENTION AND OUTREACH ARE INTEGRATED TO SUPPORT LINCOLN AND THE SURROUNDING COMMUNITIES. ADDITIONALLY, THERE IS A ROBUST NETWORK OF PARTNERS ADDRESSING INJURY AND VIOLENCE PREVENTION THROUGH THE LLCHD COMMUNITY HEALTH IMPROVEMENT PLAN. CHI HEALTH ST. ELIZABETH AND NHH HAVE LONG SUPPORTED AND WILL CONTINUE TO SUPPORT THIS WORK THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS. PART I, LINE 3C: UNLESS ELIGIBLE FOR PRESUMPTIVE FINANCIAL ASSISTANCE, THE FOLLOWING ELIGIBILITY CRITERIA MUST BE MET IN ORDER FOR A PATIENT TO QUALIFY FOR FINANCIAL ASSISTANCE:- THE PATIENT MUST HAVE A MINIMUM ACCOUNT BALANCE OF TEN DOLLARS ($10.00) WITH THE COMMONSPIRIT HOSPITAL ORGANIZATION. MULTIPLE ACCOUNT BALANCES MAY BE COMBINED TO REACH THIS AMOUNT. PATIENTS/GUARANTORS WITH BALANCES BELOW TEN DOLLARS ($10.00) MAY CONTACT A FINANCIAL COUNSELOR TO MAKE MONTHLY INSTALLMENT PAYMENT ARRANGEMENTS.- THE PATIENT MUST COMPLY WITH PATIENT COOPERATION STANDARDS.- THE PATIENT MUST SUBMIT A COMPLETED FINANCIAL ASSISTANCE APPLICATION (FAA).FOR PATIENTS AND GUARANTORS WHO ARE UNABLE TO PROVIDE REQUIRED DOCUMENTATION, A HOSPITAL FACILITY MAY GRANT PRESUMPTIVE FINANCIAL ASSISTANCE BASED ON INFORMATION OBTAINED FROM OTHER RESOURCES. IN PARTICULAR, PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:- RECIPIENT OF STATE-FUNDED PRESCRIPTION PROGRAMS;- HOMELESS OR ONE WHO RECEIVED CARE FROM A HOMELESS OR FREE CARE CLINIC;- PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);- FOOD STAMP ELIGIBILITY;- ELIGIBILITY OR REFERRALS FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS (E.G., MEDICAID);- LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; OR- PATIENT IS DECEASED WITH NO KNOWN SPOUSE OR KNOWN ESTATE. PART I, LINE 6A: THE 2023 COMMUNITY BENEFIT REPORT FOR NEBRASKA HEART HOSPITAL WAS PREPARED BY ALEGENT CREIGHTON HEALTH, DBA CHI HEALTH, A RELATED ORGANIZATION. THE COMMUNITY BENEFIT REPORT CONTAINS INFORMATION FOR SEVERAL RELATED ORGANIZATIONS IN IOWA AND NEBRASKA. PART I, LINE 7: COMMONSPIRIT HEALTH HOSPITALS USE A COST ACCOUNTING SYSTEM OR AN ADJUSTED COST TO CHARGE RATIO CALCULATED IN A MANNER CONSISTENT WITH WORKSHEET 2 FOR EACH REPORTING FACILITY, TO DERIVE THE REPORTED COSTS OF FINANCIAL ASSISTANCE, MEDICAID AND OTHER MEANS-TESTED PROGRAMS. WORKSHEET 3 OR THE EQUIVALENT IN THE COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY ("CBISA") SOFTWARE ARE USED TO CALCULATE EXPENSE AND REVENUE, INCLUDING WHERE APPLICABLE MEDICAID PROVIDER FEES AND PAYMENTS FROM UNCOMPENSATED CARE PROGRAMS. ACTUAL OR ESTIMATED COST AND ANY DIRECT OFFSETTING REVENUE IS REPORTED, AND SCHEDULE H WORKSHEETS OR THEIR EQUIVALENTS ARE USED, FOR OTHER COMMUNITY BENEFIT ACTIVITIES SUCH AS COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS, HEALTH PROFESSIONS EDUCATION, SUBSIDIZED HEALTH SERVICES, RESEARCH, AND CASH AND IN-KIND DONATIONS. PART II, COMMUNITY BUILDING ACTIVITIES: CHI HEALTH HAS A HISTORY OF CENTRALIZED COMMUNITY BENEFIT INVESTMENTS, AS WELL AS HOSPITAL SPECIFIC INVESTMENTS THAT ADDRESS COMMUNITY HEALTH NEEDS WHICH INCLUDE SUPPORT OF LOCAL HEALTH COALITIONS, INVESTMENTS IN PARTNERSHIPS AND PROGRAMS THAT ADDRESS TOP COMMUNITY HEALTH NEEDS, PARTICIPATION IN LOCAL COMMITTEES AND BOARDS TIED TO TOP HEALTH NEEDS, AND INVESTMENTS IN MANY OTHER WAYS AS DESCRIBED IN OTHER AREAS OF THE SCHEDULE H NARRATIVE. PART III, LINE 2: THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE COST TO CHARGE RATIO TO PATIENT CHARGES THAT ARE DEEMED TO BE UNCOLLECTIBLE. THIS AMOUNT REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO ARE UNABLE OR REFUSE TO PAY THEIR BILLS AND DO NOT QUALIFY FOR FREE OR ADDITIONAL DISCOUNTED CARE, GOVERNMENT SPONSORED PROGRAMS OR OTHER PAYMENT ASSISTANCE, AND ARE OTHERWISE UNINSURED.THE FILING ORGANIZATION PROVIDES FREE CARE TO ANY PATIENT WHOSE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS WHOSE FAMILY INCOME IS ABOVE 201% BUT LOWER THAN 400% OF THE FEDERAL POVERTY LEVEL. THE FILING ORGANIZATION ALSO PROVIDES OPTIONS FOR INTEREST-FREE EXTENDED PAYMENT PLANS FOR PATIENTS WHO HAVE DEMONSTRATED GOOD FAITH AND ARE COOPERATING IN RESOLVING THEIR HOSPITAL BILLS. ALL ACCOUNTS FOR ELIGIBLE UNINSURED PATIENTS AT ALL FACILITIES RECEIVE AN AUTOMATIC UNINSURED DISCOUNT. