Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1b · Membership dues

  $119,900

• 1d · Related organizations

  $1,565,356

• 1e · Government grants (contributions)

  $4,037,122

• 1f · All other contributions, gifts and grants

  $785,359

• 2a · Program service revenue: NET PATIENT SERVICES

  total $306,205,947 · related or exempt $306,205,947 · unrelated business $0 · excluded $0

• 2b · Program service revenue: PHARMACY SERVICES

  total $54,746,341 · related or exempt $42,962,636 · unrelated business $11,783,705 · excluded $0

• 2c · Program service revenue: MANAGEMENT FEES

  total $5,308,384 · related or exempt $3,654,633 · unrelated business $1,653,751 · excluded $0

• 2d · Program service revenue: MEDICAL SERVICES

  total $809,883 · related or exempt $781,584 · unrelated business $28,299 · excluded $0

• 3 · Investment income

  total $7,657,308 · excluded $7,657,308

• 6a · Gross rents

  real property $9,157,160

• 6b · Less rental expenses

  real property $7,107,553

• 6c · Rental income or loss

  real property $2,049,607

• 6d · Net rental income or loss

  total $2,049,607 · unrelated business $305,994 · excluded $1,743,613

• 7a · Gross sales of assets other than inventory

  securities $2,017,742 · other assets $1,396,581

• 7b · Less cost or other basis and sales expenses

  securities $0 · other assets $529,281

• 7c · Gain or loss

  securities $2,017,742 · other assets $867,300

• 7d · Net gain or loss

  total $2,885,042 · excluded $2,885,042

• 10a · Gross sales of inventory

  $81,546

• 10b · Cost of goods sold

  $74,492

• 10c · Net income from sales of inventory

  total $7,054 · excluded $7,054

• 11a · Other revenue: REIMBURSEMENT OF EXPEN

  total $85,326,681 · related or exempt $365,731 · unrelated business $0 · excluded $84,960,950

• 11b · Other revenue: COMMUNITY HEALTH PROGR

  total $3,357,078 · related or exempt $0 · unrelated business $21,289 · excluded $3,335,789

• 11c · Other revenue: INSURANCE RECOVERIES

  total $1,789,739 · related or exempt $0 · unrelated business $0 · excluded $1,789,739

• 11d · All other revenue

  total $3,702,535 · unrelated business $27,197 · excluded $3,675,338

• 11e · Other revenue, total

  $94,176,033

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $1,470,403 · program services $1,470,403

• 2 · Grants to domestic individuals

  total $9,270 · program services $9,270

• 5 · Compensation of officers, directors and key employees

  total $4,803,709 · program services $4,563,524 · management and general $240,185

• 7 · Other salaries and wages

  total $114,317,046 · program services $108,601,193 · management and general $5,715,853

• 8 · Pension plan contributions

  total $8,593,837 · program services $8,164,145 · management and general $429,692

• 9 · Other employee benefits

  total $14,211,857 · program services $13,501,264 · management and general $710,593

• 10 · Payroll taxes

  total $11,681,929 · program services $11,097,833 · management and general $584,096

• 11a · Fees: management

  total $76,573,857 · program services $72,745,164 · management and general $3,828,693

• 11b · Fees: legal

  total $253,620 · management and general $253,620

• 11d · Fees: lobbying

  total $316,207 · management and general $316,207

• 11f · Fees: investment management

  total $200,215 · program services $190,204 · management and general $10,011

• 11g · Fees: other

  total $37,829,234 · program services $36,342,452 · management and general $1,486,782

• 12 · Advertising and promotion

  total $7,240,932 · program services $6,878,885 · management and general $362,047

• 13 · Office expenses

  total $12,400,038 · program services $11,780,036 · management and general $620,002

• 14 · Information technology

  total $11,614,320 · program services $11,033,604 · management and general $580,716

• 16 · Occupancy

  total $13,153,076 · program services $12,495,422 · management and general $657,654

• 17 · Travel

  total $1,352,644 · program services $1,285,012 · management and general $67,632

• 19 · Conferences, conventions and meetings

  total $145,686 · program services $138,402 · management and general $7,284

• 20 · Interest

  total $2,825,901 · program services $2,825,901

• 21 · Payments to affiliates

  total $9,363,192 · program services $8,895,032 · management and general $468,160

• 22 · Depreciation, depletion and amortization

  total $35,731,829 · program services $33,945,238 · management and general $1,786,591

