Hospital Facility: CHI Immanuel

Hospital Entity: Alegent Health Immanuel Medical Center

EIN: 47-0376655

1-Sep-21

Providers Covered by the Hospital Policy:

First Middle Last

Thomas W Frederickson

Michael W Guzman

Melissa K Klutts

Brandi L Schaefer

Angelika L Stevens

Providers Not Covered by Hospital Financial Assistance Policy:

The following providers are not covered by the hospital's financial assistance policy, but may provide financial

assistance pursuant to the policy of another CHI (or non-CHI) organization

First Middle Last

Ahmed SA Aboeata

Mohsen G Abou Seif

William A Abrahams

Hussam S Abuissa

Noor MH Addasi

Jessica L Adrian

Sweety Aeilias

Himanshu Agarwal

Omar S Akbik

Sara Albagoush

Jared T Alberts

Maher Alchreiki

Mohamad A Alhajhusain

Maria VictoriaG Ali

Mazhar Ali

Venkata MB Alla

Genevieve A Allou

Neil Alouch

Myles L Alpert

Imad Alsakaf

Maria D Alvarado

Lindsey F Amato

Date K Amouzou

Elizabeth E Anderson

Ronald W Anderson

Ann L Anderson-Berry

Richard V Andrews

Venkata AGB Andukuri

Nicole M Anthony

Temple A Anzalone

Matthew F Appenzeller

Michael O Arisa

Krishan Ariyarathna

Jennifer B Armstrong

Monica Arora

Martha A Arouni

Muhammad Z Ashfaq

Karla M Atchley

John A Aucar

Soe Myint Aung

Nagi T Ayoub

Nargis S Azizi

Cecilia M Backstrom

Terri L Baehr

Travis L Bailey

Sarah M Baker

Susan J Baker

Melissa A Balhorn

Bruce Baron

Melissa M Barrett

Khalid Bashir

Chad R Bass

Phillip L Bassing

John Thomas Batter

Jeremy M Baum

Sean V Baxter

Corrine G Behrens

Richard G Belatti

Derek W Belt

Casey D Beran

Margaret M Beran

Virginia E Bereisha

Karl A Bergmann

Kerry L Bernal

Mary K Beseau

Durga P Bestha

Jawed M Bharwani

Shashi K Bhatia

Subhash C Bhatia

Adam J Bierbaum

Nicole D Birge

Katelyn C Birkett

John H Bishay

Margaret Block

Amanda S Boardman

Wendell T Bobb

Dawn M Bodnar

Curtis L Boeck

Kirsten A Boedeker-Jenkins

Patrick J Bogard

David L Bolam

Benjamin P Bolmeier

Timea Bor

Spencer L Borns

Joan E Borrege

Annaliese Bosco

Robert Charles Bossert

Deyanna Boston

Megan A Brady

Brianna K Brei

Karen L Bremer

Tuvia Breuer

Lindsey M Brezenski

Brian D Brinkman

Gregory D Brooks

Felina S Brown

Katherine E Brown

Stephen R Brown

Kelsey A Brozek

Matthew V Brumm

Haitam M Buaisha

Ryan G Buetow

Thomas G Buglewicz

Benjamin J Bumgarner

Avdesh R Buragadda

Timothy A Burd

Emily L Burdett

Melinda S Burnett

Carol S Bush

Kristin D Busse

Amanda Butler

Rachel A Butler

Thomas M Byrne

Carrie L Cadorna

Jin Cai

Shannon P Calhoun

Kevin L Call

Kathryn Ann Cambron

Kyle W Campbell

Joaquin J Cantillo

David E Cantu Duran

Jason T Carey

Scott C Carollo

Jeffrey S Carson

Jeffrey S Carstens

Rebecca A Castro

Roberto Cervantes

Kimberly K Chacon

Heather E Chambers

Saurabh Chandan

Subhash Chandra

Edward S Chartrand

Jennifer M Chavez

Steffany J Chedel

Vanessa C Chen

Yu-Ting Chen

Madhavi Reddy Cherukula

Yon J Chong

Mark D Chouinard

Stephanie Christensen

Crystal J Clark

Robert J Cleaver

Michael J Clegg

David A Clough

Jennifer M Cohorst

Carlos Collin

James R Commers

Timothy A Conner

