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SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC (EIN 27-1790052)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202411359349310301
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-14T15:14:07-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271790052EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS MEDICAL CENTER -BusinessNameLine1Txt
Business Name Line2BAKER CITY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone5415236461PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13325 POCAHONTAS ROADAddressLine1Txt
CityBAKER CITYCityNm
State AbbreviationORStateAbbreviationCd
ZIP978141464ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonB LANNIE CHECKETTSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5415236461PhoneNum
Signature2024-05-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBPersonFirstNm
Person LastLANNIE CHECKETTSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE O FOR LISTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDINA ELLWANGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13325 POCAHONTAS ROADAddressLine1Txt
CityBAKER CITYCityNm
State AbbreviationORStateAbbreviationCd
ZIP978141464ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$38,819,938GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAINTALPHONSUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND HOSPITAL SERVICESActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee258TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,404,113PYContributionsGrantsAmt
CY Contributions Grants$154,474CYContributionsGrantsAmt
PY Program Service Revenue$38,237,467PYProgramServiceRevenueAmt
CY Program Service Revenue$37,682,696CYProgramServiceRevenueAmt
PY Investment Income$530,441PYInvestmentIncomeAmt
CY Investment Income$341,647CYInvestmentIncomeAmt
PY Other Revenue$523,955PYOtherRevenueAmt
CY Other Revenue$620,096CYOtherRevenueAmt
PY Total Revenue$40,695,976PYTotalRevenueAmt
CY Total Revenue$38,798,913CYTotalRevenueAmt
PY Grants And Similar Paid$49,399PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$32,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,734,691PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,986,595CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,291,203PYOtherExpensesAmt
CY Other Expenses$21,565,488CYOtherExpensesAmt
PY Total Expenses$40,075,293PYTotalExpensesAmt
CY Total Expenses$38,584,583CYTotalExpensesAmt
PY Revenues Less Expenses$620,683PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$214,330CYRevenuesLessExpensesAmt
Total Assets BOY$29,472,728TotalAssetsBOYAmt
Total Assets EOY$29,091,985TotalAssetsEOYAmt
Total Liabilities BOY$17,158,104TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,090,593TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,314,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,001,392NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$34,526,042ExpenseAmt
Grant$32,500GrantAmt
Revenue$38,209,614RevenueAmt
DescSAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) IS A COMMUNITY HOSPITAL LOCATED IN BAKER CITY, OREGON, WHOSE HISTORY STARTS OVER 100 YEARS AGO. SAMC-BAKER CITY IS LICENSED FOR 25 BEDS AND SERVES APPROXIMATELY 16,000 RESIDENTS IN BAKER COUNTY. SAMC-BAKER CITY OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, MATERNITY SERVICES, HEALTH EDUCATION AND WELLNESS PROMOTION. SAMC-BAKER CITY ALSO OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES THROUGH ITS CLINIC WHICH PROVIDES FAMILY AND INTERNAL MEDICINE SERVICES. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/BAKERCITYDesc
Total Program Service Expenses$34,526,042TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee258EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHANIE PLISCHKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2083674504PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16301 EMERALDAddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83706ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ODETTE BOLANO
DIRECTOR; PRES SAHS; CEO WEST REGION1.0054.00Yes (X)Yes (X)$0$1,142,266$223,555
B LANNIE CHECKETTS
TREASURER; SAHS CFO2.0048.00Yes (X)$0$557,478$66,972
STEPHANIE WESTERMEIER
SECRETARY; SAHS VP & MANAGING CNSL2.0048.00Yes (X)$0$493,999$114,326
DAVID RICHARDS MD
EMERGENCY MEDICINE PHYSICIAN50.000.00$541,569$0$54,452Yes (X)
DEREK ZICKGRAF DO
FAMILY PHYSICIAN50.000.00$545,797$0$48,996Yes (X)
DINA ELLWANGER
DIRECTOR; PRESIDENT, EASTERN OREGON20.0035.00Yes (X)Yes (X)$0$315,112$80,447
JESSE JARNES
ANESTHESIOLOGIST50.000.00$335,189$0$46,700Yes (X)
KAARE TINGELSTAD DO
EMERGENCY MEDICINE PHYSICIAN50.000.00$317,175$0$48,727Yes (X)
JEAN BASOM
FRMR KE; REG DIR SUPPLY CHN THR 8/2225.0025.00$0$204,647$100,093Yes (X)
ERIC JOHNSON DO
SURGEON50.000.00$210,361$0$20,640Yes (X)
MICHAEL BALLANTYNE
DIRECTOR; CHAIR AS OF 1/231.004.00Yes (X)Yes (X)$0$0$0
DANIEL PUGA
DIRECTOR & CHAIR THROUGH 12/221.004.00Yes (X)Yes (X)$0$0$0
TONI NIELSEN
DIRECTOR; VICE CHAIR AS OF 1/231.004.00Yes (X)Yes (X)$0$0$0
SUZANNE BRENNAN CSC
DIRECTOR1.006.00Yes (X)$0$0$0
MICHAEL COUGHLIN MD
DIRECTOR1.004.00Yes (X)$0$0$0
VICKEN GARABEDIAN MD
DIRECTOR THROUGH 12/221.004.00Yes (X)$0$0$0
GERALDINE HOYLER CSC
DIRECTOR1.004.00Yes (X)$0$0$0
BETH INECK
DIRECTOR AS OF 1/231.004.00Yes (X)$0$0$0
KIRK JACOBSON
DIRECTOR1.004.00Yes (X)$0$0$0
ROBERT LADENBURGER
DIRECTOR AS OF 1/231.004.00Yes (X)$0$0$0
SUSAN MORRIS
DIRECTOR1.004.00Yes (X)$0$0$0
ANABEL ORTIZ-CHAVOLLA
DIRECTOR1.004.00Yes (X)$0$0$0
ADAM RICHINS
DIRECTOR1.004.00Yes (X)$0$0$0
LAURA ALVAREZ SCHRAG
DIRECTOR THROUGH 12/221.004.00Yes (X)$0$0$0
ANGELA TAYLOR
DIRECTOR1.004.00Yes (X)$0$0$0
MARIE GUADALUPE WISSEL
DIRECTOR1.004.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,950,091TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,713,502TotReportableCompRltdOrgAmt
Total Other Compensation$804,908TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HALLMARK HEALTH CARE SOLUTIONS INC
200 MOTOR PKWY STE D26HAUPPAUGENY11788STAFFING SERVICES$1,615,002
REHABILITATION MGMT ASSOCIATES INC
901 N CURTIS RD STE 204BOISEID83706REHABILITATION SERVICES$1,522,923
WPS GHA PAYMENT RECOVERY
PO BOX 8788MADISONWI53708PAYMENT RECOVERY SERVICES$786,058
COMPHEALTH
PO BOX 972651DALLASTX75397STAFFING SERVICES$198,642
DAVIS PARTNERSHIP PC
2901 BLAKE ST STE 100DENVERCO80205ARCHITECTURE SERVICES$173,994
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$103,314RelatedOrganizationsAmt
Government Grants$671GovernmentGrantsAmt
All Other Contributions$50,489AllOtherContributionsAmt
Total Contributions$154,474TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$37,682,696TotalRevenueColumnAmt
Related Or Exempt Func Income$37,682,696RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$37,682,696TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$233,877TotalRevenueColumnAmt
Exclusion$233,877ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,056RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,056RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,056TotalRevenueColumnAmt
Exclusion$9,056ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$128,795SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$21,025OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$128,795SecuritiesAmt
Other-$21,025OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,770TotalRevenueColumnAmt
Exclusion$107,770ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
OTHER RELATED REVENUE622110$526,918$526,918
CAFETERIA REVENUE722514$84,122$84,122
FieldValueIRS element (for citing)
Other Revenue Total$611,040OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,798,913TotalRevenueColumnAmt
Related Or Exempt Func Income$38,209,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$434,825ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$32,000TotalAmt
Program Services$32,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$182,238TotalAmt
Management And General$182,238ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,654,293TotalAmt
Program Services$13,468,702ProgramServicesAmt
Management And General$185,591ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$514,506TotalAmt
Program Services$510,646ProgramServicesAmt
Management And General$3,860ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,686,914TotalAmt
Program Services$1,660,150ProgramServicesAmt
Management And General$26,764ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$948,644TotalAmt
Program Services$929,289ProgramServicesAmt
Management And General$19,355ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$18,403TotalAmt
Management And General$18,403ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,770,807TotalAmt
Program Services$3,764,353ProgramServicesAmt
Management And General$6,454ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,935TotalAmt
Program Services$11,647ProgramServicesAmt
Management And General$15,288ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$431,706TotalAmt
Program Services$280,954ProgramServicesAmt
Management And General$150,752ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,385,680TotalAmt
Program Services$1,114,221ProgramServicesAmt
