SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC (EIN 35-1142669)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-10
- IRS object ID
- 202441319349303914
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-10T13:42:35-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351142669 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOSEPH REGIONAL MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | CENTER - PLYMOUTH CAMPUS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 5749484000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 670 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 465639366 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELISSA LUKASICK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5749484000 | PhoneNum |
| Signature | 2024-05-10 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MELISSA | PersonFirstNm |
| Person Last | LUKASICK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER KARAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 670 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 465639366 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,794,087 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SJMED.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 32 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,431,396 | PYContributionsGrantsAmt |
| CY Contributions Grants | $153,428 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $71,127,798 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $62,759,105 | CYProgramServiceRevenueAmt |
| PY Investment Income | $991,032 | PYInvestmentIncomeAmt |
| CY Investment Income | -$192,136 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,048,597 | PYOtherRevenueAmt |
| CY Other Revenue | $1,626,446 | CYOtherRevenueAmt |
| PY Total Revenue | $76,598,823 | PYTotalRevenueAmt |
| CY Total Revenue | $64,346,843 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,614 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,107,943 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,306,734 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,677,894 | PYOtherExpensesAmt |
| CY Other Expenses | $37,975,171 | CYOtherExpensesAmt |
| PY Total Expenses | $68,801,451 | PYTotalExpensesAmt |
| CY Total Expenses | $61,283,305 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,797,372 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,063,538 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $201,595,234 | TotalAssetsBOYAmt |
| Total Assets EOY | $256,642,064 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,191,186 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $183,159,847 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $71,404,048 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $73,482,217 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS (SJRMC-PLYMOUTH) IS A MEMBER OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. AND TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $50,845,863 | ExpenseAmt |
| Grant | $1,400 | GrantAmt |
| Revenue | $63,589,162 | RevenueAmt |
| Desc | SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH (SJRMC-PLYMOUTH), LOCATED IN PLYMOUTH, INDIANA, HAS BEEN SERVING THE MARSHALL COUNTY AREA SINCE 1983. SJRMC-PLYMOUTH IS AN ACUTE CARE HOSPITAL, WHICH IS LICENSED FOR 58 BEDS, AND OFFERS A WIDE RANGE OF SPECIALTY SERVICES AND AN EMERGENCY DEPARTMENT. ATTACHED TO THE HOSPITAL IS A MEDICAL OFFICE BUILDING THAT HOUSES PHYSICIAN OFFICES AND OTHER MEDICAL AND ANCILLARY SERVICES.IN FY23, THE HOSPITAL PROVIDED 3,524 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SJMED.COM/PATIENTS-VISITORS/PLYMOUTH-MEDICAL-CENTER/ | Desc |
| Total Program Service Expenses | $50,845,863 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA MULLINS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5743354661 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 EAST CEDAR STREET SUITE 100 | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 466172000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHAD TOWNER | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $0 | $833,023 | $18,275 | ||||
| GENEVIEVE LANKOWICZ MD | ||||||||||
| SJHS REGIONAL CMO THROUGH 9/22 | 10.00 | 40.00 | $0 | $467,663 | $304,769 | Yes (X) | ||||
| CHRISTOPHER KARAM | ||||||||||
| DIR; PRES SJRMC-SB; PRES SJRMC-PLY | 20.00 | 35.00 | $0 | $521,167 | $119,289 | Yes (X) | Yes (X) | |||
| DOUGLAS STRONG | ||||||||||
| FMR OFF;INT PRES MERCYONE SC THR2/23 | 0.00 | 55.00 | Yes (X) | $0 | $501,937 | $34,538 | ||||
| CRAIG MILLER MD | ||||||||||
| DIRECTOR; PHYSICIAN, FAMILY MEDICINE | 2.00 | 48.00 | $0 | $452,427 | $57,606 | Yes (X) | ||||
| JASON SCHULTZ | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $0 | $298,517 | $174,535 | ||||
| PAULA TOTH-RUSSELL MD | ||||||||||
| DIRECTOR; NEUROLOGIST | 2.00 | 48.00 | $0 | $361,190 | $52,975 | Yes (X) | ||||
| ROBERT SINK | ||||||||||
| TREAS; CFO THR 8/22; VP FIN AT 9/22 | 10.00 | 40.00 | $0 | $334,057 | $45,692 | Yes (X) | ||||
| JEFFREY MATHIS | ||||||||||
| SECRETARY, SJHS GENL COUNSEL | 10.00 | 40.00 | $0 | $254,935 | $36,946 | Yes (X) | ||||
| ERIC HOLSOPPLE | ||||||||||
| HOSPITAL ADMINISTRATOR | 40.00 | 0.00 | $0 | $150,737 | $43,432 | Yes (X) | ||||
| ZUBAIR UL HAQ | ||||||||||
| PHYSICIAN FAMILY MEDICINE | 40.00 | 0.00 | $0 | $171,270 | $21,266 | Yes (X) | ||||
| CREIGHTON KAISER | ||||||||||
| MANAGER PHARMACY | 40.00 | 0.00 | $0 | $148,590 | $37,879 | Yes (X) | ||||
| JANELLE JOHNSON | ||||||||||
| SERVICE LINE ADMIN DIRECTOR | 40.00 | 0.00 | $0 | $142,409 | $38,616 | Yes (X) | ||||
| SUZANNE RISNER | ||||||||||
| DIRECTOR, SURGICAL SERVICES | 40.00 | 0.00 | $0 | $150,241 | $14,206 | Yes (X) | ||||
| RODOLFO MONTERROSA | ||||||||||
| DIRECTOR; CHAIR AS OF 1/23 | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| ABRAHAM MARCUS | ||||||||||
| DIRECTOR & CHAIR THROUGH 10/22 | 2.00 | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| THE VERY REV JAMES FOSTER CSC | ||||||||||
| DIRECTOR | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| ANDREW HARTLEY | ||||||||||
| DIRECTOR | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| MARIJO KELLY | ||||||||||
| DIRECTOR THROUGH 12/22 | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| DANA NEER | ||||||||||
| DIRECTOR | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| NORMA RODRIQUEZ | ||||||||||
| DIRECTOR THROUGH 12/22 | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| CHRIS ROWLAND | ||||||||||
| DIRECTOR | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| HARVEY WEINGARTEN DDS | ||||||||||
| DIRECTOR THROUGH 12/22 | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| JACQUELINE WRIGHT | ||||||||||
| DIRECTOR | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,788,163 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,000,024 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MIDWEST HOSPITALISTS LLC | |||||
| 50593 ARBORWOOD CT | GRANGER | IN | 46530 | HEALTH CARE SERVICES | $2,033,191 |
| GREAT LAKES ANESTHESIA PC | |||||
| 500 N NAPPANEE STE 11-8 | ELKHART | IN | 46514 | HEALTH CARE SERVICES | $1,152,762 |
| HALLMARK HEALTH CARE SOLUTIONS INC | |||||
| PO BOX 22937 | NEW YORK | NY | 10087 | STAFFING SERVICES | $891,886 |
| LABCORP INDIANA INC | |||||
| PO BOX 8014 | BURLINGTON | NC | 27216 | HEALTH CARE SERVICES | $552,119 |
| ELITE EMERGENCY PHYSICIANS INC | |||||
| 600 EAST BLVD MD | ELKHART | IN | 46514 | HEALTH CARE SERVICES | $496,215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $153,428 | RelatedOrganizationsAmt |
| Total Contributions | $153,428 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $62,759,105 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,759,105 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $62,759,105 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,287 | TotalRevenueColumnAmt |
| Exclusion | $33,287 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $621,829 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $621,829 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $621,829 | TotalRevenueColumnAmt |
| Exclusion | $621,829 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $203,841 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,916 | SecuritiesAmt |
| Other | $427,348 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,916 | SecuritiesAmt |
| Other | -$223,507 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$225,423 | TotalRevenueColumnAmt |
| Exclusion | -$225,423 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $36,267 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $17,980 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,287 | TotalRevenueColumnAmt |
| Exclusion | $18,287 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER RELATED REVENUE | 622110 | $784,122 | $784,122 | |
| CAFETERIA & OTHER FOOD SERVICES | 722514 | $156,273 | $156,273 | |
| PROVIDER INCENTIVE REVENUE | 622110 | $45,935 | $45,935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $986,330 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,346,843 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,589,162 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $604,253 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,400 | TotalAmt |
| Program Services | $1,400 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,787,757 | TotalAmt |
| Program Services | $18,506,750 | ProgramServicesAmt |
| Management And General | $281,007 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,142,099 | TotalAmt |
| Program Services | $1,125,017 | ProgramServicesAmt |
| Management And General | $17,082 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,020,997 | TotalAmt |
| Program Services | $1,990,769 | ProgramServicesAmt |
| Management And General | $30,228 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,355,881 | TotalAmt |
| Program Services | $1,334,911 | ProgramServicesAmt |
| Management And General | $20,970 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,119 | TotalAmt |
| Program Services | $73,119 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,216 | TotalAmt |
| Management And General | $3,216 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,708,716 | TotalAmt |
| Program Services | $7,622,041 | ProgramServicesAmt |
| Management And General | $86,675 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,365 | TotalAmt |
| Program Services | $30,359 | ProgramServicesAmt |
| Management And General | $6 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,694 | TotalAmt |
| Program Services | $424,246 | ProgramServicesAmt |
| Management And General | $20,448 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,214 | TotalAmt |
| Program Services | $8,214 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,461,447 | TotalAmt |