• 23 · Insurance

  total $723,542 · program services $687,365 · management and general $36,177

• 24a · Other expenses: MEDICAL SUPPLIES

  total $88,613,378 · program services $88,613,378 · management and general $0 · fundraising $0

• 24b · Other expenses: INTRACOMPANY ALLOCATION

  total $11,390,126 · program services $10,820,620 · management and general $569,506 · fundraising $0

• 24c · Other expenses: REPAIRS AND MAINTENANCE

  total $3,611,547 · program services $3,430,970 · management and general $180,577 · fundraising $0

• 24d · Other expenses: DUES & SUBSCRIPTIONS

  total $885,807 · program services $841,517 · management and general $44,290 · fundraising $0

• 24e · All other expenses

  total $1,614,080 · program services $1,472,191 · management and general $141,889

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $1,106,747 · end of year $567,868

• 2 · Savings and temporary cash investments

  beginning of year $26,553,766 · end of year $4,376,918

• 3 · Pledges and grants receivable

  end of year $0

• 4 · Accounts receivable

  beginning of year $49,502,583 · end of year $59,637,655

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 7 · Other notes and loans receivable

  end of year $0

• 8 · Inventories for sale or use

  beginning of year $11,726,280 · end of year $12,196,373

• 9 · Prepaid expenses and deferred charges

  beginning of year $3,175,876 · end of year $4,962,825

• 10a · Land, buildings and equipment: cost or other basis

  $608,486,480

• 10b · Land, buildings and equipment: accumulated depreciation

  $380,420,276

• 10c · Land, buildings and equipment, net

  beginning of year $240,697,466 · end of year $228,066,204

• 11 · Investments: publicly traded securities

  end of year $0

• 12 · Investments: other securities

  beginning of year $73,909,008 · end of year $78,519,689

• 13 · Investments: program-related

  beginning of year $33,701,090 · end of year $34,050,059

• 14 · Intangible assets

  beginning of year $85,074,076 · end of year $85,074,076

• 15 · Other assets

  beginning of year $437,312,197 · end of year $331,562,997

• 17 · Accounts payable and accrued expenses

  beginning of year $39,698,337 · end of year $62,115,656

• 18 · Grants payable

  end of year $0

• 19 · Deferred revenue

  beginning of year $2,113,154 · end of year $1,957,872

• 20 · Tax-exempt bond liabilities

  end of year $0

• 21 · Escrow or custodial account liability

  end of year $0

• 22 · Loans and payables to officers and key people

  end of year $0

• 23 · Secured mortgages and notes payable

  beginning of year $14,449,243 · end of year $14,248,219

• 24 · Unsecured notes and loans payable

  end of year $0

• 25 · Other liabilities

  beginning of year $381,430,588 · end of year $201,020,053

• 27 · Net assets without donor restrictions

  beginning of year $525,063,155 · end of year $559,668,252

• 28 · Net assets with donor restrictions

  beginning of year $4,612 · end of year $4,612

The filer's explanations (Part III)

PART I, LINE 3

DURING THE CALENDAR YEAR 2023, COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED BY COMMONSPIRIT HEALTH, A RELATED ORGANIZATION. COMMONSPIRIT HEALTH USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15 FOR ADDITIONAL INFORMATION.

PART I, LINE 4A:

CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 9 MONTHS TO 2 YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY A NON-EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF 2 WEEKS TO 52 WEEKS OF BASE COMPENSATION, DEPENDING ON THE EMPLOYEE'S POSITION AND TENURE, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE 2023 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): GREGORY BECKMANN, $289,030; DENNIS EDWARDS, $407,259; EVERT KUIPER, $2,025,542; DEREK VANCE, $658,888; JEANETTE WOJTALEWICZ, $1,083,464. IN ACCORDANCE WITH AN EXECUTIVE SEVERANCE POLICY, DIGNITY HEALTH'S LISTED PERSONS ARE PROVIDED WITH MARKET-STANDARD COMPENSATION RANGING FROM PAYMENTS OF 9-24 MONTHS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION.