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE. PART III, LINE 3: NEBRASKA HEART HOSPITAL MAKES EVERY EFFORT TO DETERMINE IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. NEBRASKA HEART HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS COMMUNICATED TO PATIENTS UPON ADMISSION AND IS AVAILABLE IN THE LANGUAGES PRIMARILY SPOKEN IN THE COMMUNITY. IT IS ALSO POSTED IN VARIOUS COMMON AREAS OF THE HOSPITAL, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, AND IS PROVIDED UPON BILLING IF ELIGIBILITY IS NOT PREVIOUSLY DETERMINED. ELIGIBILITY IS REEVALUATED AS NEEDED AND AMOUNTS ARE CLASSIFIED AS CHARITY AS SOON AS ELIGIBILITY IS KNOWN. NEBRASKA HEART HOSPITAL ALSO UTILIZES A WAYSTAR SCORING SYSTEM TO ASSIST IN DETERMINING IF A PATIENT MAY QUALIFY FOR PAYMENT ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. WAYSTAR USES A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC FACTORS THAT MIGHT ADVERSELY AFFECT THOSE PATIENTS DESERVING THE MOST ATTENTION. OTHER CRITERIA ARE ALSO UTILIZED TO ENSURE THAT SERVICES THAT HAVE QUALIFIED AS FINANCIAL ASSISTANCE ARE NOT REPORTED AS BAD DEBT. AS SUCH, NEBRASKA HEART HOSPITAL DOES NOT BELIEVE THAT ANY AMOUNTS INCLUDED IN PART III, LINE 2, ARE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S PAYMENT ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE. PART III, LINE 4: NEBRASKA HEART HOSPITAL DOES NOT ISSUE SEPARATE COMPANY AUDITED FINANCIAL STATEMENTS. HOWEVER, THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMONSPIRIT HEALTH. THE FOLLOWING IS AN EXCERPT FROM COMMONSPIRIT'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2024, RELATED TO PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT REVENUE. THE ENTIRE FOOTNOTE CAN BE VIEWED IN THE ATTACHED COMMONSPIRIT CONSOLIDATED FINANCIAL STATEMENTS ON PAGES 11-12."PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION COMMONSPIRIT EXPECTS TO BE PAID IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS, AND INCLUDE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS AND REVIEWS. GENERALLY, PERFORMANCE OBLIGATIONS FOR PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES AND OUTPATIENT SERVICES ARE RECOGNIZED OVER TIME AS SERVICES ARE PROVIDED. NET PATIENT REVENUE IS PRIMARILY COMPRISED OF HOSPITAL AND PHYSICIAN SERVICES." PART III, LINE 8: COMMONSPIRIT HEALTH HOSPITALS PREPARE MEDICARE COST REPORTS IN A MANNER THAT COMPORTS WITH PROVIDER REIMBURSEMENT MANUAL (PRM) 15-1 AND PRM 15-2 CHAPTER 40 (TRANSMITTAL 13). AS SUCH, THE FOLLOWING LANGUAGE PER PRM 15-1 DESCRIBES THE COMPUTATION OF COSTS PER THE MEDICARE COST REPORT: TOTAL ALLOWABLE COSTS OF A PROVIDER ARE APPORTIONED BETWEEN PROGRAM BENEFICIARIES AND OTHER PATIENTS SO THAT THE SHARE BORNE BY THE PROGRAM IS BASED UPON ACTUAL SERVICES RECEIVED BY PROGRAM BENEFICIARIES. THE RATIO OF COVERED BENEFICIARY CHARGES TO TOTAL PATIENT CHARGES FOR THE SERVICES OF EACH ANCILLARY DEPARTMENT IS APPLIED TO THE COST OF THE DEPARTMENT. ADDED TO THIS AMOUNT IS THE COST OF ROUTINE SERVICES FOR PROGRAM BENEFICIARIES, DETERMINED ON THE BASIS OF A SEPARATE AVERAGE COST PER DIEM FOR ALL PATIENTS FOR GENERAL ROUTINE PATIENT CARE AREAS. ANOTHER FACTOR CONSIDERED IS A SEPARATE AVERAGE COST PER DIEM FOR EACH INTENSIVE CARE UNIT, CORONARY CARE UNIT, AND OTHER SPECIAL CARE INPATIENT HOSPITAL UNITS. COMMONSPIRIT HEALTH AND ITS SUBORDINATE CORPORATIONS BELIEVE THAT THE ENTIRE MEDICARE SHORTFALL FOR THE CONSOLIDATED ENTITIES, CONSTITUTES COMMUNITY BENEFIT. THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. MEDICARE SHORTFALLS MUST BE ABSORBED BY COMMONSPIRIT HEALTH HOSPITALS IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITALS PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. NEBRASKA HEART HOSPITAL'S SHORTFALL, AS REPORTED ON PART III, SECTION B, LINE 7, OF $6,160,258 REPRESENTS THE FILING ORGANIZATION'S MEDICARE COST REPORTS. PART III, LINE 9B: COMMONSPIRIT HEALTH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. COMMONSPIRIT