ST MARYS GOOD SAMARITAN HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS GOOD SAMARITAN HOSPITAL INC (EIN 26-1720984)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202521339349303052
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T09:44:14-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261720984 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7064537331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL GUSHO | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7064537331 | PhoneNum |
| Signature | 2025-05-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STONISH PIERCE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,974,684 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSHEALTHCARESYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 305 | TotalEmployeeCnt |
| Total Volunteers | 93 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,252,984 | PYContributionsGrantsAmt |
| CY Contributions Grants | $69,715 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,987,425 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,187,721 | CYProgramServiceRevenueAmt |
| PY Investment Income | $625,087 | PYInvestmentIncomeAmt |
| CY Investment Income | $579,384 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,582,322 | PYOtherRevenueAmt |
| CY Other Revenue | $4,127,029 | CYOtherRevenueAmt |
| PY Total Revenue | $37,447,818 | PYTotalRevenueAmt |
| CY Total Revenue | $41,963,849 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,150 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $8,050 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,741,754 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,726,870 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,353,340 | PYOtherExpensesAmt |
| CY Other Expenses | $17,558,313 | CYOtherExpensesAmt |
| PY Total Expenses | $33,107,244 | PYTotalExpensesAmt |
| CY Total Expenses | $33,293,233 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,340,574 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,670,616 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $71,394,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $77,550,140 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,022,946 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,659,371 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,371,405 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,890,769 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, TRINITY HEALTH GEORGIA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL IS A MEMBER OF TRINITY HEALTH GEORGIA AND TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,817,262 | ExpenseAmt |
| Grant | $8,050 | GrantAmt |
| Revenue | $41,176,388 | RevenueAmt |
| Desc | GOOD SAMARITAN HOSPITAL WAS ESTABLISHED TO SERVE THE HEALTH CARE NEEDS OF THE PEOPLE OF GREENSBORO AND THE GREATER GREENE COUNTY AREAS OF EAST GEORGIA. GOOD SAMARITAN HOSPITAL OPERATES A 25-BED CRITICAL ACCESS HOSPITAL FOR THE COMMUNITY, INCLUDING GENERAL SURGERY, A 24-HOUR EMERGENCY DEPARTMENT AND MOST ANCILLARY SERVICES ASSOCIATED WITH A MODERN HEALTH CARE FACILITY. GOOD SAMARITAN HOSPITAL PROVIDES THESE SERVICES ALONG WITH OTHER WELLNESS AND EDUCATIONAL PROGRAMS TO THE COMMUNITY AT REDUCED COST, OR IN SOME CASES NO CHARGE, BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT PROGRAMS AND SERVICES: WWW.STMARYSHEALTHCARESYSTEM.ORG | Desc |
| Total Program Service Expenses | $28,817,262 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 305 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL HUCKLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7063893000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 BAXTER STREET | AddressLine1Txt |
| City | ATHENS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30606 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| STONISH PIERCE | ||||||||||
| DIRECTOR, PRESIDENT & CEO | 2.00 | 53.00 | Yes (X) | Yes (X) | $0 | $778,059 | $138,719 | |||
| JOHN FOOS | ||||||||||
| DIRECTOR; CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOAN ANTONE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACK BROWN | ||||||||||
| DIRECTOR THROUGH 12/23 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WALTER CHANNELL | ||||||||||
| DIRECTOR THROUGH 12/23 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONNIE HARRISON JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KRISTINE HOPKINS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEAN MEYER | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT MOORE JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES PARKS | ||||||||||
| DIRECTOR AS OF 1/24 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ELIZABETH STRICKLAND THOMAS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUNE TOMPKINS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GARY USRY | ||||||||||
| DIRECTOR AS OF 1/24 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JANICE DUNN | ||||||||||
| TREASURER & CFO THROUGH 2/24 | 2.00 | 48.00 | Yes (X) | $0 | $350,886 | $43,784 | ||||
| MICHAEL GUSHO | ||||||||||
| TREAS AT 2/24; CFO SVC AREA SOUTH | 1.00 | 49.00 | Yes (X) | $0 | $936,965 | $65,232 | ||||
| ELIZABETH SCHOEN | ||||||||||
| SECRETARY; ASSOCIATE COUNSEL | 2.00 | 48.00 | Yes (X) | $0 | $250,579 | $42,423 | ||||
| JEFFREY BROWN | ||||||||||
| SENIOR VICE PRESIDENT, OPERATIONS | 5.00 | 45.00 | $0 | $304,425 | $32,859 | Yes (X) | ||||
| KIMBERLY TYLER | ||||||||||
| ASSOCIATE CHIEF NURSE OFFICER | 50.00 | 0.00 | $186,096 | $0 | $31,260 | Yes (X) | ||||
