TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROBERT BARTH BOARD MEMBER	1	X				0	0	0
(2) MICHAEL FERRIS BOARD MEMBER/CHIEF OF STAFF	2	X				172,000	0	0
(3) STEVE NAVIN BOARD MEMBER	1	X				0	0	0
(4) RICK LANGE BOARD VICE CHAIRPERSON	1	X	X			0	0	0
(5) KEITH MAY BOARD CHAIRPERSON	1	X	X			0	0	0
(6) ROBERT CALDWELL BOARD SECRETARY	1	X	X			0	0	0
(7) RUSSELL BAYER BOARD TREASURER	1	X	X			0	0	0
(8) NATALIE PEETZ BOARD MEMBER	1	X				0	0	0
(9) ERIC PIERSON MD BOARD MEMBER	1	X				0	0	0
(10) CHUCK REESE MD BOARD MEMBER/CHIEF OF STAFF	3	X				8,000	0	0
(11) ROBERT LANIK PRESIDENT/CEO	55	X	X			0	689,847	45,724
(12) JEANETTE WOJTALEWICZ VICE PRESIDENT FINANCE/CFO	55		X			339,933	0	41,838
(13) JOHN DUMONCEAUX VICE PRESIDENT HUMAN RESOURCE & MISSION	55			X		252,678	0	33,682
(14) PATRICK GILLES VICE PRESIDENT CLINICAL/SUPPORT	55			X		266,016	0	37,900
(15) CHARLOTTE LIGGETT VICE PRESIDENT STRATEGIC PLANNING	55			X		213,461	0	30,063
(16) KIM MOORE VICE PRESIDENT NURSING SERVICE	55			X		258,030	0	51,638
(17) NANCY GONDRINGER DIRECTOR PERIOPERATIVE SERVICE	50				X	138,969	0	21,983

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK HEALTHCARE SUPPORT SERVICES 1101 MARKET STREET PHILADELPHIA,PA19107	DIETARY SERVICES	2,514,967
LINCOLN ANESTHESIOLOGY GROUP PC 575 SOUTH 70TH STREET PO BOX 6067 LINCOLN,NE68506	ANESTHESIOLOGY SERVICES	1,446,694
GRAHAM CONSTRUCTION INC 13210 CENTENNIAL ROAD SUITE 1 OMAHA,NE68138	CONSTRUCTION SERVICES	1,375,284
HEALTHCARE SUPPORT SERVICES LLC PO BOX 9804 GRAND ISLAND,NE68803	LAUNDRY SERVICES	633,186
LINCOLN MEDICAL EDUCATION PARTNERSHIP 4600 VALLEY ROAD LINCOLN,NE68510	CONSULTING SERVICES	620,860
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 29

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	9,580,425	9,580,425
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	101,315	101,315
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,480,294	130,429	1,349,865
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	67,333,135	63,334,179	3,998,956
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	4,017,276	3,705,012	312,264
9	Other employee benefits .......	12,469,972	11,383,033	1,086,939
10	Payroll taxes ...........	4,885,553	4,559,672	325,881
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	33,144,471	27,331,570	5,812,901
12	Advertising and promotion ....	0
13	Office expenses .......	55,878,037	55,394,293	483,744
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	4,217,864	4,164,639	53,225
17	Travel ............	336,906	224,004	112,902
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	80,159	13,759	66,400
20	Interest ...........	3,661,582	3,661,582
21	Payments to affiliates .......	4,774,380		4,774,380
22	Depreciation, depletion, and amortization .....	13,110,938	13,072,945	37,993
23	Insurance ..............	981,673	981,673
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBTS	16,293,055	16,293,055
b	EDUCATION	375,362	199,344	176,018
c	DUES & SUBSCRIPTIONS	289,779	125,722	164,057
d	ENVIRONMENTAL REMEDIATION	113,502	113,502
e	UNRELATED BUSINESS TAXES	6,104		6,104
f	All other expenses	2,271,777	2,049,861	221,916	0
25	Total functional expenses. Add lines 1 through 24f	235,403,559	216,420,014	18,983,545	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation	0

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	5,940	1	6,140
2	Savings and temporary cash investments .......	6,097,182	2	82,914,374
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	40,044,801	4	33,555,340
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	152,033	7
8	Inventories for sale or use ..............	5,654,653	8	5,586,757
9	Prepaid expenses and deferred charges ............	404,149	9	239,895
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	220,352,135
b	Less: accumulated depreciation. .....	10b	115,624,817	110,739,495	10c	104,727,318
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 ......	256,015,335	12	254,977,484
13	Investments—program-related. See Part IV, line 11 ..		13	0
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	3,231,484	15	2,825,563
16	Total assets. Add lines 1 through 15 (must equal line 34)...	422,345,072	16	484,832,871
	17	Accounts payable and accrued expenses .	15,476,208	17	15,799,992
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	81,933,770	25	79,577,474
26	Total liabilities. Add lines 17 through 25.....	97,409,978	26	95,377,466
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	324,935,094	27	389,455,405
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	324,935,094	33	389,455,405
34	Total liabilities and net assets/fund balances .....	422,345,072	34	484,832,871

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization SAINT ELIZABETH REGIONAL MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization SAINT ELIZABETH REGIONAL MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

9,156

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

9,156

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
LOBBYING ACTIVITIES EXPLANATION	SCHEDULE C, PART II-B, LINE 1F	THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: AMERICAN HOSPITAL ASSOCIATION - $863, CATHOLIC HEALTHCARE ASSOCIATION - $2,595, AND NEBRASKA HOSPITAL ASSOCIATION - $5,698.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	179,532		179,532
b	Buildings ................	128,945,337	51,473,491	77,471,846
c	Leasehold improvements ............	8,731,665	4,030,171	4,701,494
d	Equipment ................	79,237,639	60,121,155	19,116,484
e	Other .................	3,257,962	0	3,257,962
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				104,727,318

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives	0
(2)Closely-held equity interests	0
(3)Other (A) CHI OIP - FIXED INCOME	119,216,614	F
(B) CHI OIP - EQUITY SECURITIES	135,760,870	F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	254,977,484

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
ACCRUED OPERATING EXPENSES		964,745
ACCRUED CAPITAL		739,557
PENSION LIABILITY		468,318
UNCLAIMED PROPERTY		11,934
ENVIRONMENTAL REMEDIATION LIABILITY		2,800,685
INTERCOMPANY PAYABLE		74,592,235



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		79,577,474
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	280,393,829
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	235,403,559
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	44,990,270
4	Net unrealized gains (losses) on investments ..........................	4	22,851,056
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-3,321,015
9	Total adjustments (net). Add lines 4 - 8 .............................	9	19,530,041
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	64,520,311

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1.....................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b	0
c	Add lines 4a and 4b.......................			4c	0
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	0

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	0
e	Add lines 2a through 2d......................			2e	0
3	Subtract line 2e from line 1.....................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b	0
c	Add lines 4a and 4b.......................			4c	0
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	0

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	SAINT ELIZABETH REGIONAL MEDICAL CENTER'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, 2011 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. AS OF JUNE 30, 2011, CHI HAS CURRENT NET DEFERRED TAX ASSETS OF $2.1 MILLION AND A NONCURRENT NET DEFERRED TAX LIABILITY OF $5.4 MILLION RELATED TO THESE TAXABLE ACTIVITIES. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."

Schedule D (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..		3,803	4,967,502	0	4,967,502	2.270 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		15,469	22,912,004	11,944,000	10,968,004	5.010 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....					0	0 %
dTotal Charity Care and Means-Tested Government Programs .....	0	19,272	27,879,506	11,944,000	15,935,506	7.280 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	19	67,064	1,463,237	43,126	1,420,111	0.650 %
f Health professions education (from Worksheet 5) ..	4	1,678	314,706	90	314,616	0.140 %
g Subsidized health services (from Worksheet 6) ..					0	0 %
h Research (from Worksheet 7)	3	0	56,985	0	56,985	0.030 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	10	4,950	929,164		929,164	0.420 %
jTotal Other Benefits ...	36	73,692	2,764,092	43,216	2,720,876	1.240 %
kTotal. Add lines 7d and 7j. ..	36	92,964	30,643,598	11,987,216	18,656,382	8.520 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense
1	Physical improvements and housing					0
2	Economic development					0
3	Community support					0
4	Environmental improvements					0
5	Leadership development and training for community members	1	30	368		368
6	Coalition building					0
7	Community health improvement advocacy					0
8	Workforce development					0
9	Other					0
10	Total	1	30	368	0	368

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

5,156,491

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

68,378,288

Enter Medicare allowable costs of care relating to payments on line 5.....

