SAINT AGNES MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SAINT AGNES MEDICAL CENTER (EIN 94-1437713)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202321359349314027
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T15:27:25-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941437713 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT AGNES MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 5594503000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 EAST HERNDON AVENUE | AddressLine1Txt |
| City | FRESNO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI DONOVAN | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 5594503000 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRI | PersonFirstNm |
| Person Last | DONOVAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRI DONOVAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 EAST HERNDON AVENUE | AddressLine1Txt |
| City | FRESNO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $638,662,523 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAMC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 3558 | TotalEmployeeCnt |
| Total Volunteers | 76 | TotalVolunteersCnt |
| Total Gross UBI | $660,676 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $364,539 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,478,040 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,001,642 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $568,383,005 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $596,682,943 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,209,600 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,831,483 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,912,609 | PYOtherRevenueAmt |
| CY Other Revenue | $4,819,974 | CYOtherRevenueAmt |
| PY Total Revenue | $601,983,254 | PYTotalRevenueAmt |
| CY Total Revenue | $635,336,042 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $656,810 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,610,717 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $227,965,661 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $251,642,975 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $609,709 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $306,198,516 | PYOtherExpensesAmt |
| CY Other Expenses | $393,364,165 | CYOtherExpensesAmt |
| PY Total Expenses | $534,820,987 | PYTotalExpensesAmt |
| CY Total Expenses | $646,617,857 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $67,162,267 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$11,281,815 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $855,868,786 | TotalAssetsBOYAmt |
| Total Assets EOY | $734,162,920 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $262,686,747 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $231,959,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $593,182,039 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $502,203,107 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, SAINT AGNES MEDICAL CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT AGNES MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $603,942,885 | ExpenseAmt |
| Grant | $1,610,717 | GrantAmt |
| Revenue | $597,565,109 | RevenueAmt |
| Desc | SAINT AGNES MEDICAL CENTER, LOCATED IN FRESNO, CALIFORNIA, IS AN ACUTE-CARE HOSPITAL SERVING THE RESIDENTS IN FOUR LOCAL COUNTIES; FRESNO, MADERA, KINGS, AND TULARE. SAINT AGNES MEDICAL CENTER OPERATES A 436-BED, STATE-OF-THE-ART MEDICAL CENTER CAMPUS, BRINGING TOGETHER THE MOST ADVANCED EQUIPMENT AND FACILITIES, AND THE EXPERTISE OF TOP-RANKED PHYSICIANS AND STAFF. FOR OVER 80 YEARS, SAINT AGNES MEDICAL CENTER HAS PROMISED TO PROVIDE THE HIGHEST QUALITY, MOST COMPASSIONATE HEALTH CARE TO THE PEOPLE IN THE SAN JOAQUIN VALLEY. FROM EMERGENCY, DIAGNOSTIC AND REHABILITATIVE SERVICES TO CARDIAC, CANCER, NEUROLOGICAL AND ORTHOPEDIC CARE, SAINT AGNES MEDICAL CENTER CAN BE TRUSTED TO BE THERE TO SERVE THE PEOPLE OF THESE COMMUNITIES FOR YEARS TO COME. IN FISCAL YEAR 2022, THE HOSPITAL PROVIDED 115,792 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.SAMC.COM | Desc |
| Total Program Service Expenses | $603,942,885 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 482 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3558 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRITTNEE BROWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5594503559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 E HERNDON AVENUE | AddressLine1Txt |
| City | FRESNO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SHERI SHAPIRO | ||||||||||
| DIR; TH SVP, CHIEF STRATEGY OFFICER | 2.00 | 48.00 | Yes (X) | $0 | $1,102,519 | $49,106 | ||||
| NANCY HOLLINGSWORTH | ||||||||||
| DIRECTOR; PRESIDENT & CEO | 54.00 | 1.00 | Yes (X) | $0 | $831,148 | $62,846 | Yes (X) | |||
| W EUGENE EGERTON MD | ||||||||||
| CHIEF MEDICAL OFFICER | 49.00 | 1.00 | $0 | $572,583 | $42,509 | Yes (X) | ||||
| STACY VAILLANCOURT | ||||||||||
| CHIEF OPERATING OFFICER | 50.00 | 0.00 | $0 | $416,463 | $42,233 | Yes (X) | ||||
| DEANETTE SISSON | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $0 | $369,676 | $37,186 | Yes (X) | ||||
| RICK WOLF | ||||||||||
| SECRETARY; ASSOCIATE COUNSEL | 49.00 | 1.00 | $0 | $318,834 | $42,118 | Yes (X) | ||||
| EDNANN NAZ | ||||||||||
| CHIEF MEDICAL INFORMATICS OFFICER | 50.00 | 0.00 | $306,686 | $0 | $34,606 | Yes (X) | ||||
| DANIEL POWELL | ||||||||||
| INTERIM TREASURER & CFO THRU 10/21 | 49.00 | 1.00 | $0 | $319,976 | $16,710 | Yes (X) | ||||
| GERALD MARGOSIAN | ||||||||||
| COORDINATOR PHARMACY OPERATIONS | 50.00 | 0.00 | $254,994 | $0 | $47,302 | Yes (X) | ||||
| MARK MESSING | ||||||||||
| ADMINISTRATIVE DIRECTOR OF NURSING | 50.00 | 0.00 | $270,086 | $0 | $28,775 | Yes (X) | ||||
| SHERMAN KONG | ||||||||||
| PHARMACIST | 50.00 | 0.00 | $255,399 | $0 | $20,142 | Yes (X) | ||||
| MICHAEL FREUDIGER | ||||||||||
| CHARGE PHARMACIST | 50.00 | 0.00 | $254,616 | $0 | $20,907 | Yes (X) | ||||
| TONI KAZARIAN | ||||||||||
| FORMER KE; DIR PATIENT LOGISTICS | 50.00 | 0.00 | $206,904 | $0 | $37,080 | Yes (X) | ||||
| MICHAEL PRUSAITIS | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $154,363 | $9,718 | Yes (X) | ||||
| TERRI DONOVAN PAID BY MGMT CO | ||||||||||
| INTERIM CFO AS OF 10/21 | 30.00 | 8.00 | $0 | $0 | $0 | Yes (X) | ||||
| JUDGE ROBERT OLIVER | ||||||||||
| DIRECTOR; CHAIR | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PILAR DELACRUZ SAMOULIAN | ||||||||||
| DIRECTOR; VICE CHAIR THROUGH 12/21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LUIS SANTANA | ||||||||||
| DIRECTOR; VICE CHAIR AS OF 1/22 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARY BOWLER CSC | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAROLYN DRAKE | ||||||||||
| DIRECTOR THROUGH 12/21 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALLEN EVANS MD | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| A THOMAS FERDINANDI JR | ||||||||||
| DIRECTOR THROUGH 12/21 | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN KUSZMAR | ||||||||||
| DIRECTOR AS OF 1/22 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIE MALDONADO | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRENCE O'ROURKE MD | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALPINDER SANDHU MD | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RON WATHEN | ||||||||||
| DIRECTOR AS OF 1/22 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DORA WESTERLUND | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAO YANG | ||||||||||
| DIRECTOR AS OF 1/22 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANET YOUNG | ||||||||||
| DIRECTOR AS OF 1/22 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,548,685 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,085,562 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $491,238 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 688 | 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 |
|---|---|---|---|---|---|
| HALLMARK HEALTH CARE SOLUTIONS INC | |||||
| PO BOX 22937 | NEW YORK | NY | 108872937 | TEMPORARY MEDICAL STAFFING SERVICES | $16,515,605 |
| STRATEGIC STAFFING SOLUTIONS | |||||
| 645 GRISWOLD STREET | DETROIT | MI | 48226 | TEMPORARY MEDICAL STAFFING SERVICES | $8,257,509 |
| ANESTHESIA CONSULTANTS OF FRESNO | |||||
| 7417 NORTH CEDAR AVE | FRESNO | CA | 93720 | PHYSICIAN SERVICES | $3,883,952 |
| CENTRAL CALIFORNIA BLOOD CENTER | |||||
| 4343 W HERNDON AVE | FRESNO | CA | 93722 | HEALTH CARE SERVICES | $3,435,322 |
| ST AGNES MEDICAL PROVIDERS | |||||