HEALTH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHO THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF THE COMMONSPIRIT HEALTH FACILITY, OR BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH, IS UNABLE TO OBTAIN AN UPDATED ADDRESS THROUGH SKIP TRACING OR OTHER MEANS. FOR PATIENTS WHO HAVE AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED ASSISTANCE OR FOR ASSISTANCE UNDER COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE POLICY, OR WHERE THE PATIENT IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH THE FACILITY VIA PAYMENT PLANS, COMMONSPIRIT HEALTH WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO AN OUTSIDE COLLECTION AGENCY. ON SELF-PAY ACCOUNTS THAT DO NOT MEET THE CRITERIA NOTED ABOVE, THE INITIAL DETERMINATION OF ASSIGNMENT TO A COLLECTION AGENCY WILL VARY DEPENDING ON THE NATURE OF THE ACCOUNT WITH THE FINAL DECISION BEING AT THE DISCRETION OF THE BILLING COMPANY RETAINED BY COMMONSPIRIT HEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, COMMONSPIRIT HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT. PART VI, LINE 3: INFORMATION ABOUT COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM AND A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF COMMONSPIRIT HEALTH'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS EACH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES COMMONSPIRIT HEALTH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION AND HOW TO REACH STAFF THAT CAN ASSIST WITH ANSWERING QUESTIONS AND GUIDE PATIENTS THROUGH THE APPLICATION PROCESS. INFORMATION CAN ALSO BE FOUND ON THE FACILITY WEBSITES. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED AND A STATEMENT INFORMING PATIENTS HOW TO CONTACT US REGARDING FINANCIAL ASSISTANCE. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF COMMONSPIRIT HEALTH REQUIRE THEY FOLLOW COMMONSPIRIT HEALTH FINANCIAL ASSISTANCE POLICY. ALSO, REFERRAL OF PATIENTS FOR FINANCIAL ASSISTANCE MAY BE MADE BY ANY MEMBER OF THE COMMONSPIRIT HOSPITAL ORGANIZATION NON-MEDICAL OR MEDICAL STAFF, INCLUDING PHYSICIANS, NURSES, FINANCIAL COUNSELORS, SOCIAL WORKERS, CASE MANAGERS, CHAPLAINS, AND RELIGIOUS SPONSORS. A REQUEST FOR ASSISTANCE MAY BE MADE BY THE PATIENT OR A FAMILY MEMBER, CLOSE FRIEND OR ASSOCIATE OF THE PATIENT, SUBJECT TO APPLICABLE PRIVACY LAWS. PART VI, LINE 4: LANCASTER COUNTY INCLUDES RESIDENTS LIVING IN THE TOWNS OF BENNET, DAVEY, DENTON, FIRTH, HALLAM, HICKMAN, LINCOLN, MALCOLM, PANAMA, RAYMOND, ROCA, SPRAGUE, WAVERLY, AND TEN UNINCORPORATED VILLAGES. LANCASTER COUNTY COVERS AN AREA OF 839 SQUARE MILES IN SOUTHEASTERN NEBRASKA, WITH LINCOLN AS THE LARGEST CITY AND WHICH SERVES AS THE NEBRASKA STATE CAPITOL. THE 2020 POPULATION ESTIMATE FOR LANCASTER COUNTY IS 322,608. THE MAJORITY OF LANCASTER COUNTY RESIDENTS LIVE IN THE LINCOLN URBAN AREA (90%). OVER THE PAST SEVERAL DECADES THE MINORITY POPULATION OF LINCOLN AND LANCASTER COUNTY HAS INCREASED AND THE AREA HAS A HIGHER PERCENTAGE OF FOREIGN BORN PERSONS THAN THE STATE OVERALL. OVER THE DECADE FROM 2010 TO 2019, THE INCREASE IN THE BLACK (34.7%), AMERICAN INDIAN AND ALASKA NATIVE (22.5%), ASIAN (34.4%), MULTIRACIAL (84.3%) AND HISPANIC OR LATINO (44.7%) POPULATIONS IS VERY LARGE RELATIVE TO THE WHITE ALONE POPULATION. THE LANCASTER COUNTY HOMELESS POPULATION IS BEST MEASURED USING THE POINT-IN-TIME COUNT CONDUCTED ANNUALLY. THE NUMBER OF HOMELESS PERSONS COUNTED HAS DECLINED SINCE 2012. IN 2012, THERE WERE 981 INDIVIDUALS COUNTED, BUT THIS NUMBER STEADILY DECREASED TO 451 IN 2018. IN 2019, THERE WERE 449 PERSONS FROM 325 HOUSEHOLDS COUNTED. THERE WERE 279 PERSONS THAT WERE FORMERLY HOMELESS HOUSED IN PERMANENT SUPPORTIVE HOUSING PROGRAMS, 234 PERSONS FORMERLY HOMELESS IN RAPID REHOUSING PROGRAMS, AND 52 PERSONS THAT WERE FORMERLY HOMELESS HOUSED IN OTHER PERMANENT HOUSING PROGRAMS. A REVIEW OF THE SOCIOECONOMIC FACTORS SHOWS THAT LANCASTER COUNTY, AND THE STATE OF NEBRASKA OVERALL HAVE A LOW UNEMPLOYMENT RATE. INTERESTINGLY, THE PERCENT OF POPULATION AGES 25 AND OVER WITH COMPLETION OF HIGH SCHOOL OR POST-SECONDARY EDUCATION IN LINCOLN AND LANCASTER COUNTY IS HIGHER