74,902,974

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-6,524,686

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1LINCOLN CK LEASING LLC	ONCOLOGY EQUIPMENT	46.2 %	0 %	27.4 %
2SUPERIOR MEDICAL IMAGING LLC	OUTPATIENT IMAGING CENTER	51 %	0 %	49 %
3NEBRASKA SURGERY CENTER LLC	AMBULATORY SURGERY CENTER	36.9 %	0 %	63.1 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN,NE68510	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:SAINT ELIZABETH REGIONAL MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?2
Name and address		Type of Facility (Describe)
1	NEBRASKA SURGERY CENTER LLC 625 SOUTH 70TH STREET LINCOLN,NE68510	AMBULATORY SURGICAL CENTER
2	NEBRASKA SURGERY CENTER LLC 625 SOUTH 70TH STREET LINCOLN,NE68510	AMBULATORY SURGICAL CENTER
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	IF APPLICABLE, DESCRIBE THE INCOME-BASED CRITERIA FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. ALSO DESCRIBE WHETHER THE ORGANIZATION USES THE ASSET TEST OR OTHER THRESHOLD REGARDLESS OF INCOME TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SAINT ELIZABETH REGIONAL MEDICAL CENTER PROVIDES FREE AND DISCOUNTED CARE TO CERTAIN PATIENTS WHOSE HEALTH INSURANCE COVERAGE, IF ANY, DOES NOT PROVIDE FULL COVERAGE FOR ALL OF THEIR MEDICAL EXPENSES. THE AMOUNT OF ANY FREE OR DISCOUNTED CARE PROVIDED BY SERMC TAKES INTO CONSIDERATION THE PATIENT'S INCOME AND ASSETS, AND THE EXTENT TO WHICH PAYMENT OF THE UNINSURED EXPENSES WOULD MAKE THAT PATIENT INDIGENT. WHEN CATHOLIC HEALTH INITIATIVES, THE PARENT ORGANIZATION TO SAINT ELIZABETH REGIONAL MEDICAL CENTER, ESTABLISHED ITS CHARITY CARE POLICY IT WAS DETERMINED THAT A HOUSEHOLD INCOME SCALE BASED UPON THE HUD VERY-LOW INCOME GUIDELINES WAS MORE INCLUSIVE THAN OTHER POVERTY GUIDELINES AND MORE ACCURATELY REFLECTED THE SOCIOECONOMIC DISPERSIONS AMONG URBAN AND RURAL COMMUNITIES ACROSS THE STATES. IN COMPARING HUD GUIDELINES TO THE FEDERAL POVERTY GUIDELINES ("FPG"), IT WAS NOTED THAT ON AVERAGE HUD GUIDELINES COMPUTE TO APPROXIMATELY 200% TO 300% OF FPG, SUCH THAT MORE INDIVIDUALS QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HUD GUIDELINES THAN UNDER FPG. AN INDIVIDUAL'S INCOME UNDER THE HUD GUIDELINES IS A SIGNIFICANT FACTOR IN DETERMINING ELIGIBILITY FOR CHARITY CARE; HOWEVER, IN DETERMINING WHETHER TO EXTEND DISCOUNTED OR FREE CARE TO A PATIENT, THE PATIENT'S ASSETS MAY ALSO BE TAKEN INTO CONSIDERATION. FOR EXAMPLE, A PATIENT SUFFERING A CATASTROPHIC ILLNESS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS SUCH THAT THE PAYMENT OF MEDICAL BILLS MAY BE SERIOUSLY DETRIMENTAL TO THE PATIENT'S BASIC FINANCIAL WELL BEING AND SURVIVAL. SUCH PATIENTS MAY BE EXTENDED DISCOUNTED OR FREE CARE BASED UPON THESE EXTENUATING FACTS AND CIRCUMSTANCES. SAINT ELIZABETH REGIONAL MEDICAL CENTER'S ELIGIBILITY FOR THE APPLICATION OF CHARITY DISCOUNTS IS BASED UPON 130% OF THE ANNUALLY UPDATED HUD VERY-LOW INCOME GUIDELINES. THE HUD GUIDELINES TAKE INTO CONSIDERATION FAMILY INCOMES THAT DO NOT EXCEED 50% OF THE MEDIAN FAMILY INCOME FOR A GEOGRAPHIC AREA AND UTILIZE A SLIDING SCALE APPROACH BASED UPON FAMILY INCOME AND SIZE. PATIENTS WHOSE INCOME IS LESS THAN OR EQUAL TO THE "BASE" MAY BE ELIGIBLE FOR AN UNINSURED DISCOUNT OF 100%. PATIENTS WHOSE INCOME IS GREATER THAN THE BASE, BUT LESS THAN 150% OF THE BASE MAY BE ENTITLED TO A DISCOUNT OF BETWEEN 25% AND 100% BASED UPON THAT INDIVIDUAL'S CIRCUMSTANCES. PATIENTS WHOSE INCOME IS MORE THAN 150% OF BASE WILL GENERALLY NOT QUALIFY FOR A DISCOUNT, EXCEPT UNDER UNUSUAL CIRCUMSTANCES.
Subsidized Health Services	Schedule H, Part I, Line 7g	TO THE EXTENT THAT AN ORGANIZATION INCLUDES ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IT MUST DESCRIBE THAT IT HAS DONE SO AND REPORT IN PART VI SUCH COSTS INCLUDED IN PART I, LINE 7G, LINE 1. THERE ARE NO PHYSICIAN CLINICS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	16,293,055
Costing Methodology used to calculate financial assistance	Schedule H, Part I, Line 7	PROVIDE AN EXPLANATION OF THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. IF A COST ACCOUNTING SYSTEM WAS USED, INDICATE WHETHER THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS (FOR EXAMPLE, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED OR SELF PAY). ALSO INDICATE WHETHER A COST-TO-CHARGE RATIO WAS USED FOR ANY OF THE FIGURES REPORTED IN THE TABLE. DESCRIBE WHETHER THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, AND, IF NOT, WHAT KIND OF COST-TO-CHARGE RATIO WAS USED AND HOW IT WAS DERIVED. IF SOME OTHER COSTING METHODOLOGY WAS USED BESIDES A COST ACCOUNTING SYSTEM, COST-TO-CHARGE RATIO, OR A COMBINATION OF THE TWO, DESCRIBE THE METHOD USED. THE UNPAID COST OF CHARITY AND MEDICAID SERVICES ARE CALCULATED UTILIZING CHI PROVIDED WORKSHEETS WHICH CALCULATE A COST OF SERVICES (TOTAL COSTS LESS OTHER OPERATING REVENUES, BAD-DEBTS, EXCESS RELATED ORGANIZATION COSTS AND DIRECT COMMUNITY BENEFIT COST) PROVIDED BASED UPON COST TO CHARGE RATIOS OR DAILY PER DIEM AMOUNTS WHICH ARE DIRECTLY RELATED TO PAYER SPECIFIC SERVICES PROVIDED TO PATIENTS. OTHER COMMUNITY BENEFIT COSTS ARE BASED UPON THE ACTUAL DIRECT COST INCURRED, INCLUDING AN EMPLOYEE BENEFITS FACTOR, WHICH IS APPLIED IN CALCULATING THE COMMUNITY BENEFIT. INDIRECT COST FACTORS RELATED TO PROVIDING OTHER COMMUNITY BENEFITS ARE APPLIED WHEN SUFFICIENT EVIDENCE EXISTS THAT THERE ARE INCREMENTAL OVERHEAD COSTS ASSOCIATED WITH THE COMMUNITY BENEFIT ACTIVITY. PRIOR YEAR'S THIRD PARTY PAYER SETTLEMENTS RECEIVED OR PAID ARE NETTED WITH THE CURRENT YEAR'S REVENUES.
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	PROVIDE THE RATIONALE AND THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED IN PART III LINES 2 AND 3. DESCRIBE HOW THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBT EXPENSE. ALSO DESCRIBE THE METHOD THE ORGANIZATION USES TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY, IF SUFFICIENT INFORMATION HAS BEEN AVAILABLE TO MAKE A DETERMINATION AS TO THEIR ELIGIBILITY. ALSO, PROVIDE IF APPLICABLE, THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. IF THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE ON THESE ISSUES THAT ALSO INCLUDES OTHER INFORMATION, REPORT ONLY THE RELEVANT PORTIONS OF THE FOOTNOTE. IF THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN SUCH A FOOTNOTE, STATE THAT THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE SUCH A FOOTNOTE AND EXPLAIN HOW THE FINANCIAL STATEMENTS ACCOUNT FOR BAD DEBT, IF AT ALL. THE COSTING METHODOLOGY FOR THE AMOUNT SHOWN ON LINE 2 WERE OBTAINED BY UTILIZING THE COST TO CHARGE RATIOS DEVELOPED DURING THE CALCULATION OF THE UNPAID COSTS OF CHARITY AND MEDICAID SERVICES. THIS OVERALL RATIO OF COST TO CHARGES OF 31.6484%, ATTRIBUTABLE TO SAINT ELIZABETH REGIONAL MEDICAL CENTER, IS MULTIPLIED BY THE BAD-DEBT EXPENSES RECORDED IN THE FINANCIAL STATEMENTS AND REPORTED IN PART 1, LINE 7, COLUMN (F) TO ARRIVE AT $5,156,491 ($16,293,055 X 31.6484% = $5,156,491). DISCOUNTS EXTENDED TO SELF-PAY PATIENTS ARE RECORDED AS A DEDUCTION FROM REVENUE, NOT AS BAD-DEBT EXPENSE. TO THE EXTENT THAT SERMC RECEIVES PAYMENTS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN OFF AS BAD-DEBTS, SERMC REDUCES ITS CURRENT PERIOD BAD-DEBT EXPENSES. SAINT ELIZABETH REGIONAL MEDICAL CENTER DOES NOT BELIEVE THAT ANY PORTION OF THE BAD DEBT EXPENSE COULD REASONABLY BE ESTIMATED AND ALLOCATED TO PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. PATIENT ACCOUNTS ARE TIMELY REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY BEGINNING ON THE FINANCIAL ASSISTANCE APPLICATION DATE AND ALL ACCOUNTS OVER $10,000 THAT ARE VIEWED TO BE UNCOLLECTIBLE ARE REVIEWED FOR FINANCIAL HARDSHIP AND EXTENUATING CIRCUMSTANCES PRIOR TO BEING SUBMITTED FOR COLLECTION. FINALLY, PATIENTS MAY SUBMIT FINANCIAL ASSISTANCE APPLICATIONS SUBSEQUENT TO A DETERMINATION OF UNCOLLECTIBILITY AND IF THE APPLICATION IS APPROVED THE PATIENT'S ACCOUNT IS REMOVED FROM BAD-DEBT EXPENSE AND RECORDED AS CHARITY CARE, AND ALL COLLECTION ACTIVITY CEASES. SAINT ELIZABETH REGIONAL MEDICAL CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI). CHI'S BAD DEBT FOOTNOTE READS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING 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.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	DESCRIBE THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT, AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6. DESCRIBE, IF APPLICABLE, THE EXTENT TO WHICH ANY SHORTFALL REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT, AND THE RATIONALE FOR THE ORGANIZATION'S POSITION. USING ESSENTIALLY THE SAME MEDICARE COST REPORT PRINCIPLES AS TO THE ALLOCATION OF GENERAL SERVICE COSTS AND "APPORTIONMENT" METHODS, THE "CHI WORKBOOK" CALCULATES A PAYER'S GROSS ALLOWABLE COSTS BY SERVICE (SO AS TO FACILITATE A CORRESPONDING COMPARISON BETWEEN GROSS ALLOWABLE COSTS AND ULTIMATE PAYMENTS RECEIVED). THE TERM "GROSS ALLOWABLE COSTS" MEANS COSTS BEFORE DEDUCTIBLES OR CO-INSURANCE ARE SUBTRACTED, ALTHOUGH SAINT ELIZABETH REGIONAL MEDICAL CENTER'S ULTIMATE REIMBURSEMENT WILL BE REDUCED BY ANY APPLICABLE CO-PAYMENT OR DEDUCTIBLE. WHERE MEDICARE IS THE SECONDARY INSURER, AMOUNTS DUE FROM THE INSURED'S PRIMARY PAYER WERE NOT SUBTRACTED FROM MEDICARE ALLOWABLE COSTS BECAUSE THE AMOUNTS ARE TYPICALLY IMMATERIAL. TOTAL MEDICARE REVENUE - $644,528 TOTAL MEDICARE COSTS - $822,343 SURPLUS OR SHORTFALL - $(177,815) SAINT ELIZABETH REGIONAL MEDICAL CENTER BELIEVES THAT EXCLUDING MEDICARE LOSSES MAKES THE OVERALL COMMUNITY BENEFIT REPORT MORE CREDIBLE FOR THESE REASONS: UNLIKE SUBSIDIZED AREAS SUCH AS BURN UNITS OR BEHAVIORAL HEALTH SERVICES, MEDICARE IS NOT A DIFFERENTIATING FEATURE OF A TAX EXEMPT HEALTH CARE ORGANIZATION; IN FACT, FOR PROFIT HOSPITALS FOCUS ON ATTRACTING PATIENTS WITH MEDICARE COVERAGE, ESPECIALLY IN THE CASE OF WELL PAID SERVICES THAT INCLUDE CARDIAC AND ORTHOPEDICS. SIGNIFICANT EFFORT AND RESOURCES ARE DEVOTED TO ENSURING HOSPITALS ARE REIMBURSED APPROPRIATELY BY THE MEDICARE PROGRAM. THE MEDICARE PAYMENT ADVISORY PAYMENT COMMISSION (MEDPAC), AN INDEPENDENT CONGRESSIONAL AGENCY, CAREFULLY STUDIES MEDICARE PAYMENT AND ACCESS TO CARE THAT MEDICARE BENEFICIARIES RECEIVE. THE COMMISSION RECOMMENDS PAYMENT ADJUSTMENTS TO CONGRESS ACCORDINGLY. ALTHOUGH MEDICARE LOSSES ARE NOT INCLUDED BY CATHOLIC HOSPITALS AS COMMUNITY BENEFIT, THE CATHOLIC HEALTH ASSOCIATION GUIDELINES ALLOW HOSPITALS TO COUNT AS COMMUNITY BENEFIT SOME PROGRAMS THAT SPECIFICALLY SERVE THE MEDICARE POPULATION. FOR INSTANCE, IF HOSPITALS OPERATE PROGRAMS FOR PATIENTS WITH MEDICARE BENEFITS THAT RESPOND TO IDENTIFIED COMMUNITY NEEDS, GENERATE LOSSES FOR THE HOSPITAL, AND MEET OTHER CRITERIA, THESE PROGRAMS CAN BE INCLUDED IN THE CHI FRAMEWORK IN CATEGORY C AS "SUBSIDIZED HEALTH SERVICES." MEDICARE LOSSES ARE DIFFERENT THAN MEDICAID LOSSES, WHICH ARE COUNTED IN THE CHA COMMUNITY BENEFIT FRAMEWORK, BECAUSE MEDICAID REIMBURSEMENTS GENERALLY DO NOT RECEIVE THE LEVEL OF ATTENTION PAID TO MEDICARE REIMBURSEMENT. MEDICAID PAYMENT IS LARGELY DRIVEN BY WHAT STATES CAN AFFORD TO PAY.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	IF THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY AND ANSWERED "YES" TO PART III, LINE 9B, DESCRIBE THE COLLECTION PRACTICES SET FORTH IN THE POLICY THAT APPLY TO PATIENTS WHO IT KNOWS QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE, WHETHER OR NOT SUCH PRACTICES APPLY SPECIFICALLY TO SUCH PATIENTS OR MORE BROADLY TO ALSO COVER OTHER TYPES OF PATIENTS. SAINT ELIZABETH REGIONAL MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT SAINT ELIZABETH WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT, PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH SAINT ELIZABETH COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE SAINT ELIZABETH COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO SAINT ELIZABETH FOR APPROPRIATE FOLLOW-UP. SAINT ELIZABETH REGIONAL MEDICAL CENTER REQUIRES ITS THIRD PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. ALL OF CATHOLIC HEALTH INITIATIVES' HOSPITAL 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 STANDARDS OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. SAINT ELIZABETH REGIONAL MEDICAL CENTER DISPLAYS INFORMATION CONCERNING ITS FINANCIAL ASSISTANCE POLICY IN BOTH ENGLISH AND SPANISH IN OBVIOUS LOCATIONS THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY ROOM AND OTHER PATIENT INTAKE AREAS, AS WELL AS IN OUTPATIENT FACILITIES. IN ADDITION, SAINT ELIZABETH REGISTRATION CLERKS ARE TRAINED TO PROVIDE CONSULTATION TO THOSE WHO HAVE NO INSURANCE OR POTENTIALLY INADEQUATE INSURANCE CONCERNING THEIR FINANCIAL OPTIONS, INCLUDING APPLICATION FOR MEDICAID AND FINANCIAL ASSISTANCE UNDER SAINT ELIZABETH'S FINANCIAL ASSISTANCE POLICY. UPON REGISTRATION, AND ONCE ALL EMTALA REQUIREMENTS ARE MET, PATIENTS WHO ARE IDENTIFIED AS UNINSURED AND NOT COVERED BY MEDICARE OR MEDICAID ARE PROVIDED WITH A PACKET OF INFORMATION THAT ADDRESSES THE FINANCIAL ASSISTANCE POLICY AND PROCEDURES INCLUDING AN APPLICATION FOR ASSISTANCE. SAINT ELIZABETH STAFF WILL ALSO ASSIST THE PATIENT OR GUARANTOR WITH APPLYING FOR OTHER AVAILABLE COVERAGE, SUCH AS MEDICAID, IF NECESSARY. COUNSELORS ASSIST MEDICAID ELIGIBLE PATIENTS IN ENROLLMENT BY PROVIDING REFERRALS TO THE APPROPRIATE GOVERNMENT AGENCY.
Affiliated health care system	Schedule H, Part VI, Line 6	IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED BY THE SYSTEM. SAINT ELIZABETH REGIONAL MEDICAL CENTER AND AFFILIATED ORGANIZATIONS ARE PART OF CATHOLIC HEALTH INITIATIVES. CATHOLIC HEALTH INITIATIVES (CHI) IS A NATIONAL FAITH BASED NON-PROFIT HEALTH CARE ORGANIZATION WITH HEADQUARTERS IN DENVER, COLORADO. CHI'S EXEMPT PURPOSE IS TO SERVE AN INTEGRAL PART OF ITS NATIONAL SYSTEM OF HOSPITALS AND OTHER CHARITABLE ENTITIES, WHICH ARE DESCRIBED AS MARKET ORGANIZATIONS (OR MBO'S). 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 MBO'S WHICH ARE COMPRISED OF 72 ACUTE-CARE HOSPITALS, OF WHICH 21 ARE DESIGNATED AS CRITICAL ACCESS HOSPITALS BY THE MEDICARE PROGRAM, 40 LONG-TERM CARE, ASSISTED LIVING AND RESIDENTIAL FACILITIES, TWO COMMUNITY HEALTH SERVICE ORGANIZATIONS (CHSOS), HOME HEALTH AGENCIES AND TWO ACCREDITED NURSING COLLEGES. TOGETHER THESE FACILITIES PROVIDED $612 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS IN THE 2011 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 MBO'S. 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 MBO'S. COST SAVINGS ASSOCIATED WITH CENTRALIZED SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2011, INCLUDE MORE THAN $118 MILLION IN SUPPLY CHAIN EXPENSE, APPROXIMATELY $28 MILLION FOR INSURANCE COSTS, AND MORE THAN $3.9 MILLION AS THE RESULT OF A SYSTEM-WIDE EFFORT TO COORDINATE AND NEGOTIATE TECHNOLOGY AND EQUIPMENT PURCHASES. THE COST SAVINGS ACHIEVED THROUGH CHI'S CENTRALIZATION ENABLE MBO'S TO DEDICATE ADDITIONAL RESOURCES TO HIGH QUALITY HEALTH CARE AND COMMUNITY OUTREACH SERVICES TO THE MOST VULNERABLE MEMBERS OF OUR SOCIETY. SAINT ELIZABETH REGIONAL MEDICAL CENTER, ALONG WITH SAINT ELIZABETH FOUNDATION AND SAINT ELIZABETH HEALTH SERVICES, OPERATE TOGETHER AND WITH OTHER JOINT VENTURE HEALTH PROVIDERS TO SERVE THE HEALTH CARE NEEDS OF LINCOLN, NEBRASKA, AND THE SURROUNDING COMMUNITIES.
State filing of community benefit report	Schedule H, Part VI, Line 7	NE