| Program Services | $2,441,798 | ProgramServicesAmt |
| Management And General | $19,649 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,263 | TotalAmt |
| Program Services | $11,569 | ProgramServicesAmt |
| Management And General | $694 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,969 | TotalAmt |
| Program Services | $39,969 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,980 | TotalAmt |
| Program Services | $281,980 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,846,431 | TotalAmt |
| Program Services | $1,846,431 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,375 | TotalAmt |
| Program Services | $229,375 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INTERCO. PURCHASED SVCS | $10,049,221 | $99,827 | $9,949,394 |
| MEDICAL SUPPLIES | $5,773,678 | $5,773,678 | |
| HOSPITAL PROVIDER TAX | $4,784,144 | $4,784,144 | |
| BAD DEBT EXPENSE | $4,163,268 | $4,163,268 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,071 | TotalAmt |
| Program Services | $56,998 | ProgramServicesAmt |
| Management And General | $8,073 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,283,305 | TotalAmt |
| Program Services | $50,845,863 | ProgramServicesAmt |
| Management And General | $10,437,442 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270 | BOYAmt |
| EOY | $1,902 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,211,058 | BOYAmt |
| EOY | $7,172,485 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $534,383 | BOYAmt |
| EOY | $687,811 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,589,403 | BOYAmt |
| EOY | $1,474,021 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,777 | BOYAmt |
| EOY | $4,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $80,269,726 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $62,936,577 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,428,023 | BOYAmt |
| EOY | $17,333,149 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,835,211 | BOYAmt |
| EOY | $3,384,106 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,114,682 | BOYAmt |
| EOY | $2,478,735 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,000 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,385,427 | BOYAmt |
| EOY | $224,105,097 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,595,234 | BOYAmt |
| EOY | $256,642,064 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,502,669 | BOYAmt |
| EOY | $4,841,157 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,180 | BOYAmt |
| EOY | $166,110 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,056 | BOYAmt |
| EOY | $738,581 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,894,281 | BOYAmt |
| EOY | $177,413,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,191,186 | BOYAmt |
| EOY | $183,159,847 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,404,048 | BOYAmt |
| EOY | $73,482,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,404,048 | BOYAmt |
| EOY | $73,482,217 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,595,234 | BOYAmt |
| EOY | $256,642,064 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,063,538 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$76,334 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$909,035 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $477,930 | OtherCostOrOtherBasisAmt |
| Book Value | $477,930 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,023,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,774,110 | DepreciationAmt |
| Book Value | $12,249,585 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $380,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $380,910 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,350,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,781,557 | DepreciationAmt |
| Book Value | $4,568,999 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,635 | OtherCostOrOtherBasisAmt |
| Book Value | $36,635 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,333,149 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $14,138 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | $223,978,374 |
| OTHER LONG-TERM ASSETS | $44,300 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $68,285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $224,105,097 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION LIABILITY | $190,678 |
| INTERCOMPANY NOTES PAYABLE | $5,380,611 |
| INTERCOMPANY ACCOUNTS PAYABLE | $171,758,050 |
| OPERATING LEASE LIABILITIES | $84,660 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $177,413,999 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | ENDOWMENTS HELD BY THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. FOR THE BENEFIT OF SJRMC-PLYMOUTH ARE REPORTED ON THE FORM 990 OF THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $607,377 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $607,377 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,870,203 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,179,812 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,690,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,477,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,179,812 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,297,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07520 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 22162 | PersonsServedCnt |
| Total Community Benefit Expns | $232,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $153,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 9299 | PersonsServedCnt |
| Total Community Benefit Expns | $2,073,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $737,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,336,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $400 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 31461 | PersonsServedCnt |
| Total Community Benefit Expns | $2,311,959 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $896,333 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,415,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 31461 | PersonsServedCnt |
| Total Community Benefit Expns | $16,789,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,076,145 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,713,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,163,268 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $8,484,704 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,385,137 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $99,567 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOSEPH REG MED CENTER-PLYMOUTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1915 LAKE AVENUE | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SJMED.COM/PLYMOUTH-CAMPUS | WebsiteAddressTxt |
| State License | 22-005070-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJRMC - PLYMOUTH CAMPUS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 7 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 7 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 7 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 3J: N/APART V, SECTION B LINE 3E:SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH (SJRMC-PLYMOUTH) 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 A COMMUNITY-INVOLVED SELECTION PROCESS: 1. ACCESS TO MENTAL HEALTH CARE2. IMPROVE NUTRITION AND EATING HABITS3. ACCESS TO WELLNESS RESOURCES (FRESH FOODS, NUTRITION CLASSES, GYMS, ETC.)4. ACCESS/AFFORDABILITY OF MEDICATION5. INCREASE PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS |
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 5: DURING THE MONTHS OF AUGUST THROUGH NOVEMBER OF 2020, SURVEYS WERE USED TO GATHER INPUT FROM PEOPLE REPRESENTING THE COMMUNITY SERVED FOR THE RECENT CHNA. SURVEYS WERE DISTRIBUTED IN BOTH ONLINE AND PRINTED FORMATS IN ENGLISH AND SPANISH, WHICH ENSURED A WIDE DISTRIBUTION OF THE SURVEY. THIS SURVEY WAS DELIVERED VIA INVITATION BASED ON A STRATIFIED RANDOM SAMPLING OF THE COMMUNITY AT LARGE USING A THIRD-PARTY DATABASE. TO ENSURE THE SURVEY SAMPLE REFLECTED A WIDE VARIETY OF SOCIOECONOMIC LEVELS, AGE AND RACE/ETHNICITY, IT WAS OFFERED TO COMMUNITY GROUPS VIA ORGANIZATIONS SUCH AS LA CASA DE AMISTAD, THE CENTER FOR THE HOMELESS, UNITED WAY OF ST. JOSEPH COUNTY, AND AT LOCAL FOOD PANTRIES. THESE GROUPS REPRESENT THE MEDICALLY UNDERSERVED, MINORITIES, LOW-INCOME INDIVIDUALS, ENTREPRENEUR GROUPS, HEALTH CARE WORKERS, ETC. THE COVID-19 PANDEMIC PREVENTED THE USE OF COMMUNITY EVENTS TO REACH MORE SURVEY PARTICIPANTS OR TO GAIN ADDITIONAL INSIGHT FROM INDIVIDUALS AS WAS DONE IN THE PAST. THIS RESULTED IN A LOWER SURVEY VOLUME THAN WAS SEEN IN PREVIOUS YEARS. THE PRINTED COPY OF THE SURVEY WAS ALSO USED WITH COMMUNITY GROUPS TO FACILITATE BROAD-BASED REPRESENTATION OF THE SENIOR 65+ AND UNDERSERVED POPULATIONS. THE SURVEY PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT TOPICS CRITICAL TO THE HEALTH OF THE COMMUNITY. A TOTAL OF 2,683 SURVEYS WERE COLLECTED, 586 OF WHICH WERE FROM MARSHALL COUNTY.COMMUNITY HEALTH ADVISORY COMMITTEE MET ON FEBRUARY 25, 2021 TO DISCUSS HOW TO IMPROVE THE TOP FIVE IDENTIFIED NEEDS. MEMBERS OF THE COMMUNITY HEALTH ADVISORY COMMITTEE INCLUDED: YOUNG PROFESSIONALS, HEALTH EDUCATORS, PARKS DEPARTMENT EMPLOYEES, SENIORS, CLINICS, BUSINESS LEADERS, VETERANS, AND LATINO COMMUNITY LEADERS. THE FOCUS GROUPS WERE ASKED TO DISCUSS ISSUES THAT HAD BEEN IDENTIFIED AS IMPORTANT BY SAINT JOSEPH HEALTH SYSTEM.SAINT JOSEPH HEALTH SYSTEM (SJHS) COMPLETED A COMPREHENSIVE CHNA THAT WAS ADOPTED BY THE BOARD OF DIRECTORS ON MAY 28, 2021. SJHS PERFORMED THE CHNA IN ADHERENCE WITH FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS SET FORTH IN THE AFFORDABLE CARE ACT AND BY THE INTERNAL REVENUE SERVICE. THE ASSESSMENT TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY, COMMUNITY MEMBERS, AND VARIOUS COMMUNITY ORGANIZATIONS. |
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. |
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING COLLABORATING ORGANIZATIONS: BETHEL UNIVERSITY, BOYS AND GIRLS CLUBS OF ST. JOSEPH COUNTY, BOYS AND GIRLS CLUBS OF MARSHALL COUNTY, BOWEN CENTER, FOOD BANK OF NORTHERN INDIANA, INDIANA HEALTH INFORMATION EXCHANGE, LA CASA DE AMISTAD, MISHAWAKA PARKS DEPARTMENT, MARSHALL COUNTY BOARD OF HEALTH, MARSHALL COUNTY COUNCIL ON AGING, MARSHALL COUNTY NEIGHBORHOOD CENTER, OAKLAWN PSYCHIATRIC CENTER, PLYMOUTH SCHOOL BOARD, POOR HANDMAIDS, PURDUE EXTENSION, ST. JOSEPH COUNTY HEALTH DEPARTMENT, UNITED RELIGIOUS COMMUNITY OF ST. JOSEPH COUNTY, UNITY GARDENS, UNITED WAY OF MARSHALL COUNTY, UNITED WAY OF ST. JOSEPH COUNTY, AND UNIVERSITY OF NOTRE DAME. |
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 7D: ALL COMMUNITY HEALTH ADVISORY BOARD MEMBERS RECEIVED A PRINTED OR E-MAILED COPY OF THE COMPLETE CHNA. |