PART I, LINE 4B:

DURING THE 2023 CALENDAR YEAR, COMMONSPIRIT HEALTH ("COMMONSPIRIT") MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. DURING 2023 THE FOLLOWING DISTRIBUTIONS WERE MADE BY COMMONSPIRIT FROM THE DEFERRED COMPENSATION PLAN: GREGORY BECKMANN, $21,752; EDWARD HANNON, $61,375; KEVIN MILLER, $16,987; DEREK VANCE, $40,496. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRIT'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2023 CONTRIBUTIONS IN CASH. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2023, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: GREGORY BECKMANN, $2,164; EDWARD HANNON, $20,116; KEVIN MILLER, $22,637; CONNIE PETERS, $9,404; DEREK VANCE, $5,215. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE. THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR CERTAIN EMPLOYEES OCCURRED DURING 2023 AND INCLUDE J. PETERSDORF, $713,173. CERTAIN LISTED PERSONS EMPLOYED BY DIGNITY HEALTH PARTICIPATE IN THE DIGNITY HEALTH SUPPLEMENTAL EXECUTIVE RETENTION/RETIREMENT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN WHICH IN 2002 WAS OFFERED TO MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM BY THE DIGNITY HEALTH BOARD OF DIRECTORS AND WOULD BE PAID ONLY IF THE EXECUTIVES STAYED WITH THE ORGANIZATION FOR A SPECIFIED NUMBER OF YEARS AS THE PRIMARY PURPOSE OF THIS PLAN IS TO PROVIDE FOR THE RETENTION AND RETIREMENT OF THE PARTICIPANTS. THE EXECUTIVE MANAGEMENT TEAM IS RECRUITED FROM STABLE CAREERS IN ORGANIZATIONS FROM ACROSS THE COUNTRY AND FROM VARIOUS INDUSTRIES. DUTIES ARE BOTH EXTENSIVE AND COMPLEX AND REQUIRE SUBSTANTIAL AND DIVERSE EXPERIENCE AND SKILL SETS TO EXECUTE THEIR ROLES SUCCESSFULLY. THE CALCULATION FOR THE PAYMENTS TO EACH EXECUTIVE ARE BASED ON THE VALUE OF A FINAL AVERAGE PAY ANNUITY BENEFIT BASED ON RETIREMENT AGE AND SERVICE YEARS TO THE ORGANIZATION. DISTRIBUTION OCCURS EACH JULY 1 IF THE PLAN FORMULA WARRANTS A PAYMENT. NO PAYMENTS PURSUANT TO THE PLAN ARRANGEMENT OCCURRED DURING 2023.

PART II:

ALEGENT CREIGHTON HEALTH FOLLOWS COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY. COMMONSPIRIT'S EXECUTIVE COMPENSATION PHILOSOPHY IS DESIGNED TO ASSIST COMMONSPIRIT IN ATTRACTING AND RETAINING THE CALIBER OF EXECUTIVES REQUIRED TO ENABLE COMMONSPIRIT TO FULFILL ITS MISSION OF PROVIDING HIGH QUALITY HEALTHCARE FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES COMMONSPIRIT SERVES, PROMOTING PATIENT AND EMPLOYEE SATISFACTION, AND ENSURING FINANCIAL STABILITY. A SUBSTANTIAL PORTION OF EXECUTIVE COMPENSATION IS PERFORMANCE BASED AND IS LINKED TO ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE. THESE GOALS INCLUDE ATTAINMENT OF ANNUAL AND LONG-TERM FINANCIAL PERFORMANCE, CERTAIN HEALTHCARE QUALITY STANDARDS AND COMMONSPIRIT'S COMMITMENT TO SERVING THE POOR AND DISENFRANCHISED IN THE COMMUNITIES IT SERVES. TOTAL COMPENSATION, WHICH INCLUDES BASE SALARY, ANNUAL, AND LONG-TERM INCENTIVE COMPENSATION, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2023.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• CHI HEALTH QUICK CARE LLC

  EXPRESS CARE CLINIC · NE · income $410,873 · assets $33,362

  Directly controlled by ALEGENT CREIGHTON HEALTH

• CHI HEALTH PARTNERS LLC

  ACCOUNTABLE CARE ORGANIZAION · NE · income $7,743,951 · assets $0

  Directly controlled by ALEGENT CREIGHTON HEALTH

• CHI HEALTH CREIGHTON UNIVERSITY MEDICAL CENTER LLC

  VARIOUS MEDICAL SERVICES · NE · income $0 · assets $0

  Directly controlled by ALEGENT CREIGHTON HEALTH

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• AMERICAN MERCY HOME CARE LLC

  N/A · HOME HEALTH · OH

• ARIZONA CARE NETWORK - NEXT LLC

  N/A · CARE NETWORK · AZ

• ARIZONA CARE NETWORK LLC

  N/A · CARE NETWORK · AZ

• ARIZONA DIAGNOSTIC RADIOLOGY GROUP LLC

  N/A · IMAGING CENTER · DE

• AUDUBON LAND COMPANY LLC

  N/A · REAL ESTATE · CO

• BAYLOR CHI ST LUKES HEALTH SERVICES LLC

  N/A · HEALTHCARE SERVICES · TX

• BERGAN MERCY SURGERY CENTER LLC

  RELATED · AMBUL SURG CTR · NE · 63.66% owned · share of income $1,216,570 · share of assets $4,638,010