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6A	IF THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS CONTAINED IN A REPORT PREPARED BY A RELATED ORGANIZATION, RATHER THAN A SEPARATE REPORT PREPARED BY THE ORGANIZATION, IDENTIFY THE RELATED ORGANIZATION. SAINT ELIZABETH REGIONAL MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT AT THE CLOSE OF EACH FISCAL YEAR. THIS REPORT EXPLAINS THE PAST YEARS' INITIATIVES TOWARD DEVELOPING HEALTHIER COMMUNITIES AND SPOTLIGHTS REAL LIFE STORIES OF HOW PATIENTS HAVE BENEFITED FROM THESE ACTIVITIES. EMPLOYEE ENGAGEMENT IN COMMUNITY HEALTH IMPROVEMENT, CHARITY CARE, CASH AND IN-KIND CONTRIBUTIONS, HEALTH PROFESSIONAL EDUCATION AND OTHER COMMUNITY BENEFITS PROVIDED ARE DISCUSSED. THE COMMUNITY BENEFIT REPORT INCLUDES THE ACTIVITIES OF SAINT ELIZABETH REGIONAL MEDICARE CENTER AND ITS AFFILIATES (SAINT ELIZABETH FOUNDATION AND SAINT ELIZABETH HEALTH SERVICES). THIS REPORT IS PROVIDED TO THE BOARD OF DIRECTORS, MANAGEMENT TEAM, MAYOR OF THE COMMUNITY, CHAMBER OF COMMERCE, STATE SENATORS, CITY COUNCIL MEMBERS, UNIVERSITY BOARD OF REGENTS, EMPLOYEES OF THE ORGANIZATION, VARIOUS OTHER COMMUNITY STAKEHOLDERS AND ALSO IS DISTRIBUTED TO APPROXIMATELY 70,000 HOUSEHOLDS WITHIN OUR SERVICE AREA. IN ADDITION TO THE HARD COPY DISTRIBUTION OF THE COMMUNITY BENEFITS REPORT IT IS ALSO MADE AVAILABLE BY POSTING ON-LINE AT HTTP://WWW.SAINTELIZABETHONLINE.COM.
COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC.	SCHEDULE H, PART II AND PART VI, LINES 2, 4, 5 AND 6	DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES. DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED IN PART II, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES. PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITALS OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC). PRIMARY EXEMPT PURPOSE SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SAINT ELIZABETH"), A NOT-FOR-PROFIT, HEALTH CARE FACILITY LOCATED IN LINCOLN, NE WAS FOUNDED IN 1889 BY THE SISTERS OF ST. FRANCIS OF PERPETUAL ADORATION FOR THE PURPOSE OF PROVIDING MEDICAL SERVICES TO ALL IN NEED REGARDLESS OF ABILITY TO PAY. EXEMPT PURPOSE ACHIEVEMENTS INTRODUCTION SAINT ELIZABETH REGIONAL MEDICAL CENTER IS A 501(C)(3) ORGANIZATION THAT WAS ORIGINALLY FORMED, AS LINCOLN'S FIRST HOSPITAL, IN 1889 BY THE SISTERS OF ST. FRANCIS OF PERPETUAL ADORATION FOR THE PURPOSE OF PROVIDING MEDICAL CARE. THE MISSION OF SAINT ELIZABETH REGIONAL MEDICAL CENTER IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY, AND VIABILITY IN THE TWENTY-FIRST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT MOVES TOWARD THE CREATION OF HEALTHIER COMMUNITIES. AS THE FIRST CATHOLIC HOSPITAL TO SERVE THE COMMUNITY, SAINT ELIZABETH REGIONAL MEDICAL CENTER, HAS SINCE JOINED WITH OTHER RELIGIOUS CONGREGATIONS TO FORM CATHOLIC HEALTH INITIATIVES ("CHI"). SAINT ELIZABETH STRONGLY BELIEVES IN THE CORE CHI VALUES OF: REVERENCE - RESPECTING DIVERSE VIEWPOINTS AND WORKING TOGETHER INTEGRITY - BEING OPEN AND HONEST IN ALL OF OUR INTERACTIONS COMPASSION - CARING FOR THE WHOLE PERSON AND THE GREATER GOOD OF OTHERS EXCELLENCE - DOING OUR BEST WORK, PROVIDING QUALITY CARE AND SERVICE, ACHIEVING OUR GOALS IN ADDITION TO BEING A PART OF CATHOLIC HEALTH INITIATIVES, SAINT ELIZABETH REGIONAL MEDICAL CENTER IS A PART OF CHI NEBRASKA, AN AFFILIATION OF 4 ACUTE CARE HOSPITALS, ONE DESIGNATED AS CRITICAL ACCESS BY THE MEDICARE PROGRAM, A HOME CARE AGENCY PROVIDING HOME HEALTH, HOSPICE, INFUSION THERAPY, PRIVATE DUTY IN HOME CARE AND OTHER IN HOME RELATED SERVICES, A PHYSICIANS GROUP AND PRACTICES WITH 155 PROVIDERS IN NUMEROUS SPECIALTIES, CHARITABLE FOUNDATIONS AND CERTAIN OTHER MEDICAL DELIVERY ORGANIZATIONS WITHIN NEBRASKA. SAINT ELIZABETH HAS A BOARD OF DIRECTORS THAT IS COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES. SAINT ELIZABETH IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL. SAINT ELIZABETH IS ACCREDITED BY THE JOINT COMMISSION - A SEAL OF APPROVAL THAT INDICATES SAINT ELIZABETH MEETS STRICT PERFORMANCE STANDARDS, PROVIDES HIGH QUALITY PATIENT CARE AND DEMONSTRATES ACCOUNTABILITY IN THE RAPIDLY CHANGING FIELD OF HEALTH CARE. SAINT ELIZABETH HAS BEEN RANKED AS A 100 TOP HOSPITAL® IN THE NATION BY THOMPSON FOUR TIMES---IN THE "OVERALL" CATEGORY. SAINT ELIZABETH ALSO HOLDS THE PRESTIGIOUS DESIGNATION AS A MAGNET HOSPITAL, THE HIGHEST AWARD IN NURSING. SAINT ELIZABETH EXCELS IN THE TREATMENT AREAS OF NEWBORN AND PEDIATRIC CARE, WOMEN'S HEALTH, CARDIOLOGY, EMERGENCY MEDICINE, ORTHOPEDICS, NEUROSCIENCE, ONCOLOGY, REHABILITATION AND BURN AND WOUND CARE AND IS LEADING THE WAY IN PREVENTION AND WELLNESS. SAINT ELIZABETH'S SERVICES ARE PROVIDED TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS. THE HOSPITAL OPERATES A 24-HOUR EMERGENCY DEPARTMENT "ED" 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT ELIZABETH'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE HEALTHY COMMUNITIES THROUGH INNOVATIVE PROGRAMS, COLLABORATIONS AND PARTNERSHIPS. THE PROGRAMS AND SERVICES DESCRIBED THROUGHOUT THIS REPORT NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SAINT ELIZABETH DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON GOVERNMENT-SUPPORTED INSTITUTIONS. SAINT ELIZABETH PROVIDES ESSENTIAL HEALTH CARE SERVICES BY MAINTAINING A 265 BED MEDICAL CENTER WITH 44 OUTPATIENT BEDS DESIGNED TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE WHILE EMBRACING TRADITIONS RICH IN SPIRITUALITY. THE REGION'S MOST INNOVATIVE AND HOLISTIC CARE IS AVAILABLE THROUGH ASSOCIATION WITH MORE THAN 475 PHYSICIANS, MANY WHO ARE BOARD CERTIFIED, AS WELL AS A PHYSICIAN NETWORK OF FAMILY AND SPECIALTY CLINICS IN LINCOLN AND THE SURROUNDING AREAS. DURING 2011 SAINT ELIZABETH PROVIDED 55,431 DAYS OF ACUTE INPATIENT CARE, IN SURGICAL, ORTHOPEDICS, PEDIATRICS, ONCOLOGY, GENERAL MEDICAL, INTENSIVE CARE, CARDIOLOGY AND OBSTETRICS, TO 13,141 PATIENTS. FOUR THOUSAND SIX HUNDRED SIXTY SIX DAYS OF CARE WERE PROVIDED IN THE NURSERY. OUTPATIENT REGISTRATIONS TOTALED 109,991. IN ADDITION TO THE SERVICES PROVIDED LOCALLY, SAINT ELIZABETH HAS COMMITTED ITS EXPERTISE IN WOUND CARE TO OTHER COMMUNITIES AND PROVIDERS. DURING 2011 MOBILE WOUND SERVICES PROVIDED 87,107 MINUTES (OVER 1,451 HOURS) OF CARE TO PATIENTS IN SURROUNDING COMMUNITIES. A FOCUS ON DELIVERING EXCEPTIONAL PATIENT CARE IN A STATE-OF-THE-ART ENVIRONMENT WITH EXPERIENCED MEDICAL PROFESSIONALS HAS DRIVEN SAINT ELIZABETH TO GO BEYOND THE BASIC AND PROVIDE SERVICES LINES DESIGNED TO PROVIDE SPECIALTY CARE IN THE LOCAL COMMUNITY. EXAMPLES INCLUDE: EMERGENCY CARE SAINT ELIZABETH OPERATES A 24-HOUR EMERGENCY DEPARTMENT "ED" 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. DURING 2011 OVER THIRTY FOUR THOUSAND VISITS WERE MADE TO THE EMERGENCY CENTER. SAINT ELIZABETH'S ED IS ONE OF THE TOP MEDICAL CENTERS IN THE U.S. FOR THE FASTEST RESPONSE TIME FOR HEART ATTACK PATIENTS - GIVING THEM THE BEST CHANCE FOR SURVIVAL AND RECOVERY. NOW THAT RESPONSE TIME IS EVEN SHORTER WITH THE ADDITION OF DIAGNOSTIC QUALITY EKG EQUIPMENT THAT HAS BEEN INSTALLED IN THE CITY AMBULANCES. THE ED HAS ALSO BEEN AWARDED SECOND PLACE IN THE MEDIUM HOSPITAL CATEGORY FOR "OVERALL EMERGENCY DEPARTMENT SATISFACTION" BY THE JACKSON ORGANIZATION, AN INDEPENDENT ORGANIZATION THAT SURVEYED MORE THAN 150 HOSPITALS ACROSS THE COUNTRY. CHEST PAIN, STROKE, BROKEN BONES, HIGH FEVER OR OTHER EMERGENCIES RECEIVE EXPERT COMPASSIONATE CARE FAST AND HAVE ACCESS TO CERTIFIED CHEST PAIN AND CERTIFIED STROKE CENTERS. NEONATAL INTENSIVE CARE UNIT - NICU THE BIRTH OF A BABY IS A WONDERFULLY COMPLEX PROCESS, HOWEVER, IN THE EVENT OF COMPLICATIONS; SAINT ELIZABETH HAS PHYSICIAN SPECIALISTS, STATE-OF-THE-ART TECHNOLOGY, HIGHLY TRAINED NURSES, AND OTHER UNIQUELY TRAINED PROFESSIONALS WHO ARE FOCUSED UPON PROVIDING IMMEDIATE CARE TO THE MEDICAL CHALLENGES OF NEWBORNS. DURING 2011 SAINT ELIZABETH PROVIDED 6,124 DAYS OF CARE TO 324 NICU PATIENTS. BURN CENTER THE SAINT ELIZABETH REGIONAL BURN CENTER IS VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS. THE BURN CENTER WAS OPENED AS THE REGIONS FIRST BURN CENTER IN 1973 AND CURRENTLY MAINTAINS A 16 BED CENTER WITH DEDICATED OPERATING, PROCEDURE AND TREATMENT ROOM FOR THE ONGOING CARE OF BURNS AND WOUNDS. THE BURN CENTER OFFERS SPECIALIZED CARE, SERVICES, EQUIPMENT AND STAFF TO TREAT THE MOST CRITICAL BURN INJURIES. MEMBERS OF THE BURN TEAM ARE SPECIALLY TRAINED SURGEONS, NURSES, PHYSICAL AND OCCUPATIONAL THERAPISTS, SOCIAL WORKERS, NUTRITION AND PHARMACY CONSULTANTS, RESPIRATORY THERAPISTS, PASTORAL CARE STAFF AND VOLUNTEERS WHO ARE FOCUSED UPON ASSISTING EACH BURN PATIENT MAKE A PHYSICAL, EMOTIONAL AND PSYCHOLOGICAL RECOVERY. THE CENTER HAS DEMONSTRATED LEADERSHIP IN RESEARCH, EDUCATION, OUTREACH, PREVENTION, SYSTEM PLANNING AND THE ABILITY TO CARE FOR THE MOST SEVERELY BURNED PATIENTS. THE CENTER SERVES AS A RESOURCE TO AREA HOSPITALS WITHIN THE REGION, AND NURSES FROM THE BURN CENTER STAFF ARE ON THE HOMELAND SECURITY NATIONAL BIO-TERRORISM AND DISASTER TEAM. THE BURN CENTER PROVIDED 3,996 INPATIENT DAYS OF CARE AND 110 OUTPATIENT OBSERVATION DAYS OF CARE IN 2011. SEE CONTINUATION #1...
COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. (CONTINUATION #1)	SCHEDULE H, PART II AND PART VI, LINES 2, 4, 5 AND 6	CANCER CARE THE SAINT ELIZABETH CANCER INSTITUTE IS APPROVED BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, A DESIGNATION RECOGNIZING THEIR OUTSTANDING CARE AND DEDICATION TO PATIENTS AND THE COMMUNITY. THE CANCER INSTITUTE HAS A FULL SPECTRUM OF CANCER SERVICES INCLUDING PREVENTION AND EARLY DETECTION, DIAGNOSIS AND TREATMENT, REHABILITATION, HOME CARE AND HOSPICE. THE HEALING ENVIRONMENT AND HOLISTIC APPROACH DISTINGUISH SAINT ELIZABETH CANCER CARE. IN FACT, SAINT ELIZABETH IS THE FIRST HOSPITAL IN NEBRASKA TO OFFER PALLIATIVE CARE TO BOTH CHRONIC AND CRITICALLY ILL PATIENTS. THIS FAIRLY NEW AND UNIQUE CARE CONCEPT GUIDES AND SUPPORTS THE DECISIONS OF PATIENTS AND THEIR FAMILIES WITH UNDERSTANDING, EMOTIONAL SUPPORT AND SPIRITUALITY. PREGNANCY AND CHILDREN SAINT ELIZABETH HOME CARE SERVICES PROVIDES SERVICES FOR MOTHERS NEEDING SPECIALIZED CARE DURING AND AFTER PREGNANCY. FOR INFANTS AND CHILDREN, A VARIETY OF SERVICES ARE ALSO AVAILABLE AND TAILORED TO MEET YOUR NEEDS AND THOSE OF YOUR FAMILY. SAINT ELIZABETH IS THE FIRST HOSPITAL IN THE US TO HAVE EARNED GOLD SEAL CERTIFICATION IN BOTH HIGH RISK NEONATAL (NEWBORN INTENSIVE CARE) AND HIGH RISK PREGNANCY CERTIFICATIONS FROM THE JOINT COMMISSION, THE DISTINGUISHED NATIONAL CERTIFYING ORGANIZATION FOR MORE THAN 17,000 HOSPITALS AND HEALTHCARE SYSTEMS. HOME MEDICAL SERVICES SAINT ELIZABETH HOME MEDICAL SERVICES PROVIDES HOME MEDICAL EQUIPMENT (VOLUME VENTILATORS, WHEELCHAIRS, WALKING AIDS, BATHROOM SAFETY EQUIPMENT, AND PATIENT ROOM EQUIP ETC.) AND COUNSELING TO PATIENTS TO PROMOTE THEIR ABILITY TO AMBULATE AND BE MEMBERS OF THE COMMUNITY. HOME MEDICAL SERVICES PROVIDED CARE TO 1,339 INDIVIDUALS DURING 2011. PALLIATIVE CARE SAINT ELIZABETH'S PALLIATIVE CARE PROVIDES SERVICES IN THE HOME TO IMPROVE THE QUALITY OF LIFE FOR THOSE WHO ARE LIVING WITH CHRONIC AND LIFE-LIMITING ILLNESSES SUCH AS: - HEART AND LUNG DISEASES - MULTIPLE SCLEROSIS - CANCER - ALS THIS CARE INCLUDES THE MANAGEMENT OF PAIN AND OTHER SYMPTOMS AS WELL AS ASSISTANCE WITH PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. OUR INTENT IS TO ASSIST PATIENTS AND THEIR FAMILIES IN ACHIEVING THEIR BEST POSSIBLE QUALITY OF LIFE CONSISTENT WITH THEIR PERSONAL VALUES AND GOALS. SAINT ELIZABETH HAS AN OPEN MEDICAL STAFF, AND PARTICIPATES IN A VARIETY OF PROGRAMS INTENDED TO BENEFIT THE POPULATIONS WITHIN, AND THOSE INDIVIDUALS ENTERING INTO ITS SERVICE AREA. THESE PROGRAMS INCLUDE MEDICARE, MEDICAID, TRICARE/CHAMPUS, WORKERS COMPENSATION AND OTHER DISCOUNTED HEALTH INSURANCE PROGRAMS. THIS PARTICIPATION PROVIDES ACCESS TO A LOCAL HEALTH CARE PROVIDER. THE HEALTHCARE COMMUNITY SAINT ELIZABETH REGIONAL MEDICAL CENTER IN LINCOLN, NEBRASKA SERVES A PRIMARY AND SECONDARY MARKET AREA COMPRISED OF 17 COUNTIES IN SOUTHEAST NEBRASKA. LINCOLN, THE CAPITAL OF NEBRASKA IS LOCATED IN THE CENTRAL PART OF LANCASTER COUNTY. LINCOLN AND LANCASTER COUNTY ARE ALSO SERVED BY PEOPLES HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, AN ADDITIONAL ACUTE CARE HOSPITAL WITH TWO CAMPUSES - BRYANLGH AND TWO SPECIALTY HOSPITALS. LANCASTER COUNTY IS SAINT ELIZABETH'S PRIMARY SERVICE AREA AND HAS A POPULATION OF 285,407. DURING 2011 AND DUE IN A LARGE PART TO OUR NICU, BURN, AND CARDIOVASCULAR SERVICES, SAINT ELIZABETH SERVED PATIENTS FROM A MUCH BROADER SERVICE AREA. WITHIN SAINT ELIZABETH'S PRIMARY SERVICES AREA, THE AVERAGE HOUSEHOLD INCOME IS $47,915, HOWEVER 15.2% OF RESIDENTS HAVE AN INCOME BELOW POVERTY LEVEL. 23.1% OF THE POPULATION IS UNDER 18 YEARS OF AGE AND 10.9% IS 65 YEARS OR OLDER. RACE/ETHNICITY IS 87.1% WHITE, 3.5% BLACK, 5.8% HISPANIC, 3.5% ASIAN & PACIFIC AND 0.1% ALL OTHER. MEDICAID ENROLLMENT FOR NEBRASKA IS APPROXIMATELY 200,000, 11.3% OF THE TOTAL POPULATION. THE UNINSURED STATE POPULATION TOTALS APPROXIMATELY 217,000 OR 12% OF THE TOTAL. COMMUNITY SERVICE HAS ALWAYS BEEN AT THE CORE OF SAINT ELIZABETH'S ACTIVITIES. EACH YEAR, SERVICES AND PROGRAMS ARE EXPANDED TO PROMOTE HEALTHY COMMUNITIES THROUGH INNOVATIVE PROGRAMS, COLLABORATIONS AND PARTNERSHIPS. THE PROGRAMS AND SERVICES NOT ONLY SERVE THE COMMUNITY, BUT ALSO REDUCE THE BURDENS ON THE GOVERNMENT. FOR EXAMPLE, IF SAINT ELIZABETH DID NOT PROVIDE CHARITY CARE, THE BURDEN OF PROVIDING CHARITY CARE WOULD FALL ON GOVERNMENT-SUPPORTED INSTITUTIONS. DIVERSITY AT SAINT ELIZABETH LINCOLN RANKS AMONG THE TOP 15 SITES FOR REFUGEE RELOCATION IN THE UNITED STATES! THE US OFFICE OF REFUGEE RESETTLEMENT HAS DESIGNATED LINCOLN AS A PREFERRED COMMUNITY FOR NEWLY-ARRIVED REFUGEES. IN ADDITION TO REFUGEES LINCOLN IS ALSO HOME TO EXISTING ETHNIC MINORITY POPULATIONS. THIS MEANS LINCOLN IS RICH IN CULTURAL AND ETHNIC DIVERSITY. THIS DIVERSITY POSES NOT ONLY CHALLENGES---MULTIPLE LANGUAGES, CULTURAL DIFFERENCES, ETC--- BUT ALSO EXCITING OPPORTUNITIES FOR THOSE WILLING TO EMBRACE IT. AT SAINT ELIZABETH WE CHOOSE TO EMBRACE DIVERSITY IN NUMEROUS WAYS. SOME OF THESE WAYS INCLUDE: LANGUAGES - LANGUAGES FOR WHICH INTERPRETERS WERE MOST FREQUENTLY DRAWN UPON AT SAINT ELIZABETH-(IN ORDER OF HIGHEST TO LOWEST FREQUENCY) DURING THE PAST YEAR WERE AS FOLLOWS: 1) SPANISH; 2) ARABIC; 3) VIETNAMESE; 4) RUSSIAN; 5) SIGN LANGUAGE; 6) KURDISH. INTERPRETERS OF MANY OTHER FOREIGN LANGUAGES WERE ALSO USED INTERMITTENTLY DURING THE YEAR. AT SAINT ELIZABETH WE RECOGNIZE THAT LANGUAGE IS CRITICAL FOR PATIENTS TO UNDERSTAND THEIR CAREGIVERS! FROM UNDERSTANDING WHAT IS MEDICALLY WRONG WITH THEM, TO THEIR TREATMENTS AND MEDICATIONS, TO HOW TO CONTINUE CARE AFTER LEAVING OUR MEDICAL CENTER. OUR LIMITED ENGLISH PROFICIENCY (LEP) PATIENTS AND FAMILIES HAVE A RIGHT TO RECEIVE THE MOST ACCURATE MEDICAL AND OTHER INFORMATION RELATED TO THEIR CARE; TO HAVE OPPORTUNITIES TO ASK QUESTIONS AND ADDRESS CONCERNS; AS WELL AS TO BE PROVIDED THE OPPORTUNITY FOR INFORMED PARTICIPATION IN DECISIONS REGARDING THEIR HEALTHCARE. INTERPRETERS - WE PROVIDE IN-PERSON PROFESSIONAL MEDICALLY-TRAINED INTERPRETERS FOR OUR PATIENTS AND THEIR FAMILIES FROM OUR FIRST CONTACT WITH THEM UNTIL THE PATIENT LEAVES OUR MEDICAL CENTER. THERE IS NO CHARGE TO THE PATIENT. FOR LANGUAGES AND DIALECTS FOR WHICH INTERPRETERS ARE RARE IN LINCOLN, WE ARE WORKING HARD TO IDENTIFY COMMUNITY RESOURCES---OR USE A SPECIAL BLUE PHONE WE HAVE AVAILABLE TO ALL CARE AREAS AND OTHER APPROPRIATE LOCATIONS INSIDE SAINT ELIZABETH BLUE PHONE - IN EMERGENCY AND URGENT SITUATIONS, SAINT ELIZABETH HAS 60 BLUE-COLORED, DUAL-HAND SET TELEPHONES FROM CYRACOM, CALLED CLEARLINK PHONES. THE PHONES ARE LOCATED IN KEY AREAS THROUGHOUT THE MEDICAL CENTER. - THE DUAL HANDSETS ALLOW THE PATIENT AND CAREGIVER TO SIMULTANEOUSLY HEAR INTERPRETED INFORMATION, QUESTIONS & ANSWERS, ETC. - THERE'S A "SPEAKER PHONE" OPTION SO FAMILIES OR ADDITIONAL CLINICAL PEOPLE CAN ALSO HEAR. - THE PHONES ALLOW ONE-BUTTON CONNECTION TO AN EXCELLENT LANGUAGE INTERPRETATION SERVICE WITH ~500 LANGUAGES AND VARIOUS DIALECTS AVAILABLE. OUR POLICY - SAINT ELIZABETH BELIEVES IT IS IN KEEPING WITH OUR MISSION TO PROVIDE SERVICES IN A MANNER THAT IS RESPECTFUL TO EACH PERSON; WE RECOGNIZE THAT EVERY PERSON HAS THE RIGHT TO COMMUNICATE IN THEIR LANGUAGE OF CHOICE. TO THIS END, WE WILL PROVIDE RESOURCES THAT ENSURE EFFECTIVE COMMUNICATION BETWEEN HEALTHCARE PROVIDERS AND LIMITED ENGLISH PROFICIENCY (LEP) PATIENTS. WE HAVE A POLICY THAT CLEARLY DETAILS THIS. SEE CONTINUATION #2...
COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. (CONTINUATION #2)	SCHEDULE H, PART II AND PART VI, LINES 2, 4, 5 AND 6	DIVERSITY COUNCIL - OUR DIVERSITY COUNCIL SERVES AS AN ADVISORY COUNCIL, REPORTING TO THE EXECUTIVE COUNCIL AT SAINT ELIZABETH. OUR DIVERSITY TEAM HOPES TO CREATE A WORK ATMOSPHERE AT SAINT ELIZABETH WHERE ASSOCIATES DELIVER CARE IN A CULTURALLY-COMPETENT MANNER; LEARN TO VALUE THE STRENGTHS INHERENT IN A DIVERSE WORK FORCE; AND WHERE PATIENTS ARE TREATED IN A MANNER RESPECTFUL OF THEIR RACIAL AND ETHNIC BACKGROUNDS. WITH THIS IN MIND, WE HAVE FORMULATED THE FOLLOWING GOALS: 1. TO PROMOTE EDUCATION AIMED AT FOSTERING AN ENLIGHTENED WORKFORCE IN REGARD TO CULTURAL DIVERSITY ISSUES. 2. TO DEVELOP A HEALTHY RESPECT AND APPRECIATION FOR THE CULTURAL DIFFERENCES IN OUR WORKFORCE AND COMMUNITY. 3. TO BECOME THE EMPLOYER OF CHOICE FOR RACIAL AND ETHNIC MINORITIES. 4. TO BECOME THE HEALTH SYSTEM OF CHOICE FOR RACIAL AND ETHNIC MINORITIES SEEKING CARE. 5. TO PROMOTE POLICIES THAT ARE CULTURALLY SENSITIVE. OUR DIVERSITY COUNCIL IS A WONDERFUL MIXTURE OF INDIVIDUALS WHO WORK IN VARIOUS POSITIONS WITHIN THE MEDICAL CENTER AS WELL AS A NUMBER OF MEMBERS FROM THE COMMUNITY. DIVERSITY AMBASSADORS - SAINT ELIZABETH HAS A LARGE GROUP OF DIVERSITY AMBASSADORS---REPRESENTING THE NUMEROUS DEPARTMENTS WITHIN OUR MEDICAL CENTER AND SOME CLINICS. THEIR PRIMARY GOAL IS TO HELP US ALL BETTER UNDERSTAND AND APPRECIATE THE DIVERSE CULTURES WE SERVE AMONG PATIENTS, VISITORS, AND ASSOCIATES AT SAINT ELIZABETH. THESE AMBASSADORS ARE PROVIDED WITH QUARTERLY TRAINING SESSIONS AND MONTHLY MATERIALS SO THEY CAN SHARE WITH THEIR CO-WORKERS. THE MATERIALS VARY FROM FUN AND CONVERSATION-STIMULATING QUICK QUIZZES TO A MONTHLY CALENDAR OF HOLIDAYS AND RECOGNITIONS AMONG VARIOUS CULTURES OF THE WORLD. SAINT ELIZABETH ROUTINELY PARTNERS WITH BRYANLGH, AND OTHER FACILITIES WITHIN LINCOLN, ON PROJECTS MENTIONED ELSEWHERE IN THIS DOCUMENT. ADDITIONALLY, SAINT ELIZABETH'S RELATIONSHIP WITH CATHOLIC HEALTH INITIATIVES AND CHI NEBRASKA ALLOW IT TO CHANNEL RESOURCES TO OTHER FACILITIES WITHIN ITS AFFILIATED GROUPS TO REACH OUT AND PROVIDE HEALTH SERVICES IN UNDERSERVED AREAS THROUGHOUT THE AREAS CHI HAS A PRESENCE WITHIN THE UNITED STATES TO BRING HEALTHCARE SERVICES TO THOSE WHO MIGHT NOT OTHERWISE HAVE ACCESS TO A LOCAL HEALTH CARE PROVIDER. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT APPROACH SAINT ELIZABETH HAS A LONG-STANDING TRADITION OF PROVIDING EXCELLENT HEALTH CARE TO ALL PEOPLE. WE ARE EQUALLY COMMITTED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PARTNERING WITH INDIVIDUALS, ORGANIZATIONS AND ELECTED OFFICIALS TO ANTICIPATE, IDENTIFY AND MEET THE CHANGING HEALTH NEEDS OF LINCOLN AND THE SURROUNDING COMMUNITIES. IN THIS LAST FISCAL YEAR, SAINT ELIZABETH PARTICIPATED IN THE "MAYORS TASK FORCE ON THE HEALTH CARE SAFETY NET", WHICH CONVENED TO DISCUSS COMMUNITY HEALTHCARE NEEDS AND FOCUSED ON THE FOLLOWING: - ACCESS TO HEALTHCARE - BARRIERS TO HEALTHCARE - NEEDED SERVICES - MEDICAL HOME CONCEPT - GENERAL PERCEPTIONS - SUGGESTED CHANGES TO THE CURRENT SYSTEM PARTICIPATING COMMITTEE MEMBERS CONDUCTED FOCUS GROUPS AND SURVEYS AND IDENTIFIED A LIST OF IMMEDIATE NEEDS THAT WOULD IMPROVE COMMUNITY HEALTH: - EXPAND THE NUMBER OF SAFETY NET PROVIDERS TO LOCATIONS THROUGHOUT THE CITY - DEVELOP A ONE-STOP RESOURCE TO COORDINATE HEALTHCARE SERVICES AND PAPERWORK. - PROVIDE GREATER EDUCATION AND VISIBILITY ABOUT CURRENT HEALTHCARE SERVICES, POSSIBLY VIA A CENTRAL TELEPHONE LINE. - DEVELOP AFFORDABLE HEALTH/WELLNESS/FITNESS OPTIONS FOR THE LOW-INCOME AND UNINSURED. - DEVELOP A COMMUNITY "EXCHANGE" FOR DURABLE MEDICAL EQUIPMENT AND OTHER HEALTH-RELATED ITEMS. A COMMUNITY BASED APPROACH IS BEING DEVELOPED TO ADDRESS THESE ISSUES; HOWEVER, SAINT ELIZABETH CONTINUES TO WORK CLOSELY WITH COMMUNITY LEADERS ON AN ONGOING BASIS TO DEVELOP IMMEDIATE RESPONSES TO COMMUNITY HEALTH NEEDS. WAYS IN WHICH SAINT ELIZABETH MEETS THE NEEDS ARE: UNCOMPENSATED CARE FOR THE POOR, UNINSURED, AND UNDERINSURED SAINT ELIZABETH MAINTAINS AN ACTIVE CHARITY CARE PROGRAM WHICH AFFORDS PATIENTS THE ACCESS TO "NEEDED SERVICES", AND IS MONITORED BY A TEAM OF REPRESENTATIVES WHO MEET MONTHLY TO REVIEW PATIENT APPLICATIONS FOR FINANCIAL HARDSHIP ASSISTANCE. TO SUPPLEMENT THE TEAM, PATIENT SERVICE REPRESENTATIVES ARE SPECIALLY TRAINED IN HANDLING FINANCIAL HARDSHIP AND CHARITY CASES. DURING 2011 SAINT ELIZABETH REVIEWED 5,943 PATIENT ACCOUNTS ON 3,803 PERSONS WHICH RESULTED IN $15,935,506 IN BILLED CHARGES BEING WRITTEN OFF TO CHARITY CARE. THE COST TO SAINT ELIZABETH TO PROVIDE THIS CHARITY CARE WAS $ 4,967,502. IN ADDITION TO ITS CHARITY CARE PROGRAMS, SAINT ELIZABETH HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW INCOME PERSONS AND PROVIDES ACCESS TO FULL RECOURSE LOANS, AND DISCOUNTS ON SELF-PAY ACCOUNTS AND SELF-PAY BALANCES DUE AFTER INSURANCE SETTLEMENTS. PEOPLES HEALTH CENTER SAINT ELIZABETH IS A SUPPORTER OF THE PEOPLE'S HEALTH CENTER (PHC) IN LINCOLN, NEBRASKA. IN 2010 SAINT ELIZABETH MADE AN ADDITIONAL $20,000 CONTRIBUTION IN ORDER TO HELP PHC ACQUIRE AN ADDITIONAL MIDLEVEL PROVIDER TO ENHANCE "ACCESS TO HEALTHCARE" FOR UNINSURED AND UNDERSERVED POPULATIONS. THE PEOPLE'S HEALTH CENTER PROVIDES AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST-EFFECTIVE PRIMARY HEALTH CARE. THE CENTER SERVES THE PEOPLE OF THE LINCOLN, NEBRASKA AREA, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE TO IMPROVE THEIR OVERALL HEALTH STATUS. PEOPLE'S HEALTH CENTER HAS BEEN DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BY THE BUREAU OF PRIMARY HEALTH CARE (BPHC). IN CALENDAR 2010, PHC SAW 11,137 INDIVIDUAL PATIENTS FOR OVER 43,314 VISITS. THE CENTER PROVIDED 29,476 MEDICAL VISITS; 8,388 DENTAL VISITS; 452 BEHAVIORAL HEALTH VISITS AND 4,998 SUPPORT SERVICE VISITS (CASE MANAGEMENT, INTERPRETATION, MEDICATION ASSISTANCE, AND HEALTH EDUCATION). LINCOLN EMERGENCY DEPARTMENT CONNECTIONS (LEDC) LINCOLN ED CONNECTIONS IS A COLLABORATIVE CASE MANAGEMENT PROGRAM THROUGH ST. ELIZABETH REGIONAL MEDICAL CENTER AND BRYANLGH MEDICAL CENTER. IT WAS DESIGNED TO IMPROVE "SAFETY NET" SERVICES FOR INDIVIDUALS FREQUENTING EMERGENCY DEPARTMENTS FOR NON-EMERGENT REASONS. THE PROGRAM IS AVAILABLE FOR PATIENTS IN NEED AND MAY HELP THEM TO: FIND A DOCTOR, COORDINATE EXISTING MEDICAL AND OR MENTAL HEALTH SERVICES, MANAGE FINANCES, DETERMINE IF MEDICATION ASSISTANCE IS AVAILABLE, AND ARRANGE TRANSPORTATION SERVICES. THE PRIMARY GOAL OF THE PROGRAM IS TO IMPROVE HEALTH FUNCTIONING AND ACCESS TO COMMUNITY RESOURCES FOR PATIENTS IN NEED. ADDITIONALLY, THE PROGRAM HAS HELPED REDUCE NON-EMERGENT ED VISITS AND COSTS ASSOCIATED WITH THEM. THE LINCOLN ED CONNECTIONS TEAM IS COMPOSED OF NURSE CASE MANAGERS AND SOCIAL WORKERS AVAILABLE TO ACCESS THE MEDICAL, MENTAL HEALTH, AND SOCIOECONOMIC NEEDS OF PATIENTS SEEKING ASSISTANCE. LINCOLN ED CONNECTIONS IS AVAILABLE TO PATIENTS UTILIZING THE EMERGENCY DEPARTMENTS OF ALL THREE HOSPITALS IN LINCOLN, NEBRASKA. THE PROGRAM IS ABSOLUTELY FREE, AND PATIENTS MAY ENROLL ON A VOLUNTARY BASIS. MOBILITY IS FREEDOM MOBILITY FOR THE AGING IS A FORM OF FREEDOM. TO HELP PEOPLE WITHIN THE AGING PARTNERS ORGANIZATION MOVE AROUND SAFELY AND BE MORE INDEPENDENT, SAINT ELIZABETH DONATED FOUR WHEELCHAIRS TO THEIR SENIOR ESSENTIALS PROGRAM. SENIOR ESSENTIALS ACTS AS A "COMMUNITY EXCHANGE" AND COLLECTS AND DONATES DURABLE MEDICAL EQUIPMENT IN GOOD CONDITION TO PEOPLE OVER AGE 60 WHO, FOR WHATEVER REASON, CANNOT AFFORD THEM. NICU AND MATERNAL TRANSPORT & OUTREACH EDUCATION PROGRAM SAINT ELIZABETH PROVIDES OUTREACH EDUCATION TO OUR COMMUNITY REFERRAL HOSPITALS IN THE SPECIFIC AREA OF NICU AND MATERNAL TRANSPORT. THE OUTREACH EDUCATORS (NNP'S, RN'S, NEONATOLOGISTS, OBSTETRICIANS, AND MATERNAL FETAL SPECIALISTS) PROVIDE PERTINENT TRAINING THAT ALLOWS THE MEDICAL PERSONNEL IN THESE SMALLER AREA HOSPITALS TO PROVIDE THE HIGH QUALITY OF CARE AND STABILIZATION NEEDED IN ORDER FOR OUR TEAM TO TRANSPORT THESE HIGH RISK MOTHERS AND INFANTS FROM A 22 COUNTY AREA BY GROUND AMBULANCE OR HELICOPTER. L&D BRIDGES PROGRAM SAINT ELIZABETH HAS A TEAM OF NURSES WHO VOLUNTEER THEIR TIME TO ASSIST FAMILIES THROUGH PALLIATIVE CARE CHOICES WHEN THEIR BABY HAS EXPIRED OR WILL EXPIRE AFTER DELIVERY. THEY EXTEND THIS SUPPORT DURING THE FIRST YEAR AFTER DELIVERY WITH PERIODIC TELEPHONE CALLS AND THROUGH THE CREATION OF A MEMORY RECORD. THEY CONDUCT SENSITIVITY TRAINING FOR HEALTH CARE PROVIDERS AND PLAN AN ANNUAL MEMORIAL SERVICE FOR FAMILIES WHO HAVE EXPERIENCED A LOSS OF A BABY. THEIR MOST RECENT ACCOMPLISHMENT IS A GUIDE TO MORTUARY PLANNING THAT OUTLINES ALL COSTS, SERVICE OPTIONS, AND BURIAL CHOICES BY THE LOCAL FUNERAL HOMES IN OUR COMMUNITY. THEY WERE INSTRUMENTAL IN A LEGISLATIVE CHANGE IN THE BIRTH CERTIFICATE PROCESS TO ACKNOWLEDGE THE STILLBORN. SEE CONTINUATION #3...
COMMUNITY BUILDING ACTIVITIES, NEEDS ASSESSMENT, PROMOTION OF HEALTH, ETC. (CONTINUATION #3)	SCHEDULE H, PART II AND PART VI, LINES 2, 4, 5 AND 6	QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT PROVIDING ACCESS TO CARE AT SAINT ELIZABETH, MANY PATIENTS AND EMPLOYEES SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. KNOWING THAT LANGUAGE BARRIERS CAN DRAMATICALLY IMPACT ACCESS TO MEDICAL CARE AND IMPAIR HEALTH OUTCOMES, SAINT ELIZABETH PROVIDES FREE MEDICAL INTERPRETATION SERVICES TO ANY PATIENT OR EMPLOYEE UPON REQUEST. COMMUNITY HEALTH IMPROVEMENT/PROMOTING HEALTH AND WELLNESS SAINT ELIZABETH HELPS SUPPORT COMMUNITY HEALTH IMPROVEMENT WITH FREE OR REDUCED CHARGE CLASSES, AND HELPS ADVANCE SCIENCE AND TECHNOLOGY THROUGH RESEARCH FOR CUTTING-EDGE TREATMENT OPTIONS BY SUPPORTING PROGRAMS SUCH AS THE COMMUNITY ASTHMA EDUCATION INITIATIVE, NICU FOLLOW-UP CLINIC, SPECIAL MEDICAL CAMPS FOR CHILDREN WITH BURNS OR HEART PROBLEMS AND MORE. CLASSES OFFERED IN THE COMMUNITY INCLUDE LEG PAIN CLASSES, KNEE PAIN CLASSES, PAIN MANAGEMENT CLASSES, WOMEN'S HEALTH CLASSES, PROSTATE HEALTH CLASSES, GRIEF SUPPORT CLASSES, CPR, FIRST AID, AND AED CLASSES, CHILDBIRTH EDUCATION CLASSES, AND WIDE VARIETY OF WELLNESS AND COMMUNITY EDUCATION CLASSES (DIABETES, ARTHRITIS, SKIN CANCER, SMOKING CESSATION, EMPHYSEMA & COPD, ROBOTIC SURGERY, SURGICAL WEIGHT LOSS, HEALTHY WEIGHT LOSS, BLOOD SCREENINGS AND MANY MORE). COMMUNITY HEALTH IMPROVEMENT SERVICES WERE SUPPORTED BY SAINT ELIZABETH BY LAST YEAR SERVING 67,064 PEOPLE IN EDUCATION AND OUTREACH AT A COST OF $1,420,111. HEALTH PROFESSIONAL EDUCATION HEALTH PROFESSIONAL EDUCATION AT SAINT ELIZABETH SUPPORTS TRAINING OF STUDENTS IN PHARMACY, NURSING, AND OTHER MEDICAL PROFESSIONS, AS WELL AS SUPPORTING LINCOLN MEDICAL EDUCATION PARTNERSHIP. SAINT ELIZABETH BELIEVES HIGHLY TRAINED PERSONNEL PROVIDE QUALITY CARE. DURING 2011 OVER 800 HEALTHCARE STUDENTS (APPROXIMATELY 770 OF THESE WERE NURSING STUDENTS) RECEIVE HANDS-ON EDUCATION INSIDE SAINT ELIZABETH IN EFFORTS TO ADVANCE OUR PROFESSION. INCLUDED IN THESE WERE: - NURSING, EXTERNS, PRECEPTORSHIPS, SHADOWING, AND REGULAR NURSING STUDENTS - RESPIRATORY - RADIOLOGY, INCLUDING ULTRASOUND, MRI, CT - CARDIOLOGY, INCLUDING ECHOCARDIOLOGY, AND VASCULAR - PHARMACY - PHYSICAL THERAPY - EXERCISE SCIENCE EXTERNS - OTHER EXTERNS RESEARCH AND CLINICAL TRIALS SAINT ELIZABETH REGIONAL MEDICAL CENTER PARTICIPATES IN MEDICAL RESEARCH AND CLINICAL TRIALS TO GIVE PATIENTS ACCESS TO CUTTING-EDGE TREATMENT OPTIONS AND ENABLE THEM TO PARTICIPATE IN THE LATEST ADVANCEMENTS IN MEDICINE. CANCER: THROUGH THE MEDICAL CENTER'S RELATIONSHIP WITH THE CANCER RESOURCE CENTER AND ITS AFFILIATION WITH THE MISSOURI VALLEY COMMUNITY COOPERATIVE ONCOLOGY PROGRAM, OUR PATIENTS HAVE ACCESS TO ALL OF THE MAJOR CLINICAL TRIALS FOR CANCER CARE. CHI (INCLUDING SAINT ELIZABETH) IS ALSO THE RECIPIENT OF A GRANT PROVIDED BY THE NCI (NATIONAL CANCER INSTITUTE) ENABLING SAINT ELIZABETH TO BRING CANCER CARE TO LOCAL COMMUNITIES THROUGH THE NCCCP PROGRAM (NCI COMMUNITY CANCER CENTERS PROGRAM). THIS GRANT HAS ALLOWED US TO BRING CANCER GENETIC COUNSELING, ADDITIONAL CLINICAL TRIALS, COMMUNITY OUTREACH, AND CANCER NURSE NAVIGATION SERVICES TO CANCER PATIENTS IN OUR COMMUNITY. WITH ADDITIONAL ARRA FUNDS WE ARE NOW ABLE TO PROVIDE SMOKING CESSATION, SURVIVORSHIP AND CAREGIVER SUPPORT TO THE COMMUNITY. THIS PROVIDES A FULL COMPLEMENT OF CANCER SERVICES FOR PATIENTS. BURN AND WOUND: SAINT ELIZABETH BURN CENTER RESEARCHERS ARE CONTINUALLY FINDING NEW AND MORE SUCCESSFUL WAYS TO TREAT BURNS AND THEN SHARING THESE FINDINGS AT NATIONAL CONFERENCES. HEART CARE: CARDIOLOGISTS IN OUR HEART CENTER PARTICIPATE IN A NUMBER OF NATIONAL STUDIES, INCLUDING EXPLORING THE ADVANTAGES OF COATED STENTS AND IMPROVING CARE FOR PATIENTS IMPLANTED WITH ELECTRO PHYSIOLOGY DEVICES. NICU: NEWBORNS AND OTHER INFANTS WITH SPECIAL MEDICAL NEEDS BENEFIT REGULARLY FROM NATIONAL STUDIES UNDERTAKEN IN THE NICU TO IMPROVE BREATHING ISSUES OR OTHER DEVELOPMENTAL CONCERNS. THIS LEVEL OF RESEARCH IS GOOD NEWS FOR PATIENTS WHO DO NOT HAVE TO TRAVEL TO OTHER CITIES OR STATES TO BENEFIT FROM RESEARCH, STUDIES AND CLINICAL TRIALS THAT ARE AVAILABLE HERE IN LINCOLN AT SAINT ELIZABETH. LIVING OUR HEALTHCARE MISSION BECAUSE OF OUR MISSION, WE AT SAINT ELIZABETH HOLD OURSELVES AND OUR EMPLOYEES TO A HIGHER STANDARD. WE BELIEVE OUR HEALTHCARE MISSION MEANS LIVING OUT OUR VALUES OF REVERENCE, INTEGRITY, COMPASSION AND EXCELLENCE. ALL DEPARTMENTS IN OUR MEDICAL CENTER AND CLINICS PERFORM MISSION PROJECTS DURING THE YEAR. AT SAINT ELIZABETH OUR HEALTHCARE MISSION GOES BEYOND HELPING PEOPLE OVERCOME ILLNESS OR INJURY AND PROVIDING A HEALING ENVIRONMENT FOR THEM TO DO SO. FOR US, OUR UNIQUE AND ENDURING MISSION GUIDES US TO ALSO REACH OUT TO THE COMMUNITY WE SERVE WITH INNOVATIVE AND SUPPORTIVE PROGRAMS AND SERVICES AS WELL AS PARTNER WITH COMMUNITY AGENCIES AND ORGANIZATIONS TO STRENGTHEN THEIR HEALTH PROGRAMS. AS A CATHOLIC HEALTHCARE PROVIDER WE ALSO CARE FOR ALL PERSONS, INCLUDING THOSE MOST IN NEED, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. ALL DEPARTMENTS IN OUR MEDICAL CENTER AND CLINICS PERFORM MISSION PROJECTS DURING THE YEAR. THE "KIDS AGAINST HUNGER" NATIONAL CAMPAIGN OF PACKAGING NUTRITIOUS MEALS FOR THOUSANDS OF HUNGRY FAMILIES AROUND THE WORLD IS ONE SUCH EXAMPLE. ADULTS AND CHILDREN HELP SCOOP SPECIALLY-FORMULATED RICE-SOY CASSEROLE INGREDIENTS INTO UNIQUELY DESIGNED SEALED BAGS WHICH ARE THEN SHIPPED OVERSEAS TO MORE THAN 40 NATIONS RANGING FROM ARGENTINA TO ZIMBABWE. ADDITIONALLY, MORE THAN A DOZEN DEPARTMENTS "ADOPTED" FAMILIES OVER THE HOLIDAYS, PURCHASING INGREDIENTS FOR A WONDERFUL THANKSGIVING MEAL AND CHRISTMAS PRESENTS FOR AREA FAMILIES IN NEED; THE FOOD BANK BENEFITED FROM THOUSANDS OF POUNDS OF FOOD PRODUCTS COLLECTED; ONE EMPLOYEE KNITS HATS AND BOOTIES FOR BABIES; ANOTHER DEPARTMENT ASSISTED THE MEREDITH HOME FOR GIRLS, THE RIGHT TO LIFE WALK, AND THE FRESH START HOME; FRIENDSHIP HOME IS ANOTHER MULTI-DEPARTMENTAL BENEFICIARY; AS WELL AS THE CITY-WIDE PAINT-A-THON; JUNETEENTH; FESTIVAL DE LAS AMERICAS; AND ONE DEPARTMENT WORKED WITH AN UNRELATED ORGANIZATION TO PROVIDE SOME MEDICAL EQUIPMENT FOR THOSE WITHOUT INSURANCE TO COVER THE COSTS. IT IS AN EXCITING WAY TO REACH OUT. SAINT ELIZABETH IS HELPING EMERGENCY MEDICAL SERVICES PEOPLE IN ALL CORNERS OF THE STATE STAY CURRENT WITH THE LATEST MEDICAL KNOWLEDGE. IN THE EVER-CHANGING WORLD OF MEDICINE SAINT ELIZABETH USES SOME OF THE MOST MODERN TECHNOLOGY TO HELP EDUCATE EMERGENCY SERVICE PROVIDERS IN THE STATE. AMBULANCE EMTS, PARAMEDICS, FIRE AND RESCUE TEAMS, AND OTHERS CAN STAY CURRENT WITH MEDICAL ADVANCEMENTS VIA A LIVE VIDEO LINK AND THE FACE-TO-FACE COMMUNICATION IT OFFERS VIA THE TELEHEALTH NETWORK.