| 1111 EAST SPRUCE AVENUE | FRESNO | CA | 93720 | MEDICAL PROFESSIONAL SERVICES | $3,180,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 106 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $260,000 | RelatedOrganizationsAmt |
| Government Grants | $8,728,794 | GovernmentGrantsAmt |
| All Other Contributions | $4,012,848 | AllOtherContributionsAmt |
| Noncash Contributions | $49,366 | NoncashContributionsAmt |
| Total Contributions | $13,001,642 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $596,682,943 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $596,022,267 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $660,676 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $596,682,943 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,759,633 | TotalRevenueColumnAmt |
| Exclusion | $14,759,633 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,623,261 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,233,944 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,389,317 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,389,317 | TotalRevenueColumnAmt |
| Exclusion | $1,389,317 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,023,350 | SecuritiesAmt |
| Other | $48,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,023,350 | SecuritiesAmt |
| Other | $48,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,071,850 | TotalRevenueColumnAmt |
| Exclusion | $6,071,850 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $147,530 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $92,537 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $54,993 | TotalRevenueColumnAmt |
| Exclusion | $54,993 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $1,832,822 | $1,832,822 | |
| OTHER RELATED REVENUE | 621110 | $993,949 | $993,949 | |
| MANAGEMENT SERVICE REVENUE | 541610 | $548,893 | $548,893 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,375,664 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $635,336,042 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $597,565,109 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $660,676 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,108,615 | 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 | $1,523,109 | TotalAmt |
| Program Services | $1,523,109 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,608 | TotalAmt |
| Program Services | $87,608 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,072,282 | TotalAmt |
| Management And General | $3,072,282 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,186 | TotalAmt |
| Program Services | $89,899 | ProgramServicesAmt |
| Management And General | $418,287 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,961,731 | TotalAmt |
| Program Services | $202,915,207 | ProgramServicesAmt |
| Management And General | $7,725,978 | ManagementAndGeneralAmt |
| Fundraising | $320,546 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,312,812 | TotalAmt |
| Program Services | $7,975,785 | ProgramServicesAmt |
| Management And General | $324,428 | ManagementAndGeneralAmt |
| Fundraising | $12,599 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,450,182 | TotalAmt |
| Program Services | $12,929,796 | ProgramServicesAmt |
| Management And General | $499,949 | ManagementAndGeneralAmt |
| Fundraising | $20,437 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,337,782 | TotalAmt |
| Program Services | $14,622,662 | ProgramServicesAmt |
| Management And General | $693,825 | ManagementAndGeneralAmt |
| Fundraising | $21,295 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,346 | TotalAmt |
| Program Services | $165,346 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,040 | TotalAmt |
| Management And General | $545,040 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,807 | TotalAmt |
| Management And General | $166,807 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,920 | TotalAmt |
| Management And General | $75,920 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,375 | TotalAmt |
| Management And General | $541,375 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,235,248 | TotalAmt |
| Program Services | $93,773,791 | ProgramServicesAmt |
| Management And General | $2,381,184 | ManagementAndGeneralAmt |
| Fundraising | $80,273 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,549,204 | TotalAmt |
| Program Services | $157,849 | ProgramServicesAmt |
| Management And General | $1,386,187 | ManagementAndGeneralAmt |
| Fundraising | $5,168 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,540,694 | TotalAmt |
| Program Services | $2,344,890 | ProgramServicesAmt |
| Management And General | $1,180,598 | ManagementAndGeneralAmt |
| Fundraising | $15,206 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,079,885 | TotalAmt |
| Program Services | $16,022,978 | ProgramServicesAmt |
| Management And General | $4,056,907 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,189,851 | TotalAmt |
| Program Services | $11,606,075 | ProgramServicesAmt |
| Management And General | $1,579,675 | ManagementAndGeneralAmt |
| Fundraising | $4,101 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,337 | TotalAmt |
| Program Services | $1,505 | ProgramServicesAmt |
| Management And General | $49,618 | ManagementAndGeneralAmt |
| Fundraising | $214 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,670 | TotalAmt |
| Program Services | $243,825 | ProgramServicesAmt |
| Management And General | $6,590 | ManagementAndGeneralAmt |
| Fundraising | $6,255 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,240,459 | TotalAmt |
| Program Services | $3,240,459 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,567,576 | TotalAmt |
| Program Services | $22,851,778 | ProgramServicesAmt |
| Management And General | $1,709,667 | ManagementAndGeneralAmt |
| Fundraising | $6,131 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,826,489 | TotalAmt |
| Program Services | $5,593,429 | ProgramServicesAmt |
| Management And General | $233,060 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES EXP | $95,361,499 | $95,361,499 | |
| I/C PURCHASED SERVICES | $53,331,260 | $39,740,051 | $13,591,209 |
| HOSPITAL PROVIDER TAX | $36,069,434 | $36,069,434 | |
| BAD DEBT EXPENSE | $26,958,885 | $26,958,885 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,611,186 | TotalAmt |
| Program Services | $9,667,025 | ProgramServicesAmt |
| Management And General | $1,826,677 | ManagementAndGeneralAmt |
| Fundraising | $117,484 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $646,617,857 | TotalAmt |
| Program Services | $603,942,885 | ProgramServicesAmt |
| Management And General | $42,065,263 | ManagementAndGeneralAmt |
| Fundraising | $609,709 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,286,420 | BOYAmt |
| EOY | $266,879 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,066 | BOYAmt |
| EOY | $101,375 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,114,178 | BOYAmt |
| EOY | $202,066,893 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,211 | BOYAmt |
| EOY | $805,618 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,459,254 | BOYAmt |
| EOY | $10,260,707 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,249,547 | BOYAmt |
| EOY | $763,329 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $593,497,720 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $398,902,230 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,787,479 | BOYAmt |
| EOY | $194,595,490 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,836,888 | BOYAmt |
| EOY | $155,481,619 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,911,340 | BOYAmt |
| EOY | $102,695,655 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,575,000 | BOYAmt |
| EOY | $1,181,250 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,510,403 | BOYAmt |
| EOY | $65,944,105 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,868,786 | BOYAmt |
| EOY | $734,162,920 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,126,444 | BOYAmt |
| EOY | $81,751,146 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,474,713 | BOYAmt |
| EOY | $1,075,751 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,185 | BOYAmt |
| EOY | $109,244 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,715,405 | BOYAmt |
| EOY | $149,023,672 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,686,747 | BOYAmt |
| EOY | $231,959,813 | 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 | $576,197,388 | BOYAmt |
