Saint Elizabeth Foundation

“During the tax year ended 6/30/2017, 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.”

“The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role outlined in the COI Policy. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. The Board shall carefully scrutinize and must in good faith approve or disapprove any transaction in which CHI or a CHI Entity is a party and in which the Trustee or Corporate Officer either: * Has a material financial interest; or * Is a Trustee or Corporate Officer of the other party (other than a CHI-affiliated organization). The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board shall act no more or less favorably than it would in reviewing transactions with unrelated third parties. The transaction will not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board shall carefully review and scrutinize any non-transactional conflict of interest (e.g., disclosure of nonpublic information, competition with CHI or a CHI Entity, failure to disclose a corporate opportunity, excessive gifts or entertainment, etc.). By a majority vote of the disinterested Trustees, the Board shall take whatever action is deemed appropriate with respect to the Trustee or Corporate Officer under the circumstances, including possible disciplinary or corrective action, in order to best protect the interests of CHI or the CHI Entity. The Board should consult with the General Counsel of CHI or his or her designee when considering disciplinary or corrective action. When any conflict of interest is considered by the Board, the Trustee or Corporate Officer, as appropriate, must disclose all of the material facts to the Board. The Trustee shall not vote and the Trustee or Corporate Officer shall not use his or her personal influence on the matter. However, if requested, such Trustee or Corporate Officer is not prevented from briefly stating his or her position in the matter, nor from answering pertinent questions from Trustees, as his or her knowledge may be of significant importance. The Trustee or Corporate Officer shall be excused from the meeting during discussion and vote on the conflict of interest. Minutes of the Board shall reflect the following: the individual making the disclosure, the nature of the disclosure, discussion regarding any proposed transaction, the decision made by the Board, and that the interested Trustee or Corporate Officer was excused during the discussion, and that the interested Trustee abstained from voting. If the Board reasonably believes that a Trustee or Corporate Officer has failed to disclose ei”

“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 is 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 (the "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 CHI Entity board and board committee members; all CHI employees; 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 must promptly and fully disclose 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 disclose 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. At the time of initial appointment, a copy of the Policy shall be distributed to the board or committee member along with a conflict of interest disclosure. The board or committee member will complete and submit the disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. At the time of hiring, a copy of the Policy shall be distributed to all Employees. In addition, a conflict of interest disclosure will be provided. The Employee must complete and submit a conflict of interest disclosure. The completed disclosure shall be maintained in confidence and access shall be limited to persons who have a reasonable need to know the contents. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. On an annual basis, the following Persons must complete a new conflict of interest disclosure: * Board and board committee members; * Employees at the level of vice president and above; * Researchers; * Supply Chain Employees at the level of vice president and above and those employees involved in contracting regardless of employment level; * Other Employees as deemed applicable by CHI Leadership; * Employees at the level of manager and above (through 6/21/17). Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC"), National or Regional Legal Services, National, Entity, or Research Corporate Responsibility Program, or the Executive Committee of the Board or Board Chair, for review depending on the position of the person involved. 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 CHI's business, whether the Person with the conflict is the ultimate decision-maker or holds significant influence over the ultimate decision-maker (i.e., degree of 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 health care or research industry. When a Person has, or is considering initiating, a business interest or relationship outside of CHI but is uncertain whether the interest constitutes a conflict of interest requiring disclosure under this Policy, the Person should consult with local Corporate Responsibility Program (CRP) staff or CHI Legal Services Group (LSG) staff, as appropriate. As appropriate, a COI management plan will be developed. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such COI management plan in collaboration with local CRP staff or CHI LSG sta”

“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.”

“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 $1,612,924 in contributions. At the same time it has disbursed $1,130,301 back into the community and chi health st elizabeth, nebraska heart & our lincoln-based affiliates. Capital for chi health st elizabeth saint elizabeth foundation, with money from various donors, provided $879,202 for the purchase of capital/equipment for saint elizabeth regional medical center, 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 125 patients and families served this fiscal year for a total of $23,412. 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 qualifiying employees grocery and walmart gift cards. This year the fund was able to help 41 employees for a total of $49,774. 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 of asthma morbidity and mortality in the midwest and nebraska, in particular. The foundation has assisted the caei in acquiring funding from lincoln/lancaster county health department and hrsa' healthy tommorows program. The foundation assists the caei coordinator to see to it that objectives and funding guidelines are being met as required from each grantor. Expressions of art and hope is a cancer survivor's group that meets monthly for experiences in art and music. The cancer institute collaborates with the lux center for the arts to provide different art classes in pottery, painting, collage and other art forms. Funds for the program are provided from the foundation cancer institute fund. Neonatal family assistance program infants cared for in the neonatal intensive care unit usually need a minimum of 23-weeks for the lungs to be mature enough for survival. Full-term gestation is 40-weeks. Most babies s”

“Other Fees for Services - Total Expense: 679125, Program Service Expense: 279547, Management and General Expenses: 399578, Fundraising Expenses: 0;”