Schedule H (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number
47-0379836

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) LINCOLN CHILDRENS MUSEUM1420 P STREET LINCOLN,NE68508	47-0716636	501(C)(3)	50,000	TO PROMOTE HEALTHY COMMUNITIES
(2) CENTER FOR PEOPLE IN NEED INC3901 N 27TH ST LINCOLN,NE68521	06-1669582	501(C)(3)	36,480	TO PROMOTE HEALTHY COMMUNITIES
(3) COMMUNITY HEALTH ENDOWMENT OF LINCOLN1440 M ST LINCOLN,NE68508	47-0825472	501(C)(3)	25,000	TO PROMOTE HEALTHY COMMUNITIES
(4) AMERICAN CANCER SOCIETY1100 PENNSYLVANIA AVE KANSAS CITY,MO64105	74-1185665	501(C)(3)	21,300	TO PROMOTE HEALTHY COMMUNITIES
(5) CHILD ADVOCACY CENTER3200 SUMNER ST LINCOLN,NE68502	47-0793765	501(C)(3)	21,000	TO PROMOTE HEALTHY COMMUNITIES
(6) CATHOLIC SOCIAL SERVICES3700 SHERIDAN BLVD SUITE 1 LINCOLN,NE68502	47-0793765	501(C)(3)	20,500	TO PROMOTE HEALTHY COMMUNITIES
(7) PEOPLE'S HEALTH CENTER1021 N 27TH ST LINCOLN,NE68503	41-2056863	501(C)(3)	20,000	TO PROMOTE HEALTHY COMMUNITIES
(8) AMERICAN HEART ASSOCIATION7272 GREENVILLE AVE DALLAS,TX75231	13-5613797	501(C)(3)	15,000	TO PROMOTE HEALTHY COMMUNITIES
(9) UNITED WAY OF LINCOLN AND LANCASTER COUNTY238 S 13TH ST LINCOLN,NE68508	47-0376624	501(C)(3)	13,250	TO PROMOTE HEALTHY COMMUNITIES
(10) TEAMMATES MENTORING PROGRAM6801 O STREET LINCOLN,NE68510	47-0840990	501(C)(3)	11,500	TO PROMOTE HEALTHY COMMUNITIES
(11) PIUS X HIGH SCHOOL6000 A ST LINCOLN,NE68510	47-0426529	501(C)(3)	11,300	TO PROMOTE HEALTHY COMMUNITIES
(12) LINCOLN PARKS & RECREATION FNDN3740 A STREET PO BOX 201 LINCOLN,NE68502	36-3853746	501(C)(3)	11,200	TO PROMOTE HEALTHY COMMUNITIES
(13) NEBRASKA SPORTS COUNCILPO BOX 29366 LINCOLN,NE68529	36-3354207	501(C)(3)	10,000	TO PROMOTE HEALTHY COMMUNITIES
(14) LANCASTER COUNTY MEDICAL SOCIETY4600 VALLEY RD STE 250 LINCOLN,NE68510	47-0401506	501(C)(3)	10,000	TO PROMOTE HEALTHY COMMUNITIES
(15) LINCOLN CHILDRENS ZOO1222 SOUTH 27TH ST LINCOLN,NE68502	47-0482255	501(C)(3)	10,000	TO PROMOTE HEALTHY COMMUNITIES
(16) MADONNA FOUNDATION5401 SOUTH ST LINCOLN,NE68506	23-7159940	501(C)(3)	10,000	TO PROMOTE HEALTHY COMMUNITIES
(17) COMMUNITY MEDICAL CENTER INC2307 BARADA ST FALLS CITY,NE68355	47-0421272	501(C)(3)	5,000	TO PROMOTE HEALTHY COMMUNITIES
(18) CHILD GUIDANCE CENTER2444 O ST LINCOLN,NE68510	47-0398819	501(C)(3)	5,000	TO PROMOTE HEALTHY COMMUNITIES
(19) YMCA OF LINCOLN570 FALLBROOK BLVD LINCOLN,NE68521	47-0376578	501(C)(3)	5,000	TO PROMOTE HEALTHY COMMUNITIES
(20) FILLMORE COUNTY HOSPITAL1325 H ST PO BOX 193 GENEVA,NE68361	26-1778815	501(C)(3)	5,000	TO PROMOTE HEALTHY COMMUNITIES
(21) CHI NEBRASKA6940 O STREET SUITE 200 LINCOLN,NE68510	36-3233121	501(C)(3)	9,220,300	CAPITAL CONTRIBUTION

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) PATIENT HARDSHIP ASSISTANCE	341	54,732	0	N/A	N/A
(2) EMPLOYEE ASSISTANCE	71	37,033	0	N/A	N/A
(3) SCHOLARSHIPS	16	9,550	0	N/A	N/A

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Procedures for monitoring use of grant funds	Schedule I, Part I, Line 2	GRANTS INCLUDED IN PART II ARE TO COMPANIES AND 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. GRANTS INCLUDED IN PART III ARE TO INDIVIDUALS NEEDING FINANCIAL ASSISTANCE. PATIENT HARDSHIP CHARGES ARE BILLED DIRECTLY TO SERMC, AND EMPLOYEES ARE REQUIRED TO PROVIDE COPIES OF INVOICES, ETC. FOR EMPLOYEE ASSISTANCE PAYMENT ELIGIBILITY; THESE PROCEDURES ENSURE PROPER USE OF THE FUNDS. SCHOLARSHIP RECIPIENTS ARE REQUIRED TO SUBMIT A LETTER CERTIFYING HIS/HER ADMISSION TO A HEALTH CARE CAREER PROGRAM WITH THE APPLICATION. THE FUNDS ARE PAID DIRECTLY TO THE RECIPIENTS AND CAN BE USED FOR TUITION, BOOKS, SUPPLIES, OR OTHER EXPENSES THAT MAY BE INCURRED WITH THEIR SCHOOLING.