| JOSEPH HANCOCK | ||||||||||
| PHARMACIST | 45.00 | 0.00 | $140,783 | $0 | $37,308 | Yes (X) | ||||
| DONALD SOUTHARD | ||||||||||
| NURSING SUPERVISOR | 45.00 | 0.00 | $135,825 | $0 | $18,018 | Yes (X) | ||||
| CASEY ALLEN-HAYES | ||||||||||
| MANAGER, PHARMACY | 45.00 | 0.00 | $123,307 | $0 | $2,096 | Yes (X) | ||||
| CYNTHIA DAVIS | ||||||||||
| MANAGER, REHABILITATION | 45.00 | 0.00 | $122,757 | $0 | $38,147 | Yes (X) | ||||
| D MONTEZ CARTER | ||||||||||
| FORMER OFFICER; TH OF NE PRES & CEO | 0.00 | 55.00 | $0 | $1,367,293 | $270,752 | Yes (X) | ||||
| DAVID SPIVEY | ||||||||||
| FORMER OFF;PRES SAINT AGNES THR 1/24 | 0.00 | 55.00 | $0 | $916,565 | $48,533 | Yes (X) | ||||
| JASON SMITH MD | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $322,529 | $23,013 | Yes (X) | ||||
| TANYA ADCOCK | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $287,104 | $129,613 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $708,768 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,514,405 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $921,757 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | 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 |
|---|---|---|---|---|---|
| LAKE COUNTRY ANESTHESIA LLC | |||||
| 2601 EXPERIMENT STN RD | WATKINSVILLE | GA | 30677 | CONTRACTED CRNA SERVICES | $519,775 |
| OCONEE VALLEY HEALTHCARE INC | |||||
| 803 S MAIN ST | GREENSBORO | GA | 30642 | HOSPITALISTS SERVICES | $438,000 |
| HALLMARK HEALTH CARE SOLUTIONS INC | |||||
| PO BOX 22937 | NEW YORK | NY | 10087 | HEALTH CARE STAFFING SERVICES | $322,625 |
| ATHENS CLARKE MEDICAL ENTERPRISES LLC | |||||
| PO BOX 9605 | DAYTONA BEACH | FL | 32120 | CONTRACTED EMERGENCY SERVICES | $280,000 |
| HOLLANDSWORTH CONSTRUCTION LLC | |||||
| 128 E HIGHLAND AVE | MONROE | GA | 30655 | CONSTRUCTION SERVICES | $230,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $66,715 | RelatedOrganizationsAmt |
| Government Grants | $3,000 | GovernmentGrantsAmt |
| Total Contributions | $69,715 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $37,187,721 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,187,721 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,187,721 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417,356 | TotalRevenueColumnAmt |
| Exclusion | $417,356 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $162,028 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $162,028 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,028 | TotalRevenueColumnAmt |
| Exclusion | $162,028 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $24,988 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $10,835 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,153 | TotalRevenueColumnAmt |
| Exclusion | $14,153 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER RELATED REVENUE | 622110 | $3,688,667 | $3,688,667 | |
| GOVERNMENT SUBSIDY | 622110 | $300,000 | $300,000 | |
| CAFETERIA REVENUE | 722514 | $124,209 | $124,209 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,112,876 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,963,849 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,176,388 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $717,746 | 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 | $8,050 | TotalAmt |
| Program Services | $8,050 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,264 | TotalAmt |
| Program Services | $124,872 | ProgramServicesAmt |
| Management And General | $290,392 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,550,661 | TotalAmt |
| Program Services | $12,550,661 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,835,243 | TotalAmt |
| Program Services | $1,824,827 | ProgramServicesAmt |
| Management And General | $10,416 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,702 | TotalAmt |
| Program Services | $906,889 | ProgramServicesAmt |
| Management And General | $18,813 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,262 | TotalAmt |
| Management And General | $26,262 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,363,516 | TotalAmt |
| Program Services | $2,354,544 | ProgramServicesAmt |
| Management And General | $3,008,972 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,344 | TotalAmt |
| Program Services | $7,642 | ProgramServicesAmt |
| Management And General | $93,702 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,627 | TotalAmt |
| Program Services | $211,918 | ProgramServicesAmt |
| Management And General | $127,709 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,428 | TotalAmt |
| Program Services | $107,428 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $827,153 | TotalAmt |
| Program Services | $821,529 | ProgramServicesAmt |
| Management And General | $5,624 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,406 | TotalAmt |
| Program Services | $2,031 | ProgramServicesAmt |
| Management And General | $3,375 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,487 | TotalAmt |
| Program Services | $2,012 | ProgramServicesAmt |
| Management And General | $1,475 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,306,749 | TotalAmt |
| Program Services | $1,306,749 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,914,429 | TotalAmt |
| Program Services | $1,904,284 | ProgramServicesAmt |
| Management And General | $10,145 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES EXP | $3,742,329 | $3,742,329 | |