Thomas John Connolly

Angelyn Connors

Brian P Conroy

Nicholas W Contryman

Jennifer E Cook

Craig S Cookman

Christopher J Corder

Joel T Cotton

Christian W Cox

Elizabeth D Cox

Rachel E Cushing

Sheryl L Dacy

Kristina A Dada

M Olubunmi Dada

Khagendra B Dahal

Jane B Dahlke

Leah A Damiani Strain

Jillianne M Danahay

Laura Danielson

Daniel F Davenport

Mary S Davey

Judson D Davies

Maria E de Brito McGee

Luris De Calero

Erika M De Mont

Terumi DeGraw

Adrienne S Dekarske

Michael G Del Core

Joan C Delto

Steven M Denenberg

Benjamin T Denich

Melanie J Denny-Schiltz

Tami D DenOtter

Zachary S DePew

Pooja A Deshmukh

Elicia M DeVall

James P Devney

Bradley W DeVrieze

Naresh A Dewan

Vijay K Dewan

Kevin S Diamond

Shane D Dieckman

Mark J Diercks

Nicholas E Dietz

Matthew Dilisio

Dominick J DiMaio

Jason R Divito

Allyson K Doerr

Kelli S Doll

Laura M Donovan

Casie I Dorr

William C Dorwart

Christine M Dostal

Gregg A Drabek

Jamie A Drake

Meagan L Driesen

Edward Drobny

Robert C Drvol

Samuel Dubrow

Jalal Dufani

Wallace E Duff

Joseph S Dumba

Robert W Dunlay

Ryan P Dunn

Durgalakshmi Duraikannan

Lindsey K Dworak-Swantek

Jennifer G Dwyer

Gregory G Eckert

Michael L Egger

Chad A Eicher

Rima El-Herte

Joel D Elson

Margaret R Emerson

Mark D Emig

Rabie O Emsalem

Joshua J Espelund

Don L Evans

Kaily L Ewing

Uzma S Faheem

Todd Falter

Barry L Fanders

Meghan E Farquhar

Taliat Fawole

Melanie M Fehringer

Michael Robert Feilmeier

Lindsey A Feilner

Pauline M Felker

Michael P Feloney

Lynn A Ferdig

Praveen P Fernandes

Geoffrey L Fey

Suzette Fink Bryan

Angela L Fisher

Robert J Fitzgibbons

Garth E Fletcher

Jessica Flowers

Linda B Ford

Thomas S Forrest

Andrew J Frager

David A Franco

James L Friedlander

Erica F Fritz

Joseph P Frost

Sherrel A Fry

Jonathan E Fuller

Ramesh KR Gadiraju

Jayanthi Ganesan

Marie-Josee Ganiev

Edward R Garcia

Glenn C Gardner

Rohini Garg

Candy L Garner

Andrea M Garrett

Jon F Garrigan

Myles Gart

Andrew I Gelbman

Kathryn E George

J Brian Gill

Monjari C Gillian

Philip H Glogover

Ann T Glow

Kurt V Gold

Ryan L Golden

John C Goldner

Jon R Goldsmith

Nathan S Gollehon

Brent F Goodrich

Michael P Grace

So Yun P Grace

Claudia Gragnoli

Amy D Graham

Michael A Greene

Herman M Greenwald

Jason E Grennan

Jill J Grennan

Angelica M Griffiths

Kim R Groenjes

Darren Groh

Amanda Guggenmos

Neha Gupta

Rao Gutta

John F Guynan

Kristina M Haase

Lauren J Hager

John A Haggstrom

Admassu Y Hailu

John D Hain

Anthony J Halat

Ahmad Halawa

Erin Hale

Matthew A Halfar

Mary F Hall

Michael Alan Halsted

Regina M Hancock

Stephanie M Harris

Adele A Harrison

Herbert A Hartman

Ateeq Haseeb

Scott A Haughawout

Ralph J Hauke

Shane J Havens

Thomas A Hawk

Patricia A Helke

Jeremy R Hendrickson

David S Henley

Sarah P Hennings

J. Stephen Henry

Shanda R Hensley

Nabeel A Herial

Bradley H Hess

Dana J Hess

Molly J Hiatt

Adam D Highley

Alec C Hildenbrand

Brett C Hill

John D Hill

Jesse T Himebaugh

Co Thi Ho

Clayton J Hoberman

Brianna J Hoden

David J Hoeft

Samantha L Hoffart

Rita R Hogue