Schedule I (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MICHAEL FERRIS	(i) (ii)	0 0	0 0	172,000 0	0 0	0 0	172,000 0	0 0
(2) ROBERT LANIK	(i) (ii)	0 503,686	0 124,161	0 62,000	0 32,478	0 13,246	0 735,571	0 0
(3) JEANETTE WOJTALEWICZ	(i) (ii)	299,926 0	30,142 0	9,865 0	22,678 0	19,160 0	381,771 0	0 0
(4) JOHN DUMONCEAUX	(i) (ii)	224,912 0	17,014 0	10,752 0	21,072 0	12,610 0	286,360 0	62,478 0
(5) PATRICK GILLES	(i) (ii)	231,389 0	23,487 0	11,140 0	25,128 0	12,772 0	303,916 0	0 0
(6) CHARLOTTE LIGGETT	(i) (ii)	185,039 0	18,617 0	9,805 0	23,203 0	6,860 0	243,524 0	0 0
(7) KIM MOORE	(i) (ii)	224,361 0	23,449 0	10,220 0	32,478 0	19,160 0	309,668 0	0 0
(8) NANCY GONDRINGER	(i) (ii)	131,638 0	5,652 0	1,679 0	14,798 0	7,185 0	160,952 0	0 0
(9) DONNA HAMMACK	(i) (ii)	140,643 0	7,620 0	5,376 0	17,511 0	13,633 0	184,783 0	0 0
(10) KURT CLYNE	(i) (ii)	144,458 0	6,156 0	1,773 0	17,982 0	6,846 0	177,215 0	0 0
(11) RICHARD TERNES	(i) (ii)	124,556 0	225 0	7,039 0	17,769 0	13,507 0	163,096 0	0 0
(12) GREGORY GILLESPIE	(i) (ii)	136,423 0	4,374 0	5,436 0	11,065 0	12,238 0	169,536 0	0 0
(13) CARY WARD MD	(i) (ii)	0 382,579	0 37,790	0 10,623	0 43,626	0 17,298	0 491,916	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Travel for companions	Schedule J, Part I, Line 1a	DURING THE YEAR THE ORGANIZATION PROVIDED REIMBURSEMENT TO THREE BOARD MEMBERS FOR SPOUSAL TRAVEL. THE REIMBURSEMENTS WERE NOT REPORTED ON FORMS 1099, AS THE AMOUNTS WERE UNDER THE $600 REPORTING THRESHOLD; HOWEVER, RECIPIENTS WERE INSTRUCTED THAT THE AMOUNTS WERE REPORTABLE AS TAXABLE INCOME.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	DURING THE 2010 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: ROBERT LANIK. DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS TERMINATION, AGE, OR YEARS OF SERVICE ARE ELIGIBLE TO RECEIVE THEIR 2010 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 2010, THE FOLLOWING CONTRIBUTIONS THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: ROBERT LANIK - $35,026 IN ADDITION, PRIOR TO THE 2009 CALENDAR YEAR, SAINT ELIZABETH REGIONAL MEDICAL CENTER ("SERMC") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN. ELIGIBILITY WAS LIMITED TO CERTAIN VICE PRESIDENTS. THE PLAN CONTRIBUTED 5% OF SALARY INTO A DEFERRED INCOME ACCOUNT MANAGED BY ALLIANCE BENEFIT GROUP. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: JOHN DUMONCEAUX. THE PLAN WAS FROZEN AT THE BEGINNING OF 2009, AND THUS NO CONTRIBUTIONS WERE MADE BY SERMC TO THE DEFERRED COMPENSATION PLAN DURING 2010. HOWEVER, DURING 2010 THE FOLLOWING DISTRIBUTIONS WERE MADE BY SERMC FROM THE DEFERRED COMPENSATION PLAN: JOHN DUMONCEAUX - $62,478
METHODS USED TO ESTABLISH CEO COMPENSATION	SCHEDULE J, PART I, LINE 3	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS	SCHEDULE J, PART I, LINE 4A	POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THERE WERE NO REPORTABLE INDIVIDUALS THAT RECEIVED SEVERANCE PAYMENTS FROM THE FILING ORGANIZATION OR A RELATED ORGANIZATION DURING THE 2010 CALENDAR YEAR.

Schedule J (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Identifier	Return Reference	Explanation
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	ACCORDING TO THE ORGANIZATION'S BYLAWS, THE ENTITY'S SOLE CORPORATE MEMBER IS CHI NEBRASKA, A NEBRASKA NON-PROFIT CORPORATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	IN ACCORDANCE WITH THE ORGANIZATION'S CORPORATE BYLAWS, THE SOLE CORPORATE MEMBER, CHI NEBRASKA MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE ORGANIZATION'S BOARD OF DIRECTORS.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	THE ORGANIZATION'S CORPORATE MEMBER IS CHI NEBRASKA. PURSUANT TO SECTION 5.4.1 OF THE ORGANIZATION'S BYLAWS, BOTH CHI NEBRASKA AND CATHOLIC HEALTH INITIATIVES ("CHI") HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE CHI NEBRASKA'S BOARD: * APPROVE MEMBERS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER BOARD. * AMENDMENT OF THE CORPORATE DOCUMENTS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF ISSUANCE OF DEBT BY SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF PARTICIPATION OF SAINT ELIZABETH REGIONAL MEDICAL CENTER IN A JOINT VENTURE. APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT ELIZABETH REGIONAL MEDICAL CENTER. APPROVAL OF A MERGER INVOLVING THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE SAINT ELIZABETH REGIONAL MEDICAL CENTER. * TO REQUIRE THE TRANSFER OF ASSETS BY THE SAINT ELIZABETH REGIONAL MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, SAINT ELIZABETH REGIONAL MEDICAL CENTER OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11a	DURING THE PREPARATION OF THE ORGANIZERS THE FINANCE STAFF CONSULTS WITH EXECUTIVE MANAGEMENT REGARDING ITEMS OF INTEREST (I.E. CONFLICTS, POLITICAL ACTIVITIES, ETC.) OF WHICH THEY WOULD HAVE FIRST HAND KNOWLEDGE. THE ORGANIZATION'S 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.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER, 2011. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	COMPENSATION FOR OTHER OFFICERS IS COMPARED TO A STUDY COMPLETED BY HR ADVANTAGE AND IS APPROVED BY THE PRESIDENT/CEO. COMPENSATION FOR KEY EMPLOYEES IS COMPARED TO A STUDY COMPLETED BY MSA AND IS APPROVED BY THE INDIVIDUAL'S SUPERVISING VICE PRESIDENT. THE BOARD OF DIRECTORS ALSO OVERSEES AND APPROVES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY; THIS PROCESS WAS LAST UNDERTAKEN FOR FY11 COMPENSATION IN SEPTEMBER/OCTOBER 2010.
Public Disclosure	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 GOVERNING DOCUMENTS ARE AVAILABLE FROM THE NEBRASKA SECRETARY OF STATE WEBSITE (HTTP://WWW.SOS.NE.GOV/BUSINESS). THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG.
EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY	FORM 990, PART VI, SECTION A, LINES 1A-B	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF SAINT ELIZABETH REGIONAL MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, THE SECRETARY, AND THE TREASURER OF THE CORPORATION, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINES 12A-C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IT FOLLOWS WITH RESPECT TO ITS INTERESTED PERSONS, HOWEVER THE POLICY WAS NOT YET ADOPTED BY THE GOVERNING BODY AT THE END OF THE TAX YEAR. THE FOLLOWING DESCRIBES THE ORGANIZATION'S CONFLICT OF INTEREST MONITORING PROCEDURES. DISCLOSURE, REVIEW AND INITIAL DETERMINATION: 1. GENERAL OBLIGATION: EACH SAINT ELIZABETH ASSOCIATE MUST PROMPTLY AND FULLY REPORT TO THE ASSOCIATE'S DIRECT MANAGER OR SUPERVISOR ANY SITUATION OR CIRCUMSTANCE THAT MAY CREATE A CONFLICT OF INTEREST. THE ASSOCIATE MUST REPORT THE ACTUAL OR POTENTIAL CONFLICT AS SOON AS THE ASSOCIATE BECOMES AWARE OF IT. IN ANY SITUATION WHEN THE ASSOCIATE MAY BE IN DOUBT, THE ASSOCIATE IS TO MAKE A FULL DISCLOSURE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION TO BE MADE. 2. DISCLOSURE UPON INITIAL HIRING: AT THE TIME OF INITIAL HIRING, A SAINT ELIZABETH HUMAN RESOURCES ("HR") REPRESENTATIVE SHALL REVIEW THIS POLICY WITH THE ASSOCIATE AND HAVE THE ASSOCIATE COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COMPLETED AND SIGNED DISCLOSURE STATEMENT SHALL BE MAINTAINED IN THE ASSOCIATES' HR FILE. 3. ANNUAL DISCLOSURE STATEMENT: THE FOLLOWING PROVISION APPLIES TO AN ASSOCIATE WHO IS A DIRECTOR AND ABOVE OR A KEY ASSOCIATE. KEY ASSOCIATES INCLUDE ASSOCIATES OF THE FOLLOWING DEPARTMENTS: ADMINISTRATION, PATIENT ACCOUNTING, INFORMATION TECHNOLOGY, PROCUREMENT, CASE MANAGEMENT, CLINICAL NURSE SPECIALISTS, MARKETING, FINANCE, AND PERFORMANCE IMPROVEMENT. OTHER DEPARTMENTS INVOLVED IN MAKING FINANCIAL DECISION MAKING MAY ALSO BE INCLUDED AS KEY ASSOCIATES, AT THE DIRECTOR'S DISCRETION. AT THE TIME OF THE ASSOCIATE'S ANNUAL EVALUATION, THE ASSOCIATE'S DIRECT MANAGER OR SUPERVISOR SHALL REVIEW THIS POLICY WITH THE ASSOCIATE AND HAVE THE ASSOCIATE COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE COMPLETED AND SIGNED DISCLOSURE STATEMENT SHALL BE MAINTAINED IN THE ASSOCIATE'S HR FILE. ASSOCIATES WHO ARE NOT DIRECTORS AND ABOVE OR KEY ASSOCIATES ARE SUBJECT TO THE GENERAL OBLIGATION ABOVE. 4. REVIEW, EVALUATION AND INITIAL DETERMINATION: ANY QUESTION ABOUT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHOULD FIRST BE PRESENTED BY THE ASSOCIATE TO THE ASSOCIATES' DIRECT MANAGER OR SUPERVISOR FOR REVIEW AND DETERMINATION. IF THE ASSOCIATE DOES NOT IDENTIFY OR RECOGNIZE THE CONFLICT OR THE NEED TO REQUEST A REVIEW, THE MANAGER, WHO BECOMES AWARE OF A SITUATION THAT INVOLVES THE ASSOCIATE AND PRESENTS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SHOULD MAKE A DETERMINATION AND ADVISE THE ASSOCIATE OF SAME. IF THE ASSOCIATE AND THE MANAGER DO NOT AGREE ABOUT THE APPLICABILITY OF THIS POLICY, OR IF THE ASSOCIATE SEEKS AN EXCEPTION OR EXEMPTION FROM THIS POLICY, THE MANAGER SHALL CONSULT WITH THE MANAGER'S VICE PRESIDENT (OR HIGHER IF THE MANAGER IS A VICE PRESIDENT) TO REACH A DETERMINATION. IF THE MATTER REMAINS UNRESOLVED, IT SHALL BE REFERRED TO THE SAINT ELIZABETH VICE PRESIDENT OF HUMAN RESOURCES AND THE SAINT ELIZABETH CORPORATE RESPONSIBILITY OFFICER FOR DETERMINATION. IF THE SAINT ELIZABETH VICE PRESIDENT OF HUMAN RESOURCES AND THE SAINT ELIZABETH CORPORATE RESPONSIBILITY OFFICER ARE UNABLE TO REACH AGREEMENT, THE MATTER SHALL BE REFERRED TO THE SAINT ELIZABETH'S ASSIGNED CHI LEGAL COUNSEL, WHOSE DECISION SHALL BE FINAL. EACH DECISION MAKER MAY INVESTIGATE AND CONSIDER THE CIRCUMSTANCES SURROUNDING THE POTENTIAL OR ACTUAL CONFLICT OF INTEREST, INCLUDING INTERVIEWING THE ASSOCIATE, AS THE DECISION MAKER DEEMS NECESSARY OR APPROPRIATE TO MAKE AN INFORMED DECISION. 5. CONSIDERATIONS: AMONG THE FACTORS THAT SHOULD BE CONSIDERED IN DETERMINING WHETHER A CONFLICT EXISTS ARE THE NATURE AND MAGNITUDE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE DEGREE TO WHICH IT IS RELATED TO SAINT ELIZABETH'S BUSINESS, WHETHER THE INDIVIDUAL WITH THE CONFLICT IS THE ULTIMATE DECISION MAKER OR HOLDS SIGNIFICANT INFLUENCE OVER THE ULTIMATE DECISION MAKER (I.E., INDEPENDENCE OF THE DECISION MAKING PROCESS), THE UNIQUE NATURE OF THE OPPORTUNITY, TRANSACTION OR ARRANGEMENT, THE EXISTENCE OF OTHER VIABLE ALTERNATIVES AND THE QUALITY OF THOSE ALTERNATIVES, AND WHAT IS CUSTOMARY AND REASONABLE IN THE HEALTHCARE INDUSTRY. 6. WRITING REQUIRED: ANY ASSOCIATE REQUEST FOR AN EXCEPTION OR EXEMPTION FROM THIS POLICY, AS WELL AS THE FINAL DECISION THEREON, SHALL BE IN WRITING. COPIES OF ALL SUCH DOCUMENTS SHALL BE MAINTAINED IN THE ASSOCIATE'S HR FILE. 7. POLICY VIOLATIONS: IF AN ASSOCIATE FAILS TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POTENTIAL CONFLICT, OR FAILS TO ABIDE BY THE FINAL DECISION REGARDING THE CONFLICT AS REQUIRED BY THIS POLICY, THE ASSOCIATE MAY BE SUBJECT TO DISCIPLINARY ACTION, INCLUDING TERMINATION.
DOCUMENT RETENTION AND DESTRUCTION POLICY	FORM 990, PART VI, SECTION B, LINE 14	THE ORGANIZATION HAS A DOCUMENT RETENTION AND DESTRUCTION POLICY THAT IT FOLLOWS; HOWEVER THE POLICY HAD NOT BEEN FORMALLY ADOPTED BY THE GOVERNING BOARD AS OF THE END OF THE TAX YEAR.
JOINT VENTURE POLICY	FORM 990, PART VI, SECTION B, LINE 16B	SAINT ELIZABETH REGIONAL MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.
ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, PART VII, SECTION A, LINE 1A	THE INDIVIDUALS LISTED IN PART VII THAT REPORT COMPENSATION PAID BY A RELATED ORGANIZATION DEVOTE APPROXIMATELY 60 HOURS PER WEEK TO THE RELATED ORGANIZATIONS AND RECEIVE COMPENSATION IN EXCHANGE FOR THEIR SERVICES PROVIDED.
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 22851056; CAPITAL RESOURCE POOL CONTRIBUTION - -4106280; CHI CONNECT DEPRECIATION - 785265;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SAINT ELIZABETH REGIONAL MEDICAL CENTER