Management And General$271,459ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$605,877TotalAmt
Program Services$605,877ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$160,664TotalAmt
Program Services$149,501ProgramServicesAmt
Management And General$11,163ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,274TotalAmt
Program Services$28,274ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$426,302TotalAmt
Program Services$426,302ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,812,080TotalAmt
Program Services$1,771,320ProgramServicesAmt
Management And General$40,760ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$707,073TotalAmt
Program Services$49,821ProgramServicesAmt
Management And General$657,252ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$5,000,488$5,000,488
I/C PURCHASED SVCS$3,581,247$1,152,645$2,428,602
HOSPITAL PROVIDER TAX$1,752,856$1,752,856
BAD DEBT$1,495,719$1,495,719

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$361,377TotalAmt
Program Services$320,777ProgramServicesAmt
Management And General$40,600ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$38,584,583TotalAmt
Program Services$34,526,042ProgramServicesAmt
Management And General$4,058,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,142BOYAmt
EOY$468,650EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,140,144BOYAmt
EOY$4,669,204EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$898,056BOYAmt
EOY$885,431EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$300,448BOYAmt
EOY$128,701EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,752,242LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,750,653LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,714,883BOYAmt
EOY$10,001,589EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,010,085BOYAmt
EOY$6,399,875EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,006,723BOYAmt
EOY$4,967,576EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,393,247BOYAmt
EOY$1,570,959EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,472,728BOYAmt
EOY$29,091,985EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,819,686BOYAmt
EOY$3,988,653EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$184,986BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$165,787BOYAmt
EOY$180,003EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,987,645BOYAmt
EOY$11,921,937EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,158,104BOYAmt
EOY$16,090,593EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,314,624BOYAmt
EOY$13,001,392EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,314,624BOYAmt
EOY$13,001,392EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,472,728BOYAmt
EOY$29,091,985EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$214,330ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$462,560NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$9,878OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$5,419GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$5,419TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSAINT ALPHONSUS MEDICAL CENTER-BAKER CITY HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,636OtherCostOrOtherBasisAmt
Book Value$540,636BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,613,652OtherCostOrOtherBasisAmt
Depreciation$5,672,760DepreciationAmt
Book Value$5,940,892BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,224,024OtherCostOrOtherBasisAmt
Depreciation$6,077,893DepreciationAmt
Book Value$3,146,131BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$373,930OtherCostOrOtherBasisAmt
Book Value$373,930BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,001,589TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES$943,498F
EQUITY METHOD INVESTMENTS$3,296,561C
HEDGE FUNDS$727,517F
FieldValueIRS element (for citing)
Total Book Value Securities$4,967,576TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLES$21,488
INTERCOMPANY ACCOUNTS RECEIVABLE$516,427
INTERCOMPANY OTHER LT ASSETS$1,033,044
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,570,959TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY NOTES PAYABLE$9,605,612
INTERCOMPANY ACCOUNTS PAYABLE$2,012,979
ASSET RETIREMENT OBLIGATION (FIN 47)$303,346
FieldValueIRS element (for citing)
Total Liability$11,921,937TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationENDOWMENTS HELD BY SAINT ALPHONSUS FOUNDATION-BAKER CITY FOR THE BENEFIT OF SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY ARE REPORTED ON THE FORM 990 OF SAINT ALPHONSUS FOUNDATION-BAKER CITY.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$197,019TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$197,019NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,964,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,534,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,429,273NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,161,114TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,534,822DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,626,292NetCommunityBenefitExpnsAmt
Total Expense0.07080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served960PersonsServedCnt
Total Community Benefit Expns$276,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,193DirectOffsettingRevenueAmt
Net Community Benefit Expns$216,705NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served18PersonsServedCnt
Total Community Benefit Expns$16,399TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,399NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$62,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,000NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served980PersonsServedCnt
Total Community Benefit Expns$355,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$87,193DirectOffsettingRevenueAmt
Net Community Benefit Expns$268,104NetCommunityBenefitExpnsAmt
Total Expense0.00710TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served980PersonsServedCnt
Total Community Benefit Expns$9,516,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,622,015DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,894,396NetCommunityBenefitExpnsAmt
Total Expense0.07790TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$354TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$354NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$354TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$354NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,495,719BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,539,442ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,381,293CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$158,149MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ALPHONSUS MEDICAL CENTER-BAKER CTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13325 POCAHONTAS ROADAddressLine1Txt
CityBAKER CITYCityNm
State AbbreviationORStateAbbreviationCd
ZIP97814ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SAINTALPHONSUS.ORG/BAKERCITYWebsiteAddressTxt
State LicenseLICENSE 14-1469StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ALPHONSUS MEDICAL CENTER-BAKER CITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLPART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. ALPHONSUS MEDICAL CENTER-BAKER CITYPART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH THIS COMMUNITY-INVOLVED SELECTION PROCESS: 1. SAFE, AFFORDABLE HOUSING AND HOMELESSNESS2. ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING ORAL AND VISION HEALTH3. CARE GIVER SUPPORTS, INCLUDING CHILDCARE AND ASSISTANCE FOR OLDER ADULTS
ST. ALPHONSUS MEDICAL CENTER-BAKER CITYPART V, SECTION B, LINE 5: SAMC-BAKER CITY COLLECTED COMMUNITY INPUT THROUGH FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, AIMED AT UNDERSTANDING THE NEEDS OF A DIVERSE CROSS-SECTION OF THE COMMUNITY, INCLUDING THOSE MOST UNDERSERVED AND AT RISK IN OUR COMMUNITIES SUCH AS LOW-INCOME PERSONS, SINGLE PARENTS, UNINSURED PERSONS, AND THE ELDERLY. FROM JULY THROUGH NOVEMBER 2022, COMMUNITY INPUT WAS COLLECTED THROUGH FOCUS GROUP CONVERSATIONS WITH COMMUNITY EXPERTS AND COMMUNITY SERVICE AGENCIES WHICH INCLUDED: BAKER COUNTY, BAKER COUNTY CHAMBER OF COMMERCE, BAKER COUNTY HEALTH DEPARTMENT, BAKER EARLY CHILDHOOD EDUCATION PROVIDERS, BAKER SCHOOL DISTRICT 5J, BAKER SAFE FAMILIES, BAKER YMCA, COMMUNITY CONNECTIONS OF NORTHEAST OREGON, COMMUNITY CONNECTIONS SENIOR CENTER, COMPASSION CENTER, FORD FAMILY FOUNDATION, NEW DIRECTIONS NORTHWEST, OREGON DEPARTMENT OF HUMAN SERVICES, AND SAMC-BAKER CITY. SAMC-BAKER CITY UTILIZED THE TRINITY HEALTH DATA HUB AS THE PRIMARY SOURCE TO OBTAIN QUANTITATIVE DATA. ADDITIONAL DATA SOURCES UTILIZED INCLUDED THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY, COUNTY HEALTH RANKINGS, CENTER FOR DISEASE CONTROL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, CENTERS FOR MEDICARE & MEDICAID SERVICES, UNITED FOR ALICE, METOPIO.COM, FEEDING AMERICA, FBI CRIME DATA EXPLORER, U.S. DEPARTMENT OF AGRICULTURE, OREGON VITAL STATISTICS, OREGON DEPARTMENT OF EDUCATION, CHILD CARE AWARE OF AMERICA, OREGON HEALTH AUTHORITY, AND THE BUREAU OF LABOR STATISTICS.