THAN THE STATE, HOWEVER, POVERTY (9.4%) AND UNEMPLOYMENT (2.3%) ARE HIGHER IN LANCASTER COUNTY THAN THE STATE OVERALL (9.2% AND 1.3%, RESPECTIVELY). THIS COULD BE ATTRIBUTED TO THE EXISTENCE OF THE UNIVERSITY OF NEBRASKA LINCOLN, LOCATED IN LINCOLN, BUT IS STILL CONCERNING THAT THERE ARE A LARGER PERCENTAGE OF INDIVIDUALS AND FAMILIES LIKELY NOT AFFILIATED WITH THE UNIVERSITY AFFECTED BY POVERTY LANCASTER COUNTY IS DESIGNATED A HEALTH PROFESSIONAL SHORTAGE AREA IN THE FOLLOWING AREAS: PRIMARY CARE (BLUESTEM HEALTH [19], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [17]), DENTAL HEALTH (BLUESTEM HEALTH [23], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [17]), AND MENTAL HEALTH (MENTAL HEALTH CATCHMENT AREA 5 [8], BLUESTEM HEALTH [21], NEBRASKA URBAN INDIAN HEALTH MEDICAL CENTER, INC. [13]. THE SCORE RANGES FROM 0-26 WHERE THE HIGHER THE SCORE, THE GREATER THE PRIORITY. LANCASTER COUNTY IS CONSIDERED A MEDICALLY UNDERSERVED AREA (MUA) IN PRIMARY CARE WITH AN INDEX OF MEDICAL UNSERVED SCORE OF 60.4 (TO QUALIFY FOR THIS DESIGNATION, THE SCORE MUST BE BELOW OR EQUAL TO 62.0 ON A SCALE OF 0 - 100 WITH 100 BEING THE LOWEST NEED)LINCOLN HAS A WIDE RANGE OF HEALTHCARE PROVIDERS, INCLUDING MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES THAT NOT ONLY ADDRESS THE NEEDS OF THE LOCAL POPULATION, BUT ALSO RESIDENTS FROM THROUGHOUT SOUTHEAST NEBRASKA, NORTHERN KANSAS, AND FROM ACROSS THE STATE. THE LLCHD, AS WELL AS STATE AGENCIES, PROVIDE POPULATION HEALTH SERVICES. AGING PARTNERS IS THE LOCAL AREA AGENCY ON AGING ORGANIZATION, AND WHILE IT SERVES LANCASTER COUNTY, IT IS OPERATED BY THE CITY OF LINCOLN. BELOW IS A LIST OF PROMINENT PROVIDERS RELATED TO HEALTH AND HUMAN SERVICES IN THE LINCOLN-LANCASTER COUNTY: - BRYAN HEALTH EAST CAMPUS (HOSPITAL) - BRYAN HEALTH WEST CAMPUS (HOSPITAL) - BLUESTEM HEALTH (FORMERLY PEOPLE'S HEALTH CENTER) - CHI HEALTH CLINICS IN LANCASTER COUNTY - HEALTH 360 (LUTHERAN FAMILY SERVICES & BLUESTEM HEALTH PARTNERSHIP) - MADONNA REHABILITATION HOSPITAL - LINCOLN SURGICAL HOSPITAL - LINCOLN REGIONAL CENTER (PSYCHIATRIC HOSPITAL) - LINCOLN-LANCASTER COUNTY HEALTH DEPARTMENT (LLHD) - LINCOLN MEDICAL EDUCATION PARTNERSHIP - LINCOLN VETERANS ADMINISTRATION MEDICAL CENTER - CLINIC WITH A HEART PEOPLE'S CITY MISSION - UNIVERSITY HEALTH CENTER (UNIVERSITY OF NEBRASKA LINCOLN AND NEBRASKA MEDICINE) - MEDEXPRESS URGENT CARE (FORMERLY LINC-CARE) - URGENT CARE CLINIC OF LINCOLN - LANCASTER COUNTY MEDICAL SOCIETY (LCMS) - CENTER FOR PEOPLE IN NEED - COMMUNITY HEALTH ENDOWMENT OF LINCOLN - PARTNERSHIP FOR HEALTHY LINCOLN PART VI, LINE 5: FINANCIAL ASSISTANCE: IT IS THE POLICY OF COMMONSPIRIT HEALTH TO PROVIDE, WITHOUT DISCRIMINATION, EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE IN COMMONSPIRIT HOSPITAL FACILITIES TO ALL PATIENTS, WITHOUT REGARD TO A PATIENT'S FINANCIAL ABILITY TO PAY. THIS HOSPITAL HAS A FINANCIAL ASSISTANCE POLICY THAT DESCRIBES THE ASSISTANCE PROVIDED TO PATIENTS FOR WHOM IT WOULD BE A FINANCIAL HARDSHIP TO FULLY PAY THE EXPECTED OUT-OF-POCKET EXPENSES FOR SUCH CARE, AND WHO MEET THE ELIGIBILITY CRITERIA FOR SUCH ASSISTANCE. THE FINANCIAL ASSISTANCE POLICY, A PLAIN LANGUAGE SUMMARY AND RELATED MATERIALS ARE AVAILABLE IN MULTIPLE LANGUAGES ON THE HOSPITAL'S WEBSITE.USE OF SURPLUS FUNDS: AS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE, THE HOSPITAL REINVESTS ALL OF ITS SURPLUS FUNDS FROM OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH. THIS ACTIVE REINVESTMENT OF FUNDS MAKES IT POSSIBLE FOR THE HOSPITAL TO DELIVER ON ITS MISSION, INCLUDING HELPING TO ENSURE THAT EVERYONE IN THE COMMUNITIES SERVED HAS ACCESS TO HEALTH CARE.OPEN MEDICAL STAFF: MEDICAL STAFF PRIVILEGES ARE OPEN TO PHYSICIANS WHOSE EXPERIENCE AND TRAINING ARE VERIFIED THROUGH A CREDENTIALING PROCESS. THE PROCESS INCLUDES GATHERING AND VERIFYING CREDENTIALS, ALLOWING THE MEDICAL STAFF TO EVALUATE AN APPLICANT'S QUALIFICATIONS, PREVIOUS EXPERIENCE, AND COMPETENCE, AND ULTIMATELY MAKING A DECISION TO GRANT OR DENY MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ON THE BASIS OF AUTHENTIC AND VALID CREDENTIALS.ROLE