| SJRMC - PLYMOUTH CAMPUS | PART V, SECTION B, LINE 11: ON SEPTEMBER 15, 2021, THE BOARD APPROVED THE 2022 THROUGH 2024 THREE-YEAR IMPLEMENTATION STRATEGY BASED ON THE MAY 2021 CHNA. THE PLAN WAS DEVELOPED TO ADDRESS THE TOP FOUR OF FIVE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA: ACCESS TO MENTAL HEALTH CARE, IMPROVE NUTRITION AND EATING HABITS, ACCESS TO WELLNESS RESOURCES, AND INCREASE PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS. SIGNIFICANT NEEDS 'IMPROVE NUTRITION AND EATING HABITS AND 'ACCESS TO WELLNESS RESOURCES (FRESH FOODS, NUTRITION CLASSES, GYMS, ETC.)' HAVE BEEN COMBINED INTO ONE IMPLEMENTATION STRATEGY CATEGORY DUE TO THEIR SIMILAR NATURE.ACTIVITIES CONDUCTED TO ADDRESS THE NEEDS IN FY23 INCLUDED:TO IMPROVE ACCESS TO MENTAL HEALTH, HEALTH AND WELLNESS EDUCATOR AND COMMUNITY HEALTH WORKER'S HOURS CONTINUED TO ADDRESS MULTIPLE CONCERNS FOR VULNERABLE MEMBERS OF OUR COMMUNITY, INCLUDING MENTAL HEALTH AS IT RELATES TO THE PHYSICAL FEAR OF CONTRACTING THE COVID-19 VIRUS, THE RAMIFICATIONS OF ONE OF THEIR FRIENDS AND FAMILY MEMBERS CONTRACTING IT, AND THE STRESS ASSOCIATED WITH THE DECREASED SOCIAL CONNECTIONS AND CONCERNS FOR SAFETY DUE TO THE PANDEMIC, AS WELL AS FOOD ACCESS, HOMELESSNESS, LANGUAGE BARRIERS, AND INADEQUATE HEALTH CARE. ADDITIONALLY, SJRMC-PLYMOUTH CONTINUED TO FOCUS ON HARM REDUCTION EFFORTS FOR AREA YOUTH BY INVITING COMMUNITY HEALTH WORKERS AND SCHOOL HEALTH STAFF AT NINE AREA SCHOOLS TO RECEIVE TRAINING IN YOUTH MENTAL HEALTH FIRST AID, EQUIPPING THEM TO MEET THE INCREASED NEEDS OF THE YOUTH THEY INTERACT WITH DAILY. FURTHERMORE, SJRMC-PLYMOUTH SOUGHT TO INCREASE THE INCLUSIVITY OF THEIR CARE BY OFFERING THEIR WORKFORCE TO IDENTIFY AS BI-LINGUAL WITH A NAME BADGE EXTENSION, ALLOWING THEM TO PROVIDE A WARMER WELCOME TO NON-ENGLISH SPEAKING PATIENTS AND VISITORS AND INVITING THEM TO ASSIST WITH NON-MEDICAL INTERPRETATIONS, QUESTIONS, AND GREETINGS.TO IMPROVE NUTRITION, EATING HABITS AND ACCESS TO WELLNESS RESOURCES, SJRMC-PLYMOUTH DIABETES PREVENTION PROGRAM (DPP) CLASSES CONTINUED TO BE OFFERED FOR COMMUNITY MEMBERS, VETERANS, VULNERABLE POPULATIONS, AND SAINT JOSEPH HEALTH SYSTEM EMPLOYEES VIRTUALLY IN BOTH ENGLISH AND SPANISH. RISING FOOD INSECURITY RATES IN THE COUNTY WERE COMBATED BY BRINGING FRESH PRODUCE, WHOLE GRAINS, AND REDUCED SODIUM OPTIONS TO OUR SERVICE AREA THROUGH ONE MOBILE FOOD PANTRY, SERVING 270+ INDIVIDUALS, IN COLLABORATION WITH THE NORTHERN FOOD BANK OF INDIANA; FUNDING FOR THIS WAS MADE POSSIBLE THROUGH TRINITY HEALTH. SJRMC-PLYMOUTH ALSO ADDRESSED POOR EATING HABITS AMONG VULNERABLE INDIVIDUALS BY PROVIDING SLOW COOKERS TO INDIVIDUALS WHO RESIDE IN SERENITY PLACE, WHICH PROVIDES SUPPORTIVE HOUSING FOR THOSE WHO PREVIOUSLY EXPERIENCED HOMELESSNESS. SUPPORT FOR THE HEALTH AND WELLNESS EFFORTS OF THE LATINO COMMUNITY WAS PROVIDED THROUGH PARTICIPATION IN THE HISPANIC DAY OF THE CHILD AT LINCOLN ELEMENTARY, WHERE OVER 400 INDIVIDUALS RECEIVED COMMUNITY RESOURCES, GIVEAWAYS, AND TOBACCO EDUCATION. TO ACHIEVE INCREASED PARTICIPATION IN PHYSICAL ACTIVITIES AND EXERCISE PROGRAMS, SJRMC-PLYMOUTH PARTNERED WITH SJRMC-SOUTH BEND TO ENGAGE NINE SCHOOLS IN MARSHALL COUNTY FOR THE 5TH ANNUAL WELLNESS CHALLENGE. IN TOTAL, 924,119 MINUTES OF ACTIVITY OUTSIDE OF THE SCHOOL DAY WERE REPORTED BY AREA YOUTH DURING THE MONTH OF FEBRUARY. ADDITIONALLY, BI-LINGUAL QR CODES AND WINDOW CLINGS LINKING THE COMMUNITY TO VARIOUS RESOURCES AND PROGRAMS WERE DISTRIBUTED AT COMMUNITY ORGANIZATIONS IN PLYMOUTH TO REENGAGE THE COMMUNITY IN A NEW WAY SINCE THE ONSET OF THE COVID-19 PANDEMIC. SJRMC-PLYMOUTH DID NOT DIRECTLY ADDRESS ACCESS/AFFORDABILITY OF MEDICATION DUE TO COMPETING PRIORITIES. THE NEED FOR AFFORDABLE MEDICATION IS ALREADY BEING ADDRESSED AT A LOW-COST HEALTH CLINIC THE HOSPITAL CURRENTLY OPERATES, SAINT JOSEPH HEALTH CENTER IN MARSHALL COUNTY. THIS CENTER PROVIDES PRIMARY HEALTH CARE SERVICES AND MEDICATION TO INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED AND WHO FALL BELOW 200% OF THE FEDERALLY DESIGNATED POVERTY LEVEL. THIS HEALTH CENTER ADDRESSES PREVENTION OF DISEASE AND ILLNESS AND FOCUSES ON THE OVERALL HEALTH AND WELL-BEING OF EACH PATIENT. IN ADDITION TO PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES, THE CLINIC OFFERS SPECIALTY CARE TO OUR PATIENTS, WHICH IS PROVIDED BY VOLUNTEER PHYSICIANS. |
| SJRMC - PLYMOUTH CAMPUS | PART 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 HEALTHCARE 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. |
| FORM 990 PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE URL: | WWW.SJMED.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2021 |
| FORM 990 PART V, SECTION B, LINE 10 - HOSPITAL FACILITY'S WEBSITE URL: | WWW.SJMED.COM/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2022 |
| FORM 990 PART V, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE: | WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE |
| FORM 990 PART V, LINE 16B, FAP PLAIN LANGUAGE SUMMARY WEBSITE: | WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE |
| FORM 990 PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: | WWW.SJMED.COM/PATIENTS-VISITORS/BILLING-AND-ASSISTANCE/FINANCIAL-ASSISTANCE |
| SJRMC - PLYMOUTH - 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MEDICAL OFFICE BUILDING | ||||
| 2349 LAKE AVENUE | PLYMOUTH | IN | 46563 | VARIOUS MEDICAL OFFICES |
| 2 - OUTPATIENT REHABILITATION | ||||
| 1919 LAKE AVE SUITE 111 | PLYMOUTH | IN | 46563 | REHABILITATION |
| 3 - EXPRESS LAB | ||||
| 1919 LAKE AVE SUITE 105 | PLYMOUTH | IN | 46563 | LABORATORY |
| 4 - SJHS CARDIAC REHAB | ||||
| 2855 MILLER RD | PLYMOUTH | IN | 46563 | REHABILITATION |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | SJRMC-PLYMOUTH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF INDIANA. IN ADDITION, SJRMC-PLYMOUTH 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.SJRMC-PLYMOUTH 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, $4,163,268, 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 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: | SJRMC-PLYMOUTH 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, SJRMC-PLYMOUTH IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SJRMC-PLYMOUTH IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | SJRMC-PLYMOUTH 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: | SJRMC-PLYMOUTH 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: SJRMC-PLYMOUTH ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE 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 PREVENTIVE SERVICES OR ARE UNINSURED. TO INVESTIGATE NEW HEALTH TRENDS, QUESTIONS REGARDING COVID-19 WERE ADDED TO THE ASSESSMENT CONDUCTED IN FY21 TO GAUGE THE PANDEMIC'S IMPACT ON COMMUNITY MEMBERS. DATA GATHERED ON THIS TOPIC ALSO GUIDED SJRMC-PLYMOUTH AS IT BEGAN VACCINATING THE COMMUNITY AND ENGAGING IN VACCINATION CAMPAIGNS AND EDUCATION. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SJRMC-PLYMOUTH 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. SJRMC-PLYMOUTH 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: SRMC-PLYMOUTH, ALONG WITH SJRMC-SOUTH BEND, SERVES 902,902 PEOPLE IN A DIVERSE NINE-COUNTY AREA IN INDIANA AND MICHIGAN THROUGH ITS CONTINUUM OF CARE. THE PRIMARY SERVICE AREA INCLUDES ST. JOSEPH, ELKHART AND MARSHALL COUNTIES IN INDIANA. THE SECONDARY SERVICE AREA ENCOMPASSES FULTON, LA PORTE, PULASKI AND STARKE COUNTIES IN INDIANA AS WELL AS BERRIEN AND CASS COUNTIES IN MICHIGAN. SRMC-PLYMOUTH'S SURVEYED COUNTIES ARE GENERALLY RURAL IN NATURE, WITH THE EXCEPTION OF LIGHT INDUSTRY CENTERED IN THE TOWNS OF PLYMOUTH AND BREMEN. THE REGION OFFERS DIVERSITY, A STABLE ECONOMY AND A FAMILY-FRIENDLY ENVIRONMENT, ALL WITHIN CLOSE PROXIMITY TO CHICAGO. NEARBY CULVER IS THE HOME OF CULVER ACADEMIES, WHICH ATTRACTS STUDENTS TO INDIANA FROM ALL OVER THE WORLD. THERE ARE ALSO THREE CRITICAL ACCESS HOSPITALS (CAH) IN THIS AREA: COMMUNITY HOSPITAL OF BREMEN, PULASKI MEMORIAL HOSPITAL, AND WOODLAWN HOSPITAL, WHERE PRIMARY CARE PROFESSIONALS WITH PRESCRIPTIVE PRIVILEGES FURNISH OUTPATIENT PRIMARY-CARE SERVICES.AS IN MOST RURAL MIDWESTERN COMMUNITIES, THE POPULATION IS ALMOST EXCLUSIVELY (86%) MADE UP OF WHITE NON-HISPANIC INDIVIDUALS OF NORTHERN EUROPEAN DESCENT, ALTHOUGH THERE HAS BEEN AN INCREASE IN THE HISPANIC POPULATION (CURRENTLY 11%) OVER THE PAST TEN YEARS. AN ABOVE-AVERAGE PERCENTAGE OF MARSHALL COUNTY'S POPULATION IDENTIFIES AS HISPANIC AND THERE IS A MUCH SMALLER AFRICAN AMERICAN POPULATION IN COMPARISON TO THE INDIANA AVERAGE.THE TOTAL POPULATION WITHIN THE SYSTEM SERVICE AREA IS EXPECTED TO GROW ONE PERCENT THROUGH 2025. COMPARED TO THE STATE OF INDIANA, THERE IS A LOWER PROJECTED POPULATION GROWTH, A HIGHER MEDIAN AGE, AND A LOWER PERCENTAGE OF PEOPLE WITH A BACHELOR'S DEGREE OR HIGHER. THE POPULATION AGED 65 AND OLDER IS EXPECTED TO GROW TO FROM 18 PERCENT TO 19.6 PERCENT OVER THE NEXT FIVE YEARS. APPROXIMATELY 20 PERCENT OF THE POPULATION WITHIN THE SYSTEM SERVICE AREA EARNS AN ANNUAL SALARY OF $25,000 OR BELOW. HOUSEHOLD INCOME IS FAIRLY STABLE ACROSS THE PRIMARY SERVICE AREA, WITH AREAS OF HIGHEST AFFLUENCE IN THE GRANGER ZIP CODE AND PORTIONS OF ELKHART COUNTY. IN MARSHALL COUNTY, THE AVERAGE HOUSEHOLD INCOME ($59,672) IS BELOW THAT FOR THE STATES OF INDIANA, MICHIGAN AND OHIO, AS WELL AS THE U.S., AND AS OF DECEMBER 2020, THE UNEMPLOYMENT RATE WAS 3.4 PERCENT, WHICH WAS SLIGHTLY LOWER THAN THE INDIANA RATE AND LOWER THAN THE NATIONAL AVERAGE. HEALTH CARE, MANUFACTURING, SERVICE AND FARMING ARE THE MAJOR EMPLOYERS IN THE LOCAL ECONOMY.IN 2018, 11% OF INDIVIDUALS IN MARSHALL COUNTY LIVED IN POVERTY. THIS IS DOWN FROM 12% REPORTED IN 2016 AND IS COMPARED TO AN INDIANA POVERTY RATE OF 7% FOR 2018. [U.S. CENSUS BUREAU, SMALL AREA INCOME AND POVERTY ESTIMATES (SAIPE) PROGRAM, DECEMBER 2018]ESTIMATES OF UNINSURED INDIVIDUALS ARE 10.3 PERCENT IN ST. JOSEPH COUNTY AND 12.7 PERCENT IN MARSHALL COUNTY, TOTALING APPROXIMATELY 27,000 INDIVIDUALS COMBINED. THIS IS COMPARED TO AN INDIANA RATE OF 9.7 PERCENT. THE SYSTEM SERVICE AREA INCLUDES SEVERAL MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP). [U.S. CENSUS BUREAU, SMALL AREA HEALTH INSURANCE (SAHIE) PROGRAM, MARCH 2018] |