| BAD DEBT EXPENSE | $2,018,948 | $2,018,948 | |
| I/C PURCHASE SERVICES | $1,054,587 | $211,836 | $842,751 |
| EQUIPMENT MAINTENANCE | $686,853 | $686,583 | $270 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,195 | TotalAmt |
| Program Services | $24,130 | ProgramServicesAmt |
| Management And General | $36,065 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,293,233 | TotalAmt |
| Program Services | $28,817,262 | ProgramServicesAmt |
| Management And General | $4,475,971 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,377 | BOYAmt |
| EOY | $360,490 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,283,335 | BOYAmt |
| EOY | $6,366,925 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $658,886 | BOYAmt |
| EOY | $702,803 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,204 | BOYAmt |
| EOY | $54,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,920,191 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,952,759 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,484,652 | BOYAmt |
| EOY | $26,967,432 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,919,166 | BOYAmt |
| EOY | $30,003,332 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,908,838 | BOYAmt |
| EOY | $12,858,570 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,878,893 | BOYAmt |
| EOY | $236,069 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,394,351 | BOYAmt |
| EOY | $77,550,140 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,557,068 | BOYAmt |
| EOY | $2,905,704 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,211 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,269,667 | BOYAmt |
| EOY | $33,753,667 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,022,946 | BOYAmt |
| EOY | $36,659,371 | 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 | $30,371,405 | BOYAmt |
| EOY | $40,890,769 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,371,405 | BOYAmt |
| EOY | $40,890,769 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,394,351 | BOYAmt |
| EOY | $77,550,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,670,616 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,618,705 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $230,043 | 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 | $5,805 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $5,805 | 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 | GOOD SAMARITAN HOSPITAL 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 GOOD SAMARITAN HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,741,571 | OtherCostOrOtherBasisAmt |
| Book Value | $2,741,571 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,847,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,357,193 | DepreciationAmt |
| Book Value | $19,490,353 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,326,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,595,566 | DepreciationAmt |
| Book Value | $4,730,467 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,041 | OtherCostOrOtherBasisAmt |
| Book Value | $5,041 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,967,432 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | $3,000,333 | F |
| HEDGE FUNDS | $1,285,857 | F |
| EQUITY METHOD INVESTMENTS | $8,572,380 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,858,570 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY NOTES PAYABLE | $32,245,856 |
| INTERCOMPANY ACCOUNTS PAYABLE | $1,339,926 |
| OTHER CURRENT LIABILITIES | $80,186 |
| OTHER LT LIABILITIES | $87,699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,753,667 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,029,062 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $729,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,669,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,917,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,699,054 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,217,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $729,062 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 1330 | PersonsServedCnt |
| Total Community Benefit Expns | $179,108 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $179,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 87 | PersonsServedCnt |
| Total Community Benefit Expns | $28,157 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1630 | PersonsServedCnt |
| Total Community Benefit Expns | $8,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 3047 | PersonsServedCnt |
| Total Community Benefit Expns | $215,324 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $215,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 3047 | PersonsServedCnt |
| Total Community Benefit Expns | $2,914,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,217,767 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $944,386 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,154 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 250 | PersonsServedCnt |
| Total Community Benefit Expns | $496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 250 | PersonsServedCnt |
| Total Community Benefit Expns | $5,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,018,948 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,808,790 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,726,150 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $82,640 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | PERMIT #066-638 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:GOOD SAMARITAN HOSPITAL INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. THROUGH FURTHER PRIORITIZATION AND IDENTIFICATION OF EXISTING COMMUNITY RESOURCES AND ASSETS, THE FOLLOWING FOUR PRIORITY COMMUNITY HEALTH NEEDS WERE DEEMED MOST SIGNIFICANT:1. ACCESS TO HEALTH CARE2. ADDRESSING SOCIAL NEEDS 3. BEHAVIORAL AND MENTAL HEALTH4. CHRONIC DISEASE PREVENTION AND MANAGEMENT |