| EOY | $490,459,543 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,984,651 | BOYAmt |
| EOY | $11,743,564 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,182,039 | BOYAmt |
| EOY | $502,203,107 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,868,786 | BOYAmt |
| EOY | $734,162,920 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$11,281,815 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$40,140,973 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$39,556,144 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $86,416 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $86,416 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SAINT AGNES MEDICAL CENTER HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT AGNES MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,183,017 | BeginningYearBalanceAmt |
| Contributions | $185,445 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,490 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,882,243 | OtherExpendituresAmt |
| End Year Balance | $5,482,729 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,991,896 | BeginningYearBalanceAmt |
| Contributions | $173,500 | ContributionsAmt |
| Investment Earnings Or Losses | $1,017,621 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,183,017 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,621,188 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $209,120 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$160,588 | OtherExpendituresAmt |
| End Year Balance | $5,991,896 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,593,467 | BeginningYearBalanceAmt |
| Contributions | $20,267 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,305 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$14,759 | OtherExpendituresAmt |
| End Year Balance | $5,621,188 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,581,687 | BeginningYearBalanceAmt |
| Contributions | $1,031,822 | ContributionsAmt |
| Investment Earnings Or Losses | -$20,042 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,593,467 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,045,927 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $8,448,466 | OtherCostOrOtherBasisAmt |
| Book Value | $10,494,393 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $272,468,314 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,357,577 | DepreciationAmt |
| Book Value | $105,110,737 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,235,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,184,892 | DepreciationAmt |
| Book Value | $1,051,074 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,926,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $228,359,761 | DepreciationAmt |
| Book Value | $48,566,976 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,372,310 | OtherCostOrOtherBasisAmt |
| Book Value | $29,372,310 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $194,595,490 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | $25,673,914 | F |
| EQUITY METHOD INVESTMENTS | $64,184,784 | C |
| HEDGE FUNDS | $12,836,957 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $102,695,655 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY OTHER LT ASSETS | $25,609,847 |
| MISCELLANEOUS RECEIVABLES | $1,253,981 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | $25,031,824 |
| INVESTMENT IN UNCONSOL. AFFILIATES | $6,999,003 |
| OTHER LONG TERM ASSETS | $1,228,154 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $5,821,296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $65,944,105 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $31,156,939 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $2,492,498 |
| INTERCOMPANY NOTES PAYABLE | $91,627,524 |
| OTHER LONG-TERM LIABILITIES | $275,517 |
| OTHER CURRENT LIABILITIES | $994,232 |
| OPERATING LEASE LIABILITIES | $5,817,840 |
| MEDICARE CASH ADVANCES | $16,659,122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $149,023,672 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | SAINT AGNES MEDICAL CENTER'S ENDOWMENT FUNDS ARE USED FOR CAPITAL ACQUISITIONS, STAFF EDUCATION, AND HEALTH CARE OPERATIONS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | PRESIDENT'S CLASSIC | Event1Nm |
| Gross Receipts Event1 | $147,530 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $147,530 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $34,627 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $8,865 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $49,045 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $147,530 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $147,530 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $34,627 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $8,865 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $49,045 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $92,537 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $54,993 | NetIncomeSummaryAmt |
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 | 0 | ExpensesExceedBudgetInd |
| 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 | $3,071,437 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,071,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $199,627,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $166,226,451 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,401,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05390 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $202,699,020 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $166,226,451 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,472,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05890 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 15591 | PersonsServedCnt |
| Total Community Benefit Expns | $1,148,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,041,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 394 | PersonsServedCnt |
| Total Community Benefit Expns | $32,367,999 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,891,139 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,476,860 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 4232 | PersonsServedCnt |
| Total Community Benefit Expns | $2,020,868 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,915,714 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $105,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 20217 | PersonsServedCnt |
| Total Community Benefit Expns | $35,537,452 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,913,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,624,002 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 20217 | PersonsServedCnt |
| Total Community Benefit Expns | $238,236,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $179,139,901 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $59,096,571 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09550 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $26,958,885 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $164,927,159 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $168,240,119 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,312,960 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 RENAISSANCE SURGERY CENTER LLC | ||
| AMBULATORY SURGICAL SERVICES | 0.25550 | 0.49000 |
| 2 SIERRA PACIFIC SURGERY CENTER LLC | ||
| AMBULATORY SURGICAL SERVICES | 0.35750 | 0.28650 |
| 3 FRESNO SURGERY CENTER LP | ||
| GENERAL ACUTE CARE HOSPITAL | 0.35750 | 0.28650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER | ||||||||||
| 1 | 1303 E HERNDON AVE | FRESNO | CA | 93720 | WWW.SAMC.COM | HOSPITAL LICENSE # 040000173 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| FRESNO SURGICAL HOSPITAL | ||||||||||
| 2 | 6125 N FRESNO STREET | FRESNO | CA | 93710 | WWW.FRESNOSURGICALHOSPITAL.COM | HOSPITAL LICENSE # 040000332 | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back MedicareLookBackMedicareInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | No Emergency CareNoEmergencyCareInd | Prospective Medicare MedicaidProspectiveMedicareMedicaidInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 21 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (1) | 21 | Yes (1) | SEE SCHEDULE H, PART V, SECTION C | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
| FRESNO SURGICAL HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.FRESNOSURGICALHOSPITAL.COM/PATIENTS-VISITORS/ | Yes (X) | WWW.FRESNOSURGICALHOSPITAL.COM/PATIENTS-VISITORS/ | Yes (X) | WWW.FRESNOSURGICALHOSPITAL.COM/PATIENTS-VISITORS/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | 0 | Yes (X) | Yes (X) | ||||||||||||||||||||||||||||