| PART VI, LINE 5: | OTHER INFORMATION: SJRMC-PLYMOUTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. BY DOING SO, IT CAN ENSURE HIGH QUALITY AND ACCESSIBLE CARE IS AVAILABLE IN THE COMMUNITY IN A VARIETY OF PRIMARY AND SPECIALTY CARE AREAS. REFERRALS FOR NEEDED SERVICES NOT AVAILABLE IN PLYMOUTH ARE EASILY MADE WITH SJRMC-SOUTH BEND IN MISHAWAKA OR OTHER LOCAL HOSPITALS.SJRMC-PLYMOUTH PRIDES ITSELF ON ITS RELATIONSHIP WITH SJRMC-SOUTH BEND, A STATE-OF-THE-ART MEDICAL CENTER THAT UTILIZES THE LATEST TECHNOLOGY, ELECTRONIC MEDICAL RECORDS, FULLY INTEGRATED MEDICAL TEAMS, AND HIGHLY TRAINED STAFF TO PROVIDE CARE THAT IS SECOND TO NONE. INTERACTION OF THE MEDICAL STAFFS, ASSOCIATES, AND ANCILLARY SERVICES ALLOWS SJRMC-PLYMOUTH TO PROVIDE ITS PATIENTS WITH THE SAME LEVEL OF CARE OFFERED THE RESIDENTS OF THE CITIES OF SOUTH BEND AND MISHAWAKA.SJRMC-SOUTH BEND AND SJRMC-PLYMOUTH ARE THE LEAD AGENCIES FOR LOCAL TOBACCO CONTROL IN OUR COUNTIES. IN MARSHALL COUNTY, THE BREATHE EASY MARSHALL COUNTY ALLIANCE (BREATHE EASY) IS COMPRISED OF A VARIETY OF PROFESSIONALS AND COMMUNITY MEMBERS AND INCLUDES REPRESENTATION FROM THE AFRICAN AMERICAN, LATINO AND CAUCASIAN COMMUNITIES. IN FY23, BREATHE EASY SUCCESSFULLY GREW THEIR SUPPORTER DATABASE TO INCLUDE 48 PARTNER ORGANIZATIONS. THE ORGANIZATIONS REPRESENTED BY THE CORE MEMBERS ARE THE FOLLOWING: UNITED WAY OF MARSHALL COUNTY, PROJECT HOPE, THE POOR HANDMAIDS OF JESUS CHRIST, PURDUE EXTENSION OFFICE, CHAMBER OF COMMERCE FOR PLYMOUTH, IN., BOWEN CENTER, BLUE ZONES PROJECT, AND MARSHALL COUNTY COMMUNITY FOUNDATION. THE BREATHE EASY MARSHALL COUNTY ALLIANCE WORKS TO ADDRESS INITIATIVES LIKE SMOKE/VAPE-FREE SCHOOLS AND BUSINESS, SMOKE-FREE MULTI-UNIT HOUSING, AND INCREASE ACCESS TO FREE TOBACCO CESSATION RESOURCES. DURING FY23, TOBACCO RISK ASSESSMENTS WERE ADMINISTERED ALONG WITH THE QUIT LINE INFORMATION TO INCREASE ACCESS AT MULTIPLE HEALTH AND RESOURCE FAIRS. ADDITIONALLY, SJRMC-PLYMOUTH'S TOBACCO EDUCATION COORDINATOR COLLABORATED WITH LOCAL COMMUNITY ORGANIZATIONS TO BRING REMEDY LIVE'S GET SCHOOLED TOUR, WHICH SEEKS TO HELP STOP SUBSTANCE USE AND SUICIDE IN NORTHEAST INDIANA TEENS THROUGH THE POWER OF TECHNOLOGY, TO AREA SCHOOLS AND YOUTH.SCREENING FOR SOCIAL INFLUENCERS OF HEALTH (SIOH) FOR ALL SJRMC-PLYMOUTH PATIENTS OCCURS ANNUALLY DURING A REGULAR ROUTINE OFFICE VISIT. THE SIOH HAS BEEN EMBEDDED INTO OUR ELECTRONIC HEALTH RECORD, AND IF A PATIENT HAS MYCHART, QUESTIONS ARE PUSHED OUT TO THEM PRIOR TO AN OFFICE VISIT. FINDHELP.ORG IS LINKED WITH OUR ELECTRONIC HEALTH RECORD. IF RESOURCES WERE INDICATED AS BEING NEEDED, THEY WERE MADE AVAILABLE TO THE PATIENT THROUGH THE END OF VISIT SUMMARY PROVIDED. CLINICAL STAFF ALSO CAN REFER PATIENTS TO OUR COMMUNITY HEALTH WORKER PROGRAM. SJRMC-PLYMOUTH HAS ESTABLISHED RELATIONSHIPS WITH THE AGENCY ON AGING CENTER AND FOOD BANKS TO HELP ASSIST WITH NEEDS. IN ADDITION TO WORKING WITH PATIENTS OF SJRMC-PLYMOUTH, OUR COMMUNITY HEALTH WORKERS RECEIVE AND RESPOND TO REFERRALS FROM COMMUNITY PARTNERS TO HELP ADDRESS THE SIOH NEEDS FACED IN OUR SERVICE AREA. OUR COMMUNITY HEALTH WORKER PROGRAM HAD 1,717 NEW PATIENTS ENROLLED AND 9,347 ENCOUNTERS FOR FY23 WHERE PATIENTS WERE REFERRED TO COMMUNITY RESOURCES SUCH AS FOOD, TRANSPORTATION, HOUSING, AND OTHER HEALTH NEEDS. IN APRIL OF 2023, OUR COMMUNITY HEALTH WORKERS (CHW) IMPLEMENTED A NEW CONGESTIVE HEART FAILURE (CHF) PROGRAM, CREATED BY TRINITY HEALTH. THIS PROGRAM IS DESIGNED FOR PATIENTS TO BETTER MANAGE THEIR CHF - THE LEADING DRIVER OF PREVENTABLE HOSPITALIZATIONS. THE CHW USES THEIR SKILLS TO HELP PATIENTS UNDERSTAND THEIR CHF, UNDERSTAND WHAT THEIR PROVIDER RECOMMENDS, ALONG WITH ACCESSING COMMUNITY RESOURCES. PROGRAM GOALS INCLUDE: 1) IMPROVE PATIENTS' CHF SELF-MANAGEMENT BY ADDRESSING SOCIAL AND CULTURAL NEEDS, 2) REDUCE PREVENTABLE HOSPITALIZATIONS AMONG MSSP DUALS, 3) REDUCE OVERALL COST OF CARE FOR MSSP DUALS WITH CHF, AND LASTLY, 4) MEASURE CHW IMPACT ON PATIENT HEALTH OUTCOMES AND COST. THE COMMUNITY HEALTH AND WELL-BEING TEAM AT SJRMC-PLYMOUTH CONTINUES TO PARTNER WITH COMMUNITY AND CORPORATE SITES. IN FY23, 386 FREE COVID-19 VACCINES WERE GIVEN TO VULNERABLE POPULATIONS THROUGH LOCAL PARTNERSHIPS AND EVENTS WITH BREAD OF LIFE, LIFE PLEX, BOWEN CENTER, MARSHALL COUNTY COUNCIL ON AGING, DAVID'S COURAGE, MARSHALL COUNTY MILITARY STAND DOWN AND THE MARSHALL COUNTY SENIOR EXPO. SJRMC-PLYMOUTH ALSO PROVIDED 68 FREE FLU VACCINES WITH THE HELP OF LOCAL PARTNER DAVID'S COURAGE ADDITIONALLY, TO IMPROVE ACCESS TO HEALTH CARE, SJRMC-PLYMOUTH ADDED AN ADDITIONAL WHEELCHAIR ACCESSIBLE PATIENT SHUTTLE FOR THEIR SOCIAL CARE TEAMS TO UTILIZE, AND A SECOND MOBILE MEDICAL UNIT, DESIGNATED TO PROVIDE IMMUNIZATIONS, SOCIAL NEEDS ASSESSMENTS, AND VARIOUS HEALTH SCREENINGS TO LOCAL BUSINESSES AND COMMUNITY ORGANIZATIONS. |
| PART VI, LINE 6: | SJRMC-PLYMOUTH 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 STATES | IN |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHAD TOWNER | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $41,252 | $0 | $791,771 | $0 | $206 | $0 | $18,069 | $0 | $851,298 | $0 | $655,666 |
| GENEVIEVE LANKOWICZ MD | ||||||||||||||
| SJHS REGIONAL CMO THROUGH 9/22 | $0 | $254,038 | $0 | $76,776 | $0 | $136,849 | $0 | $270,341 | $0 | $34,428 | $0 | $772,432 | $0 | $4,014 |
| CHRISTOPHER KARAM | ||||||||||||||
| DIR; PRES SJRMC-SB; PRES SJRMC-PLY | $0 | $363,740 | $0 | $93,163 | $0 | $64,264 | $0 | $82,034 | $0 | $37,255 | $0 | $640,456 | $0 | $52,754 |
| DOUGLAS STRONG | ||||||||||||||
| FMR OFF;INT PRES MERCYONE SC THR2/23 | $0 | $479,973 | $0 | $0 | $0 | $21,964 | $0 | $13,725 | $0 | $20,813 | $0 | $536,475 | $0 | $0 |
| CRAIG MILLER MD | ||||||||||||||
| DIRECTOR; PHYSICIAN, FAMILY MEDICINE | $0 | $451,095 | $0 | $0 | $0 | $1,332 | $0 | $22,875 | $0 | $34,731 | $0 | $510,033 | $0 | $0 |
| JASON SCHULTZ | ||||||||||||||
| FORMER OFFICER | $0 | $156,677 | $0 | $49,440 | $0 | $92,400 | $0 | $164,051 | $0 | $10,484 | $0 | $473,052 | $0 | $0 |
| PAULA TOTH-RUSSELL MD | ||||||||||||||
| DIRECTOR; NEUROLOGIST | $0 | $359,728 | $0 | $0 | $0 | $1,462 | $0 | $22,875 | $0 | $30,100 | $0 | $414,165 | $0 | $0 |
| ROBERT SINK | ||||||||||||||
| TREAS; CFO THR 8/22; VP FIN AT 9/22 | $0 | $264,418 | $0 | $55,620 | $0 | $14,019 | $0 | $22,875 | $0 | $22,817 | $0 | $379,749 | $0 | $0 |
| JEFFREY MATHIS | ||||||||||||||
| SECRETARY, SJHS GENL COUNSEL | $0 | $230,602 | $0 | $23,806 | $0 | $527 | $0 | $7,918 | $0 | $29,028 | $0 | $291,881 | $0 | $0 |
| ERIC HOLSOPPLE | ||||||||||||||
| HOSPITAL ADMINISTRATOR | $0 | $141,417 | $0 | $9,195 | $0 | $125 | $0 | $9,771 | $0 | $33,661 | $0 | $194,169 | $0 | $0 |
| ZUBAIR UL HAQ | ||||||||||||||
| PHYSICIAN FAMILY MEDICINE | $0 | $171,029 | $0 | $0 | $0 | $241 | $0 | $5,229 | $0 | $16,037 | $0 | $192,536 | $0 | $0 |
| CREIGHTON KAISER | ||||||||||||||
| MANAGER PHARMACY | $0 | $142,445 | $0 | $6,035 | $0 | $110 | $0 | $7,112 | $0 | $30,767 | $0 | $186,469 | $0 | $0 |
| JANELLE JOHNSON | ||||||||||||||
| SERVICE LINE ADMIN DIRECTOR | $0 | $134,295 | $0 | $7,854 | $0 | $260 | $0 | $9,099 | $0 | $29,517 | $0 | $181,025 | $0 | $0 |
| SUZANNE RISNER | ||||||||||||||
| DIRECTOR, SURGICAL SERVICES | $0 | $142,454 | $0 | $7,403 | $0 | $384 | $0 | $11,321 | $0 | $2,885 | $0 | $164,447 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH HOSPITAL'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 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2022. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: GENEVIEVE LANKOWICZ, MD - $119,595 JASON SCHULTZ - $89,375 CHAD TOWNER - $471,474 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/2022: GENEVIEVE LANKOWICZ, MD - $265,766 TO BE PAID IN 2023 JASON SCHULTZ - $157,833 TO BE 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: CHRISTOPHER KARAM - $53,727 CHAD TOWNER - $301,983 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: CHRISTOPHER KARAM - $59,159 THE FOLLOWING ARE PARTICIPANTS 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). THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J PART II. GENEVIEVE LANKOWICZ, MD - $8,867 ROBERT SINK - $61 DOUGLAS STRONG - $0 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SJRMC-PLYMOUTH IS SAINT JOSEPH REGIONAL MEDICAL CENTER. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SAINT JOSEPH REGIONAL MEDICAL CENTER IS THE SOLE MEMBER OF SJRMC-PLYMOUTH. SAINT JOSEPH REGIONAL MEDICAL CENTER HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SJRMC-PLYMOUTH. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, SAINT JOSEPH REGIONAL MEDICAL CENTER MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. 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 A, LINE 8B | LINE 8B IS ANSWERED "NO" BECAUSE SJRMC-PLYMOUTH HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR SJRMC-PLYMOUTH IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. 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 12C | SJRMC-PLYMOUTH 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 SJRMC-PLYMOUTH, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SJRMC-PLYMOUTH 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 SJRMC-PLYMOUTH ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SJRMC-PLYMOUTH OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SJRMC-PLYMOUTH 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 WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SJRMC-PLYMOUTH. 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 15 | QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SJRMC-PLYMOUTH IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT AND CFO COMPENSATION, 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 THE PRESIDENT AND CFO OF SJRMC-PLYMOUTH 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 19 | SJRMC-PLYMOUTH 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, SJRMC-PLYMOUTH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SJRMC-PLYMOUTH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 19,923. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,923. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 579,391. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 579,391. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 4,275,153. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,275,153. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 1,778,262. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,778,262. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 787,059. MANAGEMENT AND GENERAL EXPENSES 86,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 873,734. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 181,898. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 181,898. BILLING SERVICES: PROGRAM SERVICE EXPENSES 355. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS FROM AFFILIATES 1,187,000. OTHER TRANSACTIONS -2,096,035. |
| FORM 990, PART XII, LINE 2: | SJRMC-PLYMOUTH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