OF THE BOARD: THE COMMONSPIRIT HEALTH BOARD AND SPECIFIC COMMITTEES HAVE ORGANIZATIONAL, POLICY-BASED ROLES TO OVERSEE COMMUNITY BENEFIT AND COMMUNITY HEALTH PROGRAMS, AND THEY RECEIVE REGULAR REPORTS ON ACTIVITIES AND PERFORMANCE. HOSPITAL COMMUNITY BOARDS (OR THEIR DESIGNATED COMMUNITY HEALTH OR COMMUNITY BENEFIT COMMITTEES) ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITALS CONDUCT AND ADOPT COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES, TAKE ACTIONS TO HELP ADDRESS IDENTIFIED SIGNIFICANT HEALTH NEEDS WITH AN EMPHASIS ON POOR AND VULNERABLE POPULATIONS AND HEALTH EQUITY, AND MONITORING ACTIONS AND PROGRESS TOWARD IDENTIFIED GOALS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH COMMONSPIRIT HEALTH. COMMONSPIRIT HEALTH WAS CREATED BY THE ALIGNMENT OF CATHOLIC HEALTH INITIATIVES AND DIGNITY HEALTH IN EARLY 2019. COMMONSPIRIT HEALTH, A NONPROFIT, FAITH-BASED HEALTH SYSTEM IS COMMITTED TO BUILDING HEALTHIER COMMUNITIES, ADVOCATING FOR THOSE WHO ARE POOR AND VULNERABLE, AND INNOVATING HOW AND WHERE HEALING CAN HAPPEN BOTH INSIDE ITS HOSPITALS AND OUT IN THE COMMUNITY. COMMONSPIRIT HEALTH OWNS AND OPERATES HEALTH CARE FACILITIES IN 24 STATES AND IS THE SOLE CORPORATE MEMBER (PARENT CORPORATION) OF OTHER PRIMARILY NONPROFIT CORPORATIONS. COMMONSPIRIT HEALTH AND SUBSTANTIALLY ALL OF ITS DIRECT AFFILIATES AND SUBSIDIARIES HAVE BEEN GRANTED EXEMPTIONS FROM FEDERAL INCOME TAX AS CHARITABLE ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF SEPTEMBER 25, 2024, COMMONSPIRIT HEALTH IS COMPRISED OF APPROXIMATELY 2,300 CARE SITES, CONSISTING OF 137 HOSPITALS, INCLUDING ACADEMIC HEALTH CENTERS, MAJOR TEACHING HOSPITALS, AND CRITICAL ACCESS FACILITIES, COMMUNITY HEALTH SERVICES ORGANIZATIONS, ACCREDITED NURSING COLLEGES, HOME HEALTH AGENCIES, LIVING COMMUNITIES, A MEDICAL FOUNDATION AND OTHER AFFILIATED MEDICAL GROUPS, AND OTHER FACILITIES AND SERVICES THAT SPAN THE INPATIENT AND OUTPATIENT CONTINUUM OF CARE. AN ADDITIONAL 21 HOSPITALS ARE OPERATED THROUGH UNCONSOLIDATED JOINT VENTURES. IN FISCAL YEAR 2024, COMMONSPIRIT HEALTH PROVIDED MORE THAN $2.574 BILLION IN FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT FOR PROGRAMS AND SERVICES FOR THE POOR, FREE CLINICS, EDUCATION AND RESEARCH. FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT TOTALED MORE THAN $4.22 BILLION WITH THE INCLUSION OF THE UNPAID COSTS OF MEDICARE. THE HEALTH SYSTEM, WHICH GENERATED OPERATING REVENUES OF $37.5 BILLION IN FISCAL YEAR 2024, HAS TOTAL ASSETS OF APPROXIMATELY $54.73 BILLION.COMMONSPIRIT HEALTH PROVIDES STRATEGIC PLANNING AND MANAGEMENT SERVICES AS WELL AS CENTRALIZED SERVICES FOR ITS DIVISIONS. THE PROVISION OF CENTRALIZED MANAGEMENT AND SHARED SERVICES INCLUDING AREAS SUCH AS ACCOUNTING, HUMAN RESOURCES, PAYROLL AND SUPPLY CHAIN PROVIDES ECONOMIES OF SCALE AND PURCHASING POWER TO THE DIVISIONS. THE COST SAVINGS ACHIEVED THROUGH COMMONSPIRIT HEALTH'S CENTRALIZATION ENABLE DIVISIONS TO DEDICATE ADDITIONAL RESOURCES TO HIGH-QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. 1 MALONE COMMUNITY CENTER 2032 U STREET LINCOLN NE 68503 470376577 501C3 28925 0 PROGRAM SUPPORT 1 0 PART I, LINE 2: GRANTS ARE TO COMMUNITY ORGANIZATIONS THAT ENGAGE IN ACTIVITIES THAT BENEFIT THE COMMUNITY AT LARGE. NO CONSIDERATION IS RECEIVED IN EXCHANGE FOR THESE CONTRIBUTIONS, AS THEY ARE CONSIDERED TO BE A GIFT TO BE USED BY THE RECIPIENTS IN ACCORDANCE WITH THEIR CHARITABLE PURPOSES. AS SUCH, USE OF THE FUNDS GIVEN TO THE GRANTEES IS NOT MONITORED BEYOND DISTRIBUTION. 