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FRESNO SURGICAL HOSPITAL | PART V, SECTION B, LINE 2: SAMC ACQUIRED A PARTNERSHIP INTEREST IN FRESNO SURGERY CENTER EFFECTIVE JULY 1, 2020, THE FIRST DAY OF THE TAX YEAR ENDING JUNE 30, 2021 (FISCAL YEAR 2021). THIS IS THE EFFECTIVE DATE THAT SAMC BEGAN OPERATING THE FRESNO SURGERY CENTER FACILITY.IN ACCORDANCE WITH REG. 1.501(R)-3(D)(1), FRESNO SURGERY CENTER WAS NOT REQUIRED TO MEET THE CHNA REQUIREMENTS IN FISCAL YEAR 2022 BECAUSE SAMC ACQUIRED ITS INTEREST IN THE FACILITY IN FISCAL 2021. FRESNO SURGERY CENTER WILL NOT BE REQUIRED TO MEET THE REQUIREMENTS OF IRC SECTION 501(R)(3) UNTIL THE TAX YEAR ENDING JUNE 30, 2023, WHICH WILL BE THE SECOND TAX YEAR BEGINNING ON OR AFTER THE DATE THE FACILITY WAS ACQUIRED. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: SAINT AGNES MEDICAL CENTER (SAMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. THE FOLLOWING HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY INVOLVED SELECTION PROCESS USING A BASIC PRIORITY RATING METHOD. THIS METHOD CONSIDERS FOUR CRITERIA, INCLUDING POTENTIAL IMPACT ON THE GREATEST NUMBER OF PEOPLE, SEVERITY, MAGNITUDE AND URGENCY OF THE NEED, THE EFFECTIVENESS OF POSSIBLE INTERVENTIONS AND PROPRIETY. THE SCORES FOR EACH HEALTH NEED WERE AVERAGED AND RANKED BY SIGNIFICANCE AS FOLLOWS: 1. POVERTY2. POOR AIR QUALITY/POLLUTION3. HOMELESSNESS4. FOOD INSECURITY5. SAFETY/NEIGHBORHOOD CRIME6. LACK OF AFFORDABLE/ACCEPTABLE HOUSING7. INSURANCE BARRIER/ACCESS TO MEDICAL CARE8. NOT ENOUGH PROVIDERS/TREATMENT LOCATIONS/LONG WAIT TIMES9. EXPENSIVE MEDICAL CARE10. LACK OF PROVER COMPASSION/DISCRIMINATION11. LACK OF TRANSPORTATION TO CONDUCT THE 2022 CHNA, SAMC PARTNERED WITH OTHER CENTRAL VALLEY HOSPITALS, DEPARTMENTS OF PUBLIC HEALTH FOR FRESNO AND MADERA COUNTIES AND THE HOSPITAL COUNCIL OF NORTHERN CALIFORNIA. THESE ENTITIES FORMED A DATA ADVISORY COMMITTEE WHICH APPROACHED THE CHNA PROCESS WITH AN EQUITY LENS, ENSURING THAT POPULATIONS, COMMUNITIES AND HIGH PRIORITY ZIP CODES CHALLENGED WITH HEALTH AND HEALTHCARE DISPARITIES REMAINED A FOCAL POINT. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 5: THREE METHODS OF PRIMARY DATA COLLECTION TOOK PLACE BETWEEN OCTOBER 25 AND DECEMBER 10, 2021. THE METHODS INCLUDED ONLINE AND IN-PERSON SURVEYS, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. TO ENSURE MAXIMUM INPUT WAS PROVIDED FOR THE CHNA, THE COMMITTEE DIRECTED THE HOSPITAL COUNCIL TO CONTRACT WITH LOCAL COMMUNITY-BASED ORGANIZATIONS (CBO) SERVING AREAS OF HIGH NEED AND WHOM ALREADY HAD A TRUSTING RELATIONSHIP AND STRONG COMMUNITY ENGAGEMENT IN THE IDENTIFIED COMMUNITIES. IN FRESNO, THE CBOS INCLUDED:- CULTIVA LA SALUD, A NON-PROFIT CBO DEDICATED TO CREATING HEALTH EQUITY IN THE SAN JOAQUIN VALLEY BY FOSTERING CHANGES IN COMMUNITIES THAT SUPPORT HEALTHY EATING AND ACTIVE LIVING. SERVICES PROVIDED BY CULTIVA INCLUDE LEADERSHIP DEVELOPMENT TRAINING, HEALTH AND WELLNESS PROGRAMS, AND COVID-19 EDUCATION AND AWARENESS. THE AGENCY SERVES FARMWORKERS AND LOW-INCOME RESIDENTS IN EIGHT COUNTIES OF THE CENTRAL VALLEY, INCLUDING FRESNO AND MADERA. - EVERY NEIGHBORHOOD PARTNERSHIP (ENP), A NON-PROFIT CBO WHOSE WORK FOCUSES ON NEIGHBORHOOD DEVELOPMENT, HEALTH AND WELLNESS PROGRAMS, LITERACY PROGRAMS, SATURDAY SPORTS AND CHURCH EQUIPPING. POPULATIONS SERVED BY ENP INCLUDE YOUTH, ADULT RESIDENTS, CHURCH LEADERS WITHIN THE FRESNO CITY LIMITS. - THE FRESNO CENTER, A NON-PROFIT CBO THAT SERVES SOUTHEAST ASIAN HMONG, CAMBODIAN, LAO, THAI, PUNJABI, INDIGENOUS MEXICAN AND VIETNAMESE RESIDENTS IN FRESNO COUNTY. SERVICES INCLUDE EXPERT TRANSLATION AND CROSS-CULTURAL PROGRAMS, MED-CAL HEALTH ENROLLMENT, TOBACCO CESSATION, IMMIGRATION SERVICES, COVID-19 RELIEF, ONE-STOP CENTER FOR MENTAL HEALTH, COMMUNITY RESOURCE CONNECTIONS AND CRISIS SERVICES. - FRESNO INTERDENOMINATIONAL REFUGEE MINISTRIES (FIRM), A FAITH-BASED COMMUNITY ORGANIZATION WHOSE MISSION IS TO PROVIDE WRAP-AROUND SERVICES FOR REFUGEES OF SOUTHEAST ASIAN, SLAVIC AND AFRICAN ORIGIN. SERVICES INCLUDE AFTER-SCHOOL PROGRAMS, REFUGEE ADVOCACY, MENTAL HEALTH PROGRAMS, AND COMMUNITY GARDENS.IN MADERA, THE PARTNERS INCLUDED:- UNITED WAY OF FRESNO AND MADERA COUNTIES (UNITED WAY), AN AGENCY THAT ENGAGES IN 1,800 COMMUNITIES ACROSS MORE THAN 40 COUNTRIES AND TERRITORIES WORLDWIDE. THEIR MISSION IS TO IMPROVE LIVES BY MOBILIZING THE CARING POWER OF COMMUNITIES TO ADVANCE THE COMMON GOOD. SERVICES IN THE AREA INCLUDE 2-1-1, 24/7 HOTLINE, FREE TAX PREPARATION, OUTREACH PROGRAM, BASIC NEEDS CONNECTIONS, AND COVID-19 EDUCATION AND AWARENESS. UNITED WAY'S CHNA ROLE INCLUDED WORKING WITH GRASS-ROOTS AGENCIES, AND RESIDENTS TO BUILD COMMUNITY CAPACITY FOR CONDUCTING ASSESSMENTS. UNITED WAY COLLABORATED WITH MEMBERS OF LIVE WELL MADERA. - LIVE WELL MADERA, A COLLABORATIVE COMPOSED OF COUNTYWIDE GOVERNMENT AGENCY REPRESENTATIVES, HEALTHCARE PROVIDERS, HEALTH PLANS, BUSINESS, EDUCATION, LAW ENFORCEMENT, COMMUNITY-BASED AGENCIES, FAITH-BASED STAKEHOLDERS AND RESIDENTS; ALL COMMITTED TO IMPROVING COMMUNITY WELLNESS THROUGH FOCUSES ALIGNED ACTION. THE COLLABORATIVE PLAYS A CRUCIAL ROLE IN EXPANDING ACCESS, ADDRESSING HEALTH EQUITY, AND MAKING HEALTHY BEHAVIORS AND ENVIRONMENTS THE SOCIAL NORM FOR THE COUNTY'S MORE THAN 150,000 RESIDENTS. ONLINE SURVEYS WERE SOLICITED BY INVITATION ONLY, BASED ON A CONVENIENCE SAMPLING. TO ENSURE THE SURVEY SAMPLE REFLECTED A WIDE VARIETY OF SOCIOECONOMIC LEVELS, AGE AND RACE/ETHNICITY, AND RURAL GEOGRAPHIC REGIONS, THE SURVEY WAS OFFERED TO COMMUNITY GROUPS BY CONTRACTED CBOS. HARD COPY SURVEYS WERE SHARED WITH COMMUNITY GROUPS TO FACILITATE BROAD-BASED REPRESENTATION OF SENIORS 65+ AND UNDERSERVED POPULATIONS IN HIGH PRIORITY ZIP CODES. HIGH PRIORITY ZIP CODES ARE AREAS WHERE AT LEAST 40% OF THE POPULATION IS BLACK OR HISPANIC AND THE AVERAGE EARNINGS FOR THE COMMUNITY IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL GUIDELINE ($52,400 FOR A FAMILY OF FOUR). A TOTAL OF 2,876 SURVEYS WERE COLLECTED FOR FRESNO AND MADERA COUNTIES. IN FRESNO COUNTY, FOCUS GROUPS WERE FACILITATED BY CONTRACTED CBOS. IN MADERA COUNTY, THE WORK WAS COORDINATED BY UNITED WAY OF FRESNO AND MADERA COUNTIES WHO PARTNERED WITH LIVE WELL MADERA. COMMUNITY MEMBERS ATTENDED IN PERSON AND ON ZOOM, WITH MORE THAN 50% OF THE SESSIONS BEING CONDUCTED IN PERSON. A TOTAL OF 36 FOCUS GROUPS WERE COMPLETED. THIRTY-ONE INDIVIDUALS CONSIDERED TO BE KEY STAKEHOLDERS IN THE COMMUNITY WERE IDENTIFIED DURING THE CHNA PLANNING PROCESS. THEY WERE ABLE TO PROVIDE A UNIQUE PERSPECTIVE ON THE HEALTH OF THE COMMUNITY, HEALTH CARE DELIVERY SYSTEM IN PLACE AND OVERALL CONDITIONS THAT INFLUENCE HEALTH BEHAVIORS. THEIR ORGANIZATIONS REPRESENTED CONSTITUENTS INCLUDING MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS EXPERIENCING HEALTH DISPARITIES, OR POPULATIONS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. KEY STAKEHOLDERS REPRESENTED: - BLACK WELLNESS & PROSPERITY CENTER- CENTRO BINACIONAL PARA EL DESARROLLO INDIGENA- CITY OF MADERA- COMMUNITY ACTION PARTNERSHIP AGENCY OF MADERA COUNTY - FIRST 5 MADERA- FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH- FRESNO COUNTY SUPERINTENDENT OF SCHOOLS- FRESNO UNIFIED SCHOOL DISTRICT- LEADERSHIP COUNCIL FOR JUSTICE ACCOUNTABILITY - MADERA COUNTY DEPARTMENT OF SOCIAL SERVICES- MADERA COUNTY SUPERINTENDENT OF SCHOOLS- MADERA COMMUNITY COLLEGE- PARENT INSTITUTE FOR QUALITY EDUCATION QUALITATIVE AND QUANTITATIVE DATA WAS ANALYZED BY CALIFORNIA STATE UNIVERSITY FRESNO'S CENTRAL VALLEY HEALTH POLICY INSTITUTE (CVHPI). CVHPI FACILITATES REGIONAL RESEARCH, LEADERSHIP TRAINING AND GRADUATE EDUCATION PROGRAMS TO ADDRESS EMERGING HEALTHY POLICY ISSUES THAT INFLUENCE THE HEALTH STATUS OF PEOPLE LIVING IN CENTRAL CALIFORNIA. CVHPI USED A GROUNDED THEORY APPROACH TO IDENTIFY COMMON TOPICS OF FOCUS GROUP DISCUSSIONS AND THEMES. ALL THEMES WERE GROUPED INTO BROADER, MORE INCLUSIVE SOCIAL DETERMINANT OF HEALTH DOMAINS, INCLUDING ECONOMIC STABILITY, EDUCATION ACCESS, SOCIAL AND HEALTH AND HEALTH BEHAVIOR, HEALTHCARE ACCESS AND QUALITY, NEIGHBORHOOD AND ENVIRONMENT, SOCIAL AND COMMUNITY CONTEXT, AND A SPECIFIC DOMAIN ON COVID-19 RELATED ISSUES. FOCUS GROUP AND KEY INFORMANT DATA WERE ANALYZED INDEPENDENTLY OF EACH OTHER. HOWEVER, THE SAME METHOD WAS USED TO ANALYZE BOTH DATA SETS. THEMES GATHERED FROM FOCUS GROUP DISCUSSIONS WERE COMPARED TO A LIST OF THEMES GATHERED FROM KEY INFORMANT INTERVIEWS PLUS A COMPOSITE SCORE USING QUANTITATIVE DATA WAS USED TO CREATE A HIGH PRIORITY LIST. AS PART OF THE CHNA, 48 ADVISORS WERE CONVENED TO PRIORITIZE THE IDENTIFIED HEALTH NEEDS. THE ADVISORS INCLUDED RESIDENTS, PROMOTORES, COMMUNITY HEALTH LEADERS, LAW ENFORCEMENT, SCHOOL HEALTH, COUNTY AGENCY PERSONNEL, HOUSING AGENCY REPRESENTATIVES, YOUTH, COMMUNITY-BASED ORGANIZATION LEADERS, WHO WERE SELECTED BASED ON THEIR KNOWLEDGE AND INVOLVEMENT IN THE FRESNO AND MADERA COMMUNITIES.SECONDARY DATA FROM THE TRINITY HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DATA REPORT (TRINITYHEALTHDATAHUB.ORG), AND THE FRESNO MADERA COUNTIES' POINT-IN-TIME HOMELESS COUNT WAS USED DURING THE PRIORITIZATION PROCESS. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH THE FOLLOWING HOSPITALS: CLOVIS COMMUNITY MEDICAL CENTER, COMMUNITY REGIONAL MEDICAL CENTER (INCLUDES COMMUNITY BEHAVIORAL HEALTH CENTER), MADERA COMMUNITY HOSPITAL, AND VALLEY CHILDREN'S HEALTHCARE. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 6B: THE CHNA WAS ALSO CONDUCTED IN COLLABORATION WITH THE DEPARTMENTS OF PUBLIC HEALTH FOR BOTH FRESNO AND MADERA COUNTIES. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 11: IN FISCAL YEAR 2022, SAMC ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA:NOT ENOUGH PROVIDERS/TREATMENT LOCATIONS/LONG WAIT TIMES - SAMC CONTINUED TO PROVIDE OPPORTUNITIES FOR LICENSED AND UNLICENSED HEALTH CARE PROVIDERS TO ENHANCE THEIR PROFESSIONAL KNOWLEDGE AND SKILLS. SAMC'S CONTINUING MEDICAL EDUCATION PROGRAM STRIVES TO IMPROVE AND INCREASE PATIENT CARE IN THE CENTRAL VALLEY, SPECIFICALLY IN FRESNO AND MADERA. SAMC PROVIDED MORE THAN 9,873 TRAINING HOURS TO 394 NURSING AND OTHER PROFESSIONS AND INVESTED ALMOST $21.5 MILLION IN NET COMMUNITY BENEFIT IN THE FOLLOWING MANNER:SAMC PARTNERED WITH LOCAL COLLEGES, UNIVERSITIES, AND SPECIALTY SCHOOLS TO PROVIDE A CLINICAL SETTING FOR UNDERGRADUATE AND VOCATIONAL TRAINING TO NURSES AND NURSING STUDENTS WORKING TO OBTAIN CERTIFICATES AND/OR LICENSURE TO ADVANCE THEIR CAREERS IN THE HEALTH CARE INDUSTRY. SAMC ALSO OFFERED A CLINICAL SETTING FOR THE FOLLOWING PROFESSIONS SEEKING TO OBTAIN RELATED CERTIFICATES AND LICENSES: PARAMEDICS, RESPIRATORY THERAPY, PHARMACY TECHNICIANS, IMAGING, PHYSICAL THERAPY, HEALTH INFORMATION MANAGEMENT, DIETETICS, SOCIAL WORK, PHLEBOTOMIST TECHNICIANS, AND CARDIAC SONOGRAPHY TECHNICIANS. FRESNO COUNTY HAS ONE OF THE LOWEST DOCTOR-TO-PATIENT POPULATION RATIOS IN THE STATE AND SAMC IS COMMITTED TO EDUCATING THE NEXT GENERATION OF PHYSICIANS THROUGH ITS GRADUATE MEDICAL EDUCATION PROGRAM. THE RESIDENCY PROGRAM BENEFITED THE LOCAL COMMUNITY BY RECRUITING RESIDENTS FROM OUR PROGRAM'S GRADUATES TO STAY AND PRACTICE MEDICINE IN THE CENTRAL VALLEY. SAMC WELCOMED NEW COHORTS OF PHYSICIAN RESIDENTS INCLUDING FAMILY MEDICINE RESIDENTS, INTERNAL MEDICINE RESIDENTS, AND EMERGENCY MEDICINE RESIDENTS PLUS TRANSITIONAL YEAR RESIDENTS. AS COVID-19 CONTINUED TO SURGE IN THE SERVICE AREA, SAMC CONVENED PARTNERS LIKE THE CALIFORNIA STATE UNIVERSITY FRESNO MOBILE HEALTH UNIT, WHICH PROVIDES A LEARNING ENVIRONMENT FOR STUDENTS AND HEALTH ACCESS TO SERVE COMMUNITIES WITH LITTLE OR NO COMMUNITY CLINIC ACCESS. SAMC ALSO PROVIDED FINANCIAL SUPPORT TO TZU CHI MEDICAL FOUNDATION, WHICH RECRUITED PHYSICIAN VOLUNTEERS AND PROVIDED AN ADDITIONAL LEARNING ENVIRONMENT FOR NURSING STUDENTS FROM OTHER LOCAL COLLEGES TO SERVE RURAL AREAS WITH MEDICAL SERVICES. IN FISCAL YEAR 2022, 82 COVID-19 VACCINE CLINIC SITES FUNDED BY SAMC SERVED 3,298 INDIVIDUALS. FOOD INSECURITY - IN FISCAL YEAR 2022, SAMC AND TRINITY HEALTH ADDRESSED FOOD INSECURITY BY PROVIDING FRESNO HOUSING $50,000 TO THE CALIFORNIA AVENUE NEIGHBORHOOD INITIATIVE - A CHOICE NEIGHBORHOOD PLANNING INITIATIVE, TO TRANSFORM THE NEIGHBORHOOD CENTERED AROUND THE HISTORIC EDISON HIGH SCHOOL IN SOUTHWEST FRESNO. HAVING ACCESS TO HEALTHY AND FRESH FOODS HAS BEEN A PRIORITY FOR RESIDENTS. FUNDING FROM SAMC AND TRINITY HEALTH CONTRIBUTED TO THE MARKET START-UP COSTS, EQUIPMENT PURCHASES, RESIDENT LEADER STIPENDS, MARKETING MATERIALS, FARMER OUTREACH, SITE IMPROVEMENTS AND PREPARATION, AND MARKET LOGISTICS. FUNDING WAS ALSO USED TO PROVIDE 30 SMALL FOOD RELATED BUSINESSES WITH FINANCIAL SUPPORT FOR ENTITY FORMATION, BUSINESS LICENSING, TECHNICAL ASSISTANCE AND TRAINING, AND BRANDING. MORE THAN 40 RESIDENTS WERE GIVEN STIPENDS FOR THEIR WORK IN PREPARATION FOR AND DURING THE MARKET. MORE THAN 200 INDIVIDUALS PARTICIPATED AND ATTENDED THE MARKET EVENTS. LACK OF TRANSPORTATION - SAMC PROVIDED 2,240 QUALIFYING PATIENTS TRANSPORTATION UPON DISCHARGE, PATIENTS AND HEALTH HUB CLIENTS WERE ALSO PROVIDED TRANSPORTATION TO AND FROM MEDICAL, AND SOCIAL SERVICE APPOINTMENTS FOR A TOTAL OF $64,850.SAMC ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THIS REASON, SAMC DID NOT ACT ON THE FOLLOWING ISSUES:POVERTY - WHILE THIS PRIORITY WAS NOT SPECIFICALLY ADDRESSED, ECONOMIC STABILITY MAY BE ADDRESSED AS PART OF OTHER PRIORITIES SELECTED FOR INTERVENTION IN FUTURE STRATEGIES.POOR AIR QUALITY/POLLUTION - SAMC IS AN ENVIRONMENTALLY CONSCIOUS FACILITY AND ADDRESSES THIS ISSUE AT THE FACILITY LEVEL.HOMELESSNESS - WHILE HOMELESSNESS ITSELF WAS NOT DIRECTLY ADDRESSED IN FISCAL YEAR 2022, MORE THAN 1,800 HOMELESS PATIENTS WERE PROVIDED RESOURCES TO NUTRITIOUS FOOD UPON DISCHARGE, AND PATIENTS WHO AGREED TO RECEIVE ASSISTANCE WERE PROVIDED WITH ROOM AND BOARD. ADDITIONALLY, THROUGH SERVICES AT THE HOLY CROSS CENTER FOR HEALTH AND WELLNESS, SAMC PROVIDED MORE THAN 2,500 LOW-INCOME AND UNSHELTERED WOMEN WITH BASIC NEEDS, SUCH AS SHOWERS, CLOTHING, HYGIENE KITS, BABY FORMULA, DIAPERS AND LAUNDRY SERVICES. IN FISCAL YEAR 2022, SAMC INVESTED $290,000 TO SUPPORT THESE SERVICES. SAFETY/NEIGHBORHOOD CRIME - WHILE THIS PRIORITY WAS NOT SPECIFICALLY ADDRESSED, SAMC IS CONDUCTING A ROOT CAUSE ANALYSIS TO DEVELOP FUTURE STRATEGIC INTERVENTIONS WITH MAXIMUM IMPACT.LACK OF AFFORDABLE/ACCEPTABLE HOUSING - RELATIVE LACK OF EXPERTISE OR COMPETENCY TO EFFECTIVELY ADDRESS THE NEED EXCLUDED IT FROM STRATEGIC INTERVENTIONS. INSURANCE BARRIER/ACCESS TO MEDICAL CARE - WHILE THIS PRIORITY WAS NOT SPECIFICALLY ADDRESSED DUE TO COMPETING PRIORITIES, SAMC PROVIDED IN FISCAL YEAR 2022 SERVICES THROUGH THE HEALTH HUB, OFFERED FINANCIAL ASSISTANCE FOR QUALIFYING PATIENTS AND COMMUNITY MEMBERS, AND PROVIDED 1,190 PATIENTS WITH INSURANCE ENROLLMENT ASSISTANCE.EXPENSIVE MEDICAL CARE - WHILE THIS PRIORITY WAS NOT SPECIFICALLY ADDRESSED, SAMC HEALTH HUB AND FINANCIAL ASSISTANCE DOES PROVIDE SERVICES THAT ADDRESS INSURANCE AND MEDICAL CARE FOR PATIENTS AND COMMUNITY MEMBERS.LACK OF PROVIDER COMPASSION/DISCRIMINATION - WHILE THIS PRIORITY WAS NOT SPECIFICALLY ADDRESSED, SAMC AND TRINITY HEALTH ARE FOCUSED ON ADVANCING DIVERSITY, EQUITY AND INCLUSION IN BOTH THE CLINICAL AND COMMUNITY SETTINGS. |
| SAINT AGNES MEDICAL CENTER | 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 HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| SAINT AGNES MEDICAL CENTER | PART V, SECTION B, LINE 16J: THE FOLLOWING ORGANIZATIONS RECEIVED THE PLAIN LANGUAGE SUMMARY OF THE FAP: THE MEXICAN CONSULATE, READING AND BEYOND, THE UNITED WAY, CENTRO LA FAMILIA, FIRST 5 FRESNO COUNTY, RESNO RESCUE MISSION, FRESNO COMMUNITY FOOD BANK. |
| SAINT AGNES MEDICAL CENTER: | 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. |
| SAINT AGNES MEDICAL CENTER: | PART V, SECTION B, LINE 7A:.WWW.SAMC.COM/ABOUT-US/COMMUNITY-BENEFITS/HEALTH-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION |
| SAINT AGNES MEDICAL CENTER: | PART V, SECTION B, LINE 10A:WWW.SAMC.COM/ABOUT-US/COMMUNITY-BENEFITS/HEALTH-NEEDS-ASSESSMENTS-AND-IMPLEMENTATION |
| PART V, LINE 16A: | SAINT AGNES MEDICAL CENTERWWW.SAMC.COM/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16B: | SAINT AGNES MEDICAL CENTERWWW.SAMC.COM/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16C: | SAINT AGNES MEDICAL CENTERWWW.SAMC.COM/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - SUMMIT SURGICAL | ||||
| 1630 E HERNDON AVE SUITE 100 | FRESNO | CA | 93720 | OUTPATIENT SURGERY CENTER |
| 2 - RENAISSANCE SURGERY CENTER | ||||
| 2365 E FIR AVENUE | FRESNO | CA | 93720 | OUTPATIENT SURGERY CENTER |
| 3 - SAINT AGNES NORTHWEST LABORATORY | ||||
| 4770 W HERNDON AVENUE | FRESNO | CA | 93722 | LABORATORY |