| FORM 990, PAGE 1, DOING BUSINESS AS NAMES: | SAINT JOSEPH HEALTH CENTER SAINT JOSEPH WOUND CARE CENTER SAINT JOSEPH SLEEP LAB SAINT JOSEPH HEALTH SYSEM SLEEP DISORDER CENTER - PLYMOUTH PRE-SURGICAL/ANESTHESIA CARE CLINIC INTEGRATED CARE CLINIC SJHS OUTPATIENT REHABILITATION SERVICES AT LIFEPLEX SJHS OUTPATIENT PEDIATRIC REHABILITATION AT LIFEPLEX SJHS OUTPATIENT REHABILITATION SERVICES AT CARMICHAEL SJHS OUTPATIENT REHABILITATION SERVICES AT CULVER MILITARY ACADEMY SAINT JOSEPH HEALTH SYSTEM-PLYMOUTH MEDICAL CENTER PLYMOUTH MEDICAL CENTER SJHS CARDIAC REHABILITATION AT LIFEPLEX SJHS OUTPATIENT REHABILITATION SERVICES AT PLYMOUTH MEDICAL CENTER SAINT JOSEPH FOOT AND ANKLE SPORTS MEDICINE INSTITUTE PLYMOUTH SAINT JOSEPH FITNESS FORUM SPORTS & WELLNESS SAINT JOSEPH REHABILITATION SERVICES AT LIFEPLEX SAINT JOSEPH HEALTH SYSTEM - FITNESS FORUM SPORTS AND WELLNESS |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (229 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | ||||||||||||
| 200 JEFFERSON AVE SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ALLEGANY FRANCISCAN MINISTRIES INC | ||||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 581492325 | GRANT MAKING | FL | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ASYLUM HILL FAMILY MEDICINE CENTER INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450170 | HEALTH CARE SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | BAUM HARMON MERCY HOSPITAL | Yes (1) | ||
| BEECHWOOD INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 141651563 | TITLE HOLDING COMPANY | NY | 501(C)(2) | N/A | LTC (EDDY) INC | Yes (1) | ||
| BETHLEHEM HAVEN OF PITTSBURGH | ||||||||||||
| 905 WATSON STREET | PITTSBURGH | PA | 15219 | 251436685 | HOMELESS SHELTER | PA | 501(C)(3) | LINE 7 | PITTSBURGH MERCY HEALTH SYSTEM INC | Yes (1) | ||
| BEVERWYCK INC | ||||||||||||
| 40 AUTUMN DRIVE | SLINGERLANDS | NY | 12159 | 141717028 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| BRIGHTSIDE INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042182395 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 10 | THE MERCY HOSPITAL INC | Yes (1) | ||
| CAPITAL HEALTH FOUNDATION-EAST TRENTON INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | CAPITAL HEALTH-EAST TRENTON INC | Yes (1) | ||
| CAPITAL HEALTH LIFE INC | ||||||||||||
| 7500 K JOHNSON BOULEVARD | BORDENTOWN | NJ | 08505 | 222797282 | PACE PROGRAM | NJ | 501(C)(3) | LINE 10 | CAPITAL HEALTH-EAST TRENTON INC | Yes (1) | ||
| CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 832199054 | HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 3 | CAPITAL HEALTH-EAST TRENTON INC | Yes (1) | ||
| CAPITAL HEALTH-EAST TRENTON INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| CAPITAL REGION GERIATRIC CENTER INC | ||||||||||||
| 421 WEST COLUMBIA STREET | COHOES | NY | 12047 | 141701597 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||||
| 5315 ELLIOTT DR 102 | YPSILANTI | MI | 48197 | 382507173 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| CATHOLIC HEALTH MINISTRIES | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM | 501(C)(3) | LINE 1 | 0 | VT | N/A | |||
| CENTRAL COMMUNITY HOSPITAL | ||||||||||||
| 901 DAVIDSON ST SW | ELKADER | IA | 52043 | 420818642 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY COMMUNITY HOSPITAL GROUP LLC | Yes (1) | ||
| COVENANT FOUNDATION INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421295784 | FOUNDATION | IA | 501(C)(3) | LINE 7 | COVENANT MEDICAL CENTER INC | Yes (1) | ||
| COVENANT MEDICAL CENTER INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421264647 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 342032340 | HEALTH CARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| DUBUQUE MERCY HEALTH FOUNDATION | ||||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| DYERSVILLE HEALTH FOUNDATION INC | ||||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| EDDY LICENSED HOME CARE AGENCY | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| EMBRACING AGE INC | ||||||||||||
| 333 BUTTERNUT DRIVE | DEWITT | NY | 13214 | 461051881 | PACE PROGRAM | NY | 501(C)(3) | LINE 12B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| EMPIRE HOME INFUSION SERVICE INC | ||||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 10 | HOME AIDE SERVICE OF EASTERN NEW YORK INC | Yes (1) | ||
| FARREN CARE CENTER INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| FRANCISCAN ELDERCARE CORPORATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 223008680 | LONG TERM CARE (INACTIVE) | DE | 501(C)(3) | LINE 10 | ST FRANCIS HOSPITAL INC | Yes (1) | ||
| GENESIS HEALTH SERVICES FOUNDATION | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421421670 | FOUNDATION | IA | 501(C)(3) | LINE 7 | GENESIS HEALTH SYSTEM | Yes (1) | ||
| GENESIS HEALTH SYSTEM | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421418847 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| GENESIS HEALTH SYSTEM (IL) | ||||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363616314 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | EMPLOYEE BENEFIT TRUST | IA | 501(C)(3) | LINE 12A, I | GENESIS HEALTH SYSTEM | Yes (1) | ||
| GENESIS MEDICAL CENTER ALEDO | ||||||||||||
| 409 NW 9TH AVENUE | ALEDO | IL | 61231 | 454475683 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (IL) | Yes (1) | ||
| GLACIER HILLS FOUNDATION | ||||||||||||
| 1200 EARHART RD | ANN ARBOR | MI | 48105 | 208072723 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | GLACIER HILLS INC | Yes (1) | ||
| GLACIER HILLS INC | ||||||||||||
| 1200 EARHART RD | ANN ARBOR | MI | 48105 | 381891500 | SENIOR LIVING COMMUNITY | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| GLEN EDDY INC | ||||||||||||
| 1 GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| GLOBAL HEALTH MINISTRY | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GOOD SAMARITAN HOSPITAL INC | ||||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| GOTTLIEB MEMORIAL FOUNDATION | ||||||||||||
| 701 WEST NORTH AVENUE | MELROSE PARK | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | LINE 12D, III-O | 0 | N/A | ||
| GOTTLIEB MEMORIAL HOSPITAL | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| HAWTHORNE RIDGE INC | ||||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HEARTWOOD LODGE TRINITY HEALTH (FKA NORTH OTTAWA CARE CENTER) | ||||||||||||
| 18525 WOODLAND RIDGE | SPRING LAKE | MI | 49456 | 382602971 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| HERITAGE HOUSE NURSING CENTER INC | ||||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HOLY CROSS CARENET INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48152 | 521945054 | LONG TERM CARE | MD | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| HOLY CROSS HEALTH FOUNDATION INC | ||||||||||||
| 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20910 | 208428450 | FOUNDATION | MD | 501(C)(3) | LINE 7 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH INC | ||||||||||||
| 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20910 | 520738041 | HEALTH CARE AND HOSPITAL SERVICES | MD | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791028 | HEALTH CARE AND HOSPITAL SERVICES | FL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS OUTPATIENT SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 465421068 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS PRIMARY CARE INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 812531495 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS SENIOR SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 832256461 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOME AIDE SERVICE OF EASTERN NEW YORK INC | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141514867 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HOSPICE OF NORTH IOWA | ||||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 10 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| HOSPICE OF NORTH OTTAWA COMMUNITY INC | ||||||||||||
| 1027 SOUTH BEACON BLVD | GRAND HAVEN | MI | 49417 | 382370192 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| HOSPICE OF SIOUXLAND | ||||||||||||
| 230 NEBRASKA STREET | SIOUX CITY | IA | 51103 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| HOUSE OF MERCY | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48105 | 383316559 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| JOHNSON MEMORIAL HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 475676956 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| LANGHORNE MRI INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | HEALTH CARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LIFE AT LOURDES INC | ||||||||||||
| 2475 MCCLELLAN AVENUE | PENNSAUKEN | NJ | 08109 | 261854750 | PACE PROGRAM | NJ | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE AT ST FRANCIS HEALTHCARE INC | ||||||||||||
| 1072 JUSTISON STREET | WILMINGTON | DE | 19801 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE ST JOSEPH OF THE PINES INC | ||||||||||||
| 4900 RAEFORD ROAD | FAYETTEVILLE | NC | 28304 | 272159847 | PACE PROGRAM | NC | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE ST MARY | ||||||||||||
| 2500 NORTHGATE ROAD | TREVOSE | PA | 19053 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LOYOLA MEDICINE TRANSPORT LLC | ||||||||||||
| 905 W NORTH AVE | MELROSE PARK | IL | 60160 | 474147171 | TRANSPORTATION SERVICES | IL | 501(C)(3) | LINE 10 | LOYOLA UNIVERSITY MEDICAL CENTER | Yes (1) | ||
| LOYOLA UNIVERSITY HEALTH SYSTEM | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363342448 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| LOYOLA UNIVERSITY MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364015560 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| LTC (EDDY) INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | MANAGEMENT SERVICES FOR LONG TERM CARE | NY | 501(C)(3) | LINE 12B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 911940902 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MCAULEY CENTER INC | ||||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | SENIOR LIVING COMMUNITY | CT | 501(C)(3) | LINE 10 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MCAULEY MINISTRIES | ||||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | GRANT MAKING | PA | 501(C)(3) | LINE 12B, II | PITTSBURGH MERCY HEALTH SYSTEM INC | Yes (1) | ||
| MEDIC EMS | ||||||||||||
| 1204 E HIGH STREET | DAVENPORT | IA | 52803 | 421186903 | AMBULANCE TRANSFERS | IA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | ||
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | VOLUNTEER SERVICE AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MERCY FOUNDATION OF DES MOINES IA | Yes (1) | ||
| MERCY CARE CENTER | ||||||||||||