Melissa Hohenstein

Bruce A Holcomb

Christopher J Holewinski

Madison D Hollins

Mark J Holmberg

Brent P Holmquist

Jay A Homburger

Joshua M Homme

Lance R Hoover

Harvey A J Hopkins

Christian Horazeck

John M Horne

Ewald J Horwath

Amy B Houlihan

Michael A Hovey

Suzanne L Hruza

Hudson HT Hsieh

Cathy Hudson

Jalila Hudson

Sarah N Hudson

Guillermo Huerta

Christopher J Huerter

Kathryn E Huerter

Shirley L Huerter

Jonathan L Hulkower

Tara K Hunke

Chelsea M Hunter

Kellen L Huston

Stephanie A Hutsell

Timothy K Huyck

Marium Ilahi

David D Ingvoldstad

Sandia Iskandar

Lindsay M Iverson

Paul A Jackman

Clark R Jackson

Jeffery S Jacobs

Erik R Jacobson

Sunil K Jagadesh

Nikhil Jagan

Jonathan A Jaksha

Matthew M Jaksha

Waheed Jalalzai

Vishal B Jani

Erin T Jenkins

Ric E Jensen

Adam S Johnson

Erin R Johnson

Jonathan M Johnson

Melissa A Johnson

Shelby M Johnson

Claudine E Jones-Bourne

Alisha Josephson

Brian A Juber

Shawn E Junkins

Traci L Jurrens

Amjad Kabach

Nancy A Kadavy

Harold A Kaftan

Eyad F Kakish

Tiffany M Kalin

Arun KR Kanmantha Reddy

Angela D Karsten

Thamer Kassim

Niranjan KC

Theresa A Keefe

Joseph E. Kent

Lindsey Kerrey

Gulam AshfaqH Khan

M. Ebrahim Khan

Randy E Kilnoski

Adam M Kingston

Shannon M Kinnan

Brian Kirkpatrick

Gloria G Kisicki

Robert T Kizer

Ashley N Klepinger

Dane E Klett

Kate Kloberdanz

Ronald M Kmiecik

Jonathan S Knedler

Gary A Koenig

Jahnavi Koppala

Samantha J Korth

Elizabeth J Kothenbeutel

Steven C Koukol

Joyce M Kovar

Haelee A Kowalski

Carol A Koziol

Bryan J Krajicek

Jillyn A Kratochvil

Kyle A Krehbiel

Kristin N Krobot

R Michael Kroeger

Brenda L Krueger

Matthew J Kruse

Eric J Kuncir

Jarret Kuo

Shun C Kwong

Jeremiah P Ladd

Makenzie S Lahm

Evan D Lahtinen

Jason E Lambrecht

Carolina A Landeen

Robbie L Lane

Sarah Lane

Robert M Langdon

Thomas J Langdon

Deanna J Larson

Mary C Lauer

Kayla M Lawton

John P Lazoritz

Kirsten MH Leu

Patrick B Leu

Tyler J Lewandowski

Stephen S Lim

Jeb T List

Keri A Loftus

David Lojero

Michael C Longley

John M Longo

Kevin G Loontjer

Kevin L Lopeman

Erin A Loucks

Gem Maun Lucas

Meghan Luebbert

Kassie A Lueth

Jeffrey C Macaraeg

Adam G Macdissi

Anthony J Macdissi

Siva M Madineedi

Vijay Maggio

Lauren B Magill

Toufik Mahfood Haddad

Sarah Marie Malesa

PaulaJo Malin

Joseph G Manasek

Bernard W Manley

Anthony R Mann

William A Marcil

Kevin W Marcum

Michele R Marsh

Latrice D Martin

Sonya Martin

Joseph F Martinak

Harmeet S Mashiana

Abraham P Mathews

Kaitlin R Mattice

Felicitas T Mavunga

Sarah R Mayhue

Domingo L Maynes

Jennie F McCarthy

John Arthur McCarthy

Kathryn J McCary

Patrick L McClaughry

John W McClellan

Steven T McCormack

Colin McDermott

Mara K McDermott

John A McFayden

Edward M McGill

Katie Chase McGill

Edward T McGonigal

Anna C McGrain

Katherine R McGuire

Kathleen M McKillip

Paige E McLaughlin

Courtney K McLean

Allison S McLeay

C Todd McMinn

Nicole C McNair

Michael J McNamara

Marian K Meduna

Amy Suzanne Meeks

Rebecca M Meggers

Steven D Meinhold

Catherine E Mendlick

Matthew R Mendlick