ST. ALPHONSUS MEDICAL CENTER-BAKER CITYPART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED AND POSTED BY THE END OF FISCAL YEAR 2023, AND AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN OCTOBER 2023 FOR FISCAL YEARS 2023-2025. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR THESE FISCAL YEARS. SAMC-BAKER CITY IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS TO ADDRESS DURING THIS TIME PERIOD, AND THE IMPLEMENTATION STRATEGY WILL GUIDE HOW EACH OF THESE NEEDS ARE ADDRESSED. SAMC-BAKER CITY IMPLEMENTED AND PARTICIPATED IN INITIATIVES IN FISCAL YEAR 2023 THAT ALIGNED WITH THE NEEDS THAT WERE IDENTIFIED THROUGH THE 2023 CHNA. SAFE, AFFORDABLE HOUSING AND HOMELESSNESS: IN FISCAL YEAR 2023, SAMC-BAKER CITY COMMUNITY HEALTH WORKERS (CHW'S) SCREENED PATIENTS FOR HOUSING NEEDS AND CONNECTED PATIENTS TO LOCAL COMMUNITY RESOURCES FOR RENTAL ASSISTANCE AND HOUSING SERVICES AS NEEDED.ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING ORAL AND VISION HEALTH: IN FISCAL YEAR 2023, SAMC-BAKER CITY UTILIZED CHW'S TO ASSIST WITH CONNECTING PATIENTS TO PRIMARY CARE PROVIDERS, ADVOCATE WITH THE LOCAL COMMUNITY ADVISORY COUNCIL TO BRING ADDITIONAL SERVICES TO THE AREA, AND CONNECT PATIENTS TO MENTAL HEALTH AND SUBSTANCE ABUSE RESOURCES. IN ADDITION, THE BAKER EARLY LEARNING CENTER WITHIN THE 5J SCHOOL DISTRICT HELPS TO CONNECT STUDENTS AND FAMILIES WITH HEALTH CARE ACCESS. CARE GIVER SUPPORTS, INCLUDING CHILDCARE AND ASSISTANCE FOR OLDER ADULTS: IN FISCAL YEAR 2023, SAMC-BAKER CITY PARTNERED WITH THE YMCA AND THE BAKER SCHOOL DISTRICT 5J TO PROVIDE ACCESS TO AFFORDABLE CHILDCARE THROUGH THE BAKER EARLY LEARNING CENTER WITHIN THE 5J SCHOOL DISTRICT. SAMC-BAKER CITY ALSO PROVIDED FINANCIAL SUPPORT TO COMMUNITY CONNECTIONS FOR A PROGRAM WHICH PROVIDED NON-MEDICAL TRANSPORTATION TO AND FROM HEALTH CARE APPOINTMENTS FOR BOTH PHYSICAL AND MENTAL HEALTH NEEDS IN BAKER CITY.
ST. ALPHONSUS MEDICAL CENTER-BAKER CITYPART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
PART V, SECTION B, LINE 7A:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/
PART V, SECTION B, LINE 9:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
PART V, SECTION B, LINE 10A:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY
PART V, LINE 16A, FAP WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - BAKER CLINIC FAMILY MEDICINEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13175 POCAHONTAS ROADAddressLine1Txt
CityBAKER CITYCityNm
State AbbreviationORStateAbbreviationCd
ZIP97814ZIPCd
FieldValueIRS element (for citing)
FacilityMEDICAL CLINICFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF OREGON. IN ADDITION, SAMC-BAKER CITY REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.SAMC-BAKER CITY ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):THE FOLLOWING NUMBER, $1,495,719, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:IN FISCAL YEAR 2023, SAMC-BAKER CITY STAFF WORKED TOWARD COALITION BUILDING THROUGH PARTICIPATION ON THE REGIONAL OREGON IDAHO RED CROSS BOARD WHICH AIMED TO PROVIDE EDUCATION, PREPARATION AND RESPONSE TO DISASTERS AND EMERGENCIES. COALITION BUILDING CONTINUED THROUGH PARTICIPATION IN THE EASTERN OREGON COORDINATED CARE ORGANIZATION TO WORK TOGETHER TO IMPROVE ACCESS FOR PEOPLE ON THE OREGON HEALTH PLAN.
PART III, LINE 2:METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:SAMC-BAKER CITY USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SAMC-BAKER CITY IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAMC-BAKER CITY IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:SAMC-BAKER CITY IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:SAMC-BAKER CITY DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:NEEDS ASSESSMENT - IN ADDITION TO THE CHNA, SAMC-BAKER CITY ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS, AND MAKES CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE THE IDAHO OREGON COMMUNITY HEALTH ATLAS, TRINITY DATA HUB, FINDHELP.ORG DATA, PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC-BAKER CITY COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAMC-BAKER CITY OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL.
PART VI, LINE 4:COMMUNITY INFORMATION - THE PRIMARY SERVICE AREA FOR SAMC-BAKER CITY IS BAKER COUNTY, OREGON. BAKER COUNTY IS ONE OF THE EIGHT COUNTIES THAT COMPRISE EASTERN OREGON AND COVERS A TOTAL AREA OF 3,068 SQUARE MILES, WHICH IS LARGER THAN DELAWARE AND RHODE ISLAND COMBINED. BY DEFINITION, BAKER COUNTY IS A "FRONTIER" COUNTY, WHICH IS DEFINED AS SIX OR FEWER PEOPLE PER SQUARE MILE. THE U.S. CENSUS BUREAU ESTIMATES AS OF JULY 2022 THAT THE POPULATION COUNT FOR BAKER COUNTY WAS 16,938, A MERE 5.4 PERSONS PER SQUARE MILE. FOR COMPARISON, THE STATE OF OREGON OVERALL HAS A POPULATION DENSITY OF 44.1 PEOPLE PER SQUARE MILE. BAKER COUNTY IS EXTREMELY RURAL AND MOUNTAINOUS, AND PORTIONS OF THE COUNTY ARE FREQUENTLY UNPASSABLE DURING WINTER MONTHS. THE MEDIAN HOUSEHOLD INCOME FROM 2017-2021 WAS $46,922, COMPARED TO $70,084 FOR OREGON AS A WHOLE.THE SURROUNDING COUNTIES TO THE NORTH INCLUDE UNION AND WALLOWA COUNTIES. UNION COUNTY IS SERVED BY GRANDE RONDE HOSPITAL AND WALLOWA COUNTY IS SERVED BY WALLOWA MEMORIAL HOSPITAL. GRANT COUNTY TO THE WEST OF BAKER COUNTY IS SERVED BY BLUE MOUNTAIN HOSPITAL. MALHEUR COUNTY TO THE SOUTH OF BAKER COUNTY IS SERVED BY SAINT ALPHONSUS MEDICAL CENTER-ONTARIO.BAKER COUNTY IS NOTABLE FOR BEING VERY RURAL AND SPARSELY POPULATED. THE POPULATION HAS A SIGNIFICANTLY HIGHER 65 AND OLDER DEMOGRAPHIC, WITH A MEDIAN AGE MORE THAN 10 YEARS OLDER THAN THE OVERALL U.S. POPULATION. BAKER COUNTY HAS A HIGHER ESTIMATED PERCENTAGE (16.0%) OF PERSONS IN POVERTY THAN THE STATE (12.1%) AND NATIONAL (11.5%) RATES.