| 3753 SOUTH COTTAGE GROVE AVE | CHICAGO | IL | 60653 | 853904921 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY CARE FOUNDATION INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FOUNDATION | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| 3805 W CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 231352191 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY CLINICS INC | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 10 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421511682 | COLLEGE OF HEALTH SCIENCE | IA | 501(C)(3) | LINE 2 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY COMMUNITY HEALTH INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061492707 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 12B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY FAMILY SUPPORT | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY FOUNDATION OF DES MOINES IA | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FOUNDATION | IA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY FOUNDATION INC | ||||||||||||
| 2160 SOUTH FIRST AVENUE ACCT DEPT | MAYWOOD | IL | 60153 | 363227350 | FOUNDATION | IL | 501(C)(3) | LINE 7 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | ||||||||||||
| 888 TERRACE STREET | MUSKEGON | MI | 49440 | 383321856 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232829864 | FOUNDATION | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY HEALTH NETWORK INC | ||||||||||||
| 1449 NW 128TH ST BLDG 5 SUITE 200 | CLIVE | IA | 50325 | 421478417 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH PARTNERS | ||||||||||||
| 1500 E SHERMAN BLVD | MUSKEGON | MI | 49444 | 382589966 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HEALTH PLAN | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY HEALTH SERVICES - IOWA CORP | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF CHICAGO | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363163327 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE FOUNDATION - CLINTON | ||||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY MEDICAL CENTER - CLINTON INC | Yes (1) | ||
| MERCY HOME HEALTH | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HOME HEALTH SERVICES | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232325058 | MANAGEMENT SERVICES FOR HOME HEALTH | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 362170152 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY HOSPITAL CADILLAC FOUNDATION | ||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 203357131 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL OF FRANCISCAN SISTERS INC | ||||||||||||
| 201 8TH AVENUE SE | OELWEIN | IA | 50662 | 421178403 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| MERCY LIFE | ||||||||||||
| 1930 SOUTH BROAD STREET | PHILADELPHIA | PA | 19145 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE CENTER CORPORATION | ||||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY OUTREACH | PA | 501(C)(3) | LINE 10 | PITTSBURGH MERCY HEALTH SYSTEM INC | Yes (1) | ||
| MERCY LIFE OF ALABAMA | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE INC | ||||||||||||
| 200 HILLSIDE CIRCLE | WEST SPRINGFIELD | MA | 01089 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232627944 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||||
| 1 ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - CLINTON INC | ||||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - NEWTON | ||||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50208 | 421470935 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 454884805 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY SENIOR CARE INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581366508 | COMMUNITY OUTREACH | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES DOWNTOWN INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | TITLE HOLDING COMPANY | GA | 501(C)(3) | LINE 12B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382719605 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY SPECIALIST PHYSICIANS INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 264033168 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY SUBURBAN HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 231396763 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MOUNT CARMEL COLLEGE OF NURSING | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | LINE 2 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH INSURANCE COMPANY | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 873948434 | MEDICARE HMO | CT | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF IDAHO INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 831422704 | MEDICARE HMO | ID | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF NEW YORK INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 833278543 | MEDICARE HMO | NY | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311471229 | MEDICARE HMO | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311439334 | HEALTH CARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311113966 | FOUNDATION | OH | 501(C)(3) | LINE 12A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT SINAI HOSPITAL FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 222584082 | FOUNDATION | CT | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | ||
| MOUNT SINAI REHABILITATION HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061422973 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| MOUNT ST JOSEPH | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 010274998 | LONG TERM CARE | ME | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||||
| 1675 LEAHY ST SUITE 210 | MUSKEGON | MI | 49442 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | ||
| NAZARETH HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232794121 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| NAZARETH PHYSICIAN SERVICES INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 203261266 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NORTH OTTAWA HOSPITAL AUXILIARY INC | ||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 386088836 | FUNDRAISING | MI | 501(C)(3) | LINE 12D, III-O | 0 | N/A | ||
| NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421207432 | TITLE HOLDING COMPANY | IA | 501(C)(2) | N/A | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| PO BOX 203 | SIOUX CITY | IA | 51102 | 208072234 | HEALTH CARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| PO BOX 203 | SIOUX CITY | IA | 51102 | 311678345 | FOUNDATION | NE | 501(C)(3) | LINE 12A, I | OAKLAND MERCY HOSPITAL | Yes (1) | ||
| OSUMOUNT CARMEL HEALTH ALLIANCE | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311654603 | COOPERATIVE HEALTH CARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| OUR LADY OF MERCY LIFE CENTER | ||||||||||||
| 2 MERCYCARE LANE | GUILDERLAND | NY | 12084 | 141743506 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 454208896 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| PITTSBURGH MERCY HEALTH SYSTEM INC | ||||||||||||
| 3333 5TH AVENUE | PITTSBURGH | PA | 15213 | 251464211 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| PROBILITY THERAPY SERVICES | ||||||||||||
| 2058 S STATE STREET | ANN ARBOR | MI | 48104 | 202020239 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROFESSIONAL MED TEAM | ||||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MERCY HEALTH PARTNERS | Yes (1) | ||
| RIVERBEND MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 811807730 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| SJ MANAGEMENT COMPANY OF SYRACUSE INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 271763712 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 12A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| SAINT AGNES MEDICAL CENTER | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTH CARE AND HOSPITAL SERVICES | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT AGNES MEDICAL FOUNDATION | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTH CARE SERVICES | CA | 501(C)(3) | LINE 12A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | ||
| SAINT ALPHONSUS DIVERSIFIED CARE INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | HEALTH CARE SYSTEM SUPPORT | ID | 501(C)(3) | LINE 12A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT ALPHONSUS FOUNDATION-BAKER CITY INC | ||||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | FOUNDATION | OR | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC | Yes (1) | ||
| SAINT ALPHONSUS FOUNDATION-ONTARIO INC | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | FOUNDATION | OR | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC | Yes (1) | ||
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | VOLUNTEER SERVICE AUXILIARY | OR | 501(C)(3) | LINE 10 | SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC | ||||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | HEALTH CARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC | ||||||||||||
| 4300 E FLAMINGO AVENUE | NAMPA | ID | 83687 | 261737256 | FOUNDATION | ID | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | ||||||||||||
| 4300 E FLAMINGO AVENUE | NAMPA | ID | 83687 | 820200896 | HEALTH CARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | HEALTH CARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTH CARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT FRANCIS EMERGENCY MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 451994612 | HEALTH CARE SERVICES | CT | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF NEW ENGLAND PNO INC | Yes (1) | ||
| SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646813 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061008255 | FOUNDATION | CT | 501(C)(3) | LINE 7 | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | Yes (1) | ||
| SAINT JOSEPH PACE INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473129127 | PACE PROGRAM | IN | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | ||||||||||||
| PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTH CARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 350868157 | HEALTH CARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 351568821 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S HEALTH SYSTEM INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581744848 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S MERCY CARE SERVICES INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581752700 | HEALTH CARE SERVICES | GA | 501(C)(3) | LINE 10 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| SAINT JOSEPH'S TOWER INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 311040468 | SENIOR LIVING COMMUNITY | IN | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES-INDIANA INC | Yes (1) | ||
| SAINT MARY HOME INCORPORATED | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060646843 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| SAINT MARY'S AMICARE HOME HEALTHCARE | ||||||||||||
| 1430 MONROE NW STE 120 | GRAND RAPIDS | MI | 49505 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| SAINT MARY'S FOUNDATION | ||||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | FOUNDATION | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| SAINT MARY'S HOSPITAL FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 222528400 | FOUNDATION | CT | 501(C)(3) | LINE 7 | SAINT MARY'S HOSPITAL INC | Yes (1) | ||