  Directly controlled by ACH

• BERYWOOD OFFICE PROPERTIES LLC

  N/A · HEALTHCARE SERVICES · TN

• BIOLIFE DIGNITY HEALTH INTERNATIONAL LTD

  N/A · HEALTH SERVICES · CH

• BLUEGRASS REGIONAL IMAGING CENTER

  N/A · DIAGNOSTIC SERVICES · KY

• CBCC OUTSMARTING CANCER LLC

  N/A · RADIATION / ONCOLOGY · CA

• CENTRAL NEBRASKA REHAB SVCS LLC

  N/A · PHYSICAL THERAPY · NE

• CENTURA SUMMIT ORTHOPEDICS LLC

  N/A · DIAGNOSTIC SERVICES · CO

• CHICAMSURG SURGERY CENTERS LLC

  N/A · SURGERY CENTER · CO

• COLORADO SPRINGS CK LEASING LLC

  N/A · REAL ESTATE · CO

• COMMUNITY MERCY HOME CARE OF SPRINGFLD LLC

  N/A · HOME HEALTH · OH

• DE JV LLC

  N/A · EMERGENCY CARE · NV

• DH GLOBAL EDUCATION LTD (AKA OPUSVI LTD)

  N/A · HEALTH SERVICES · UK

• DHHP SURGERY CENTERS LLC

  N/A · SURGERY · DE

• DHRT HOLDINGS LLC

  N/A · HOLDING COMPANY · DE

• DIGNITY- GOHEALTH AND URGENT CARE MGMT LLC

  N/A · MANAGEMENT SERVICES · DE

• DIGNITY HEALTH AT HOME LLC

  N/A · DIAGNOSTIC SERVICES · DE

• DH PACIFICLINKAGE HEALTH INT'L LTD

  N/A · HEALTH SERVICES · CH

• DIGNITY HEALTH SPECIALTY PHARMACY LLC

  N/A · SPECIALTY PHARMACY SERVICES · DE

• DIGNITY HOME RECOVERY CARE LLC

  N/A · HOME RECOVERY PROGRAM · DE

• DIGNITYUSP LAS VEGAS SURGERY CENTERS LLC

  N/A · SURGERY · TX

• DIGNITYUSP NORCAL SURGERY CENTERS LLC

  N/A · SURGERY · TX

• DIGNITYUSP PHOENIX SURGERY CENTERS LLC

  N/A · SURGERY · TX

• DIGNITYUSPJOHN MUIR EAST BAY SURG CTRS LLC

  N/A · SURGERY · TX

• DIGNITY-ABRAZO HEALTH NETWORK LLC

  N/A · MANAGEMENT SERVICES · AZ

• DOMINICAN MAGNETIC RESONANCE IMAGING CENTER

  N/A · IMAGING CENTER · CA

• ECCS ACQUISITION COMPANY LLC

  N/A · AMBUL SURG CTR · CO

• ENDOSCOPY CENTER OF ARKANSAS

  N/A · DIAGNOSTIC SERVICES · AR

• FRANCISCAN MEDICAL PAVILION BONNEY LAKE LLC

  N/A · REAL ESTATE · WA

• FRANCISCAN SPECIALTY CARE LLC

  N/A · DIAGNOSTIC SERVICES · WA

• GOOD SAMARITAN HOME CARE SVCS OF VINCENNE LLC

  N/A · HOME HEALTH · OH

• HC SL VINTAGE I LLC

  N/A · PROPERTY HOLDING · WI

• HEALTH AT HOME HOLDCO LLC

  N/A · HOME HEALTH · CO

• HEALTHCARE SUPPORT SERVICES LLC

  N/A · LAUNDRY · NE

• HEARTLAND ONCOLOGY LLC

  N/A · ONCOLOGY · KS

• LAKESIDE AMBULATORY SURGICAL CENTER LLC

  RELATED · AMBUL SURG CTR · NE · 60.51% owned · share of income $4,061,882 · share of assets $8,574,924

  Directly controlled by ACH

• LAKESIDE ENDOSCOPY CENTER LLC

  RELATED · ENDOSCOPY · NE · 51.02% owned · share of income $586,711 · share of assets $119,660