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 5: COMMUNITY INPUT FOR THE GOOD SAMARITAN HOSPITAL CHNA WAS OBTAINED THROUGH FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS HELD BETWEEN DECEMBER 2021 AND FEBRUARY 2022. THE HOSPITAL ENGAGED STATE, LOCAL, AND REGIONAL HEALTH DEPARTMENTS; REPRESENTATIVES OF THOSE WHO ARE MEDICALLY UNDERSERVED, LOW-INCOME, OR MEMBERS OF MINORITY POPULATIONS; AND INTERNAL STAKEHOLDERS TO PROVIDE FEEDBACK ON IDENTIFYING AND PRIORITIZING SIGNIFICANT NEEDS.THE CHNA USED A COMPREHENSIVE MIXED-METHODS APPROACH, WHICH INCLUDED A COMBINATION OF QUALITATIVE AND QUANTITATIVE DATA AND ANALYSES, TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THIS APPROACH ALLOWS FOR MORE CONFIDENCE IN THE FINDINGS OF THE CHNA AND ENSURES ROBUSTNESS IN IDENTIFICATION OF HEALTH NEEDS. THE QUALITATIVE METHODS USED TO SOLICIT INPUT FROM PRIMARY SOURCES INCLUDED FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS; THE QUANTITATIVE METHODS UTILIZED SECONDARY DATA SOURCES SUCH AS THE TRINITY HEALTH DATA HUB FOR SERVICE AREA DATA AND THE EMERGENCY DEPARTMENT FOR HOSPITAL-SPECIFIC DATA. THE PRIMARY DATA COLLECTED INCLUDED INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; FEDERAL, REGIONAL, STATE, AND LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED; LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY; AND INPUT FROM OTHER PERSONS LOCATED IN AND/OR SERVING THE COMMUNITY. INFORMATION WAS GATHERED BY CONDUCTING FOCUS GROUPS AND STAKEHOLDER INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. THE SECONDARY DATA SOURCES WERE USED TO GATHER DEMOGRAPHIC AND HEALTH INDICATOR DATA. THE DATA ANALYSIS GENERATED BY THE TRINITY HEALTH DATA HUB IS BASED ON EACH HOSPITAL'S SERVICE AREA AND PROVIDED COMPREHENSIVE REPORTS ON THE FOLLOWING INDICATORS: HEALTH CARE ACCESS, ECONOMIC STABILITY, EDUCATION, SOCIAL SUPPORT AND COMMUNITY CONTEXT, NEIGHBORHOOD AND PHYSICAL ENVIRONMENT, AND HEALTH OUTCOMES AND BEHAVIORS. SEVERAL INDICATORS ARE CALCULATED USING AREAL WEIGHTED INTERPOLATION TO ESTIMATE THE VALUES FOR EACH CENSUS TRACT WHICH OVERLAPS WITH THE SERVICE AREAS, AND THE TRACT-LEVEL ESTIMATES ARE AGGREGATED FOR THE HOSPITAL REGIONS. A RULE HAS BEEN IMPLEMENTED TO ENSURE THE TOTAL PERCENTAGE OF ALL SELECTED HOSPITAL SERVICE AREAS DOES NOT EXCEED 100% FOR ANY CENSUS TRACT. EACH HOSPITAL REPORT INCLUDES DATA FROM THE MOST UPDATED AND NATIONALLY RECOGNIZED SOURCES SUCH AS THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. |
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 11: THE FOLLOWING COMMUNITY HEALTH NEEDS WERE RECOGNIZED AS THE MOST SIGNIFICANT ISSUES THAT MUST BE ADDRESSED TO IMPROVE THE HEALTH AND QUALITY OF LIFE IN OUR COMMUNITY. THESE NEEDS WERE ADDRESSED IN FISCAL YEAR 2024:ACCESS TO HEALTH CARE:GOOD SAMARITAN HOSPITAL CONTINUED ITS SUPPORT FOR OCONEE VALLEY HEALTHCARE, THE ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE AREA, ENHANCING ACCESS TO PRIMARY CARE SERVICES. THIS COLLABORATION, ALONG WITH ST. MARY'S MEDICAL GROUP, OFFERED EXPANDED OPPORTUNITIES FOR PRIMARY CARE PHYSICIANS TO SERVE IN RURAL COMMUNITIES. ADDITIONALLY, THE HOSPITAL PARTNERED WITH AUGUSTA UNIVERSITY/UNIVERSITY OF GEORGIA MEDICAL SCHOOL TO PROVIDE A RURAL ROTATION FOR RESIDENT PHYSICIANS, INTEGRATING THEM INTO HOSPITAL PRACTICES AND OCONEE VALLEY HEALTHCARE, THEREBY EXPANDING RURAL HEALTH CARE CAPACITY.PROVIDING INCREASED ACCESS TO LIFE-SAVING CARE, GOOD SAMARITAN HOSPITAL ESTABLISHED A COMMUNITY-BASED CPR TRAINING AND CERTIFICATION PROGRAM, CERTIFYING 17 COMMUNITY MEMBERS IN FISCAL YEAR 2024. THE HOSPITAL ALSO SUPPORTED THE SEXUAL ASSAULT NURSE EXAMINERS (SANE) PROGRAM THROUGH CHARITABLE CONTRIBUTIONS, PROVIDING SPECIALIZED CARE TO SEXUAL ASSAULT VICTIMS.GOOD SAMARITAN HOSPITAL PARTNERED WITH FIRSTSOURCE, A PATIENT FINANCIAL SERVICES PROVIDER, TO ASSIST UNSERVED AND UNDERSERVED PATIENTS NAVIGATE MEDICAID AND FINANCIAL ASSISTANCE PROGRAMS, REDUCING FINANCIAL BARRIERS TO NECESSARY HEALTH CARE SERVICES. THE HOSPITAL ALSO OFFERED CLINICAL TRAINING HOURS FOR STUDENTS, SUPPORTING THE FUTURE HEALTH CARE WORKFORCE.ADDRESSING SOCIAL NEEDS:GOOD SAMARITAN HOSPITAL TOOK THESE PROACTIVE STEPS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH BY SUPPORTING COMMUNITY ORGANIZATIONS:- COLLABORATED WITH THE GREENE COUNTY FOOD PANTRY AND SECOND HARVEST, INC. TO EXPAND ACCESS TO NUTRITIOUS FOOD, ENSURING EFFICIENT FOOD DISTRIBUTION TO RESIDENTS IN NEED AND MINIMIZING DUPLICATIVE EFFORTS.- SUPPORTED GREENE COUNTY FAMILY CONNECTIONS AND THE BOYS AND GIRLS CLUB, CONTRIBUTING TO PROGRAMS THAT ADDRESS FAMILY SUPPORT, YOUTH DEVELOPMENT, AND SOCIAL SERVICES.- CONTRIBUTED TO VICTORY TRAIN, A CHILDHOOD LITERACY PROGRAM LED BY ATLAS MINISTRY, INC., RECOGNIZING THE LONG-TERM HEALTH AND SOCIOECONOMIC BENEFITS OF IMPROVED EDUCATION.