Saint Elizabeth Foundation

“During the tax year ended 6/30/2016, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as n/a, but have been answered "no" in accordance with the form 990 instructions.”

“Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. 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 Korn Ferry 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 Korn Ferry 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 Korn Ferry 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 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable. For other members of management who were paid under CHI Health for calendar year 2015, CHI Health completes a compensation market study to determine salary.”

“PURSUANT TO SECTION 8.6 OF THE BYLAWS OF SAINT ELIZABETH FOUNDATION, THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE VICE PRESIDENT, THE SECRETARY, THE TREASURER, AND THE CHIEF DEVELOPMENT OFFICER, EACH OF WHOM SERVES AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. aNY VACANCY OF AN APPOINTED eXECUTIVE cOMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD.”

“Per Section 5.1 of the bylaws, THE SOLE MEMBER OF THE ORGANIZATION IS SAINT ELIZABETH Regional Medical Center, A NEBRASKA NONPROFIT CORPORATION.”

“The sole member of the organization has the power to appoint, replace, or remove the members of the board of directors.”

“THE ORGANIZATION'S CORPORATE MEMBER IS SAINT ELIZABETH REGIONAL MEDICAL CENTER. PURSUANT TO SECTION 5 OF THE ORGANIZATION'S BYLAWS, BOTH SAINT ELIZABETH REGIONAL MEDICAL CENTER AND CATHOLIC HEALTH INITIATIVES (CHI) (SAINT ELIZABETH REGIONAL MEDICAL CENTER'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE SAINT ELIZABETH REGIONAL MEDICAL CENTER'S BOARD of directors: *APPROVE MEMBERS OF THE SAINT ELIZABETH FOUNDATION BOARD; *AMENDMENT OF THE CORPORATE DOCUMENTS OF SAINT ELIZABETH FOUNDATION; *APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT ELIZABETH FOUNDATION; *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR SAINT ELIZABETH FOUNDATION. THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD of directors DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF SAINT ELIZABETH FOUNDATION; *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF SAINT ELIZABETH FOUNDATION; *APPROVAL OF ISSUANCE OF DEBT BY SAINT ELIZABETH FOUNDATION; *APPROVAL OF PARTICIPATION OF SAINT ELIZABETH FOUNDATION IN A JOINT VENTURE; *APPROVAL OF FORMATION OF A NEW CORPORATION BY SAINT ELIZABETH FOUNDATION; *APPROVAL OF A MERGER INVOLVING SAINT ELIZABETH FOUNDATION; *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SAINT ELIZABETH FOUNDATION; *TO REQUIRE THE TRANSFER OF ASSETS BY SAINT ELIZABETH FOUNDATION TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO SECTION 5 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.”

“Following the preparation of the form 990 by tax analysts of Catholic Health Initiatives, a related organization, the return is reviewed by the CHI tax director and the local chief financial officer. After incorporation of any changes resulting from this review, the form 990 is reviewed at the finance committee meeting and the chief financial officer and CHI tax director are present at the meeting to answer questions. Additionally, the board of directors are provided the final form 990 and related schedules to review and are able ask the chief financial officer and tax director questions prior to filing with the IRS. Upon chief financial officer approval and signature, the tax analyst files the final form 990 as presented to the board and finance committee, making any non-substantive changes necessary in order to effect e-filing. Any such changes are not re-submitted to the board.”

“Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and”

“The organization's governing documents are available on the nebraska secretary of state website. The conflict of interest policy is available upon request. Saint elizabeth foundation's financial statements are included in the catholic health initiatives' consolidated audited financial statements that are available at www.catholichealthinit.org or at www.dacbond.com.”

“Primary exempt purpose the saint elizabeth foundation was incorporated as a 501(c)(3), tax exempt charitable foundation. Its purpose is to raise funds to promote care giving at chi health saint elizabeth, providing excellent, compassionate and spiritual care through programs within the health system and the community it serves. The foundation's staff and board of trustees raise funds through special events, annual giving, major gifts, capital campaigns, planned gifts and grants. In 2007, the foundation's public charity status was changed to an organization classified under section 509(a)(1) and 170(b)(1)(a)(vi); this was modified after the passage of the pension protection act of 2006(hr4). The foundation meets the public support test required of a public charity. This allows the foundation to receive rollover contributions and also to receive gifts from private foundations. Exempt purpose achievements the mission of the corporation and of catholic health initiatives is to nurture the healing ministry of the roman catholic church by bringing it new life, energy, and viability in the 21st century. Fidelity to the gospel urges us to emphasize human dignity and social justice as it moves toward the creation of healthier communities. Catholic health initiatives, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, chi health st elizabeth foundation and catholic health initiatives, as values-based organizations and in partnership with laity and others, will research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization. The purpose of chi health st elizabeth foundation is to raise funds to promote care giving at chi health st elizabeth providing excellent, compassionate, and spiritual care through programs within the medical center and the community it serves. To ensure gifts are administered in accordance with donors' intentions, chi health st elizabeth foundation establishes restricted accounts that assure funds are dedicated to the purpose for which they are given. During the last fiscal year the foundation has raised $1,289,847 in contributions. At the same time it has disbursed $1,159,221 back into the community and chi health st elizabeth, nebraska heart & our lincoln-based affiliates. Capital for chi health st elizabeth & nebraska heart chi health st elizabeth & nebraska heart foundation, with money from various donors, provided $863,846 for the purchase of capital/equipment for st elizabeth & nebraska heart, which was directly related to patient care. Emergency & hardship charity care chi health st elizabeth foundation currently maintains a fund that provides assistance to patients after discharge. There were 154 patients and families served this fiscal year for a total of $30,225. Assistance is provided in areas of non-covered prescriptions, lodging, meals, and travel needs. Patients must have no other means of support. Employee emergency fund the foundation maintains a fund designated strictly to emergency assistance for employees of chi health st elizabeth, nebraska heart, along with our lincoln-based affiliates. Assistance consists of helping with utilities, rent, food, transportation, and medical needs for qualifying employees. At thanksgiving and christmas, we gave qualifying employees grocery and walmart gift cards. This year the fund was able to help 40 employees for a total of $46,070. Community asthma education initiative the community asthma education initiative (caei), comprised of 50+ local agencies and institutions, was formed in 1998, in response to alarming statistics from the center for disease control, showing high rates”

“The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.”

“Other Fees for Services - Total Expense: 718296, Program Service Expense: 109692, Management and General Expenses: 171394, Fundraising Expenses: 437210;”

“OTHER CHANGES - 21160;”