Neil Mendoza

Rachel C Mercer

HelenMari L Merritt-Genore

Galen M Meyer

Frank J Mezzacappa

Reanen E Michael

Kristin L Miles

Martha N Millan Sanchez

Ellen G Miller

Joshua P Miller

Karen M Miller

Paul G Millner

Lee D Millward

Chelsea E Minert

Mohsin M Mirza

Janelle J Mitchell

Vikrant Mittal

Martin W Mizener

Selma Mohammed

Shehnaz Mohsin

Douglas R Moore

Michael J Moore

Jessica R Moran-Hansen

Jon J Morton

Dharani Mudugal

Sandeep Mukherjee

Devi Mukkai Krishnamurty

Sahil Mullick

Clifford C Muneses

Francis R Murphy

Richard P Murphy

Jeffrey J Murray

Skye A Murray

Sangeeta Mutnuri

Donna K Myers

Michael R Nabity

Sunil S Nair

Kalyana C Nandipati

Shraddha M Narechania

Ann E Narmi

Amanda J Nastase

Mohammed N Nazmul

Tyler M Neitlich

Emily J Nelson

Eric M Nelson

Jill S Nelson

Scott C Nelson

Sarah M Newman

Cam Nguyen

Luke T Nordquist

Jason P Oberg

Anthony D Oberle

Bliss E O'Bryhim

Gregory U Ochuba

Stephen M O'Connor

David E Odegaard

Yetunde A Ogunleye

Gina Oliveto

Charles E Olson

Chloe B Olson

Gene T Omoto

Lindsay N O'Neil

Kelly M Osborn

Steven C Osborn

Ali H Osman

William J Ostdiek

Mark A Otto

Twethida Oung

Andrew V Owens

Stuart G Oxford

Subhash Paknikar

Geetha Palaniappan

Jason Papenfuss

Alan Parks

Jennifer J Pate

Neil D Patel

Aishwarya A Patil

Vinit V Patil

Nicole A Pearsall

Erik A Pedersen

Eric S Peeples

Alberto A Penalver

Wayne E Penka

Robert G Penn

Adrienne E Perfilio Edwards

Susan M Peschel

Michelle L Peterson-Jones

Laura A Pfeil

Arlana R Phillips

Eric D Phillips

Karen G Phillips

Edward C Piller

Mark D Pilley

Suchitra Pilli

Robert W Plambeck

Elise A Plautz

Adam M Pleas

Sampath Poreddy

Neil G Powell

Joshua C Priluck

D Randall Pritza

Ronald J Pritza

Nicole M Privitera

Jamie M Przybylski

Jill F Puetz

Syed F Qadri

Christina M Quijano

David S Quimby

Mohammed F Quraishi

Adnan I Qureshi

Craig Rabb

Sylvia Lee Rael

Naureen Rafiq

Sina Rajamand

Atul Ramachandran

Sriram Ramaswamy

Jennifer L Ramey

Heather D Ramsey

John M Ramsey

Jyotsna S Ranga

Rajani Rangray

Jeffrey R Rapp

Sriramamurthy Ravipati

Laurence M Raynor

Robert R Recker

Gangadasu ECVS Reddy

Corbin J Redli

Mark Reisbig

Jacqlynn S Reiter

Mary E Remm

Samer I Renno

Kate A Rentschler

Crystal Reyelts

Don B Rhoden

Eric C Rice

Rachael R Rice

Madeline D Ripa

Brett H Ritchhart

Tammy J Rixey

Jonathan Robbins

Jennifer B Rocha

Matthew J Roesner

Kavish Rohatgi

Attila Roka

Staci L Rosche

Bonnie J Rothell

Benjamin Rowley

Lorraine B Rubarth

Richard G Runge

David A Rupiper

Demis F Russu

Veronica Yumo Ruvo

Artem I Ryazantsev

Hasnain J Sadiq

Louis L Safranek

Venketraman Sahasranaman

Ankur Saini

Minky Saini

Nicholas Sakis

Sarah A Saldi

Salam S Salman Maki

Stacey M Samuel

Michael P Sanfilipo

Ram Mohan R Sankaraneni

Michael J Sanley

William Santaularia

Susanne L Sasse

Victor Sawhney

Stanley H Schack

Lisa A Schalley

Cara E Schiessler

C. Christian Schlaepfer

Joel Schlessinger

Cynthia A Schmid

Ashley R Schmidt

John W Schmidt

Johanna Schubert

Wilma K Schuermann

Laura M Schulte