- PROVIDED CHARITABLE SUPPORT TO UNITED WAY AND CONTRIBUTED TO ECONOMIC DEVELOPMENT INITIATIVES WITH THE ROTARY CLUB OF GREENE AND PUTNAM COUNTIES AND THE GREENE COUNTY CHAMBER OF COMMERCE TO STRENGTHEN COMMUNITY RESILIENCE AND PROSPERITY.BEHAVIORAL AND MENTAL HEALTH:IN RESPONSE TO THE GROWING NEED FOR MENTAL HEALTH SERVICES, GOOD SAMARITAN HOSPITAL PROVIDED FINANCIAL CONTRIBUTIONS TO ADVANTAGE BEHAVIORAL HEALTH, WHICH SUPPORTS INDIVIDUALS WITH MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, AND THOSE RECOVERING FROM ADDICTION. THESE CONTRIBUTIONS HELPED BRIDGE FUNDING GAPS, ENSURING CRITICAL MENTAL HEALTH SERVICES REMAIN ACCESSIBLE TO THE COMMUNITY.CHRONIC DISEASE PREVENTION AND MANAGEMENT:THE HOSPITAL PROVIDED NO-COST MAMMOGRAMS TO UNINSURED AND UNDERINSURED PATIENTS YEAR-ROUND, PROMOTING EARLY DETECTION OF BREAST CANCER. IN COLLABORATION WITH THE GREENE COUNTY SENIOR CENTER, THE HOSPITAL DELIVERED QUARTERLY EDUCATIONAL PROGRAMS ON NUTRITION, PHYSICAL THERAPY, MENTAL HEALTH, AND BREAST CANCER AWARENESS, SPECIFICALLY TAILORED TO THE NEEDS OF SENIOR CITIZENS.THROUGH THESE COMPREHENSIVE EFFORTS, GOOD SAMARITAN HOSPITAL DEMONSTRATED ITS COMMITMENT TO IMPROVING COMMUNITY HEALTH, ADDRESSING BOTH MEDICAL AND SOCIAL NEEDS, AND FOSTERING LONG-TERM HEALTH OUTCOMES IN RURAL AND UNDERSERVED POPULATIONS. |
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE 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 ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. |
| GOOD SAMARITAN HOSPITAL: | PART V, SECTION B, LINE 7A:WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| GOOD SAMARITAN HOSPITAL: | 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. |
| GOOD SAMARITAN HOSPITAL: | PART V, SECTION B, LINE 10A:WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| GOOD SAMARITAN HOSPITAL: | PART V, LINE 16A, FAP WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
| GOOD SAMARITAN HOSPITAL: | PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
| GOOD SAMARITAN HOSPITAL: | PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| 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: | GOOD SAMARITAN HOSPITAL 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.GOOD SAMARITAN HOSPITAL ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. |
| 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, $2,018,948, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | GOOD SAMARITAN HOSPITAL ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT STRENGTHEN THE CAPACITY OF THE COMMUNITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS. THESE ACTIVITIES AIM AT IMPROVING ACCESS TO HEALTH SERVICES, ENHANCING PUBLIC HEALTH, AND ADVANCING KNOWLEDGE. GOOD SAMARITAN HOSPITAL PARTICIPATED IN THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2024:COALITION BUILDING - GOOD SAMARITAN HOSPITAL'S STAFF ACTIVELY SERVE ON THE ROTARY CLUB OF GREENE AND PUTNAM COUNTIES, GREENE COUNTY CHAMBER OF COMMERCE, GREENE COUNTY FAMILY CONNECTIONS, AND THE GREENE COUNTY HOUSING AND HOMELESS COMMITTEE. THE HOSPITAL'S INVOLVEMENT IN THESE ORGANIZATIONS DEMONSTRATES ITS COMMITMENT TO FOSTERING COLLABORATION AND COMMUNITY ENGAGEMENT TO ADDRESS PRESSING SOCIAL ISSUES. THROUGH PARTICIPATION IN THE ROTARY CLUB OF GREENE AND PUTNAM COUNTIES, THE HOSPITAL SUPPORTS LOCAL INITIATIVES THAT ENHANCE COMMUNITY WELL-BEING AND SERVICE PROJECTS AIMED AT IMPROVING QUALITY OF LIFE FOR RESIDENTS. COLLABORATING WITH THE GREENE COUNTY CHAMBER OF COMMERCE HELPS THE HOSPITAL ADVOCATE FOR ECONOMIC DEVELOPMENT AND BUSINESS GROWTH, WHICH IN TURN SUPPORTS THE HEALTH OF THE COMMUNITY. BY ENGAGING WITH GREENE COUNTY FAMILY CONNECTIONS, THE HOSPITAL CONTRIBUTES TO REDUCING BARRIERS, SERVICE GAPS, AND INEFFICIENCIES THAT IMPEDE PROGRESS AND POSITIVE OUTCOMES FOR CHILDREN, FAMILIES, AND COMMUNITIES. FURTHERMORE, INVOLVEMENT IN THE GREENE COUNTY HOUSING AND HOMELESS COMMITTEE ALLOWS THE HOSPITAL TO ADDRESS HOUSING INSECURITY, ENSURING THAT ALL RESIDENTS HAVE ACCESS TO SAFE AND STABLE LIVING CONDITIONS, WHICH ARE ESSENTIAL FOR OVERALL HEALTH.THE HOSPITAL PARTICIPATED IN MEETINGS WITH THE GEORGIA HOSPITAL ASSOCIATION (GHA), INCLUDING THE GHA RURAL HEALTH CARE SUMMIT. GOOD SAMARITAN HOSPITAL'S CHIEF ASSOCIATE NURSING OFFICER ALSO TOOK PART IN THE OCONEE VALLEY HEALTHCARE BOARD MEETING AND THE OCONEE HEALTHCARE BRUNCH, WHICH BROUGHT TOGETHER 15 LEADERS AND PROVIDERS WITHIN THE GREENE COUNTY AREA. THESE ENGAGEMENTS FOSTERED COLLABORATION AND DIALOGUE AROUND IMPROVING HEALTH CARE DELIVERY AND ECONOMIC SUSTAINABILITY IN THE REGION.WORKFORCE DEVELOPMENT - GOOD SAMARITAN HOSPITAL ACTIVELY COLLABORATED WITH GREENE COUNTY HIGH SCHOOL AND GREENE COUNTY YOUTH LEADERSHIP ON WORKFORCE DEVELOPMENT PROGRAMMING AND HEALTH CARE CAREER PATHWAYS FOR HIGH SCHOOL STUDENTS. THIS PARTNERSHIP AIMED TO INSPIRE AND PREPARE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, PROVIDING STUDENTS WITH INSIGHTS INTO VARIOUS CAREERS WITHIN THE HEALTH CARE FIELD. BY PROMOTING HEALTH CARE CAREER AWARENESS AND EDUCATIONAL OPPORTUNITIES, THE HOSPITAL IS ADDRESSING LOCAL WORKFORCE SHORTAGES WHILE CONTRIBUTING TO THE COMMUNITY'S OVERALL HEALTH. |
| 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: | GOOD SAMARITAN HOSPITAL 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, GOOD SAMARITAN HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, GOOD SAMARITAN HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | GOOD SAMARITAN HOSPITAL 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 14 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. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. |