Employer identification number

47-0379836

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA,NE68124 47-0484764	HEALTHCARE	NE	501(C)(3)	3	CHI	Yes
(2) ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING,IA50841 42-0782518	HEALTHCARE	IA	501(C)(3)	3	AHBMHS	Yes
(3) ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS,MN56345 41-1351177	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(4) APPLETREE COURT 601 OAK STREET BRECKENRIDGE,MN56520 41-1850500	SENIOR HOMES	MN	501(C)(3)	9	SFH	Yes
(5) BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES,IA50314 42-0725196	LTERM CARE	IA	501(C)(3)	9	CHI-IA CORP	Yes
(6) BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING,PA19603 23-2187242	HEALTHCARE	PA	501(C)(3)	11 - Type I	CHI	Yes
(7) CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON,ND58421 45-0227311	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(8) CATHOLIC HEALTH CARE FEDERATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-8473567	JURDIC PERSON	CO	501(C)(3)	11 - Type I	CHI	Yes
(9) CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0617373	HEALTHCARE	CO	501(C)(3)	9	CHI	Yes
(10) CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 961 EAST COLORADO AVENUE COLORADO SPRINGS,CO80903 84-0902211	FUNDRAISING	CO	501(C)(3)	7	CHI COLORADO	Yes
(11) CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG,OR97470 90-0433062	PHYSICIANS	OR	501(C)(3)	9	MMC	Yes
(12) CHI COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 84-0405257	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes
(13) CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO,ND58104 27-1966847	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(14) CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-1050565	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(15) CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER,KY41018 20-2741651	HEALTHCARE	KY	501(C)(3)	11 - Type I	CHI	Yes
(16) CHI NATIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-0930004	FUNDRAISING	CO	501(C)(3)	11 - Type I	CHI	Yes
(17) CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-1261716	HEALTHCARE	CO	501(C)(3)	11 - Type I	CHI	Yes
(18) CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 45-2532084	HEALTHCARE	CO	501(C)(3)	9	CHI	Yes
(19) CHI NEBRASKA 555 SOUTH 70TH STREET LINCOLN,NE68510 36-3233121	HEALTHCARE	NE	501(C)(3)	11 - Type I	CHI	Yes
(20) CHI-IOWA CORP 1111 6TH AVENUE DES MOINES,IA50314 42-0680448	HEALTHCARE	IA	501(C)(3)	3	MHN	Yes
(21) CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON,KY40509 61-1400619	LTACH	KY	501(C)(3)	3	SJHS	Yes
(22) ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW,WA98022 91-0715805	HEALTHCARE	WA	501(C)(3)	3	FHS	Yes
(23) FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004 61-1345363	HEALTHCARE	KY	501(C)(3)	3	CHI	Yes
(24) FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN,KY40004 56-2351341	FUNDRAISING	KY	501(C)(3)	11 - Type I	FH	Yes
(25) FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA,WA98405 91-1145592	FUNDRAISING	WA	501(C)(3)	9	FHS	Yes
(26) FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST 1717 SOUTH J STREET TACOMA,WA98405 91-0564491	HEALTHCARE	WA	501(C)(3)	3	CHI	Yes
(27) FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA,WA98405 91-1939739	HEALTHCARE	WA	501(C)(3)	9	FHS	Yes
(28) FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE,WI53172 39-1093829	HEALTHCARE	WI	501(C)(3)	9	CHI	Yes
(29) GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG,SD57442 46-0234354	HEALTHCARE	SD	501(C)(3)	3	SMHC	Yes
(30) GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 20-1536108	MINISTRIES	CO	501(C)(3)	11 - Type I	CHI	Yes
(31) GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 375 DIXMYTH AVE CINCINNATI,OH45220 31-1778403	EDUCATION	KY	501(C)(3)	2	GHS	Yes
(32) GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 31-1206047	FUNDRAISING	OH	501(C)(3)	11 - Type I	GSH	Yes
(33) GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY,NE68848 47-0379755	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(34) GOOD SAMARITAN HOSPITAL FOUNDATION PO BOX 1810 KEARNEY,NE68848 47-0659443	FUNDRAISING	NE	501(C)(3)	7	GSH	Yes
(35) HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER,CO80204 84-1102943	LOW INC.CARE	CO	501(C)(3)	7	CHI COLORADO	Yes
(36) HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 76-0761782	FUNDRAISING	MN	501(C)(3)	11 - Type I	SFMC	Yes
(37) HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON,MD21204 52-6050777	HEALTHCARE	MD	501(C)(3)	9	SJMC	Yes
(38) HOUSE OF MERCY 1111 6TH AVENUE DES MOINES,IA50314 42-1323808	SHELTER	IA	501(C)(3)	7	CHI-IA CORP	Yes
(39) LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE,MN56623 41-0758434	LTERM CARE	MN	501(C)(3)	3	CHI	Yes
(40) LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0821381	SENIOR LIVING	OR	501(C)(3)	9	MMC	Yes
(41) LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON,ND58054 82-0558836	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(42) MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA,TN37404 62-1839548	FUNDRAISING	TN	501(C)(3)	7	MHCS	Yes
(43) MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA,TN37404 62-0532345	HEALTHCARE	TN	501(C)(3)	3	CHI	Yes
(44) MEMORIAL HEALTH PARTNERS FOUNDATION INC 6028 SHALLOWFORD ROAD CHATTANOOGA,TN37421 03-0417049	HEALTHCARE	TN	501(C)(3)	9	MHCS	Yes
(45) MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES,IA50314 42-6076069	AUXILIARY	IA	501(C)(3)	11 - Type I	CHI-IA CORP	Yes
(46) MERCY CLINICS INC 1111 6TH AVENUE DES MOINES,IA50314 42-1193699	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(47) MERCY COLLEGE OF HEALTH SCIENCES 1111 6TH AVENUE DES MOINES,IA50314 42-1511682	EDUCATION	IA	501(C)(3)	2	CHI-IA CORP	Yes
(48) MERCY FOUNDATION OF DES MOINES IA 1111 6TH AVENUE DES MOINES,IA50314 23-7358794	FUNDRAISING	IA	501(C)(3)	7	CHI-IA CORP	Yes
(49) MERCY FOUNDATION INC 2700 STEWART PARKWAY ROSEBURG,OR97470 93-6088946	FUNDRAISING	OR	501(C)(3)	7	MMC	Yes
(50) MERCY HEALTH CARE FOUNDATION PO BOX 368 CORNING,IA50841 42-1461064	FUNDRAISING	NE	501(C)(3)	11 - Type I	AHMH	Yes
(51) MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS 800 MERCY DRIVE COUNCIL BLUFFS,IA51503 42-1178204	FUNDRAISING	IA	501(C)(3)	11 - Type I	AHBMHS	Yes
(52) MERCY HOSPITAL OF DEVILS LAKE 1031 EAST SEVENTH STREET DEVILS LAKE,ND58301 45-0227012	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(53) MERCY HOSPITAL OF VALLEY CITY 570 CHAUTAUQUA BOULEVARD VALLEY CITY,ND58072 45-0226553	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(54) MERCY LIFECARE SYSTEMS 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1305163	PROPERTY MGMT	MO	501(C)(3)	11 - Type I	SJRMC	Yes
(55) MERCY MEDICAL CENTER 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0231183	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(56) MERCY MEDICAL CENTER 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0386868	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(57) MERCY MEDICAL CENTER - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE,IA52544 42-0680308	HEALTHCARE	IA	501(C)(3)	3	CHI-IA CORP	Yes
(58) MERCY MEDICAL FOUNDATION 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0381803	FUNDRAISING	ND	501(C)(3)	11 - Type I	MMC	Yes
(59) MERCY PROFESSIONAL PRACTICE ASSOCIATES INC 1111 6TH AVENUE DES MOINES,IA50314 42-1470935	PHYSICIAN	IA	501(C)(3)	9	CHI-IA CORP	Yes
(60) MERCY REGIONAL MEDICAL CENTER OF DURANGO 1010 THREE SPRINGS BLVD DURANGO,CO81301 84-0405515	HEALTHCARE	CO	501(C)(3)	3	CHI	Yes
(61) MNMCH INC 220 NORTH PENNSYLVANIA COLUMBUS,KS66725 48-1216238	HEALTHCARE	KS	501(C)(3)	3	SJRMC	Yes
(62) MT ST JOSEPH INC 3060 SE STARK STREET PORTLAND,OR97214 93-0386870	NURSING CARE	OR	501(C)(3)	9	CHI	Yes
(63) OAKES COMMUNITY HOSPITAL 314 SOUTH 8TH STREET OAKES,ND58474 45-0231675	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(64) OAKES COMMUNITY HOSPITAL FOUNDATION 314 SOUTH 8TH STREET OAKES,ND58474 71-0966606	FUNDRAISING	ND	501(C)(3)	11 - Type I	OCH	Yes
(65) PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO,CO81004 84-1234295	COMMUNITY	CO	501(C)(3)	7	CHI	Yes
(66) SET OF COLORADO SPRINGS INC 825 E PIKES PEAK AVENUE BLDG 29 COLORADO SPRINGS,CO80903 84-1183335	LTERM CARE	CO	501(C)(3)	7	CHI COLORADO	Yes
(67) SAINT CLARE'S COMMUNITY CARE 66 FORD ROAD DENVILLE,NJ07834 22-2876836	HEALTHCARE	NJ	501(C)(3)	11 - Type II	SCHS	Yes
(68) SAINT CLARE''S FOUNDATION INC 66 FORD ROAD DENVILLE,NJ07834 22-2502997	FUNDRAISING	NJ	501(C)(3)	7	SCHS	Yes
(69) SAINT CLARE''S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE,NJ07834 22-3639733	MANAGEMENT	NJ	501(C)(3)	7	CHI	Yes
(70) SAINT CLARE'S HOSPITAL 66 FORD ROAD DENVILLE,NJ07834 22-3319886	HEALTHCARE	NJ	501(C)(3)	3	CHI	Yes
(71) SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN,NE68510 47-0625523	FUNDRAISING	NE	501(C)(3)	7	SERMC	Yes
(72) SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN,NE68510 36-3233120	HEALTHCARE	NE	501(C)(3)	3	SERMC	Yes
(73) SAINT FRANCIS MEDICAL CENTER PO BOX 9804 GRAND ISLAND,NE68802 47-0376601	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(74) SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND,NE68802 47-0630267	FUNDRAISING	NE	501(C)(3)	7	SFMC	Yes
(75) SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA,KY40403 26-0152877	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(76) SAINT JOSEPH HEALTH SYSTEM INC 150 N EAGLE CREEK DR LEXINGTON,KY40509 61-1334601	HEALTHCARE	KY	501(C)(3)	3	CHI	Yes
(77) SAINT JOSEPH LONDON FOUNDATION INC 310 EAST NINTH STREET LONDON,KY40741 26-0438748	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes
(78) SAINT JOSEPH MEDICAL FOUNDATION INC ONE ST JOSEPH DRIVE LEXINGTON,KY40504 31-1539059	PHY PRACTICES	KY	501(C)(3)	3	SJHS	Yes
(79) SAINT JOSEPH MOUNT STERLING FOUNDATION INC 50 STERLING AVENUE MOUNT STERLING,KY40353 27-2884584	FUNDRAISING	KY	501(C)(3)	7	SJHS	Yes
(80) SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON,ND58601 36-3418207	FUNDRAISING	ND	501(C)(3)	11 - Type I	SJHHC	Yes
(81) SAMARITAN BEHAVIORAL HEALTH 601 S EDWIN C MOSES BLVD DAYTON,OH45408 02-0633634	HEALTHCARE	OH	501(C)(3)	3	SHP	Yes
(82) SAMARITAN HEALTH FOUNDATION 2222 PHILADELPHIA DRIVE DAYTON,OH45406 23-7296923	FUNDRAISING	OH	501(C)(3)	7	SHP	Yes
(83) SAMARITAN HEALTH PARTNERS 2222 PHILADELPHIA DRIVE DAYTON,OH45406 31-1107411	HEALTHCARE	OH	501(C)(3)	11 - Type I	CHI	Yes
(84) ST JOSEPH HEALTH MINISTRIES 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2342997	HEALTH	PA	501(C)(3)	11 - Type I	CHI	Yes
(85) ST JOSEPH HEALTH MINISTRIES FOUNDATION 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 23-2605579	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJHM	Yes
(86) ST ANTHONY HOSPITAL 1601 SE COURT AVENUE PENDLETON,OR97801 93-0391614	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(87) ST ANTHONY HOSPITAL FOUNDATION 1601 SE COURT AVENUE PENDLETON,OR97801 93-0992727	FUNDRAISING	OR	501(C)(3)	11 - Type I	SA HOSPITAL	Yes
(88) ST ANTHONY'S HOSPITAL ASSOCIATION 4 HOSPITAL DRIVE MORRILTON,AR72110 71-0245507	HEALTHCARE	AR	501(C)(3)	3	SVIMC	Yes
(89) ST CATHERINE HOSPITAL 401 EAST SPRUCE STREET GARDEN CITY,KS67846 48-0543721	HEALTHCARE	KS	501(C)(3)	3	CHI	Yes
(90) ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION 401 EAST SPRUCE STREET GARDEN CITY,KS67846 20-0598702	FUNDRAISING	KS	501(C)(3)	11 - Type I	SCH	Yes
(91) ST DOMINIC AT ONTARIO 351 SW 9TH STREET ONTARIO,OR97914 93-0433692	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(92) ST FRANCIS HOME 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 41-0729978	LTERM CARE	MN	501(C)(3)	9	CHI	Yes
(93) ST FRANCIS LIFE CARE CORPORATION 19 POCONO ROAD DENVILLE,NJ07834 22-2536017	ELDERLY CARE	NJ	501(C)(3)	9	SCHS	Yes
(94) ST FRANCIS MEDICAL CENTER 2400 ST FRANCIS DRIVE BRECKENRIDGE,MN56520 41-0695598	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(95) ST FRANCIS OF BAKER CITY 3325 POCAHONTAS ROAD BAKER CITY,OR97814 93-0412495	HEALTHCARE	OR	501(C)(3)	3	CHI	Yes
(96) ST JOHN'S MEDICAL GROUP 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1882377	PHYS PRACTICE	MO	501(C)(3)	9	SJRMC	Yes
(97) ST JOHN'S MERCY REGIONAL FOUNDATION 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1308084	FUNDRAISING	MO	501(C)(3)	7	SJRMC	Yes
(98) ST JOHN'S REGIONAL MEDICAL CENTER 2727 MCCLELLAND BLVD JOPLIN,MO64804 44-0545809	HEALTHCARE	MO	501(C)(3)	3	CHI	Yes
(99) ST JOSEPH COMMUNITY HEALTH SERVICES 300 CENTRAL AVE SW SUITE 3000W ALBUQUERQUE,NM87102 71-0897107	COMMUNITY	NM	501(C)(3)	11 - Type I	CHI	Yes
(100) ST JOSEPH HEALTH SERVICES INC 1929 LINCOLN HWY E STE 150 LANCASTER,PA17602 20-1425375	DENTAL CARE	PA	501(C)(3)	11 - Type I	SJHM	Yes
(101) ST JOSEPH HOSPITAL FOUNDATION INC ONE ST JOSEPH DRIVE LEXINGTON,KY40504 61-1159649	FUNDRAISING	KY	501(C)(3)	11 - Type I	SJHS	Yes
(102) ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 23-2649362	FUNDRAISING	PA	501(C)(3)	11 - Type I	SJRHN	Yes
(103) ST JOSEPH MEDICAL CENTER FOUNDATION INC 7601 OSLER DRIVE TOWSON,MD21204 52-1681044	FUNDRAISING	MD	501(C)(3)	7	SJMC	Yes
(104) ST JOSEPH MEDICAL CENTER INC 7601 OSLER DRIVE TOWSON,MD21204 52-0591461	HEALTHCARE	MD	501(C)(3)	3	CHI	Yes
(105) ST JOSEPH MEDICAL GROUP 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 20-8544021	HEALTHCARE	PA	501(C)(3)	9	BHC	Yes
(106) ST JOSEPH PHYSICIAN ENTERPRISES 7601 OSLER DRIVE TOWSON,MD21204 52-1311775	PHYSICIANS	MD	501(C)(3)	11 - Type I	CHI	Yes
(107) ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE ROAD PO BOX 316 READING,PA19603 23-1352211	HEALTHCARE	PA	501(C)(3)	3	CHI	Yes
(108) ST JOSEPH'S AREA HEALTH SERVICES 600 PLEASANT AVENUE PARK RAPIDS,MN56470 41-0695603	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(109) ST JOSEPH'S HOSPITAL AND HEALTH CENTER 30 WEST 7TH STREET DICKINSON,ND58601 45-0226429	HEALTHCARE	ND	501(C)(3)	3	CHI	Yes
(110) ST MARY'S HEALTHCARE CENTER 801 EAST SIOUX AVENUE PIERRE,SD57501 46-0230199	HEALTHCARE	SD	501(C)(3)	3	CHI	Yes
(111) ST MARY'S HOSPITAL 1314 3RD AVENUE NEBRASKA CITY,NE68410 47-0443636	HEALTHCARE	NE	501(C)(3)	3	CHI NEBRASKA	Yes
(112) ST MARY'S HOSPITAL FOUNDATION 1314 3RD AVENUE NEBRASKA CITY,NE68410 47-0707604	FUNDRAISING	NE	501(C)(3)	7	SMH	Yes
(113) ST ROSE AMBULATORY AND SURGERY CENTER FKA CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND,KS67530 48-0543724	SURGERY CNTR	KS	501(C)(3)	3	CHI	Yes
(114) ST VINCENT FOUNDATION TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 51-0169537	FUNDRAISING	AR	501(C)(3)	11 - Type I	SVIMC	Yes
(115) ST VINCENT INFIRMARY MEDICAL CENTER 2 ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0236917	HEALTHCARE	AR	501(C)(3)	3	CHI	Yes
(116) ST VINCENT MEDICAL GROUP 2 ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0830696	HEALTHCARE	AR	501(C)(3)	9	SVIMC	Yes
(117) THE COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 23-7419853	DIALYSIS	OH	501(C)(2)	N/A	GSH	Yes
(118) THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH 619 OAK STREET ACCOUNTING-3 W CINCINNATI,OH45206 31-0537486	HEALTHCARE	OH	501(C)(3)	3	TRI-HEALTH	Yes
(119) THE MERCY HOSPITAL OF DEVILS LAKE FDN 1031 EAST SEVENTH STREET DEVILS LAKE,ND58301 35-2367360	FUNDRAISING	ND	501(C)(3)	11 - Type I	MHDL	Yes
(120) THE PHYSICIAN NETWORK 8055 O STREET SUITE 300 LINCOLN,NE68510 47-0780857	PHYS PRACTICE	NE	501(C)(3)	11 - Type I	CHI NEBRASKA	Yes
(121) TOTAL HEALTHCARE PO BOX 7021 COLORADO SPRINGS,CO80933 84-0927232	HEALTHCARE	CO	501(C)(3)	3	CHI COLORADO	Yes
(122) UNITY FAMILY HEALTHCARE 815 2ND STREET SE LITTLE FALLS,MN56345 41-0721642	HEALTHCARE	MN	501(C)(3)	3	CHI	Yes
(123) VILLA NAZARETH INC 801 PAGE DRIVE FARGO,ND58103 45-0226714	LT CARE	ND	501(C)(3)	9	CHI	Yes
(124) VISITING NURSE ASSOCIATION OF SAINT CLARE'S 191 WOODPORT ROAD SPARTA,NJ07871 22-1768334	HOME HEALTH	NJ	501(C)(3)	9	SCHS	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) AUDUBON LAND COMPANY LLC 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 84-1513085	REAL ESTATE	CO	THC	RELATED	-157,673	14,390,550		No	0		No	50.1 %
(2) AVANTAS LLC 1207 SOUTH 13 STREET OMAHA,NE68108 39-2045003	HEALTHCARE	NE	AHMH	UNRELATED				No			No	95 %
(3) BERYWOOD OFFICE PROPERTIES LLC 400 BERYWOOD TRAIL CLEVELAND,TN37312 62-1875199	PHYS OFFICE	TN	MHCS	RELATED				No		Yes		63 %
(4) BLUEGRASS REGIONAL IMAGING CENTER 1218 SOUTH BROADWAY SUITE 310 LEXINGTON,KY40504 61-1386736	DIAGNOSTIC	KY	SJ HOSPITAL LEX	RELATED				No			No	65 %
(5) CENTRAL NEBRASKA HOME CARE SERVICES PO BOX 1146-4510 SECOND AVENUE KEARNEY,NE68848 47-0692112	HEALTHCARE SRVC	NE	HSE INC	RELATED	-99,941	1,021,498		No	-48,712	Yes		100 %
(6) CENTRAL NEBRASKA REHAB SERVICE 3004 W FAIDLEY AVE GRAND ISLAND,NE68802 81-0653461	PHYSICAL THERAPY	NE	CHI	RELATED	1,857,991	2,262,775		No	0		No	51 %
(7) CHI OPERATING INVESTMENT PROGRAM LP 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 47-0727942	INVESTMENTS	CO	CHI	UNRELATED	139,679,805	2,069,974,790		No	371,292	Yes		100 %
(8) HEALTHCARE SUPPORT SERVICES PO BOX 9804 GRAND ISLAND,NE68802 72-1546196	LAUNDRY	NE	CHI	RELATED	196,124	3,913,481		No	-58,436		No	100 %
(9) NORTH RIVER SURGERY CENTER LLC 2209 WILDWOOD AVENUE SHERWOOD,AR72120 71-0799771	AMBUL SURG CTR	AR	SVIMC	RELATED	198,313	1,758,688		No	0		No	57.45 %
(10) ORTHOCOLORADO LLC 11650 WEST 2ND PLACE LAKEWOOD,CO80255 37-1577105	ORTHO HOSPITAL	CO	THC	RELATED	-3,249,314	10,905,384		No	0		No	60 %
(11) PENINSULA RADIATION ONCOLOGY 314 MARTIN LUTHER KING JR WAY 11 TACOMA,WA98405 87-0808610	HEALTHCARE SRVC	WA	FHS	RELATED	131,195	3,052,504		No	0		No	60 %
(12) PENRAD IMAGING 1139 KELLY JOHNSON BLVD COLORADO SPRINGS,CO80920 84-1072619	MEDICAL IMAGING	CO	THC	RELATED	1,857,228	5,457,224		No	0		No	70 %
(13) RUXTON SURGICENTER LLC 8322 BELLONA AVENUE SUITE 201 BALTIMORE,MD21204 52-2095835	SURGERY CENTER	MD	SJMC	RELATED				No		Yes		51 %
(14) SAINT JOSEPH - SCA HOLDINGS LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 45-3801157	OP SURGERY	DE	SJHS	RELATED	0	0		No	0		No	51 %
(15) ST ANOTHONY REGIONAL MTN CANCER CENTER 4231 W 16TH AVENUE DENVER,CO80112 37-1568013	CANCER CENTER	CO	THC	RELATED	-290,552	0		No	0		No	51 %
(16) ST FRANCIS LAND COMPANY 5390 N ACADEMY BLVD SUITE 300 COLORADO SPRINGS,CO80918 26-3134100	REAL ESTATE	CO	THC	RELATED	-180,979	14,886,022		No	0		No	51 %
(17) ST FRANCIS MEDICAL CENTER ASSOCIATES 1717 SOUTH J STREET TACOMA,WA98405 91-1352698	MED. OFFICE	WA	FHS	RELATED	116,948	1,652,280		No	0		No	54 %
(18) ST JOSEPH-PAML LLC 424 LEWIS HARGETT CIRCLE STE 160 LEXINGTON,KY40503 45-2116736	MGMT SERVICES	KY	SJHS	RELATED	0	0		No	0	Yes		62.5 %
(19) SUPERIOR MEDICAL IMAGING LLC 5000 NORTH 26TH STREET LINCOLN,NE68521 26-2884555	OP DIAGNOSTICS	NE	SERMC	RELATED				No			No	51 %
(20) SURGERY CENTER OF LEXINGTON LLC 1451 HARRODSBURG ROAD LEXINGTON,KY40504 62-1179539	SURGERY CENTER	DE	SJHS	RELATED	808,840	4,236,901		No	0		No	51 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) ALTERNATIVE INSURANCE MANAGEMENT SERVICES 3900 OLYMPIC BOULEVARD SUITE 400 ERLANGER,KY41018 84-1112049	MANAGEMENT SERVICES	CO	CHI	C CORPORATION	0	3,267,441	100 %
(2) AMERICAN NURSING CARE 1700 EDISON DRIVE MILFORD,OH45150 31-1085414	HOME HEALTH	OH	CHS	C CORPORATION	1,778,617	44,470,358	100 %
(3) AMERIMED INC 1700 EDISON DRIVE MILFORD,OH45150 31-1158699	HOME HEALTH	OH	ANC	C CORPORATION	2,395,230	11,869,657	100 %
(4) CADUCEUS MEDICAL ASSOCIATES INC 6028 SHALLOWFORD ROAD SUITE D CHATTANOOGA,TN37422 62-1570736	HEALTHCARE	TN	MHCS	C CORPORATION	0	1,008	100 %
(5) CAPTIVE MANAGEMENT INITIATIVES PO BOX 10073 APO GEORGETOWN,GEORGETOWN, GRAND CAYMANKY1-1001 CJ 98-0663022	CAPTIVE MANAGEMENT	CJ	CHI	C CORPORATION	0	0	100 %
(6) CENTER FOR TRANSLATIONAL RESEARCH 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 27-2269511	HEALTHCARE	CO	CHI	C CORPORATION	-2,247,962	1,668,589	100 %
(7) CENTRAL KANSAS HEALTH SERVICES ASSOCIATION 3515 BROADWAY GREAT BEND,KS67530 48-1042853	MEDICAL EQUIPMENT	KS	CKMC	C CORPORATION	0	0	100 %
(8) CGH REALTY COMPANY INC 215 N 12TH ST READING,PA19603 23-2326801	REAL ESTATE	PA	SJHM	C CORPORATION	1,007	42,415	100 %
(9) COMCARE SERVICES 4231 W 16TH AVENUE DENVER,CO80204 84-0904813	INACTIVE	CO	CHIC	C CORPORATION	0	0	100 %
(10) CONSOLIDATED HEALTH SERVICES 1700 EDISON DRIVE MILFORD,OH45150 31-1378212	HOME HEALTH	OH	CHI	C CORPORATION	0	11,595,125	100 %
(11) DAVID DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192395	INVESTMENTS	NE	GSHF	TRUST	4,880	166,425	100 %
(12) DES MOINES MEDICAL CENTER INC 1111 6TH AVENUE DES MOINES,IA50314 42-0837382	REAL ESTATE	IA	CHI-IA CORP	C CORPORATION	0	1,253,452	92.98 %
(13) FIRST INITIATIVES INSURANCE LTD PO BOX 10073 APO GEORGETOWN,GEORGETOWN, GRAND CAYMANKY1-1001 CJ 98-0203038	INSURANCE	CJ	CHI	C CORPORATION	0	0	100 %
(14) FRANCISCAN SERVICES INC 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2487967	HEALTHCARE	CO	CHI	C CORPORATION	-507,578	11,914,284	100 %
(15) GOOD SAMARITAN OUTREACH SERVICES PO BOX 1990 KEARNEY,NE68848 47-0659440	MEDICAL CLINIC	NE	CHI NEBRASKA	C CORPORATION	-2,921,063	355,110	100 %
(16) HAROLD W RASE 1995 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 45-6090420	INVESTMENTS	ND	SJHHC	TRUST	1,240	21,553	100 %
(17) HAROLD W RASE 1996 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037112	INVESTMENTS	ND	SJHHC	TRUST	900	15,495	100 %
(18) HAROLD W RASE 1997 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037104	INVESTMENTS	ND	SJHHC	TRUST	1,025	20,261	100 %
(19) HAROLD W RASE 1999 CHARITABLE UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037099	INVESTMENTS	ND	SJHHC	TRUST	1,313	25,027	100 %
(20) HEALTH SYSTEMS ENTERPRISES INC PO BOX 1990 KEARNEY,NE68848 47-0664558	MANAGEMENT	NE	GSH	C CORPORATION	25,289	1,443,049	100 %
(21) HEALTHCARE MGMT SERVICES ORG INC 1149 MARKET ST TACOMA,WA98402 91-1865474	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %
(22) JAMES & HENRIETTA NISTLER UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6021899	INVESTMENTS	ND	SJHHC	TRUST	-16,708	41,455	100 %
(23) JEANNE DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192398	INVESTMENTS	NE	GSHF	TRUST	4,880	166,320	100 %
(24) JOSEPH A SCHUSTER ANNUITY TRUST #1 400 UNIVERSITY AVENUE DES MOINES,IA50314 42-1195122	INVESTMENTS	IA	MFDM	TRUST	18,924	441,488	100 %
(25) LODESCA MILLER CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6186933	INVESTMENTS	NE	GSHF	TRUST	3,387	86,367	100 %
(26) MEDQUEST 1301 15TH AVENUE WEST WILLISTON,ND58801 45-0392137	SALE OF DME	ND	MH OF WILLISTON	C CORPORATION	9,852	962,554	100 %
(27) MERCY HEALTH SERVICES CORPORATION 2727 MCCLELLAND BLVD JOPLIN,MO64804 43-1457881	DME	MO	ST JOHN'S RMC	C CORPORATION	-1,533,371	1,369,083	100 %
(28) MERCY PARK APARTMENTS LTD 1111 6TH AVENUE DES MOINES,IA50314 42-1202422	HOUSING	IA	CHI-IA CORP	C CORPORATION	264,489	1,796,053	100 %
(29) MERCY SERVICES CORP 2700 STEWART PARKWAY ROSEBURG,OR97470 93-0824308	RETAIL SALES	OR	MMC	C CORPORATION	-690,267	954,798	100 %
(30) MOUNTAIN MANAGEMENT SERVICES INC 6028D SHALLOWFORD ROAD CHATTANOOGA,TN37422 62-1570739	MGMT SVC ORG	TN	MHCS	C CORPORATION	-386,020	4,667,998	100 %
(31) NAZARETH ASSURANCE COMPANY 76 ST PAUL STREET SUITE 500 BURLINGTON,VT05401 03-0304831	INSURANCE	VT	CHI	C CORPORATION	-379	123,535	100 %
(32) PATIENT TRANSPORT SERVICES INC 1700 EDISON DRIVE MILFORD,OH45150 31-1100798	HOME HEALTH	OH	ANC	C CORPORATION	662,425	5,325,941	100 %
(33) PHYSICIAN HEALTH SYSTEM NETWORK 1149 MARKET ST TACOMA,WA98402 91-1746721	HEALTH ORG.	WA	FHS	C CORPORATION	0	0	100 %
(34) RAY & SHIRLEY DAVID 1999 UNITRUST 30 WEST 7TH STREET DICKINSON,ND58601 20-6037077	INVESTMENTS	ND	SJHHC	TRUST	1,250	24,194	100 %
(35) ROBERT & WANDA CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 26-6191916	INVESTMENTS	NE	GSHF	TRUST	13,030	537,775	100 %
(36) SAINT CLARE''S PRIMARY CARE INC 66 FORD ROAD DENVILLE,NJ07834 22-2441202	BILLING SERVICES	NJ	SCCC	C CORPORATION	-342,970	2,177,166	100 %
(37) SAMARITAN FAMILY CARE INC 40 W FOURTH ST 1700 DAYTON,OH45402 31-1299450	HEALTHCARE	OH	SHP	C CORPORATION			100 %
(38) SJH SERVICES CORPORATION 198 INVERNESS DRIVE WEST ENGLEWOOD,CO80112 23-2307408	HEALTHCARE	CO	FSI	C CORPORATION	-518,360	3,180,100	100 %
(39) SJL PHYSICIAN MANAGEMENT SERVICES INC 424 LEWIS HARGETT CR 160 LEXINGTON,KY40503 27-0164198	MANAGEMENT	KY	SJHS	C CORPORATION	0	0	100 %
(40) ST ANTHONY DEVELOPMENT COMPANY 1415 SOUTHGATE PENDLETON,OR97801 93-1216943	ATHLETIC CLUB	OR	ST ANTHONY H	C CORPORATION	53,891	3,007,554	100 %
(41) ST VINCENT COMMUNITY HEALTH SERVICES INC TWO ST VINCENT CIRCLE LITTLE ROCK,AR72205 71-0710785	HEALTHCARE	AR	SVIMC	C CORPORATION	2,309,129	14,049,375	100 %
(42) ST JOSEPH DEVELOPMENT COMPANY 1717 SOUTH J STREET TACOMA,WA98405 91-1480569	RENTAL	WA	FSI	C CORPORATION	-36,395	12,168,022	100 %
(43) ST JOSEPH OFFICE PARK ASSOCIATION 1401 HARRODSBURG ROAD BLDG B70 LEXINGTON,KY40504 61-1079899	MANAGEMENT	KY	SJHS	C CORPORATION	16,644	882,139	85 %
(44) TOM DEYLE CHARITABLE REMAINDER UNITRUST PO BOX 1810 KEARNEY,NE68848 47-6192393	INVESTMENTS	NE	GSHF	TRUST	4,884	166,321	100 %
(45) TOWSON MANAGEMENT INC 7601 OSLER DRIVE TOWSON,MD21204 52-1710750	MANAGEMENT SERVICES	MD	FSI	C CORPORATION	-469,016	498,393	100 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) THE PHYSICIAN NETWORK	O	6,650,238	COST
(2) THE PHYSICIAN NETWORK	I	166,564	COST
(3) THE PHYSICIAN NETWORK	P	123,749	COST
(4) SAINT MARY'S COMMUNITY HOSPITAL	P	149,022	COST
(5) HEALTHCARE SUPPORT SERVICES	O	598,912	COST
(6) SAINT ELIZABETH FOUNDATION	C	1,428,635	COST
(7) CHI NEBRASKA	B	9,220,300	COST
(8) CATHOLIC HEALTH INITIATIVES	L	3,288,408	COST
(9) CATHOLIC HEALTH INITIATIVES	Q	2,424,055	COST
(10) CHI INSTITUTE FOR RESEARCH AND INNOVATION	R	150,000	COST