| SAINT MARY'S HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646844 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| SAMARITAN HOSPITAL | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SAMARITAN HOSPITAL AND THE EDDY FOUNDATION | ||||||||||||
| 310 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222743478 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SARTORI HEALTH CARE FOUNDATION INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421240996 | FOUNDATION | IA | 501(C)(3) | LINE 7 | SARTORI MEMORIAL HOSPITAL INC | Yes (1) | ||
| SARTORI MEMORIAL HOSPITAL INC | ||||||||||||
| 515 COLLEGE STREET | CEDAR FALLS | IA | 50613 | 420758901 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| SENIOR CARE CONNECTION INC | ||||||||||||
| 1938 CURRY ROAD | SCHENECTADY | NY | 12303 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE | ||||||||||||
| ONE ABELE BLVD | CLIFTON PARK | NY | 12065 | 141756230 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| SIOUXLAND PARAMEDICS INC | ||||||||||||
| PO BOX 3349 | SIOUX CITY | IA | 51102 | 421185707 | MEDICAL TRANSPORTATION SERVICES | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| SISTERS OF PROVIDENCE CARE CENTERS INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| SJHSJOC HOLDINGS INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | HEALTH CARE SYSTEM SUPPORT | GA | 501(C)(3) | LINE 12B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| ST FRANCIS HOSPITAL INC | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 223127184 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH MERCY CHELSEA INC | ||||||||||||
| 775 SOUTH MAIN ST | CHELSEA | MI | 48118 | 824757260 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ST JOSEPH OF THE PINES INC | ||||||||||||
| 100 GOSSMAN DRIVE | SOUTHERN PINES | NC | 28387 | 560694200 | LONG TERM CARE | NC | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 206 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 202497520 | COLLEGE OF NURSING | NY | 501(C)(3) | LINE 2 | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S HEALTH AT HOME INC | ||||||||||||
| 7246 JANUS PARK | LIVERPOOL | NY | 13088 | 871012253 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| ST JOSEPH'S HEALTH CENTER PROPERTIES INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 237219294 | BUILDING MANAGEMENT SERVICES | NY | 501(C)(3) | LINE 12B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S HEALTH INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 474754987 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 150532254 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 222149775 | FOUNDATION | NY | 501(C)(3) | LINE 12B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S MEDICAL PC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 273899821 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 12A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S PHYSICIAN HEALTH PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 161516863 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 12A, I | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST MARY BUILDING AND DEVELOPMENT | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | TITLE HOLDING COMPANY | PA | 501(C)(2) | N/A | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY EMERGENCY MEDICAL SERVICES | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 465354512 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY MEDICAL CENTER | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| ST MARY'S FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S GOOD SAMARITAN FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 811660088 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S HIGHLAND HILLS INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | SENIOR LIVING COMMUNITY | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S HOSPITAL INC (FKA ST MARY'S HEALTH CARE SYSTEM INC) | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 580566223 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S MEDICAL GROUP INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 261858563 | HEALTH CARE SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S SACRED HEART HOSPITAL INC | ||||||||||||
| 367 CLEAR CREEK PARKWAY | LAVONIA | GA | 30553 | 473752176 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 453570715 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 141348692 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL FOUNDATION INC | ||||||||||||
| 310 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222262982 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER | ||||||||||||
| 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 141338386 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | FOUNDATION | NY | 501(C)(3) | LINE 7 | SUNNYVIEW HOSPITAL AND REHABILITATION CENTER | Yes (1) | ||
| THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 203018640 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 12C, III-FI | ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC | Yes (1) | ||
| THE COMMUNITY HOSPICE FOUNDATION INC | ||||||||||||
| 445 NEW KARNER RD | ALBANY | NY | 12205 | 222692940 | FOUNDATION | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | ||
| THE COMMUNITY HOSPICE INC | ||||||||||||
| 445 NEW KARNER RD | ALBANY | NY | 12205 | 141608921 | HOSPICE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||||||||||||
| 707 EAST CEDAR STREET STE 100 | SOUTH BEND | IN | 46617 | 351654543 | FOUNDATION | IN | 501(C)(3) | LINE 7 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | ||||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| THE MARJORIE DOYLE ROCKWELL CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141793885 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| THE MERCY HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 043398280 | HEALTH CARE AND HOSPITAL SERVICES | MA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060660403 | VOLUNTEER SERVICE AUXILIARY | CT | 501(C)(3) | LINE 12B, II | 0 | N/A | ||
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | ||||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| TRINITY CONTINUING CARE SERVICES | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - INDIANA | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | LONG TERM CARE | IN | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 824005577 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY HEALTH - MICHIGAN | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH CORPORATION | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTH MINISTRIES | Yes (1) | ||
| TRINITY HEALTH GEORGIA INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 880878641 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL) | ||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 383330803 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | ||
| TRINITY HEALTH LIFE PENNSYLVANIA INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 475244984 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| TRINITY HEALTH OF NEW ENGLAND CORPORATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061491191 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 833546613 | HEALTH CARE SERVICES | CT | 501(C)(3) | LINE 10 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450168 | HEALTH CARE SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| TRINITY HEALTH OF THE MID-ATLANTIC REGION | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232212638 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH PACE | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH PACE ALEXANDRIA INC | ||||||||||||
| 3403 GOVERNMENT STREET | ALEXANDRIA | LA | 71302 | 923433625 | PACE PROGRAM | LA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC | ||||||||||||
| 200 PERRY PARKWAY | GAITHERSBURG | MD | 20877 | 923450659 | PACE PROGRAM | MD | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PACE OF PENSACOLA INC | ||||||||||||
| 5020 COMMERCE PARK CIRCLE | PENSACOLA | FL | 32505 | 922940854 | PACE PROGRAM | FL | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH WELFARE BENEFIT TRUST | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HOME HEALTH SERVICES | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| VILLA MARY IMMACULATE | ||||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| WHEATON FRANCISCAN HEALTHCARE-IOWA INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421177001 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IA | 501(C)(3) | LINE 12C, III-FI | MERCY HEALTH NETWORK INC | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (53 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | |||||||||
| 625 KENMOOR AVE SE SUITE 100 | GRAND RAPIDS | MI | 49546 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | 0 | Yes (1) |
| BH VENTURE ONE LP | |||||||||
| 905 WATSON STREET | PITTSBURGH | PA | 15219 | 384098074 | REAL ESTATE | PA | N/A | 0 | Yes (1) |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 48213 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| CENTER FOR DIGESTIVE CARE LLC | |||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | 0 | 0 |
| CENTRAL NEW JERSEY HEART SERVICES LLC | |||||||||
| 45 SAPPHIRE DRIVE | PRINCETON | NJ | 08550 | 208525458 | CARDIAC PROGRAM | NJ | N/A | 0 | 0 |
| CLINTON IMAGING SERVICES LLC | |||||||||
| 1410 N 4TH STREET | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | 0 | 0 |
| CONVENIENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 721439481 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| DIAGNOSTIC IMAGING OF SOUTHBURY LLC | |||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061487582 | IMAGING CENTER | CT | N/A | 0 | Yes (1) |
| EVERETT ROAD ASC LLC | |||||||||
| 30 CENTURY HILL DRIVE | LATHAM | NY | 12110 | 833542382 | MEDICAL SERVICES | NY | N/A | 0 | Yes (1) |
| FOREST PARK IMAGING LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | 0 | Yes (1) |
| GENGASTRO LLC | |||||||||
| 2222 53RD AVENUE | BETTENDORF | IA | 52722 | 562315623 | AMBULATORY SURGERY CENTER | IA | N/A | 0 | 0 |
| GENRAD IMAGING ILLINOIS LLC | |||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 473785124 | DIAGNOSTIC IMAGING CENTER | IL | N/A | 0 | Yes (1) |
| GENRAD IMAGING LLC | |||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 453571628 | DIAGNOSTIC IMAGING CENTER | IA | N/A | 0 | Yes (1) |
| HAWARDEN REGIONAL HEALTH CLINICS LLC | |||||||||
| 1111 11TH ST | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | 0 | Yes (1) |
| HURON GASTRO ENDOSCOPY CENTER LLC | |||||||||
| 5300 ELLIOTT DR | YPSILANTI | MI | 48197 | 853580801 | MEDICAL SERVICES | MI | N/A | 0 | 0 |