Rachael J Schultz

Amanda M Schumacher

Michael R Schuster

Ashley R Schwartz

Wendy M Schwery

Michael J Sedlacek

Cindy L Sedlak

Ashley M Self

Mohammad Selim

Vithyalakshmi Selvaraj

Louis M Sempek

Inaganti M Shah

Sona K Shah

Meaghan M Shanahan

Sheryl Pape Shannon

Arun Sharma

Poonam Sharma

Tommora A Shaw

Paul S Sherrerd

Chad A Shuff

Zakaria Siddiqui

David A Silverberg

Gema T Simmons

Abhishek Singh

Awinder P Singh

Deepak K Singh

Jagkirat Singh

Sanjay P Singh

Sonal Singh

Larry E Siref

Dustin R Sitzmann

Eyad Skaf

Terrence T Slattery

Wesley L Smeal

LaDeana Shea Smedlund

Aiman M Smer

Andrew R Smith

Arthur A Smith

Christina L Smith

Diana A Smith

Stanley R Smith

J. Matt Snow

Omri D Soffer

Amna Sohail

S George Sojka

Akshat Sood

Patrick J Specht

Jonathan L Spencer

Wendell D Spencer

Theodore J Spinks

Darren J Splonskowski

Thomas M Sprague

Prashanth Sripal

Shannon L St. Clair

Courtney A Stagemeyer

Ryan W Stagemeyer

Sarah L Stamm

Michael I Stanley

Sarah E Steffes

Nicholas P Steier

Patrick J Steinauer

Yvonne M Stephenson

David A Sterns

Herschel E Stoller

Lillian R Stoller

Shawn T Stone

Catherine T Stoos

Phillip M Stratton

Rebecca A Stratton

Zachary Strohm

Christian Strong

Amanda Strudthoff

Yungpo B Su

Kimberly Sullivan

Allison L Summers

Robert R Sundell

Julie M Sundermeier

Amy M Suralis

Melissa L Svoboda

Thomas M Svolos

Amy L Sytsma

Boyd K Tamanaha

Laszlo B Tamas

Stefano R Tarantolo

Alain J Taylon

Charles Taylon

Alexandra K Taylor

Jocelyn A Taylor

Joseph B Thibodeau

Joseph R Thirumala Reddy

Kevin A Thomas

Mary C Thomas

Stanley V Thomas

Julie A Thompson

Jean A Thomsen

Clayton C Thor

Elizabeth Thurber

Michaela L Tilgner

Rebecca M Toomsen

Joseph W Townley

Nicholas L Townley

James M Tracy

Thuc H Tran

Tin H Tran

Bodo W Treu

Robert J Tursi

Christopher J Vacek

Eric J Van De Graaff

Christina M Van Horn

Amber K Vaughan

Manasa Velagapudi

Meghana Vellanki

Joseph D Verdirame

Joseph L Verzal

Cora M Villagomez

Louis AD Violi

Renuga Vivekanandan

Luka Vlahovic

Scott A Vosik

Adam Vossen

Hope M Voto

Jake Vrdoljak

Michel RP Wagner

Sonny S Wallace

Brenda K Wallingford

Kristina L Wallingford

Paula E Walters

Kacy E Walther

Jennifer A Ward

Amber V Warholoski

Paul A Watson

Robert E Wear

Thomas H Webb

Mitchell E Weber

Douglas J Weedman

Mark E Weilage

Jayson A Weir

Amber K Welch

Drew N Wellenstein

Adam D Wells

Frank J Welte

Jane A West

Matthew P West

Jeana R Westover

Michael D White

Thomas J White

Peter J Whitted

Kristine M Wiley

Traci L Wilkinson

Karen M Williams

Elizabeth A Willmes

Catherine A Wilson

Whitney E Wilson

Scott D Wilt

Charles P Windham

Nicholas K Wischmeier

Kelsey L Witherspoon

Joseph R Wolpert

Angelica Z Wong

Konnie Wood

Thaddeus D Woods

Chase C Woodward

H Randal Woodward

Anthony K Yaghmour

Glenn P York

Charles F Youngblood

Fang Yu

Terence L Zach

Robert J Zadalis

Amir Zahra

Hadi Zahra

Mohammed K Zahra

Steven M Zak

Mohammed Zalabani

Zahi E Zeidan

Sami Zeineddine

Mohsen Zena

Shumin Zhang

Ashlie Zima

Michael R Zimmerman

Valori E Zobel