| PART III, LINE 8: | THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. 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 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - GOOD SAMARITAN HOSPITAL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, SOLICIT INPUT FROM FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS, AND UTILIZE SECONDARY DATA SOURCES SUCH AS THE TRINITY HEALTH DATA HUB FOR SERVICE AREA DATA AND THE EMERGENCY DEPARTMENT FOR HOSPITAL-SPECIFIC DATA. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - GOOD SAMARITAN HOSPITAL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE 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 FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. GOOD SAMARITAN HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - THE GEOGRAPHIC SERVICE AREA WAS DEFINED AT THE COUNTY-LEVEL FOR THE PURPOSES OF THE 2022 CHNA. THE SERVICE AREA WAS DETERMINED BY COUNTING THE NUMBER OF PATIENT VISITS BY COUNTY OF RESIDENCE. FIVE COUNTIES ARE DEFINED AS THE SERVICE AREA FOR GOOD SAMARITAN HOSPITAL: GREEN, HANCOCK, MORGAN, PUTNAM AND TALIAFERRO. THE TOTAL POPULATION IN THE SERVICE AREA IS 117,760. GOOD SAMARITAN HOSPITAL IS THE ONLY HOSPITAL IN GREENE COUNTY AND THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER, OCONEE VALLEY HEALTHCARE. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH - GOOD SAMARITAN HOSPITAL IS GUIDED BY THE ST. MARY'S HEALTH CARE SYSTEM MISSION OF IMPROVING THE HEALTH OF THE PEOPLE OF OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS. THE HOSPITAL OFFERS A WIDE RANGE OF SERVICES, INCLUDING GENERAL SURGERY AND A 24-HOUR EMERGENCY DEPARTMENT SERVING ALL WHO NEED EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS A ST. MARY'S HEALTH CARE SYSTEM HOSPITAL, WE BRING SPECIALTY SERVICES CONVENIENTLY LOCATED CLOSE TO HOME TO COMMUNITY MEMBERS, PROVIDED BY A NETWORK OF PHYSICIANS. WE ALSO PROVIDE COMMUNITY MEMBERS ACCESS TO EXPERTS AND SPECIALTY SERVICES AT ST. MARY'S HOSPITAL IN ATHENS WHEN THEY REQUIRE CARE NOT AVAILABLE LOCALLY.COMMUNITY BENEFIT IS THE WAY THAT GOOD SAMARITAN HOSPITAL CARRIES OUT ITS MISSION AND DEMONSTRATES A COMMITMENT TO OUR CORE VALUES, REFLECTING HOW WE SERVE OUR COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION. GOOD SAMARITAN HOSPITAL OFFERS MANY PROGRAMS AND SERVICES TO ENSURE THE BEST QUALITY OF CARE IS GIVEN TO OUR PATIENTS, AS WELL AS HELPING THOSE IN NEED IN THE COMMUNITY WHO MAY NEVER ENTER OUR FACILITIES. THROUGH OUR HEALTH EDUCATION PROGRAMS, HEALTH CARE SUPPORT SERVICES, VALUED COMMUNITY PARTNERSHIPS, AND CHARITY CARE PROVISIONS, GOOD SAMARITAN HOSPITAL IS IMPROVING THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES THAT MAKE UP OUR COMMUNITY. EACH YEAR, GOOD SAMARITAN HOSPITAL WELCOMES STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES WHO ARE STUDYING TO BECOME THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS. THE STAFF OF GOOD SAMARITAN HOSPITAL MENTOR AND EDUCATE THESE STUDENTS IN THE UNIQUE SETTINGS OF A HEALTH CARE FACILITY. THE EXPERIENCE AND KNOWLEDGE GAINED THROUGH THESE PROGRAMS IS INVALUABLE TO THE STUDENTS' FUTURE CAREERS, WHILE BENEFITING THE HEALTH CARE FIELD AND THE COMMUNITY. IN FISCAL YEAR 2024, GOOD SAMARITAN HOSPITAL STRENGTHENED ITS COMMUNITY ENGAGEMENT BY PARTICIPATING IN NUMEROUS COMMITTEES, COALITIONS, AND ADVISORY GROUPS. HOSPITAL LEADERSHIP AND STAFF WERE ACTIVE MEMBERS OF THE GREENE COUNTY CHAMBERS OF COMMERCE, REFLECTING THE HOSPITAL'S COMMITMENT TO ADDRESSING COMMUNITY HEALTH AND SOCIOECONOMIC CHALLENGES.GOOD SAMARITAN HOSPITAL ALSO CONTINUES ITS ACTIVE INVOLVEMENT IN COMMUNITY EVENTS AND HEALTH FAIRS ACROSS GREENE AND PUTNAM COUNTIES, OFFERING FREE HEALTH EDUCATIONAL RESOURCES TO RESIDENTS OF ALL AGES. THESE INITIATIVES INCREASE PUBLIC AWARENESS OF HEALTH ISSUES AND PROVIDE DIRECT SUPPORT TO COMMUNITY MEMBERS, ESPECIALLY THOSE IN UNDERSERVED POPULATIONS.IN FISCAL YEAR 2024, ST. MARY'S HEALTH CARE SYSTEM ADVOCATED FOR AND ADVANCED THE ROLE OF COMMUNITY HEALTH WORKERS (CHW'S) ACROSS GEORGIA, IN A COMMITMENT TO ADDRESS HEALTH DISPARITIES AND IMPROVE ACCESS TO CARE FOR THOSE WHO ARE UNDERSERVED. GEORGIA WATCH, A CONSUMER ADVOCACY ORGANIZATION, HOSPITAL LEADERSHIP AND THE COMMUNITY HEALTH AND WELL-BEING DEPARTMENT WORKED WITH STATE LEGISLATORS TO SUPPORT LEGISLATION THAT WOULD ESTABLISH A FORMAL LICENSURE PROCESS FOR CHW'S. THIS LEGISLATION AIMED TO ENSURE STANDARDIZED TRAINING, CERTIFICATION, AND PROFESSIONAL RECOGNITION OF CHW'S THROUGHOUT THE STATE, WHILE ALSO ENABLING REIMBURSEMENT THROUGH MEDICAID AND OTHER PAYERS. THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, THE HOSPITAL EDUCATED THE PUBLIC AND POLICYMAKERS ON THE IMPORTANCE OF EXPANDING THE CHW WORKFORCE TO ADDRESS HEALTH INEQUITIES, PARTICULARLY IN RURAL AND UNDERSERVED AREAS.IN FISCAL YEAR 2024, GOOD SAMARITAN HOSPITAL MADE THE FOLLOWING EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH WITHIN THE COMMUNITY AS PART OF THE HOSPITAL'S BROADER COMMITMENT TO IMPROVING HEALTH OUTCOMES: FOOD SECURITY - UNDERSTANDING THE CRITICAL LINK BETWEEN NUTRITION AND HEALTH, GOOD SAMARITAN HOSPITAL PARTNERED WITH LOCAL ORGANIZATIONS LIKE THE SECOND HARVEST, INC. AND THE GREENE COUNTY FOOD PANTRY TO EXPAND ACCESS TO NUTRITIOUS FOOD FOR UNDERSERVED POPULATIONS.CHW-LED SOCIAL CARE NAVIGATION - ST. MARY'S HEALTH CARE SYSTEM CONTINUED THE CHW PROGRAM IN RURAL AREAS TO ASSESS PATIENT'S SOCIAL NEEDS SUCH AS EMPLOYMENT, HOUSING, FOOD ACCESS, AND TRANSPORTATION. THE CHW PROGRAM CONNECTS PATIENTS TO COMMUNITY RESOURCES AND SERVICES, WHILE ALSO ASSISTING THEM IN NAVIGATING SOCIAL SYSTEMS THAT COULD IMPROVE THEIR ECONOMIC AND SOCIAL CONDITIONS. THIS