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: | SAINT AGNES MEDICAL CENTER (SAMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF CALIFORNIA. IN ADDITION, SAMC 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.IN ADDITION, SAMC 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, $26,958,885, 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: | SAMC 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, SAINT AGNES MEDICAL CENTER IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT AGNES MEDICAL CENTER IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | SAMC 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 ONE PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD APRIL 1, 2022 THROUGH JUNE 30, 2022. |
| PART III, LINE 8: | SAMC 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 FINANCIAL ASSISTANCE 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. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SAMC CONTINUALLY 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, PATIENT DATA, PUBLIC HEALTH DATA, PUBLISHED COUNTY HEALTH RANKINGS, MARKET STUDIES, AND OTHER REPORTS ARE ANALYZED ON A REGULAR BASIS TO HELP DETERMINE TRENDS AND EMERGING HEALTH NEEDS FOR THE SERVICE AREA. ONGOING PARTICIPATION IN LOCAL AREA STAKEHOLDER MEETINGS, COMMUNITY ROUNDTABLES AND HEALTH STRATEGY FORUMS ALLOW FOR ALIGNMENT WITH LOCAL COMMUNITY-BASED ORGANIZATIONS AND STRATEGIES. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, 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 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. SAMC HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - FOR THE PURPOSES OF THIS CHNA, SAMC USED THE GEOGRAPHIC AREA FROM WHICH MOST PATIENTS COME FOR CARE AS THE COMMUNITY SERVED. THIS AREA INCLUDES FRESNO AND MADERA COUNTIES, WHICH ACCORDING TO THE U.S. CENSUS BUREAU, TOGETHER COVER 8,164 SQUARE MILES AND MORE THAN 1.5 MILLION ACRES. ADDIONALLY, THE REPORT AREA HAS A TOTAL POPULATION OF 1,139,954 WITH 12.8% OF THE PERSONS LIVING WITHIN THE REPORT AREA IDENTIFYING AS NON-CITIZENS AND OVER 50% IDENTIFYING AS HISPANIC OR LATINO. THE DESIGNATED SERVICE AREA IS AN AREA OF IMMENSE NEED, WITH FEWER HEALTH RESOURCES THAN THE REST OF THE STATE. IT IS A REGION OF GREAT DIVERSITY, WITH BOTH URBAN AND RURAL POPULATIONS, AND MANY IMMIGRANTS. THE DIVERSITY OF THE REGION IS REFLECTED IN THE WIDE RANGE OF LANGUAGES SPOKEN IN EACH COUNTY. WITHIN THE SERVICE AREA, 18.4 PERCENT OF RESIDENTS AGES 5 AND OLDER HAVE LIMITED ENGLISH PROFICIENCY. ANOTHER FACTOR IMPACTING SAMC'S PRIMARY SERVICE AREA IS THE LOW RATE OF PRIMARY CARE PHYSICIANS IN THE REGION, AND CONSEQUENTLY, A LARGE PROPORTION OF THE POPULATION LIVES WITHIN ONE OF THE 176 HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA). HPSAS ARE DEFINED AS HAVING SHORTAGES OF PRIMARY MEDICAL CARE, DENTAL OR MENTAL HEALTH PROVIDERS. THIS INDICATOR IS RELEVANT BECAUSE A SHORTAGE OF HEALTH PROFESSIONALS CONTRIBUTES TO ACCESS AND HEALTH STATUS ISSUES. PROVIDER RATE PER 100,000 POPULATION IS 79.61 WITH 87 LOCATIONS IN FRESNO COUNTY AND IS 75.2 WITH 19 LOCATIONS IN MADERA COUNTY COMPARED TO A PROVIDER RATE OF 101.38 PER 100,000 WITH 1280 LOCATIONS IN CALIFORNIA. FURTHER COMPOUNDING THE ISSUE IS THE HIGH RATE OF ADULTS AND CHILDREN THAT LACK INSURANCE. THESE FACTORS IMPACT RATES OF PREVENTABLE HOSPITALIZATIONS, POTENTIAL YEARS OF LIFE LOST, AND THE NUMBER OF PEOPLE WHO DO NOT RECEIVE PREVENTATIVE CARE. A COMMUNITY'S HEALTH IS ALSO AFFECTED BY THE PHYSICAL ENVIRONMENT. A SAFE, CLEAN ENVIRONMENT THAT PROVIDES ACCESS TO HEALTHY FOOD AND RECREATIONAL OPPORTUNITIES IS IMPORTANT TO MAINTAINING AND IMPROVING COMMUNITY HEALTH. WITHIN THE FRESNO AND MADERA SERVICE AREA, 24% OF LOW-INCOME POPULATION IN FRESNO AND MADERA HAVE LOW FOOD ACCESS. A RELATIVELY HIGH NUMBER OF HOUSEHOLDS IN MADERA (8.3%) AND FRESNO (23.6%) LIVE MORE THAN ONE-HALF MILE FROM A SUPERMARKET AND HAVE NO RELIABLE TRANSPORTATION. THE PERCENTAGE OF FRESNO AND MADERA RESIDENTS, AGE 18 AND OLDER WHO ARE OBESE IS HIGHER THAN THE CALIFORNIA STATE AVERAGE (24%). |
| PART VI, LINE 5: | OTHER INFORMATION - IN FISCAL YEAR 2022, SAMC CONTINUED TO PROMOTE HEALTH IN THE COMMUNITY BY SUPPORTING COMMUNITY-BASED ORGANIZATIONS FINANCIALLY OR WITH BOARD MEMBERSHIP. THEY INCLUDED THE FOLLOWING: AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, CATHOLIC CHARITIES, CSUF, HMONG NURSES ASSOCIATION, FRESNO AREA HISPANIC FOUNDATION, FOUNDATION FOR CLOVIS SCHOOLS, CLINICAL PASTORAL EDUCATION OF CENTRAL CALIFORNIA, VALLEY CAREGIVER RESOURCES, MARJAREE MASON CENTER, AMERICAN CANCER SOCIETY, COURT APPOINTED SPECIAL ADVOCATES OF FRESNO AND MADERA COUNTIES, FRESNO POLICE & NEIGHBORHOOD WATCH ASSOCIATION, MADE FOR THEM, RIGHT TO LIFE, SIERRA CLUB OF FRESNO, UNITED WAY OF FRESNO AND MADERA COUNTIES, AND HOSPITAL COUNCIL OF CENTRAL AND NORTHERN CALIFORNIA. IN ADDITION, SAMC CONTINUED TO PROMOTE HEALTH IN THE COMMUNITY THROUGH A VARIETY OF ACTIVITIES AND INVOLVEMENT, INCLUDING THE FOLLOWING:IN FISCAL YEAR 2022, SAMC RECEIVED $120,000 FROM TRINITY HEALTH TO PARTICIPATE IN THE "IT STARTS HERE" CAMPAIGN WITH A GOAL OF PROMOTING AWARENESS OF THE COVID-19 VACCINE. THE CAMPAIGN INCLUDED BILLBOARD AND RADIO ADS THAT INFORMED THE COMMUNITY ON THE SAFETY AND NEED FOR VACCINATIONS. PART OF THE WORK ALSO INCLUDED COORDINATION OF COMMUNITY VACCINE CLINICS TO SERVE VULNERABLE POPULATIONS. SAMC, IN PARTNERSHIP WITH THE FRESNO COUNTY DEPARTMENT OF PUBLIC HEALTH, COORDINATED 82 CLINICS AND PROVIDED 3,298 PEOPLE WITH FIRST, SECOND AND BOOSTER VACCINATIONS. THE PRIMARY POPULATION SERVED INCLUDED MIGRANT FARMWORKERS IN RURAL AREAS AND THEIR FAMILIES, AND SPECIAL NEEDS ADULTS AND YOUTH. CLINIC PARTNER ORGANIZATIONS FOR THESE CLINICS INCLUDED FRESNO STATE MOBILE HEALTH AND NURSING PROGRAM, TZU CHI MOBILE HEALTH, CULTIVA LA SALUD, EVERY NEIGHBORHOOD PARTNERSHIP, EXCEPTIONAL PARENTS UNLIMITED, BLACK WELLNESS & PROSPERITY CENTER. ADDRESSING SOCIAL INFLUENCERS (DETERMINANTS) OF HEALTH - SAMC BELIEVES THAT EVERYONE HAS THE RIGHT TO A STANDARD OF LIVING THAT PROMOTES HEALTH AND WELL-BEING IN ALL AREAS OF LIFE, INCLUDING ACCESS TO FOOD, CLOTHING, STABLE HOUSING, MEDICAL CARE AND CRITICAL SOCIAL SERVICES, REGARDLESS OF SOCIOECONOMIC FACTORS. PEOPLE WHO ARE MEDICALLY VULNERABLE AND WHO FACE SOCIAL CHALLENGES WITH RESOURCES SUCH AS PRIMARY CARE, SPECIALTY CARE, INSURANCE ENROLLMENT, TRANSPORTATION, HOUSING, AND OTHER SOCIAL RESOURCES HAVE A MUCH MORE DIFFICULT TIME MANAGING THEIR HEALTH. IN ADDITION TO PROVIDING CLINICAL CONNECTIONS, THE SAMC HEALTH HUB COMMUNITY HEALTH WORKERS PROVIDED MORE THAN 3,017 CONNECTIONS TO SOCIAL CARE RESOURCES INCLUDING: 26% TO HEALTH CARE ACCESS, 21% TO HOUSING ASSISTANCE, 15% TO FOOD RESOURCES, AND 48% TO OTHER SERVICES SUCH AS DOCUMENTATION ASSISTANCE (DEPARTMENT OF MOTOR VEHICLES, LEGAL, ETC.), HEALTH INSURANCE ENROLLMENT, IN-HOME SUPPORTIVE SERVICES, GENERAL RELIEF AND PAYEE ESTABLISHMENT, AND EMPLOYMENT RESOURCES. THE IMPACT THAT THE SAMC HEALTH HUB HAS HAD ON PATIENTS AND THEIR FAMILIES HAS RESULTED IN BETTER COORDINATION OF CARE AND INCREASED AWARENESS BY CLINICIANS OF THE EFFECTS THAT SOCIAL INFLUENCERS HAVE ON PEOPLE.IN PARTNERSHIP WITH THE OFFICE OF THE CALIFORNIA SURGEON GENERAL AND THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES, SAMC WAS 1 OF 2 HEALTH CARE SYSTEMS IN THE CENTRAL VALLEY TO RECEIVE FUNDS TO CREATE AWARENESS OF ADVERSE CHILDHOOD EXPERIENCES (ACES). SAMC CONTINUED TO BUILD ON ITS WORK RELATED TO ACES BY PARTNERING WITH MORE THAN 20 COMMUNITY-BASED AGENCIES, AND MEDICAL PROVIDERS TO CREATE A NETWORK OF CARE TO SERVE CLIENTS AND THEIR FAMILIES TO ADDRESS TOXIC STRESS CREATED BY ACES. COMMUNITY HEALTH WORKERS AND PHYSICIANS RECEIVED TRAINING AND ATTESTED ON THE CORE TRAINING FOR ACE SCREENING. A TOTAL OF 148 ADULTS AND 85 CHILDREN WERE SCREENED AND LINKED TO RESOURCES DURING THE INITIAL PILOT PHASE OF THE NETWORK OF CARE. COLLECTIVELY, MORE THAN 3,100 PEOPLE WERE PROVIDED SERVICES. THE TRINITY HEALTH JUST IN TIME GRANTS SUPPORTED COVID-19 OUTREACH AND HEALTH LITERACY WORK CONDUCTED BY THE BLACK WELLNESS & PROSPERITY CENTER (BWPC). BWPC CREATE A READY FOR BABY CAMPAIGN THAT FOCUSED ON INCREASING ACCESS TO CULTURALLY AFFIRMING INFORMATION ON COVID-19 SAFETY MEASURES AND HEALTH MESSAGING AMONG PREGNANT PERSONS IN FRESNO. EMERGENCY PREPAREDNESS EFFORTS TOWARD ADDRESSING THE COVID-19 EPIDEMIC - IN FISCAL YEAR 2022, SAMC CONTINUED TO SUSTAIN A SAFE ENVIRONMENT FOR HEALTH CARE WORKERS, PATIENTS, AND FAMILIES AFFECTED BY THE DISEASE. SAMC LEADERSHIP CONTINUED TO PARTICIPATE ON ADVISORY CALLS WITH THE STATE AND LOCAL HEALTH DEPARTMENTS TO DEVELOP AND SUPPORT STRATEGIES FOR ADDRESSING THE DISEASE AND SOCIAL NEEDS EXPERIENCED BY FAMILIES. |