  Directly controlled by ACH

• LEXINGTON MBO PARTNERS LTD

  N/A · REAL ESTATE · CO

• LINCOLN CK LEASING LLC

  N/A · REAL ESTATE · NE

• LONGMONT UNITED HOSPITAL ORTHOPEDIC AND SPINE

  N/A · ORTHOPEDIC SERVICES · CO

• MEMORIAL MEDICAL PLAZA

  N/A · REAL ESTATE · CA

• MILITARY ROAD PROPERTIES LLC

  N/A · REAL ESTATE · WA

• MOUNTAIN MEDICAL IMAGING LLC

  N/A · MEDICAL IMAGING · TX

• NEBRASKA SPINE HOSPITAL LLC

  RELATED · SPINE HOSPITAL · NE · 51% owned · share of income $13,285,013 · share of assets $13,430,530

  Directly controlled by ACH

• NICU OPERATING CO OF SANTA CRUZ LLC

  N/A · NEONATAL HEALTHCARE · CA

• NORTH RIVER SURGERY CENTER LLC

  N/A · AMBUL SURG CTR · AR

• NORTHERN PLAINS LABORATORY LLC

  N/A · DIAGNOSTIC SERVICES · ND

• NSC CHANNEL ISLANDS LLC

  N/A · AMBULATORY SURGICAL CENTER · CA

• ORTHOCOLORADO LLC

  N/A · ORTHO HOSPITAL · CO

• PARK RAPIDS AREA HEALTH CARE

  N/A · HEALTHCARE SERVICES · MN

• PEAK ONE SURGERY CENTER LLC

  N/A · SURGERY CENTER · CO

• PENINSULA RADIATION ONCOLOGY CENTER LLC

  N/A · HEALTHCARE SERVICES · WA

• PENRAD IMAGING LLC

  N/A · MEDICAL IMAGING · CO

• PERFORMANCE MED EQUIP & RESPIR SVSC LLC

  N/A · HOLDING COMPANY · WA

• PLAZA SURGERY CENTER LP

  N/A · SURGERY · CA

• PMC HOSPITAL LLC

  N/A · HOSPITAL · TX

• PRECISION MEDICINE ALLIANCE LLC

  N/A · DIAGNOSTIC SERVICES · CO

• RADIATION ONCOLOGY CENTERS OF VENTURA COUNTY

  N/A · IMAGING · CA

• RBR MANAGEMENT LLC

  N/A · AMBULANCE · NV

• REID-ANC HOME CARE SERVICES LLC

  N/A · HOME HEALTH · IN

• SAINT JOSEPH - SCA HOLDINGS LLC

  N/A · INACTIVE · DE

• SAINT JOSEPH HEALTH ASC LLC

  N/A · SURGERY · KY

• SANTA CRUZ COMPREHENSIVE IMAGING LLC

  N/A · IMAGING · CA

• SANTA CRUZ SURGERY CENTER LLC

  N/A · SURGERY · CA

• SEVEN OAKS SURGERY CENTER LLC

  N/A · SURGERY · CA

• SOUTHEASTERN HOME CARE LLC

  N/A · HOME HEALTH · OH

• ST JOSEPH'S SURGERY CENTER LP

  N/A · SURGERY · TX

• ST ELIZABETH HOME CARE SERVICES LLC

  N/A · HOME HEALTH · KY

• ST FRANCIS LAND COMPANY

  N/A · REAL ESTATE · CO

• ST LUKE'S DIAGNOSTIC CATH LAB LLP

  N/A · DIAGNOSTIC SERVICES · TX

• ST LUKE'S LAKESIDE HOSPITAL LLC

  N/A · HOSPITAL · TX

• ST LUKE'S THE WOODLANDS SLEEP CENTER LLC

  N/A · DIAGNOSTIC SERVICES · TX

• THE MEDICAL PAVILION AT ST JOHN'S

  N/A · REAL ESTATE · CA

• THE VASCULAR CENTER OF COLORADO LLC

  N/A · MEDICAL SERVCS · CO

• THREE SPRING IMAGING LLC

  N/A · HEALTHCARE SERVICES · CO

• TIA ARIZONA LLC

  N/A · CLINIC · AZ

• TOPTOLIFE LLC

  N/A · RETAIL · CO

• VALLEY PHYSICIANS SURGERY CENTER AT NORTHRIDGE LLC

  N/A · SURGERY · CA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SVCS INC

  C · MANAGED CARE · NE

• ALLIANCE HEALTH PROVIDER OF BRAZOS VALLEY INC