1 1 0 0 0 0 0 0 0 JOHN PETERSDORF BOARD MEMBER 0 645040 0 716812 0 727895 0 923913 0 68907 0 3082567 0 713173 EVERT KUIPER FORMER CEO CHI HEALTH 0 749566 0 0 0 2037667 0 20045 0 28489 0 2835767 0 0 TIMOTHY BRICKER BOARD MEMBER/CEO CENTRAL REGION 0 876719 0 1582430 0 40043 0 82634 0 33892 0 2615718 0 0 RICK THOMPSON MD PRESIDENT 59844 1089095 0 386765 0 9731 11550 0 21889 10267 93283 1495858 0 0 JEANETTE WOJTALEWICZ FORMER CFO, CHI HEALTH 0 128679 0 132479 0 1083677 0 9698 0 2669 0 1357202 0 0 DEREK VANCE FORMER PRESIDENT 0 172974 0 155062 0 704939 0 11388 0 13792 0 1058155 0 39486 NICK O'TOOL MARKET CFO 0 252554 0 96047 0 419 0 16660 0 34289 0 399969 0 0 KIRTIBALA GUPTA MD BOARD MEMBER/PHYSICIAN 0 342890 0 0 0 3612 0 18825 0 28699 0 394026 0 0 HEATHER MORGAN MD BOARD MEMBER/PHYSICIAN 0 319514 0 0 0 911 0 18500 0 39877 0 378802 0 0 EMILY MANNSCHRECK PHARMACY DIRECTOR 50347 140658 0 36476 0 624 0 13174 2338 31081 52685 222013 0 0 KEVIN MENDENHALL NURSING SUPERVISOR 207837 0 800 0 9400 0 11819 0 37965 0 267821 0 0 0 MICHELE MURPHY FORMER HCE 0 195219 0 800 0 8022 0 11826 0 33370 0 249237 0 0 STEVE TYNDALL MEDICAL DIRECTOR 208000 30642 0 0 2828 0 5208 0 34 0 216070 30642 0 0 GERALD SCHWARZ FORMER HCE 0 205228 0 800 0 1373 0 14334 0 22353 0 244088 0 0 JONI STREET FORMER HCE 0 191794 0 800 0 359 0 11502 0 39320 0 243775 0 0 ANDREW BONNESS PERFUSIONIST 186010 747 800 0 383 0 0 11451 8457 25692 195650 37890 0 0 REBECCA ECKERT VP PATIENT CARE SERVICES 144846 0 38872 0 417 0 10409 0 38554 0 233098 0 0 0 PART I, LINE 3 DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION. PART 1, LINE 4A: CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2023 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): EVERT KUIPER, $2,025,542; JEANETTE WOJTALEWICZ, $1,083,464; DEREK VANCE, $658,888. IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, DIGNITY HEALTH'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION. PART 1, LINE 4B: DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2023 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: DEREK VANCE, $40,496. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: DEREK VANCE, $5,215. PART 1, LINE 4B (CONTINUED) CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR CERTAIN EMPLOYEES OCCURRED DURING 2023 INCLUDING J. PETERSDORF, $713,173. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2023. PART II: NEBRASKA HEART HOSPITAL FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023. PART V, LINE 1C: PAYMENTS TO VENDORS FOR ENTITIES THAT ARE PART OF COMMONSPIRIT HEALTH ARE MADE BY COMMONSPIRIT HEALTH. THEREFORE NO FORM 1099S ARE ISSUED BY NEBRASKA HEART HOSPITAL. COMMONSPIRIT HEALTH FILES THE FORM 1099S AND COMPLIES WITH THE BACKUP WITHHOLDING RULES FOR REPORTABLE PAYMENTS TO VENDORS AND GAMING WINNINGS. THE 1099S ISSUED BY COMMONSPIRIT HEALTH ON BEHALF OF NEBRASKA HEART HOSPITAL ARE REPORTED TO THE IRS. FORM 990, PART VI, SECTION A, LINE 1A PURSUANT TO ARTICLE VIII, SECTION 8.1 OF THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY, BY RESOLUTION ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE, ESTABLISH ONE OR MORE COMMITTEES, AS NEEDED OR REQUIRED TO CONDUCT AND TRANSACT THE BUSINESS OF THE CORPORATION. EXCEPT AS OTHERWISE PROVIDED IN THE ORGANIZATION'S BYLAWS, THE BOARD OF DIRECTORS MAY SET QUALIFICATIONS FOR MEMBERSHIP ON ANY COMMITTEE IT MAY ESTABLISH; PROVIDED THAT EACH COMMITTEE SHALL CONSIST OF AT LEAST TWO (2) DIRECTORS, EXCEPT THAT A COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MUST INCLUDE ONLY DIRECTORS OF THE CORPORATION. MINUTES OF ALL COMMITTEE MEETINGS SHALL BE RECORDED AND COPIES OF SUCH MINUTES SHALL BE PROVIDED TO THE BOARD OF DIRECTORS. ACTIONS OF COMMITTEES SHALL BE REPORTED TO THE FULL BOARD OF DIRECTORS, BUT ACTIONS OF COMMITTEES WHICH INCLUDE PERSONS OTHER THAN DIRECTORS, SHALL BE SUBJECT TO RATIFICATION BY THE FULL BOARD OF DIRECTORS. SECTIONS OF THE ARTICLES REGARDING BOARD OF DIRECTORS' REGULAR MEETINGS, SPECIAL MEETINGS, NOTICE OF MEETINGS, WAIVER OF NOTICE, QUORUM, MANNER OF ACTING, AND ACTION WITHOUT MEETING OF THE ORGANIZATION'S BYLAWS SHALL ALSO APPLY TO ALL COMMITTEES ESTABLISHED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 MARDELL WILSON AND KEVIN FITZGERALD - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 ACCORDING TO THE BYLAWS OF NEBRASKA HEART HOSPITAL, THE ENTITY'S SOLE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO ARTICLE V, SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND COMMONSPIRIT HEALTH (CHI NEBRASKA'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA BOARD: * APPROVE MEMBERS OF THE NEBRASKA HEART HOSPITAL BOARD * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE NEBRASKA