PART VI, LINE 5:OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SAMC-BAKER CITY USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY, AND MEDICAL SERVICES FOR THE COMMUNITY, COLLABORATE WITH COMMUNITY PARTNERS, AND INVEST IN NEEDED COMMUNITY PROGRAMS. THE SUPPORT OF TRINITY HEALTH SYSTEM WAS INVALUABLE IN HELPING US TO ADDRESS OUR NEEDS.SAMC-BAKER CITY SUPPORTS HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS BY HOSTING RURAL CLINICAL ROTATIONS FOR RN'S, CNA'S, RESPIRATORY THERAPISTS, AND RADIOLOGY INTERNS. UNFORTUNATELY, THE HOSPITAL'S SMALL SIZE LIMITS THE ABILITY TO PARTICIPATE IN ALL OF THE EDUCATION PROGRAMS AVAILABLE.SAMC-BAKER CITY PROVIDES A LEVEL 4 TRAUMA CENTER STAFFED 24/7 WITH ONSITE EMERGENCY PHYSICIANS. THIS IS RARE FOR A CRITICAL ACCESS HOSPITAL LOCATED IN A COMMUNITY OF THIS SIZE. LOCAL EMPLOYERS HIGHLY VALUE THIS SERVICE AS IT PROVIDES A SAFETY NET FOR THEIR WORKERS. SAMC-BAKER CITY ALSO PARTICIPATED IN TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION.SAMC-BAKER CITY PARTICIPATES IN A REGIONAL TELEMEDICINE NETWORK WITH AN AFFILIATED TERTIARY HOSPITAL IN BOISE, IDAHO. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE CLINICAL EDUCATION, SPECIALTY PHYSICIAN CONSULTATIONS, AND EMERGENCY MEDICINE CONSULTATIONS. HAVING THIS SERVICE ALLOW PATIENTS TO BE CARED FOR CLOSER TO HOME.SAMC-BAKER CITY'S VOLUNTEER COMMUNITY HOSPITAL BOARD FOCUSES ON QUALITY, SAFETY, COMMUNITY HEALTH CARE NEEDS, MISSION INTEGRATION, ETC. THIS BOARD UNDERSTANDS THE VALUE OF MAINTAINING A VIABLE HOSPITAL IN THEIR COMMUNITY AND STRONGLY SUPPORTS THE FACILITY.SAMC-BAKER CITY CONTINUES TO ADDRESS SIGNIFICANT TRANSPORTATION BARRIERS THROUGH CRITICAL AND TIMELY FINANCIAL SUPPORT OF COMMUNITY CONNECTIONS OF NORTHEAST OREGON, A COMMUNITY PARTNER WHO PROVIDES NON-MEDICAL TRANSPORT TO INDIVIDUALS WHO COULD NOT OTHERWISE AFFORD OR OBTAIN TRANSPORTATION TO AND FROM APPOINTMENTS WITHIN BAKER COUNTY. SAMC-BAKER CITY IS A MEMBER HOSPITAL OF SAINT ALPHONSUS HEALTH SYSTEM (SAHS). IN FISCAL YEAR 2023, SAHS ADDRESSED SOCIAL INFLUENCERS OF HEALTH BY CONTINUING WORK ON A SOCIAL CARE HUB, WHICH CREATED A VIRTUAL LOCATION FOCUSED ON CONNECTING PATIENTS AND COMMUNITY MEMBERS TO LOCAL SOCIAL CARE RESOURCES SUCH AS FOOD, HOUSING, FINANCIAL ASSISTANCE, MEDICATION ASSISTANCE AND ACCESS TO MEDICAL CARE. IN ADDITION, SAMC-BAKER CITY SUPPORTED EARLY CHILDHOOD EDUCATION THROUGH FUNDING AND COMMUNITY HEALTH WORKER SUPPORT OF THE BAKER EARLY LEARNING CENTER, A YMCA-LED EARLY CHILDHOOD EDUCATION CENTER FOR INFANTS, TODDLERS, AND SCHOOL AGE CHILDREN. SAMC-BAKER CITY ALSO PROVIDED TWO COMMUNITY HEALTH WORKERS TO ASSESS THE SOCIAL NEEDS OF STUDENTS AND FAMILIES IN THE BAKER SCHOOL DISTRICT AND PROVIDE REFERRALS TO COMMUNITY PARTNERS AS NEEDED.
PART VI, LINE 6:SAMC-BAKER CITY IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE DISMANTLE OPPRESSIVE SYSTEMS, AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2023 (FY23), TRINITY HEALTH CONTRIBUTED $1.47 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. IN ADDITION TO ANNUAL COMMUNITY BENEFIT SPENDING, TRINITY HEALTH IMPLEMENTS A SOCIALLY RESPONSIBLE INVESTING PROGRAM. AS OF THE END OF FY23, $62.7 MILLION (INCLUDING $7.0 MILLION IN NEW LENDING) WAS ALLOCATED IN THE FOLLOWING AREAS:- HOUSING: BUILDING AFFORDABLE HOUSING; IMPROVING ACCESS TO SENIOR HOUSING; AND COMBATTING HOMELESSNESS ($35.5 MILLION)- EDUCATION: SUPPORTING STUDENTS ENTERING THE HEALTH PROFESSIONS ($10.1 MILLION)- FACILITIES: BUILDING COMMUNITY FACILITIES FOR NONPROFITS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS ($9.7 MILLION)- ECONOMIC DEVELOPMENT: ENCOURAGING SMALL BUSINESS DEVELOPMENT, CREATING LOCAL JOBS AND SUPPORTING ACCESS TO HEALTHY FOODS; QUALITY CHILDCARE; AND OTHER COMMUNITY SERVICES ($7.4 MILLION)ACROSS THE SYSTEM, NEARLY 700,000 OF PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. FOR ABOUT 30% OF THOSE PATIENTS, AT LEAST ONE SOCIAL NEED WAS IDENTIFIED. TOGETHERCARE - TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, POWERED BY EPIC - HAS MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (COMMUNITYRESOURCES.TRINITY-HEALTH.ORG). COMMUNITY HEALTH WORKERS (CHW'S) SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES. TRINITY HEALTH CHW'S PARTNERED WITH POPULATION HEALTH NURSES AND SOCIAL WORK CARE MANAGERS TO SERVE MEDICARE PATIENTS AT RISK FOR PREVENTABLE HOSPITALIZATIONS, RESULTING IN A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THE MEDICARE POPULATION OVERALL, AND ALSO FOR LOW-INCOME PATIENTS DUALLY ENROLLED IN MEDICARE AND MEDICAID. CHW'S ADVANCE SOCIAL AND CLINICAL CARE INTEGRATION BY ASSESSING AND ADDRESSING A PATIENT'S SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECTING THE PATIENT (AND THEIR FAMILY) TO SERVICES WITHIN THE COMMUNITY. TRINITY HEALTH PROVIDES A 40+ HOUR FOUNDATIONAL CHW AND CHRONIC DISEASE-SPECIFIC TRAINING TO TRINITY HEALTH-EMPLOYED CHW'S AND ALSO TO COMMUNITY PARTNERS THAT EMPLOY CHW'S. IN 2017, TRINITY HEALTH RECEIVED A SIX-YEAR, $8.5 MILLION GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO INCREASE THE NUMBER OF NATIONAL DIABETES PREVENTION PROGRAM (DPP) DELIVERY SITES, INCREASE PROGRAM ENROLLMENT, MAINTAIN PARTICIPATION RATES, AND INCREASE BENEFIT COVERAGE. IN ADDITION, THE GRANT WAS USED TO STANDARDIZE CLINICAL SCREENING AND DETECTION OF DIABETES. DURING THE GRANT PERIOD, TRINITY HEALTH BUILT THE NATIONAL DPP INTO ITS ELECTRONIC HEALTH RECORD SYSTEM TO MAKE IDENTIFYING PATIENTS AND ENROLLING THEM IN THE PROGRAM EASIER. SINCE SEPTEMBER 2017, OVER 6,000 PARTICIPANTS HAVE ENROLLED IN A TRINITY HEALTH NATIONAL DPP AND HAVE COLLECTIVELY LOST A TOTAL OF OVER 51,000 POUNDS.LASTLY, TRINITY HEALTH'S FY23 SHAREHOLDER ADVOCACY PRIORITIES FOCUSED ON IMPROVING CORPORATE POLICIES AND PRACTICES THAT IMPACT COMMUNITIES, WITH THE AIM OF REDUCING STRUCTURAL RACISM AND HEALTH INEQUITIES. TRINITY HEALTH, IN COLLABORATION WITH ITS PARTNERS THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY AND THE INVESTOR ENVIRONMENTAL HEALTH NETWORK, FILED SHAREHOLDER PROPOSALS AT 20 COMPANIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATESOR

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BAKER COUNTY YMCA
3715 POCAHONTAS RDBAKER CITYOR97814930621433501(C)(3)$5,000$0GENERAL SUPPORT
COMMUNITY CONNECTION OF NORTHEAST OREGON INC
2802 ADAMS AVELA GRANDEOR97850930575647501(C)(3)$27,000$0TRANSPORTATION SERVICES FOR BAKER COUNTY'S RIDES TO WELLNESS PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS MADE BY SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ODETTE BOLANO
DIRECTOR; PRES SAHS; CEO WEST REGION$0$672,223$0$301,500$0$168,543$0$187,255$0$36,300$0$1,365,821$0$139,219
B LANNIE CHECKETTS
TREASURER; SAHS CFO$0$383,010$0$97,958$0$76,510$0$22,875$0$44,097$0$624,450$0$0
STEPHANIE WESTERMEIER
SECRETARY; SAHS VP & MANAGING CNSL$0$345,166$0$87,808$0$61,025$0$78,962$0$35,364$0$608,325$0$49,259
DAVID RICHARDS MD
EMERGENCY MEDICINE PHYSICIAN$539,700$0$0$0$1,869$0$18,300$0$36,152$0$596,021$0$0$0
DEREK ZICKGRAF DO
FAMILY PHYSICIAN$545,370$0$0$0$427$0$13,725$0$35,271$0$594,793$0$0$0
DINA ELLWANGER
DIRECTOR; PRESIDENT, EASTERN OREGON$0$243,458$0$66,250$0$5,404$0$49,382$0$31,065$0$395,559$0$0
JESSE JARNES
ANESTHESIOLOGIST$334,907$0$0$0$282$0$18,300$0$28,400$0$381,889$0$0$0
KAARE TINGELSTAD DO
EMERGENCY MEDICINE PHYSICIAN$316,303$0$0$0$872$0$13,725$0$35,002$0$365,902$0$0$0
JEAN BASOM
FRMR KE; REG DIR SUPPLY CHN THR 8/22$0$115,930$0$18,229$0$70,488$0$81,172$0$18,921$0$304,740$0$0
ERIC JOHNSON DO
SURGEON$210,161$0$0$0$200$0$3,226$0$17,414$0$231,001$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAMC-BAKER CITY'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAMC-BAKER CITY'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2022. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JEAN BASOM - $62,400 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/22: JEAN BASOM - $70,813 (PAID IN 2023) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $141,786 B. LANNIE CHECKETTS - $60,838 STEPHANIE WESTERMEIER - $50,167 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $173,530 DINA ELLWANGER - $31,082 STEPHANIE WESTERMEIER - $56,087 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). DINA ELLWANGER THERE WERE NO PAYOUTS FOR 2022 FOR THIS PARTICIPANT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:SAINT ALPHONSUS MEDICAL GROUP - BAKER CITY SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ASAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SAMC-BAKER CITY. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAMC-BAKER CITY.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, THE FORM 990 FOR SAMC-BAKER CITY IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CSAMC-BAKER CITY HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAMC-BAKER CITY, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAMC-BAKER CITY AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF SAMC-BAKER CITY (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC-BAKER CITY OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAMC-BAKER CITY (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAMC-BAKER CITY. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO AND OFFICERS OF SAMC-BAKER CITY IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19SAMC-BAKER CITY IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAMC-BAKER CITY INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAMC-BAKER CITY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY TRANSFERS FROM AFFILIATES 9,878.