  C · HEALTHCARE · TX

• ALTERNATIVE INSURANCE MANAGEMENT SERVICE INC

  C · MANAGEMENT SERVICES · CO

• BC HOLDING COMPANY INC

  C · INACTIVE · KY

• BRAZOSPORT HEALTH ALLIANCE

  C · HEALTHCARE · TX

• CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH

  C · LAB SERVICES · CO

• CHI ST LUKE'S HEALTH - MEMORIAL CONDOMINIUM ASSOCIATION INC

  C · CONDO ASSOC · TX

• COASTAL SURGICAL SPECIALISTS INC

  S · AMBULATORY SURGERY CENTER · CA

• DIGNITY HEALTH HOLDING CORPORATION

  C · HOLDING CO · NV

• DIGNITY HEALTH PROVIDER RESOURCES INC

  C · HEALTH PLAN · CA

• DIVERSIFIED HEALTH RESOURCES INC

  C · HEALTHCARE · TX

• FRANCISCAN SERVICES INC

  C · HOLDING CO · CO

• GALLERIA PAVILION OWNERS' ASSOCIATION

  C · REAL ESTATE · NV

• GOOD SAMARITAN OUTREACH SERVICES

  C · MEDICAL CLINIC · NE

• HARVESTPLAINS HEALTH OF IOWA

  C · INSURANCE · WA

• HEALTH AT HOME BLOCKER LLC

  C · HOME HEALTH · CO

• HEALTH SERVICES OF THE PACIFIC CENTRAL COAST INC

  C · HEALTH SERVICES · CA

• HEALTH SYSTEMS ENTERPRISES INC

  C · MANAGEMENT SERVICES · NE

• HEALTHCARE MGMT SERVICES ORGANIZATION INC

  C · INACTIVE · WA

• HIGHLINE MEDICAL GROUP

  C · MEDICAL SERVICES · WA

• MEDICAL OFFICE BUILDING HORIZONTAL PROPERTY REGIME INC

  C · REAL ESTATE · AR

• MEDQUEST

  C · SALE OF DME · ND

• MEMORIAL CV SERVICE LINE MANAGEMENT COMPANY LLC

  C · INACTIVE · TX

• MERCY SERVICES CORP

  C · RETAIL SALES · OR

• MHI CLINICAL SERVICES

  C · HEALTHCARE · TX

• MILLENNIUM SURGERY CENTER INC

  S · OUTPATIENT SURGERY SERVICES · CA

• MOUNTAIN MANAGEMENT SERVICES INC

  C · MANAGEMENT SERVICES · TN

• NORTH CENTRAL HEALTH CARE ALLIANCE

  C · HEALTHCARE · ND

• QUALCHOICE HEALTH PLAN SERVICES INC

  C · ADMIN SERVICES · CO

• QUALCHOICE HEALTH INC

  C · HOLDING CO · CO

• QUALCHOICE HOLDINGS INC

  C · HOLDING CO · AR

• RIVERLINK HEALTH

  C · INSURANCE · OH

• ROSS PARK PHARMACY INC

  C · PHARMACY · OH

• SAINT CLARE'S PRIMARY CARE INC

  C · INACTIVE · NJ

• SJH SERVICES CORPORATION

  C · INACTIVE · CO

• SJL PHYSICIAN MANANGEMENT SERVICES INC

  C · INACTIVE · KY

• SOUNDPATH HEALTH INC

  C · INSURANCE · WA

• ST MARY HEALTH VENTURES INC

  C · RETAIL PHARMACY · CA

• ST ANTHONY DEVELOPMENT COMPANY

  C · ATHLETIC CLUB · OR

• ST JOSEPH DEVELOPMENT COMPANY INC

  C · RENTAL · WA

• ST LUKE'S HEALTH SYSTEM HOLDINGS INC

  C · HOLDING CO · TX

• ST VINCENT COMMUNITY HEALTH SERVICES INC

  C · HEALTHCARE · AR

• STE HOLDINGS

  C · HOLDING CO · NE

• STRATEGIC AND PHYSICIANS INSURANCE LTD

  C · CAPTIVE INSURANCE · CJ

• TOWSON MANAGEMENT INC

  C · INACTIVE · MD

• TRINITY MANAGEMENT SERVICES ORGANIZATION

  C · MGMT SERVICES · OH

• UNITED MEDICAL BUILDING CONDOMINIUM ASSOCIATION

  C · REAL ESTATE · CO