HEART HOSPITAL * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE NEBRASKA HEART HOSPITAL THE FOLLOWING RIGHTS ARE RESERVED TO THE COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE NEBRASKA HEART HOSPITAL * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE NEBRASKA HEART HOSPITAL * APPROVAL OF ISSUANCE OF DEBT BY NEBRASKA HEART HOSPITAL * APPROVAL OF PARTICIPATION OF NEBRASKA HEART HOSPITAL IN A JOINT VENTURE * APPROVAL OF FORMATION OF A NEW CORPORATION BY NEBRASKA HEART HOSPITAL * APPROVAL OF A MERGER INVOLVING THE NEBRASKA HEART HOSPITAL * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE NEBRASKA HEART HOSPITAL * TO REQUIRE THE TRANSFER OF ASSETS BY THE NEBRASKA HEART HOSPITAL TO COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH DEBTS. PURSUANT TO ARTICLE V, SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, CHI NEBRASKA OR COMMONSPIRIT HEALTH MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 11B FOLLOWING THE PREPARATION OF THE FORM 990 BY TAX ANALYSTS OF COMMONSPIRIT HEALTH, A RELATED ORGANIZATION, THE RETURN IS REVIEWED BY THE COMMONSPIRIT HEALTH TAX DIRECTOR AND THE LOCAL CHIEF FINANCIAL OFFICER. ADDITIONALLY, THE BOARD OF DIRECTORS ARE PROVIDED THE FINAL FORM 990 AND RELATED SCHEDULES TO REVIEW AND ARE ABLE TO ASK THE CHIEF FINANCIAL OFFICER AND TAX DIRECTOR QUESTIONS PRIOR TO FILING WITH THE IRS. UPON CHIEF FINANCIAL OFFICER APPROVAL AND SIGNATURE, THE TAX ANALYST FILES THE FINAL FORM 990 AS PRESENTED TO THE BOARD AND FINANCE COMMITTEE, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY IN ORDER TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO PROTECT THE INTERESTS OF COMMONSPIRIT HEALTH ("COMMONSPIRIT") IN CIRCUMSTANCES THAT MAY RESULT IN A CONFLICT BETWEEN PERSONAL INTERESTS OF A PERSON AND THE INTERESTS OF THE ORGANIZATION AND THOSE IT SERVES. COMMONSPIRIT'S COI POLICY APPLIES TO COMMONSPIRIT, ITS DIRECT AFFILIATES AND SUBSIDIARIES AND ANY RELATED ENTITY THE GOVERNING DOCUMENTS OF WHICH REQUIRE THE ENTITY TO COMPLY WITH COMMONSPIRIT POLICY (COLLECTIVELY THE "SYSTEM ENTITIES"). THE FOLLOWING PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY (VIA A FORMAL SYSTEM-ADMINISTERED SURVEY) IF THE PERSON'S AFFILIATION WITH COMMONSPIRIT CONTINUES: - MEMBERS OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF COMMITTEES OF CORPORATE AND COMMUNITY BOARDS OF SYSTEM ENTITIES - MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM ("ELT") OF COMMONSPIRIT - CORPORATE OFFICERS OF SYSTEM ENTITIES - EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS - KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES AS SPECIFIED BY THE INTERNAL REVENUE SERVICE FOR FORM 990 PURPOSES WHO ARE NOT OTHERWISE INCLUDED IN THE CATEGORIES ABOVE - EMPLOYEES OF SYSTEM ENTITIES AT THE VICE PRESIDENT LEVEL AND ABOVE - ALL INDIVIDUALS ENGAGED IN RESEARCH AT INSTITUTIONS OWNED OR OPERATED BY A SYSTEM ENTITY - SELECT EMPLOYEES AS DETERMINED FROM TIME TO TIME BY LEADERSHIP DISCLOSURE, REVIEW, AND MANAGEMENT OF PERCEIVED, POTENTIAL, OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. EACH PERSON IS REQUIRED TO PROMPTLY AND FULLY DISCLOSE ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST AS SOON AS SHE/HE BECOMES AWARE OF IT. IN ADDITION, AT THE INCEPTION OF AN INDIVIDUAL'S RELATIONSHIP WITH COMMONSPIRIT (E.G. HIRING, BOARD APPOINTMENT), AND FOR CERTAIN POSITIONS, ANNUALLY THEREAFTER, WRITTEN CONFLICT OF INTEREST DISCLOSURE FORMS MUST BE COMPLETED. A FAILURE TO DISCLOSE MAY RESULT IN DISCIPLINARY OR CORRECTIVE ACTIONS. REPORTED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE INITIALLY REVIEWED BY LEGAL, CORPORATE RESPONSIBILITY OR RESEARCH INTEGRITY STAFF. IF NECESSARY, A CONFLICT OF INTEREST MANAGEMENT PLAN IS DEVELOPED, WHICH PLAN SHALL BE SUBJECT TO ACCEPTANCE BY THE APPROPRIATE DIRECT MANAGER, SUPERVISOR, MEDICAL STAFF OFFICE, BOARD OR BOARD COMMITTEE (FOR BOARD, BOARD COMMITTEE, ELT OR CORPORATE OFFICER CONFLICTS), OR OTHER APPROPRIATE INDIVIDUAL OR BODY. ONCE ACCEPTED, THE CONFLICT OF INTEREST MANAGEMENT PLAN IS COMMUNICATED TO THE PERSON WITH THE ACTUAL OR POTENTIAL CONFLICT AND THE