| PART VI, LINE 6: | SAMC 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 BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - 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 FY22, TRINITY HEALTH CONTRIBUTED $1.37 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. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL MINISTRIES INTERNATIONAL | ||||||||||
| 1004 SAN JOSE AVENUE 122 | CLOVIS | CA | 93612 | 770498274 | 501(C)(3) | $0 | $352,237 | COST | MEDICAL SUPPLIES | SPONSORSHIP/DONATION |
| EXCEPTIONAL PARENTS UNLIMITED | ||||||||||
| 4440 N FIRST STREET | FRESNO | CA | 93726 | 770263702 | 501(C)(3) | $20,000 | $0 | SPONSORSHIP/DONATION | ||
| EVERY NEIGHBORHOOD PARTNERSHIP | ||||||||||
| 2044 EAST NEES AVENUE | FRESNO | CA | 93720 | 870814198 | 501(C)(3) | $16,575 | $0 | SPONSORSHIP/DONATION | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| PHARMACEUTICALS | 3 | $458 |
| FUNERAL EXPENSES | 13 | $2,840 |
| HOUSING/IN-HOME CARE | 8 | $10,969 |
| TRANSPORTATION VOUCHERS | 2240 | $64,850 |
| MEDICAL EQUIPMENT | 147 | $8,491 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE BY SAINT AGNES MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHERI SHAPIRO | ||||||||||||||
| DIR; TH SVP, CHIEF STRATEGY OFFICER | $0 | $674,561 | $0 | $297,000 | $0 | $130,958 | $0 | $13,050 | $0 | $36,056 | $0 | $1,151,625 | $0 | $0 |
| NANCY HOLLINGSWORTH | ||||||||||||||
| DIRECTOR; PRESIDENT & CEO | $0 | $530,149 | $0 | $185,502 | $0 | $115,497 | $0 | $21,750 | $0 | $41,096 | $0 | $893,994 | $0 | $0 |
| W EUGENE EGERTON MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $458,201 | $0 | $90,898 | $0 | $23,484 | $0 | $13,050 | $0 | $29,459 | $0 | $615,092 | $0 | $0 |
| STACY VAILLANCOURT | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $343,206 | $0 | $67,553 | $0 | $5,704 | $0 | $17,400 | $0 | $24,833 | $0 | $458,696 | $0 | $0 |
| DEANETTE SISSON | ||||||||||||||
| CHIEF NURSING OFFICER | $0 | $302,630 | $0 | $61,030 | $0 | $6,016 | $0 | $13,050 | $0 | $24,136 | $0 | $406,862 | $0 | $0 |
| RICK WOLF | ||||||||||||||
| SECRETARY; ASSOCIATE COUNSEL | $0 | $288,088 | $0 | $28,965 | $0 | $1,781 | $0 | $13,050 | $0 | $29,068 | $0 | $360,952 | $0 | $0 |
| EDNANN NAZ | ||||||||||||||
| CHIEF MEDICAL INFORMATICS OFFICER | $295,258 | $0 | $0 | $0 | $11,428 | $0 | $10,266 | $0 | $24,340 | $0 | $341,292 | $0 | $0 | $0 |
| DANIEL POWELL | ||||||||||||||
| INTERIM TREASURER & CFO THRU 10/21 | $0 | $315,812 | $0 | $0 | $0 | $4,164 | $0 | $4,350 | $0 | $12,360 | $0 | $336,686 | $0 | $0 |
| GERALD MARGOSIAN | ||||||||||||||
| COORDINATOR PHARMACY OPERATIONS | $226,377 | $0 | $0 | $0 | $28,617 | $0 | $19,668 | $0 | $27,634 | $0 | $302,296 | $0 | $0 | $0 |
| MARK MESSING | ||||||||||||||
| ADMINISTRATIVE DIRECTOR OF NURSING | $264,093 | $0 | $0 | $0 | $5,993 | $0 | $8,213 | $0 | $20,562 | $0 | $298,861 | $0 | $0 | $0 |
| SHERMAN KONG | ||||||||||||||
| PHARMACIST | $231,289 | $0 | $0 | $0 | $24,110 | $0 | $19,108 | $0 | $1,034 | $0 | $275,541 | $0 | $0 | $0 |
| MICHAEL FREUDIGER | ||||||||||||||
| CHARGE PHARMACIST | $239,829 | $0 | $0 | $0 | $14,787 | $0 | $11,532 | $0 | $9,375 | $0 | $275,523 | $0 | $0 | $0 |
| TONI KAZARIAN | ||||||||||||||
| FORMER KE; DIR PATIENT LOGISTICS | $204,438 | $0 | $0 | $0 | $2,466 | $0 | $15,855 | $0 | $21,225 | $0 | $243,984 | $0 | $0 | $0 |
| MICHAEL PRUSAITIS | ||||||||||||||
| FORMER OFFICER | $0 | $76,997 | $0 | $34,107 | $0 | $43,259 | $0 | $2,302 | $0 | $7,416 | $0 | $164,081 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | SAINT AGNES MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT AGNES MEDICAL CENTER'S CEO 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 AGNES MEDICAL CENTER'S CEO: - 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, LINE 4B | THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. 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 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NANCY HOLLINGSWORTH - $92,751 SHERI SHAPIRO - $115,500 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 ($290,000 FOR 2021). THE FOLLOWING PAYOUTS FOR 2021 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: W. EUGENE EGERTON, MD - $5,137 MICHAEL PRUSAITIS - $1,879 DEANETTE SISSON - $0 STACY VAILLANCOURT - $1,251 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELSEY VAILLANCOURT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMEMBER OF STACY VAILLANCOURT, KEY EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $89,899 | TransactionAmt |
| Transaction | EMPLOYMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $49,366 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | SAINT AGNES MEDICAL CENTER HAS CONTRACTED WITH HEALTHSOURCE PARTNERS FOR THE PROVISION OF INTERIM CFO SERVICES. IN CALENDAR YEAR 2021, SAINT AGNES MEDICAL CENTER PAID $52,869 TO HEALTHSOURCE PARTNERS FOR TERRI DONOVAN'S SERVICES AS INTERIM CFO OF SAINT AGNES MEDICAL CENTER. SAINT AGNES MEDICAL CENTER DOES NOT KNOW HOW MUCH TERRI DONOVAN RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS IN CALENDAR 2021. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT AGNES MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR SAINT AGNES MEDICAL CENTER IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | SAINT AGNES MEDICAL CENTER 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 SAINT AGNES MEDICAL CENTER, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SAINT AGNES MEDICAL CENTER 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 SAINT AGNES MEDICAL CENTER (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT AGNES MEDICAL CENTER OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT AGNES MEDICAL CENTER (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SAINT AGNES MEDICAL CENTER. 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 SAINT AGNES MEDICAL CENTER IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO 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 CEO OF SAINT AGNES MEDICAL CENTER 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 | SAINT AGNES MEDICAL CENTER 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, SAINT AGNES MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT AGNES MEDICAL CENTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 64,272,134. MANAGEMENT AND GENERAL EXPENSES 736,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,008,407. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 14,481,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,481,995. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 7,681,646. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,681,646. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 2,446,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,446,596. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,702,893. MANAGEMENT AND GENERAL EXPENSES 789,991. FUNDRAISING EXPENSES 27,123. TOTAL EXPENSES 5,520,007. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 187,887. MANAGEMENT AND GENERAL EXPENSES 521,637. FUNDRAISING EXPENSES 53,150. TOTAL EXPENSES 762,674. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 640. MANAGEMENT AND GENERAL EXPENSES 228,177. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 228,817. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 105,106. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,106. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER TO AFFILIATES -34,698,714. EQUITY LOSS IN UNCONSOLIDATED AFFILIATES -84,272. OTHER TRANSACTIONS -4,773,158. |
| FORM 990, PART XII, LINE 2: | SAINT AGNES MEDICAL CENTER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY22 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (206 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 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 MINISTRIES | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM | 501(C)(3) | LINE 1 | 0 | VT | N/A | |||
| 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) | ||
| EAST NORRITON PHYSICIANS SERVICES INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232515999 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | 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 | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | 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) | ||
| 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) | ||
| HEART CENTER OF GREATER WATERBURY INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 830416893 | MANAGEMENT | CT | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| 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 SIOUXLAND | ||||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 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) | ||