| INTERMOUNTAIN MEDICAL IMAGING LLC | |||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | IMAGING CENTER | ID | N/A | 0 | Yes (1) |
| LAKE CHARLES URGENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 272272979 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| LARSON CENTER LLP | |||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363738454 | PROPERTY MANAGEMENT | IL | N/A | 0 | Yes (1) |
| LCMC URGENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 300951534 | URGENT CARE CENTER | DE | N/A | 0 | Yes (1) |
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | |||||||||
| 569 BROOKWOOD VILLAGE901 | BIRMINGHAM | AL | 35209 | 364119522 | SURGICAL SERVICES | IL | N/A | 0 | Yes (1) |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | |||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | 0 | Yes (1) |
| MASON CITY AMBULATORY SURGERY CENTER LLC | |||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | 0 | Yes (1) |
| MCE MOB IV LIMITED PARTNERSHIP | |||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| MEDILUCENT MOB I | |||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| MEDWORKS LLC | |||||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A | 0 | 0 |
| MERCY HEART CTR OP SERVICES LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | 0 | 0 |
| MERCY REHABILITATION HOSPITAL LLC | |||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 814437201 | HEALTH CARE SERVICES | IA | N/A | 0 | 0 |
| MERCYMANOR PARTNERSHIP | |||||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A | 0 | Yes (1) |
| MERCYUSP HEALTH VENTURES LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 471290300 | OUTPATIENT SURGERY | IA | N/A | 0 | 0 |
| MERCYONE - HFH HOME MEDICAL SHOP LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 854007472 | MEDICAL EQUIPMENT SALES | IA | N/A | 0 | 0 |
| NAUGATUCK VALLEY MRI LLC | |||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061239526 | IMAGING CENTER | CT | N/A | 0 | 0 |
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | |||||||||
| 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | 0 | Yes (1) |
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | |||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A | 0 | Yes (1) |
| PREMIER HEALTH HOLDINGS LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 472665226 | URGENT CARE CENTERS | DE | N/A | 0 | 0 |
| PRIMARY CARE PHYSICIAN CENTER LLC | |||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364038505 | OFFICE BUILDING RENTAL | IL | N/A | 0 | Yes (1) |
| RADISSON SJH PROPERTIES LLC | |||||||||
| 100 MADISON STREET SUITE 1200 | SYRACUSE | NY | 13202 | 461892799 | MEDICAL OFFICE BUILDING | NY | N/A | 0 | Yes (1) |
| RAPIDES AFTER HOURS CLINIC LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 451772383 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 843522377 | OUTPATIENT SURGERY | CA | N/A | 0 | 0 |
| SAINT AGNESUSP SURGERY CENTERS LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 364896811 | MEDICAL SERVICES | CA | N/A | 0 | 0 |
| SIXTY FOURTH STREET LLC | |||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | 0 | 0 |
| SJLS LLC | |||||||||
| 920 WINTER ST | WALTHAM | MA | 02451 | 201796650 | DIALYSIS SERVICES | NY | N/A | 0 | 0 |
| SMMC MOB II LP | |||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 364559869 | INVESTMENT AND OPERATION OF A MEDICAL BUILDING | PA | N/A | 0 | 0 |
| ST AGNES LONG-TERM INTENSIVE CARE LLP | |||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 200984882 | LONG TERM INTENSIVE CARE | PA | N/A | 0 | Yes (1) |
| ST ALPHONSUS CALDWELL CANCER CENTER LLC | |||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | HEALTH CARE SERVICES | ID | N/A | 0 | Yes (1) |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | |||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| ST JOSEPH'S IMAGING ASSOCIATES PLLC | |||||||||
| 104 UNION AVE SUITE 905 | SYRACUSE | NY | 13203 | 161104293 | RADIOLOGY SERVICES | NY | N/A | 0 | Yes (1) |
| ST MARY REHABILITATION HOSPITAL LLP | |||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 273938747 | HEALTH CARE SERVICES | DE | N/A | 0 | 0 |
| ST PETER'S AMBULATORY SURGERY CENTER LLC | |||||||||
| 1375 WASHINGTON AVE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A | 0 | Yes (1) |
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | |||||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 272871206 | OUTPATIENT SURGERY | PA | N/A | 0 | Yes (1) |
| THPH URGENT CARE LLC | |||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 852464958 | URGENT CARE CENTERS | DE | N/A | 0 | 0 |
| WEST LAKES SURGERY CENTER LLC | |||||||||
| 12499 UNIVERSITY AVENUE SUITE 100 | CLIVE | IA | 50325 | 205345295 | OUTPATIENT SURGERY | IA | N/A | 0 | 0 |
| WOODLAND IMAGING CENTER LLC | |||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/ IMAGING | MI | N/A | 0 | 0 |
| WOODLAND PARTNERS REAL ESTATE LLC | |||||||||
| 129 WOODLAND STREET | HARTFORD | CT | 06105 | 833371094 | REAL ESTATE | CT | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE HORAN BUILDING CORPORATION | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||
| CENTRAL VALLEY HEALTH PLAN INC | |||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 611846844 | HEALTH INSURANCE | CA | N/A | C | Yes (1) | ||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | Yes (1) | ||||
| FHS SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 272995699 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN ASSOCIATES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 202991688 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN HEALTH SUPPORT INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161236354 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN MANAGEMENT SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161351193 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANKLIN MEDICAL GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061470493 | PHYSICIAN OFFICE | CT | N/A | C | Yes (1) | ||||
| GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 863949369 | PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| GENVENTURES INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421269171 | SUPPORT SERVICES/PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||
| HEALTH CARE MANAGEMENT ADMINISTRATORS INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161450960 | HEALTH CARE MANAGEMENT | NY | N/A | C | Yes (1) | ||||
| HURON ARBOR CORPORATION | |||||||||||||
| 5301 EAST HURON RIVER DR | ANN ARBOR | MI | 48106 | 382475644 | OFFICE RENTAL | MI | N/A | C | Yes (1) | ||||
| IHA AFFILIATION CORPORATION | |||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES II INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 263795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232625981 | GENERAL PARTNER OF LMOB PARTNERS | PA | N/A | C | Yes (1) | ||||
| MACNEAL HEALTH PROVIDERS INC | |||||||||||||
| 750 PASQUINELLI DRIVE SUITE 216 | WESTMONT | IL | 60059 | 363361297 | MEDICAL SERVICES | IL | N/A | C | Yes (1) | ||||
| MARYLAND CARE GROUP INC | |||||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 521815313 | HEALTH CARE HOLDING | MD | N/A | C | Yes (1) | ||||
| MAXIS HEALTH TRENTON INC | |||||||||||||
| 20555 VICTOR PKWY | LIVONIA | MI | 48152 | 884267557 | PROPERTY HOLDINGS | NJ | N/A | C | Yes (1) | ||||
| MCMC EASTWICK INC | |||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||
| MEDNOW INC | |||||||||||||
| 4300 E FLAMINGO AVE | NAMPA | ID | 83687 | 820389927 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||
| MERCY MEDICAL SERVICES | |||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | Yes (1) | ||||
| MISERICORDIA ASSURANCE COMPANY LTD | |||||||||||||
| 980457943 | SELF-INSURANCE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| MOB 1 OWNERS' ASSOCIATION | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311382442 | MEDICAL SERVICES | OH | N/A | C | Yes (1) | ||||
| NURSING NETWORK INC | |||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | 591145192 | MEDICAL SERVICES | FL | N/A | C | Yes (1) | ||||
| SAINT ALPHONSUS HEALTH ALLIANCE INC | |||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820524649 | ACCOUNTABLE CARE ORGANIZATION | ID | N/A | C | Yes (1) | ||||
| SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061384686 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAINT FRANCIS CARE MEDICAL GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAINT JOSEPH'S MCAULEY PARK I LLC | |||||||||||||
| 424 DECATUR ST | ATLANTA | GA | 30312 | 880592157 | PROPERTY MANAGEMENT | GA | N/A | C | Yes (1) | ||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061232868 | PROPERTY MANAGEMENT | CT | N/A | C | Yes (1) | ||||
| SJM PROPERTIES INC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 161294991 | PROPERTY HOLDINGS | NY | N/A | C | Yes (1) | ||||
| SJPE PRACTICE MANAGEMENT SERVICES INC | |||||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 454164964 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| SJRMC HOLDINGS INC | |||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 474763735 | PROPERTY HOLDINGS | IN | N/A | C | Yes (1) | ||||
| ST ELIZABETH HEALTH SUPPORT SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161540486 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| SYNANON INC | |||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 382715568 | URGENT CARE | MI | N/A | C | Yes (1) | ||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042938161 | LAB SERVICES | MA | N/A | C | Yes (1) | ||||
| THRE SERVICES LLC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||
| TRINITY ASSURANCE LTD | |||||||||||||
| 980453602 | SELF-INSURANCE | N/A | C | Yes (1) | PO BOX 1159 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| TRINITY HEALTH ACO INC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473794666 | ACCOUNTABLE CARE ORGANIZATION | DE | N/A | C | Yes (1) | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383410377 | GRANTOR TRUST | MI | N/A | T | Yes (1) | ||||
| TRINITY SENIOR SERVICES MANAGEMENT INC | |||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 371572595 | SENIOR SERVICES | PA | N/A | C | Yes (1) | ||||
| WORKPLACE HEALTH OF GRAND HAVEN INC | |||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| C | $1,187,000 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| K | $140,656 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| M | $10,001,793 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| P | $362,713 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| R | $327,603 | PER BOOKS |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||
| S | $138,563 | PER BOOKS |
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | ||
| C | $153,428 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $362,699 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $225,327 | PER BOOKS |