INDIVIDUAL MUST CONDUCT THEMSELVES IN CONFORMITY WITH THE PLAN. IN THE EVENT THAT A TRANSACTIONAL CONFLICT INTEREST ARISES IN CONNECTION WITH A SYSTEM ENTITY BOARD MEETING, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THAT CONFLICT PRIOR TO OR AT THE BEGINNING OF THE MEETING IN WHICH THE MATTER IS TO BE CONSIDERED. THE CONFLICTED INDIVIDUAL IS EXCLUDED FROM VOTING ON THE TRANSACTION AND IS PROHIBITED FROM USING PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, BUT IS NOT PROHIBITED FROM PROVIDING INPUT IF REQUESTED TO DO SO. FORM 990, PART VI, SECTION B, LINE 15B COMMONSPIRIT'S BOARD OF STEWARDSHIP TRUSTEES APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PRACTICES FOR CERTAIN EXECUTIVES WITHIN ORGANIZATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE IN DETERMINING VARIABLE COMPENSATION. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES AN INDEPENDENT CONSULTANT AND FINANCIAL LEGAL COUNSEL TO VALIDATE THE ORGANIZATION'S BENCHMARKING APPROACH AND REASONABLENESS OF THE TOTAL COMPENSATION AND BENEFITS PACKAGES FOR CERTAIN EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED BY THE COMMONSPIRIT HEALTH COMPENSATION DEPARTMENT FROM INDEPENDENT THIRD-PARTY SALARY SURVEYS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES) FOR ALL OTHER STAFF AND LEADERSHIP ROLES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE NEBRASKA SECRETARY OF STATE WEBSITE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 374,705. MANAGEMENT AND GENERAL EXPENSES 41,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 416,339. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,406,526. MANAGEMENT AND GENERAL EXPENSES 231,922. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,638,448. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,847,187. MANAGEMENT AND GENERAL EXPENSES 93,872. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,941,059. OTHER FEES: PROGRAM SERVICE EXPENSES 5,329,185. MANAGEMENT AND GENERAL EXPENSES 280,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,609,668. FORM 990, PART XI, LINE 9: AFFILIATE TRANSFER 6,720. ALEGENT CREIGHTON CLINIC 12809 W DODGE RD OMAHA NE 68154 470765154 HOSPITAL NE 501(C)(3) LINE 3 ACH 0 ALEGENT CREIGHTON HEALTH 12809 W DODGE RD OMAHA NE 68154 470757164 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - BERGAN MERCY HEALTH SYSTEM 7500 MERCY RD OMAHA NE 68124 470484764 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - COMM MEM HOSPITAL OF MO VALLEY IA 631 N 8TH ST MISSOURI VALLEY IA 51555 420776568 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - IMMANUEL MEDICAL CENTER 6901 N 72ND ST OMAHA NE 68122 470376615 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MEMORIAL HOSPITAL SCHUYLER 104 W 17TH ST SCHUYLER NE 68661 470399853 HOSPITAL NE 501(C)(3) LINE 3 CHI NEBRASKA 0 ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HOSPITAL IA 501(C)(3) LINE 3 CHI NEBRASKA 0 ALVERNA APARTMENTS 300 SE 8TH AVE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) LINE 10 CSH 0 APPLETREE COURT 601 OAK ST 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0 CHI ST JOSEPH CHILDREN'S HEALTH 1929 LINCOLN HWY E STE 150 LANCASTER PA 17602 232342997 HEALTHCARE PA 501(C)(3) LINE 12A, I CSH 0 CHI ST JOSEPH'S CHILDREN 1516 5TH ST NW ALBUQUERQUE NM 87102 710897107 COMMUNITY NM 501(C)(3) LINE 12A, I CSH 0 CHI ST VINCENT HOSPITAL HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 710236913 HOSPITAL AR 501(C)(3) LINE 3 CHI-SVHS 0 CHI ST VINCENT HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125064 HOLDING CO AR 501(C)(3) LINE 12A, I SVIMC 0 CHI ST VINCENT MEDICAL GROUP HOT SPRINGS 300 WERNER ST HOT SPRINGS AR 71913 261125131 PHYSICIANS AR 501(C)(3) LINE 3 CHI-SVHS 0 COMMONSPIRIT HEALTH 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) LINE 12A, I N/A 0 COMMONSPIRIT HEALTH FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 853374038 FUNDRAISING FOUNDATION CO 501(C)(3) LINE 7 CSH 0 COMMONSPIRIT HEALTH OPERATING INVESTMENT POOL LLC 185 BERRY STREET STE 200 SAN FRANCISCO CA 94107 850919176 OPERATING INVESTMENTS DE 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