HOLISTIC APPROACH HELPS ADDRESS UNDERLYING SOCIAL INFLUENCERS THAT OFTEN GO UNRECOGNIZED DURING STANDARD HEALTH CARE INTERACTIONS. COMMUNITY TRAINING AND EDUCATION - MEMBERS OF THE GREENE COUNTY RECREATION DEPARTMENT AND DEL WEBB SENIOR LIVING WERE OFFERED CPR CERTIFICATION. THIS PROGRAM PROVIDED ESSENTIAL TRAINING ON CPR TECHNIQUES AND EMERGENCY RESPONSE SKILLS, EMPOWERING COMMUNITY MEMBERS TO ACT CONFIDENTLY IN LIFE-THREATENING SITUATIONS, ENHANCING COMMUNITY SAFETY AND RESILIENCE, AND FOSTERING A CULTURE OF PREPAREDNESS FOR HEALTH EMERGENCIES.FINANCIAL ASSISTANCE - GOOD SAMARITAN HOSPITAL EXPANDED ITS OUTREACH EFFORTS FOR FINANCIAL ASSISTANCE PROGRAMS TO ENSURE THAT UNINSURED AND UNDERINSURED PATIENTS ARE AWARE OF THE SUPPORT AVAILABLE FOR MEDICAL BILLS, IMPROVING ACCESS TO TIMELY CARE AND SUPPORTING THE OVERALL WELL-BEING OF THE COMMUNITY. THE HOSPITAL PARTNERED WITH FIRSTSOURCE, A PATIENT FINANCIAL SERVICES PROVIDER, TO ASSIST PATIENTS IN NAVIGATING AND APPLYING FOR MEDICAID AND OTHER FINANCIAL ASSISTANCE OPTIONS. THIS COLLABORATION WITH FIRSTSOURCE ALLEVIATED ECONOMIC BARRIERS AND ENSURED THAT MORE PATIENTS RECEIVED THE HEALTH CARE SERVICES THEY NEEDED WITHOUT WORRYING ABOUT FINANCIAL HARDSHIP. IN FISCAL YEAR 2024, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. ST. MARY'S HEALTH CARE SYSTEM'S COMMUNITY IMPACT IN FISCAL YEAR 2024 TOTALED $34.3 MILLION. |
| PART VI, LINE 6: | GOOD SAMARITAN HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE AIM TO DISMANTLE OPPRESSIVE SYSTEMS AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2024 (FY24), TRINITY HEALTH CONTRIBUTED NEARLY $1.3 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $900 MILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.2 BILLION IN FY24.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY24 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN PARTNERSHIP WITH 31 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $931.5 MILLION IN INVESTMENTS, WITH APPROXIMATELY 80% ($749.3 MILLION) OF THESE FUNDS SUPPORTING HIGH PRIORITY ZIP CODES WITHIN TRINITY HEALTH'S SERVICE AREAS (DEFINED AS RACIALLY/ETHNICALLY-DIVERSE COMMUNITIES WITH HIGH LEVELS OF POVERTY). BETWEEN 2018 AND APRIL 2024, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- CREATING AT LEAST 1,100 CHILDCARE; 7,000 KINDERGARTEN THROUGH HIGH SCHOOL EDUCATION; AND 1,500 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPING AT LEAST 7.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE.- PROVIDING 872 STUDENTS NEARLY $2.5 MILLION IN SCHOLARSHIPS TO PURSUE CAREERS IN THE HEALTH PROFESSIONS.- SUPPORTING 10,800 FULL- AND PART-TIME POSITIONS INVOLVED IN THE CREATION OF THESE PROJECTS.- CREATING 12,100 UNITS OF AFFORDABLE HOUSING OVER THE LAST FIVE YEARS (INCLUDING 360 SUPPORTIVE HOUSING BEDS).ACROSS THE TRINITY HEALTH SYSTEM, OVER 875,000 (ABOUT 80%) OF THE PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. ABOUT 28% OF THOSE SCREENED IDENTIFIED AT LEAST ONE SOCIAL NEED. THE TOP THREE NEEDS IDENTIFIED INCLUDED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (CRD), COMMUNITY HEALTH WORKERS (CHW'S) AND OTHER SOCIAL CARE PROFESSIONALS. THE CRD (FINDHELP) YIELDED OVER 88,600 SEARCHES, WITH NEARLY 7,000 REFERRALS MADE AND NEARLY 400 ORGANIZATIONS ENGAGED THROUGH OUTREACH, TRAININGS, ONE-ON-ONE ENGAGEMENTS, AND COLLABORATIVES. CHW'S ARE FRONTLINE HEALTH PROFESSIONALS WHO ARE TRUSTED MEMBERS OF AND/OR HAVE A DEEP UNDERSTANDING OF THE COMMUNITY SERVED. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING, CHW'S PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S FULFILL MANY SKILLS AND FUNCTIONS INCLUDING OUTREACH, CONDUCTING ASSESSMENTS LIKE A SOCIAL NEEDS SCREENING OR A HEALTH ASSESSMENT, RESOURCE CONNECTION, SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY, AND SUPPORT. IN PRACTICE, SOME EXAMPLES ARE A CHW HELPING A PATIENT CONNECT WITH THEIR PRIMARY CARE DOCTOR, ASSISTING WITH A MEDICAID INSURANCE APPLICATION OR UNDERSTANDING THEIR BASIC INSURANCE BENEFITS, OR EMPOWERING A PATIENT TO ASK CLARIFYING QUESTIONS ABOUT THEIR MEDICATIONS OR PLAN OF CARE AT THEIR NEXT DOCTOR'S APPOINTMENT. IN FY24, CHW'S SUCCESSFULLY ADDRESSED NEARLY 16,000 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO SUCCESSFULLY CLOSE, WHICH MEANS THE NEED HAS BEEN FULLY MET AND IS NO LONGER IDENTIFIED AS A NEED. TRINITY HEALTH RECEIVED A NEW CENTER FOR DISEASE CONTROL AND PREVENTION GRANT (5-YEAR, $12.5 MILLION AWARD) IN JUNE 2024. SINCE ITS LAUNCH, WE HAVE CREATED 21 NEW MULTI-SECTOR PARTNERSHIPS ACROSS 16 STATES TO ACCELERATE HEALTH EQUITY IN DIABETES PREVENTION. THIS PAST FISCAL YEAR, OUR HUB ENROLLED NEARLY 700 PARTICIPANTS INTO THE 12-MONTH, EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM (60% REPRESENTING BLACK, LATINX AND/OR 65+ POPULATIONS), REACHED OUT TO NEARLY 20,350 PATIENTS AT RISK FOR TYPE 2 DIABETES, RECEIVED OVER 1,350 POINT OF CARE REFERRALS FROM PHYSICIANS, AND SCREENED NEARLY 1,500 POTENTIAL PARTICIPANTS FOR HEALTH-RELATED SOCIAL NEEDS - PROVIDING CHW INTERVENTIONS WHEN REQUESTED. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| D MONTEZ CARTER | ||||||||||||||
| FORMER OFFICER; TH OF NE PRES & CEO | $0 | $820,976 | $0 | $371,250 | $0 | $175,067 | $0 | $233,475 | $0 | $37,277 | $0 | $1,638,045 | $0 | $73,095 |
| MICHAEL GUSHO | ||||||||||||||
| TREAS AT 2/24; CFO SVC AREA SOUTH | $0 | $650,389 | $0 | $166,250 | $0 | $120,326 | $0 | $24,750 | $0 | $40,482 | $0 | $1,002,197 | $0 | $0 |
| DAVID SPIVEY | ||||||||||||||