| LANGHORNE PHYSICIAN SERVICES INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTH CARE SERVICES | 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 FRANCIS CORPORATION | ||||||||||||
| 7500 K JOHNSON BOULEVARD | BORDENTOWN | NJ | 08505 | 222797282 | PACE PROGRAM | NJ | 501(C)(3) | LINE 10 | ST FRANCIS MEDICAL CENTER TRENTON NJ | 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) | ||
| 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 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 INC | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 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 | CLIVE | IA | 50325 | 421478417 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | ||
| 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 | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 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 LIFE (FKA ST AGNES CONTINUING CARE CENTER) | ||||||||||||
| 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 - 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 - 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 CORPORATION | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 636002215 | PACE PROGRAM | AL | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | 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 | ||||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 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) | ||
| NE PHYSICIAN SERVICES INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232497355 | HEALTH CARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTH CARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 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 | 0 | ||
| 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 | Yes (1) | ||
| 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 7 | 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 CHILD CARE CENTER INC | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD CARE SERVICES | NY | 501(C)(3) | LINE 10 | ST PETER'S HEALTH PARTNERS | 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) | ||
| 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 FRANCIS MEDICAL ASSOCIATES PA | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 832199054 | HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 3 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER TRENTON NJ | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | 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 | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 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 12A, I | 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 12A, I | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| 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 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 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 10 | 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 | ||
| THHS OAKLAND FKA CRANBROOK HOSPICE CARE | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383320699 | HOSPICE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| 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 12C, III-FI | TRINITY HEALTH CORPORATION | 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 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 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) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (51 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 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 | ||||||||||||||
| 3100 EASTON SQ STE 300 | COLUMBUS | OH | 43219 | 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) | |||||
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | 0 | Yes (1) | |||||
| GATEWAY HEALTH PLAN LP | ||||||||||||||
| 444 LIBERTY AVE SUITE 2100 | PITTSBURGH | PA | 15222 | 251691945 | MEDICAID & MEDICARE/ SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A | 0 | Yes (1) | |||||
| HAWARDEN REGIONAL HEALTH CLINICS LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | 0 | Yes (1) | |||||
| 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) | |||||
| LCMC URGENT CARE LLC | ||||||||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 300951534 | URGENT CARE CENTER | DE | N/A | 0 | Yes (1) | |||||
| LOURDES AFTER HOURS LLC | ||||||||||||||
| 7777 HENNESSY BLVD SUITE 1004-202 | BATON ROUGE | LA | 70809 | 201367299 | URGENT CARE CENTER | LA | 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 | ||||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) | |||||
| MEDILUCENT MOB I | ||||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) | |||||
| MERCYONE - HANSEN FAMILY HOSPITAL HOME MEDICAL SHOP LLC | ||||||||||||||
| 920 S OAK STE 3 | IOWA FALLS | IA | 50126 | 854007472 | MEDICAL EQUIPMENT SALES | IA | 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 | |||||
| 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 | |||||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 3100 EASTON SQ STE 300 | COLUMBUS | OH | 43219 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) | |||||
| 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) | |||||
| OSWEGO HEALTH HOME CARE LLC | ||||||||||||||
| 510 SOUTH 4TH STREET | FULTON | NY | 13069 | 472463736 | HOME HEALTH CARE | NY | 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 | Yes (1) | |||||
| 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 | ||||||||||||||
| 15305 DALLAS PKWY STE 1600 | ADDISON | TX | 75001 | 843522377 | OUTPATIENT SURGERY | CA | 0 | 0 | SAINT AGNES MEDICAL CENTER | RELATED | $3,445,103 | $53,350,020 | 0.50100 | |
| SAINT AGNESUSP SURGERY CENTERS LLC | ||||||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 364896811 | MEDICAL SERVICES | CA | 0 | 0 | SAINT AGNES MEDICAL CENTER | RELATED | -$71,035 | $5,151,419 | 0.50100 | |
| 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 CTR 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 | ||||||||||||||
| 3100 EASTON SQ STE 300 | COLUMBUS | OH | 43219 | 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 | |||||
| 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 (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | 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 | C | Yes (1) | SAINT AGNES MEDICAL CENTER | -$2,086,266 | $8,349,924 | 1.00000 | |||||
| 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) | ||||||||
| 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 | PROVIDES OFFICE RENTAL SPACE | 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) | ||||||||
| LABORATORY ASSOCIATES OF MICHIGAN INC | |||||||||||||||||
| 300 W TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382637870 | LAB SERVICES | 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) | ||||||||
| 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) | ||||||||
| MOUNT CARMEL HEALTHPROVIDERS 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 ALPHONSUS PHYSICIANS PA | |||||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | HEALTH CARE SERVICES (INACTIVE) | 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) | ||||||||
| 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) | ||||||||
| 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 | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 | 0 | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CENTRAL VALLEY HEALTH PLAN INC | ||
| S | $6,423,376 | PER BOOKS |
| CENTRAL VALLEY HEALTH PLAN INC | ||
| B | $4,196,973 | PER BOOKS |
| CENTRAL VALLEY HEALTH PLAN INC | ||
| P | $3,440,760 | PER BOOKS |
| CENTRAL VALLEY HEALTH PLAN INC | ||
| Q | $67,815 | PER BOOKS |
| CENTRAL VALLEY HEALTH PLAN INC | ||
| A | $65,682 | PER BOOKS |
| SAINT AGNES MEDICAL FOUNDATION | ||
| P | $22,637,617 | PER BOOKS |
| SAINT AGNES MEDICAL FOUNDATION | ||
| A | $2,052,897 | PER BOOKS |
| SAINT AGNES MEDICAL FOUNDATION | ||
| B | $22,400,000 | PER BOOKS |
| SAINT AGNES MEDICAL FOUNDATION | ||
| M | $8,225,226 | PER BOOKS |
| SAINT AGNESUSP SURGERY CENTER LLC | ||
| C | $263,513 | PER TAX RETURN |
| TRINITY HEALTH CORPORATION | ||
| P | $30,868,687 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $3,493,720 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $43,978,683 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| C | $260,000 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | $8,101,741 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| S | $2,458,605 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | $2,766,427 | PER BOOKS |