FORM 990, PART XII, LINE 2:SAMC-BAKER CITY'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (229 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SEGRAND RAPIDSMI49503272491974HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684581492325GRANT MAKINGFL501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREETHARTFORDCT06105061450170HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307FOUNDATIONIA501(C)(3)LINE 12A, IBAUM HARMON MERCY HOSPITALYes (1)
BEECHWOOD INC
2212 BURDETT AVETROYNY12180141651563TITLE HOLDING COMPANYNY501(C)(2)N/ALTC (EDDY) INCYes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREETPITTSBURGHPA15219251436685HOMELESS SHELTERPA501(C)(3)LINE 7PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
BRIGHTSIDE INC
114 WOODLAND STREETHARTFORDCT06105042182395HEALTH CARE SERVICESMA501(C)(3)LINE 10THE MERCY HOSPITAL INCYes (1)
CAPITAL HEALTH FOUNDATION-EAST TRENTON INC
601 HAMILTON AVENUETRENTONNJ08629521025476FOUNDATIONNJ501(C)(3)LINE 7CAPITAL HEALTH-EAST TRENTON INCYes (1)
CAPITAL HEALTH LIFE INC
7500 K JOHNSON BOULEVARDBORDENTOWNNJ08505222797282PACE PROGRAMNJ501(C)(3)LINE 10CAPITAL HEALTH-EAST TRENTON INCYes (1)
CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA
601 HAMILTON AVENUETRENTONNJ08629832199054HEALTH CARE SERVICESNJ501(C)(3)LINE 3CAPITAL HEALTH-EAST TRENTON INCYes (1)
CAPITAL HEALTH-EAST TRENTON INC
601 HAMILTON AVENUETRENTONNJ08629223431049HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3MAXIS HEALTH SYSTEMYes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREETCOHOESNY12047141701597LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
5315 ELLIOTT DR 102YPSILANTIMI48197382507173HEALTH CARE SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUEDES MOINESIA50314420680448HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY HEALTH NETWORK INCYes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAYLIVONIAMI48152GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM501(C)(3)LINE 10VTN/A
CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST NWELKADERIA52043420818642HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY COMMUNITY HOSPITAL GROUP LLCYes (1)
COVENANT FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421295784FOUNDATIONIA501(C)(3)LINE 7COVENANT MEDICAL CENTER INCYes (1)
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREETWATERLOOIA50702421264647HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3WHEATON FRANCISCAN HEALTHCARE-IOWA INCYes (1)
DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219342032340HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3MOUNT CARMEL HEALTH SYSTEMYes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVEDUBUQUEIA52001262227941FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000TROYNY12180141818568HOME HEALTH SERVICESNY501(C)(3)LINE 3LTC (EDDY) INCYes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVEDEWITTNY13214461051881PACE PROGRAMNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVEMALTANY12020141795732HOME HEALTH SERVICESNY501(C)(3)LINE 10HOME AIDE SERVICE OF EASTERN NEW YORK INCYes (1)
FARREN CARE CENTER INC
PO BOX 9184FARMINGTON HILLSMI48333042501711LONG TERM CAREMA501(C)(3)LINE 3TRINITY CONTINUING CARE SERVICESYes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500WILMINGTONDE19805223008680LONG TERM CARE (INACTIVE)DE501(C)(3)LINE 10ST FRANCIS HOSPITAL INCYes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREETDAVENPORTIA52803421421670FOUNDATIONIA501(C)(3)LINE 7GENESIS HEALTH SYSTEMYes (1)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREETDAVENPORTIA52803421418847HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY HEALTH NETWORK INCYes (1)
GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVESILVISIL61282363616314HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3MERCY HEALTH NETWORK INCYes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREETDAVENPORTIA52803391905171EMPLOYEE BENEFIT TRUSTIA501(C)(3)LINE 12A, IGENESIS HEALTH SYSTEMYes (1)
GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUEALEDOIL61231454475683HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3GENESIS HEALTH SYSTEM (IL)Yes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RDANN ARBORMI48105208072723FOUNDATIONMI501(C)(3)LINE 12A, IGLACIER HILLS INCYes (1)
GLACIER HILLS INC
1200 EARHART RDANN ARBORMI48105381891500SENIOR LIVING COMMUNITYMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVENISKAYUNANY12309141794150SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTH CARE SERVICESMI501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAYGREENSBOROGA30642261720984HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3TRINITY HEALTH GEORGIA INCYes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUEMELROSE PARKIL60160743260011FOUNDATIONIL501(C)(3)LINE 12D, III-O0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HEARTWOOD LODGE TRINITY HEALTH (FKA NORTH OTTAWA CARE CENTER)
18525 WOODLAND RIDGESPRING LAKEMI49456382602971HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVETROYNY12180141725101LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48152521945054LONG TERM CAREMD501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROADSILVER SPRINGMD20910208428450FOUNDATIONMD501(C)(3)LINE 7HOLY CROSS HEALTH INCYes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROADSILVER SPRINGMD20910520738041HEALTH CARE AND HOSPITAL SERVICESMD501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791028HEALTH CARE AND HOSPITAL SERVICESFL501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308465421068HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308812531495HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308832256461HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000TROYNY12180141514867HOME HEALTH SERVICESNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA50401421173708HOSPICE SERVICESIA501(C)(3)LINE 10MERCY HEALTH SERVICES-IOWA CORPYes (1)
HOSPICE OF NORTH OTTAWA COMMUNITY INC
1027 SOUTH BEACON BLVDGRAND HAVENMI49417382370192HOSPICE SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
HOSPICE OF SIOUXLAND
230 NEBRASKA STREETSIOUX CITYIA51103383320710HOSPICE SERVICESIA501(C)(3)LINE 12A, I0N/A
HOUSE OF MERCY
1111 6TH AVENUEDES MOINESIA50314421323808HEALTH CARE SERVICESIA501(C)(3)LINE 7CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48105383316559HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105475676956HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232519529HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUEPENNSAUKENNJ08109261854750PACE PROGRAMNJ501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREETWILMINGTONDE19801452569214PACE PROGRAMDE501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROADFAYETTEVILLENC28304272159847PACE PROGRAMNC501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
LIFE ST MARY
2500 NORTHGATE ROADTREVOSEPA19053262976184PACE PROGRAMPA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVEMELROSE PARKIL60160474147171TRANSPORTATION SERVICESIL501(C)(3)LINE 10LOYOLA UNIVERSITY MEDICAL CENTERYes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
LTC (EDDY) INC
2212 BURDETT AVETROYNY12180222564710MANAGEMENT SERVICES FOR LONG TERM CARENY501(C)(3)LINE 12B, IIST PETER'S HEALTH PARTNERSYes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAYLIVONIAMI48152911940902HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
MCAULEY CENTER INC
275 STEELE ROADWEST HARTFORDCT06117061058086SENIOR LIVING COMMUNITYCT501(C)(3)LINE 10MERCY COMMUNITY HEALTH INCYes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUEPITTSBURGHPA15213943436142GRANT MAKINGPA501(C)(3)LINE 12B, IIPITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MEDIC EMS
1204 E HIGH STREETDAVENPORTIA52803421186903AMBULANCE TRANSFERSIA501(C)(3)LINE 12C, III-FI0N/A
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUEDES MOINESIA50314426076069VOLUNTEER SERVICE AUXILIARYIA501(C)(3)LINE 12A, IMERCY FOUNDATION OF DES MOINES IAYes (1)
MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVECHICAGOIL60653853904921HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREETATLANTAGA30312581448522FOUNDATIONGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100NEWTOWN SQUAREPA19073231352191HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
MERCY CLINICS INC
1111 6TH AVENUEDES MOINESIA50314421193699HEALTH CARE SERVICESIA501(C)(3)LINE 10CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUEDES MOINESIA50314421511682COLLEGE OF HEALTH SCIENCEIA501(C)(3)LINE 2CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061492707HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12B, IITRINITY CONTINUING CARE SERVICESYes (1)
MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232325059HOME HEALTH SERVICESPA501(C)(3)LINE 10MERCY HOME HEALTH SERVICESYes (1)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUEDES MOINESIA50314237358794FOUNDATIONIA501(C)(3)LINE 7CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE ACCT DEPTMAYWOODIL60153363227350FOUNDATIONIL501(C)(3)LINE 7MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREETMUSKEGONMI49440383321856HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232829864FOUNDATIONPA501(C)(3)LINE 12B, IITRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
MERCY HEALTH NETWORK INC
1449 NW 128TH ST BLDG 5 SUITE 200CLIVEIA50325421478417HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTDE501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVDMUSKEGONMI49444382589966HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
MERCY HEALTH PLAN
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073222483605MEDICAID MANAGED CARE PLANPA501(C)(3)LINE 12B, IITRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUEMAYWOODIL60153363163327HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH STCLINTONIA52732421316126FOUNDATIONIA501(C)(3)LINE 7MERCY MEDICAL CENTER - CLINTON INCYes (1)
MERCY HOME HEALTH
20555 VICTOR PARKWAYLIVONIAMI48152231352099HOME HEALTH SERVICESPA501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232325058MANAGEMENT SERVICES FOR HOME HEALTHPA501(C)(3)LINE 12B, IITRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153362170152HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100WALKERMI49544203357131FOUNDATIONMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SEOELWEINIA50662421178403HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3WHEATON FRANCISCAN HEALTHCARE-IOWA INCYes (1)
MERCY LIFE
1930 SOUTH BROAD STREETPHILADELPHIAPA19145232840137PACE PROGRAMPA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREETPITTSBURGHPA15233251604115COMMUNITY OUTREACHPA501(C)(3)LINE 10PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957MOBILEAL36670273163002PACE PROGRAMAL501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLEWEST SPRINGFIELDMA01089453086711PACE PROGRAMMA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232627944HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVECENTERVILLEIA52544420680308HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA52732421336618HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE ENEWTONIA50208421470935HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3CATHOLIC HEALTH INITIATIVES - IOWA CORPYes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA50401421229151FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105454884805HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY SENIOR CARE INC
424 DECATUR STREETATLANTAGA30312581366508COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREETATLANTAGA30312272046353TITLE HOLDING COMPANYGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI48333382719605LONG TERM CAREMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREETHARTFORDCT06105264033168HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073231396763HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311308555COLLEGE OF NURSINGOH501(C)(3)LINE 2MOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219873948434MEDICARE HMOCT501(C)(4)N/AMOUNT CARMEL HEALTH PLAN INCYes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219831422704MEDICARE HMOID501(C)(4)N/AMOUNT CARMEL HEALTH PLAN INCYes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219833278543MEDICARE HMONY501(C)(4)N/AMOUNT CARMEL HEALTH PLAN INCYes (1)
MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311471229MEDICARE HMOOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311439334HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311113966FOUNDATIONOH501(C)(3)LINE 12A, IMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105222584082FOUNDATIONCT501(C)(3)LINE 12C, III-FI0N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105061422973HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
MOUNT ST JOSEPH
20555 VICTOR PARKWAYLIVONIAMI48152010274998LONG TERM CAREME501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210MUSKEGONMI49442911932918COMMUNITY OUTREACHMI501(C)(3)LINE 7MERCY HEALTH PARTNERSYes (1)
NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232794121HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073203261266HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROADGRAND HAVENMI49417386088836FUNDRAISINGMI501(C)(3)LINE 12D, III-O0N/A
NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREETWATERLOOIA50702421207432TITLE HOLDING COMPANYIA501(C)(2)N/AWHEATON FRANCISCAN HEALTHCARE-IOWA INCYes (1)
OAKLAND MERCY HOSPITAL
PO BOX 203SIOUX CITYIA51102208072234HEALTH CARE AND HOSPITAL SERVICESNE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
PO BOX 203SIOUX CITYIA51102311678345FOUNDATIONNE501(C)(3)LINE 12A, IOAKLAND MERCY HOSPITALYes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311654603COOPERATIVE HEALTH CARE DELIVERY SYSTEMOH501(C)(3)LINE 12A, I0N/A
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANEGUILDERLANDNY12084141743506LONG TERM CARENY501(C)(3)LINE 3LTC (EDDY) INCYes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREETHARTFORDCT06105454208896HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUEPITTSBURGHPA15213251464211HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREETANN ARBORMI48104202020239HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI49442382638284HEALTH CARE SERVICESMI501(C)(3)LINE 10MERCY HEALTH PARTNERSYes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105811807730HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUESYRACUSENY13203271763712HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTH CARE AND HOSPITAL SERVICESCA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTH CARE SERVICESCA501(C)(3)LINE 12A, ISAINT AGNES MEDICAL CENTERYes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978HEALTH CARE SYSTEM SUPPORTID501(C)(3)LINE 12A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INCYes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INCYes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREETONTARIOOR97914943059469VOLUNTEER SERVICE AUXILIARYOR501(C)(3)LINE 10SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814271790052HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUENAMPAID83687261737256FOUNDATIONID501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER -NAMPA INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUENAMPAID83687820200896HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914271789847HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS RDBOISEID83706820200895HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105451994612HEALTH CARE SERVICESCT501(C)(3)LINE 12B, IITRINITY HEALTH OF NEW ENGLAND PNO INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREETHARTFORDCT06105060646813HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105061008255FOUNDATIONCT501(C)(3)LINE 7SAINT FRANCIS HOSPITAL AND MEDICAL CENTERYes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAYLIVONIAMI48152473129127PACE PROGRAMIN501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670PLYMOUTHIN46563351142669HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545350868157HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545351568821HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREETATLANTAGA30312581744848HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTGA501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREETATLANTAGA30312581752700HEALTH CARE SERVICESGA501(C)(3)LINE 10SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI48333311040468SENIOR LIVING COMMUNITYIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICES-INDIANA INCYes (1)
SAINT MARY HOME INCORPORATED