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

1	Briefly describe the organization’s mission or most significant activities: COMMUNITY SERVICE IS A CORE ACTIVITY FOR SAINT ELIZABETH. ESSENTIAL INPATIENT & OUTPATIENT SERVICES ARE PROVIDED AS WELL AS SPECIALTIES IN NEONATAL, BURN, CANCER AND EMERGENCY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	9
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,075
6	Total number of volunteers (estimate if necessary) ....	6	946
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	883,134
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,266,439	2,170,082
9	Program service revenue (Part VIII, line 2g) .........	237,695,311	249,132,178
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,027,830	26,384,396
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,878,893	2,707,173
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	253,868,473	280,393,829
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,499,663	9,681,740
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	88,596,143	90,186,230
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	125,969,649	135,535,589
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	216,065,455	235,403,559
19	Revenue less expenses. Subtract line 18 from line 12......	37,803,018	44,990,270
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	422,345,072	484,832,871
21	Total liabilities (Part X, line 26)............	97,409,978	95,377,466
22	Net assets or fund balances. Subtract line 21 from line 20 .....	324,935,094	389,455,405

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 216,420,014 including grants of $ 9,681,740 ) (Revenue $ 249,121,306 )
	SEE SCHEDULE H, PART VI

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 216,420,014

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) DONNA HAMMACK CHIEF DEVELOPMENT OFFICER	1		X	153,639	0	31,144
(19) KURT CLYNE DIRECTOR PHARMACY	50		X	152,387	0	24,828
(20) RICHARD TERNES PHARMACY COORDINATOR	45		X	131,820	0	31,276
(21) GREGORY GILLESPIE VICE PRESIDENT HUMAN RESOURCE	55		X	146,233	0	23,303
(22) CARY WARD MD VP MEDICAL AFFAIRS	55	X		0	430,992	60,924

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,233,166	1,120,839	434,303

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,170,082
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,170,082
			Business Code
2a	PATIENT SERVICES		900,099	247,389,512	247,389,512
b	RENTAL INCOME		900,099	942,672	931,800	10,872
c	EQUITY CHANGES OF UNCOLSOLIDATED ORGANIZATIONS		900,099	548,122	548,122
d	MEDICAL SERVICES		900,099	192,734	192,734
e	WELLNESS SERVICES		900,099	53,053	53,053
f	All other program service revenue .			6,085	6,085	0	0
g	Total. Add lines 2a–2f........			249,132,178
3	Investment income (including dividends, interest
	and other similar amounts).....			6,083,490		25,163	6,058,327
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	20,084,040	1,283,977
b	Less: cost or other basis and sales expenses		1,067,111
c	Gain or (loss)	20,084,040	216,866
d	Net gain or (loss)..........			20,300,906			20,300,906
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722,100	1,080,875			1,080,875
b	DURABLE MEDICAL EQUIPMENT		446,199	1,014,320		650,565	363,755
c	SERVICES SOLD		900,099	176,167		176,167
d	All other revenue ....			435,811	0	20,367	415,444
e	Total. Add lines 11a–11d ......			2,707,173
12	Total revenue. See Instructions....			280,393,829	249,121,306	883,134	28,219,307


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			5,940	1	6,140
2	Savings and temporary cash investments .......			6,097,182	2	82,914,374
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			40,044,801	4	33,555,340
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			152,033	7
8	Inventories for sale or use ..............			5,654,653	8	5,586,757
9	Prepaid expenses and deferred charges ............			404,149	9	239,895
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	220,352,135
b	Less: accumulated depreciation. .....	10b	115,624,817	110,739,495	10c	104,727,318
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 ......			256,015,335	12	254,977,484
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			3,231,484	15	2,825,563
16	Total assets. Add lines 1 through 15 (must equal line 34)...			422,345,072	16	484,832,871
17	Accounts payable and accrued expenses .			15,476,208	17	15,799,992
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			81,933,770	25	79,577,474
26	Total liabilities. Add lines 17 through 25.....			97,409,978	26	95,377,466
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			324,935,094	27	389,455,405
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			324,935,094	33	389,455,405
34	Total liabilities and net assets/fund balances .....			422,345,072	34	484,832,871