2021 ALBANY AVENUEWEST HARTFORDCT06117060646843LONG TERM CARECT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120GRAND RAPIDSMI49505383320700HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602FOUNDATIONMI501(C)(3)LINE 7TRINITY HEALTH-MICHIGANYes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105222528400FOUNDATIONCT501(C)(3)LINE 7SAINT MARY'S HOSPITAL INCYes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105060646844HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVETROYNY12180141338544HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVDALBANYNY12208222743478FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREETWATERLOOIA50702421240996FOUNDATIONIA501(C)(3)LINE 7SARTORI MEMORIAL HOSPITAL INCYes (1)
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREETCEDAR FALLSIA50613420758901HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3WHEATON FRANCISCAN HEALTHCARE-IOWA INCYes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROADSCHENECTADYNY12303141708754PACE PROGRAMNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVDCLIFTON PARKNY12065141756230LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
SIOUXLAND PARAMEDICS INC
PO BOX 3349SIOUX CITYIA51102421185707MEDICAL TRANSPORTATION SERVICESIA501(C)(3)LINE 12A, I0N/A
SISTERS OF PROVIDENCE CARE CENTERS INC
114 WOODLAND STREETHARTFORDCT06105222541103LONG TERM CAREMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREETATLANTAGA30312472299757HEALTH CARE SYSTEM SUPPORTGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500WILMINGTONDE19805510064326HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAYLIVONIAMI48152223127184HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)NY501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN STCHELSEAMI48118824757260HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVESOUTHERN PINESNC28387560694200LONG TERM CARENC501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUESYRACUSENY13203202497520COLLEGE OF NURSINGNY501(C)(3)LINE 2ST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S HEALTH AT HOME INC
7246 JANUS PARKLIVERPOOLNY13088871012253HOME HEALTH SERVICESNY501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUESYRACUSENY13203237219294BUILDING MANAGEMENT SERVICESNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUESYRACUSENY13203474754987HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUESYRACUSENY13203150532254HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUESYRACUSENY13203222149775FOUNDATIONNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUESYRACUSENY13203273899821HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVDALBANYNY12208161516863HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST PETER'S HEALTH PARTNERSYes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502TITLE HOLDING COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047465354512HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047231913910HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH OF THE MID-ATLANTIC REGIONYes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREETATHENSGA30606582544232FOUNDATIONGA501(C)(3)LINE 12B, IITRINITY HEALTH GEORGIA INCYes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREETATHENSGA30606811660088FOUNDATIONGA501(C)(3)LINE 12B, IITRINITY HEALTH GEORGIA INCYes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREETATHENSGA30606020576648SENIOR LIVING COMMUNITYGA501(C)(3)LINE 3TRINITY HEALTH GEORGIA INCYes (1)
ST MARY'S HOSPITAL INC (FKA ST MARY'S HEALTH CARE SYSTEM INC)
1230 BAXTER STREETATHENSGA30606580566223HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3TRINITY HEALTH GEORGIA INCYes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREETATHENSGA30606261858563HEALTH CARE SERVICESGA501(C)(3)LINE 3TRINITY HEALTH GEORGIA INCYes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAYLAVONIAGA30553473752176HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3TRINITY HEALTH GEORGIA INCYes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVDALBANYNY12208453570715HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVDALBANYNY12208461177336HEALTH CARE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVDALBANYNY12208141348692HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVDALBANYNY12208222262982FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUESCHENECTADYNY12308141338386HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVESCHENECTADYNY12308222505127FOUNDATIONNY501(C)(3)LINE 7SUNNYVIEW HOSPITAL AND REHABILITATION CENTERYes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUESYRACUSENY13203203018640VOLUNTEER SERVICE AUXILIARYNY501(C)(3)LINE 12C, III-FIST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INCYes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RDALBANYNY12205222692940FOUNDATIONNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RDALBANYNY12205141608921HOSPICE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
707 EAST CEDAR STREET STE 100SOUTH BENDIN46617351654543FOUNDATIONIN501(C)(3)LINE 7SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVETROYNY12180222570478LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141793885LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MERCY HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105043398280HEALTH CARE AND HOSPITAL SERVICESMA501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREETHARTFORDCT06105060660403VOLUNTEER SERVICE AUXILIARYCT501(C)(3)LINE 12B, II0N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVERPORT HURONMI48060382485700HEALTH CARE SERVICESMI501(C)(3)LINE 12A, I0N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI48333382559656LONG TERM CAREMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 9184FARMINGTON HILLSMI48333930907047LONG TERM CAREIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 9184FARMINGTON HILLSMI48333824005577LONG TERM CAREMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12B, IICATHOLIC HEALTH MINISTRIESYes (1)
TRINITY HEALTH GEORGIA INC
1230 BAXTER STREETATHENSGA30606880878641HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTGA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROADGRAND HAVENMI49417383330803HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3MERCY HEALTH PARTNERSYes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
PO BOX 9184FARMINGTON HILLSMI48333475244984PACE PROGRAMPA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232571699HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREETHARTFORDCT06105061491191HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREETHARTFORDCT06105833546613HEALTH CARE SERVICESCT501(C)(3)LINE 10TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREETHARTFORDCT06105061450168HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232212638HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH PACE
PO BOX 9184FARMINGTON HILLSMI48333473073124PACE PROGRAMMI501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREETALEXANDRIALA71302923433625PACE PROGRAMLA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAYGAITHERSBURGMD20877923450659PACE PROGRAMMD501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLEPENSACOLAFL32505922940854PACE PROGRAMFL501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCEMI501(C)(9)N/ATRINITY HEALTH CORPORATIONYes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 9184FARMINGTON HILLSMI48333382621935MANAGEMENT SERVICES FOR HOME HEALTH SYSTEMMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
VILLA MARY IMMACULATE
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WHEATON FRANCISCAN HEALTHCARE-IOWA INC
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Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ADVENT REHABILITATION LLC
625 KENMOOR AVE SE SUITE 100GRAND RAPIDSMI49546383306673REHABILITATION THERAPY SERVICESMIN/A0Yes (1)
BH VENTURE ONE LP
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BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH48213311608125MEDICAL OFFICE BUILDING RENTALOHN/A0Yes (1)
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/A00
CENTRAL NEW JERSEY HEART SERVICES LLC
45 SAPPHIRE DRIVEPRINCETONNJ08550208525458CARDIAC PROGRAMNJN/A00
CLINTON IMAGING SERVICES LLC
1410 N 4TH STREETCLINTONIA52732412044739MRI DIAGNOSTIC SERVICESIAN/A00
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481URGENT CARE CENTERLAN/A0Yes (1)
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTHSOUTHBURYCT06488061487582IMAGING CENTERCTN/A0Yes (1)
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVELATHAMNY12110833542382MEDICAL SERVICESNYN/A0Yes (1)
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/A0Yes (1)
GENGASTRO LLC
2222 53RD AVENUEBETTENDORFIA52722562315623AMBULATORY SURGERY CENTERIAN/A00
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREETDAVENPORTIA52807473785124DIAGNOSTIC IMAGING CENTERILN/A0Yes (1)
GENRAD IMAGING LLC
1970 E 53RD STREETDAVENPORTIA52807453571628DIAGNOSTIC IMAGING CENTERIAN/A0Yes (1)
HAWARDEN REGIONAL HEALTH CLINICS LLC
1111 11TH STHAWARDENIA51023201444339MEDICAL CLINICIAN/A0Yes (1)
HURON GASTRO ENDOSCOPY CENTER LLC
5300 ELLIOTT DRYPSILANTIMI48197853580801MEDICAL SERVICESMIN/A00
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603BOISEID83702820514422IMAGING CENTERIDN/A0Yes (1)
LAKE CHARLES URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809272272979URGENT CARE CENTERLAN/A0Yes (1)
LARSON CENTER LLP
801 ILLINI DRIVESILVISIL61282363738454PROPERTY MANAGEMENTILN/A0Yes (1)
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809300951534URGENT CARE CENTERDEN/A0Yes (1)
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
569 BROOKWOOD VILLAGE901BIRMINGHAMAL35209364119522SURGICAL SERVICESILN/A0Yes (1)
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/A0Yes (1)
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/A0Yes (1)
MCE MOB IV LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213421544707MEDICAL OFFICE BUILDING RENTALOHN/A0Yes (1)
MEDILUCENT MOB I
6150 EAST BROAD STREETCOLUMBUSOH43213204911370MEDICAL OFFICE BUILDING RENTALOHN/A0Yes (1)
MEDWORKS LLC
375 EAST CEDAR STREETNEWINGTONCT06111061490483REHABILITATION SERVICESCTN/A00
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/A00
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAYBRENTWOODTN37027814437201HEALTH CARE SERVICESIAN/A00
MERCYMANOR PARTNERSHIP
PO BOX 10086TOLEDOOH43699521931012NURSING HOMEPAN/A0Yes (1)
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAYDALLASTX75254471290300OUTPATIENT SURGERYIAN/A00
MERCYONE - HFH HOME MEDICAL SHOP LLC
1000 4TH STREET SWMASON CITYIA50401854007472MEDICAL EQUIPMENT SALESIAN/A00
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTHSOUTHBURYCT06488061239526IMAGING CENTERCTN/A00
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVEPHILADELPHIAPA19152232388040MEDICAL OFFICE BUILDINGPAN/A0Yes (1)
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREETOAKLAND PARKFL33334352325646AMBULATORY SURGERY CENTERFLN/A0Yes (1)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226URGENT CARE CENTERSDEN/A00
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUEMAYWOODIL60153364038505OFFICE BUILDING RENTALILN/A0Yes (1)
RADISSON SJH PROPERTIES LLC
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RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809451772383URGENT CARE CENTERLAN/A0Yes (1)
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254843522377OUTPATIENT SURGERYCAN/A00
SAINT AGNESUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAYDALLASTX75254364896811MEDICAL SERVICESCAN/A00
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/A00
SJLS LLC
920 WINTER STWALTHAMMA02451201796650DIALYSIS SERVICESNYN/A00
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047364559869INVESTMENT AND OPERATION OF A MEDICAL BUILDINGPAN/A00
ST AGNES LONG-TERM INTENSIVE CARE LLP
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073200984882LONG TERM INTENSIVE CAREPAN/A0Yes (1)
ST ALPHONSUS CALDWELL CANCER CENTER LLC
3123 MEDICAL DRCALDWELLID83605820526861HEALTH CARE SERVICESIDN/A0Yes (1)
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213311603660MEDICAL OFFICE BUILDING RENTALOHN/A0Yes (1)
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905SYRACUSENY13203161104293RADIOLOGY SERVICESNYN/A0Yes (1)
ST MARY REHABILITATION HOSPITAL LLP
680 SOUTH FOURTH STREETLOUISVILLEKY40202273938747HEALTH CARE SERVICESDEN/A00
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVE 201ALBANYNY12206460463892OUTPATIENT SURGERYNYN/A0Yes (1)
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047272871206OUTPATIENT SURGERYPAN/A0Yes (1)
THPH URGENT CARE LLC
20555 VICTOR PARKWAYLIVONIAMI48152852464958URGENT CARE CENTERSDEN/A00
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12499 UNIVERSITY AVENUE SUITE 100CLIVEIA50325205345295OUTPATIENT SURGERYIAN/A00
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5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/ IMAGINGMIN/A00
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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CATHERINE HORAN BUILDING CORPORATION
114 WOODLAND STREETHARTFORDCT06105042938160BUILDING MANAGEMENTMAN/ACYes (1)
CENTRAL VALLEY HEALTH PLAN INC
1303 E HERNDON AVEFRESNOCA93720611846844HEALTH INSURANCECAN/ACYes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUEDES MOINESIA50314420837382REAL ESTATEIAN/ACYes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214272995699MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214202991688MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161236354MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161351193MANAGEMENT SERVICESNYN/ACYes (1)
FRANKLIN MEDICAL GROUP PC
114 WOODLAND STREETHARTFORDCT06105061470493PHYSICIAN OFFICECTN/ACYes (1)
GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC
1227 E RUSHOLME STREETDAVENPORTIA52803863949369PROPERTY MANAGEMENTIAN/ACYes (1)
GENVENTURES INC
1227 E RUSHOLME STREETDAVENPORTIA52803421269171SUPPORT SERVICES/PROPERTY MANAGEMENTIAN/ACYes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100WALKERMI49544382589959OTHER MEDICAL SERVICESMIN/ACYes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100WALKERMI49544382447870PHARMACYMIN/ACYes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161450960HEALTH CARE MANAGEMENTNYN/ACYes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DRANN ARBORMI48106382475644OFFICE RENTALMIN/ACYes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/ACYes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047263795549GENERAL PARTNER OF LMOB PARTNERS, IIPAN/ACYes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232625981GENERAL PARTNER OF LMOB PARTNERSPAN/ACYes (1)
MACNEAL HEALTH PROVIDERS INC
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MARYLAND CARE GROUP INC
1500 FOREST GLEN RDSILVER SPRINGMD20910521815313HEALTH CARE HOLDINGMDN/ACYes (1)
MAXIS HEALTH TRENTON INC
20555 VICTOR PKWYLIVONIAMI48152884267557PROPERTY HOLDINGSNJN/ACYes (1)
MCMC EASTWICK INC
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232184261MEDICAL OFFICE BUILDINGSPAN/ACYes (1)
MEDNOW INC
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MERCY INPATIENT MEDICAL ASSOCIATES INC
114 WOODLAND STREETHARTFORDCT06105043029929MEDICAL SERVICESMAN/ACYes (1)
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/ACYes (1)
MISERICORDIA ASSURANCE COMPANY LTD
980457943SELF-INSURANCEN/ACYes (1)PO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREETDAVENPORTIA52803270865075PROPERTY MANAGEMENTIAN/ACYes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
3100 EASTON SQUARE PL STE 300COLUMBUSOH43219311382442MEDICAL SERVICESOHN/ACYes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAYFORT LAUDERDALEFL33308591145192MEDICAL SERVICESFLN/ACYes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROADBOISEID83706820524649ACCOUNTABLE CARE ORGANIZATIONIDN/ACYes (1)
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114 WOODLAND STREETHARTFORDCT06105061384686MEDICAL SERVICESCTN/ACYes (1)
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114 WOODLAND STREETHARTFORDCT06105061432373MEDICAL SERVICESCTN/ACYes (1)
SAINT JOSEPH'S MCAULEY PARK I LLC
424 DECATUR STATLANTAGA30312880592157PROPERTY MANAGEMENTGAN/ACYes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
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SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545474763735PROPERTY HOLDINGSINN/ACYes (1)
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333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161540486MEDICAL SERVICESNYN/ACYes (1)
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1309 SHELDON ROADGRAND HAVENMI49417382715568URGENT CAREMIN/ACYes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREETHARTFORDCT06105042938161LAB SERVICESMAN/ACYes (1)
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20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/ACYes (1)
TRINITY ASSURANCE LTD
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TRINITY HEALTH ACO INC
20555 VICTOR PARKWAYLIVONIAMI48152473794666ACCOUNTABLE CARE ORGANIZATIONDEN/ACYes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/ATYes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 9184FARMINGTON HILLSMI48333371572595SENIOR SERVICESPAN/ACYes (1)
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FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
C$88,314PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
M$3,699,786PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
P$1,002,114PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
L$152,079PER BOOKS
TRINITY HEALTH CORPORATION
M$1,521,410PER BOOKS
TRINITY HEALTH CORPORATION
P$945,698PER BOOKS
TRINITY HEALTH CORPORATION
Q$304,040PER BOOKS
TRINITY HEALTH CORPORATION
R$425,079PER BOOKS