| FORMER OFF;PRES SAINT AGNES THR 1/24 | $0 | $699,276 | $0 | $75,000 | $0 | $142,289 | $0 | $24,750 | $0 | $23,783 | $0 | $965,098 | $0 | $0 |
| STONISH PIERCE | ||||||||||||||
| DIRECTOR, PRESIDENT & CEO | $0 | $473,856 | $0 | $223,750 | $0 | $80,453 | $0 | $109,787 | $0 | $28,932 | $0 | $916,778 | $0 | $0 |
| TANYA ADCOCK | ||||||||||||||
| FORMER OFFICER | $0 | $126,155 | $0 | $0 | $0 | $160,949 | $0 | $127,973 | $0 | $1,640 | $0 | $416,717 | $0 | $0 |
| JANICE DUNN | ||||||||||||||
| TREASURER & CFO THROUGH 2/24 | $0 | $340,370 | $0 | $0 | $0 | $10,516 | $0 | $14,850 | $0 | $28,934 | $0 | $394,670 | $0 | $0 |
| JASON SMITH MD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $117,999 | $0 | $0 | $0 | $204,530 | $0 | $1,863 | $0 | $21,150 | $0 | $345,542 | $0 | $3,549 |
| JEFFREY BROWN | ||||||||||||||
| SENIOR VICE PRESIDENT, OPERATIONS | $0 | $247,460 | $0 | $54,000 | $0 | $2,965 | $0 | $18,274 | $0 | $14,585 | $0 | $337,284 | $0 | $0 |
| ELIZABETH SCHOEN | ||||||||||||||
| SECRETARY; ASSOCIATE COUNSEL | $0 | $225,447 | $0 | $23,633 | $0 | $1,499 | $0 | $11,785 | $0 | $30,638 | $0 | $293,002 | $0 | $0 |
| KIMBERLY TYLER | ||||||||||||||
| ASSOCIATE CHIEF NURSE OFFICER | $162,479 | $0 | $20,073 | $0 | $3,544 | $0 | $8,273 | $0 | $22,987 | $0 | $217,356 | $0 | $0 | $0 |
| JOSEPH HANCOCK | ||||||||||||||
| PHARMACIST | $140,489 | $0 | $0 | $0 | $294 | $0 | $6,743 | $0 | $30,565 | $0 | $178,091 | $0 | $0 | $0 |
| CYNTHIA DAVIS | ||||||||||||||
| MANAGER, REHABILITATION | $122,611 | $0 | $0 | $0 | $146 | $0 | $7,824 | $0 | $30,323 | $0 | $160,904 | $0 | $0 | $0 |
| DONALD SOUTHARD | ||||||||||||||
| NURSING SUPERVISOR | $133,595 | $0 | $0 | $0 | $2,230 | $0 | $6,243 | $0 | $11,775 | $0 | $153,843 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | GOOD SAMARITAN HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOOD SAMARITAN HOSPITAL'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF GOOD SAMARITAN HOSPITAL'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2023. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: TANYA ADCOCK - $159,280 JASON SMITH, MD - $188,433 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/23: TANYA ADCOCK - $126,325 (PAID IN 2024) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. 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 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: D. MONTEZ CARTER - $73,923 MICHAEL GUSHO - $99,937 DAVID SPIVEY - $137,761 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2023 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: D. MONTEZ CARTER - $213,675 STONISH PIERCE - $94,937 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 ($330,000 FOR 2023). THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: TANYA ADCOCK - $1,080 JANICE DUNN - $3,129 STONISH PIERCE - $0 JASON SMITH, MD - $7,580 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA HOPKINS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF KRISTINE HOPKINS, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $124,872 | TransactionAmt |
| Transaction | EMPLOYMENT ARRANGEMENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF GOOD SAMARITAN HOSPITAL IS TRINITY HEALTH GEORGIA. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | TRINITY HEALTH GEORGIA IS THE SOLE MEMBER OF GOOD SAMARITAN HOSPITAL. TRINITY HEALTH GEORGIA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, TRINITY HEALTH GEORGIA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH GEORGIA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | LINE 8B IS ANSWERED "NO" BECAUSE GOOD SAMARITAN HOSPITAL HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR GOOD SAMARITAN HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. 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 | GOOD SAMARITAN HOSPITAL 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 GOOD SAMARITAN HOSPITAL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF GOOD SAMARITAN HOSPITAL 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, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GOOD SAMARITAN HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF GOOD SAMARITAN HOSPITAL. 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 GOOD SAMARITAN HOSPITAL IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING SYSTEM CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE SYSTEM CEO AND CFO OF GOOD SAMARITAN HOSPITAL 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 | GOOD SAMARITAN HOSPITAL 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, GOOD SAMARITAN HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. GOOD SAMARITAN HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 118,577. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,577. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 1,428,741. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,428,741. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 1,581. MANAGEMENT AND GENERAL EXPENSES 1,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,981. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 142,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,653. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 293,620. MANAGEMENT AND GENERAL EXPENSES 3,007,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,301,192. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 369,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 369,372. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS FROM AFFLIATES 230,043. |
| FORM 990, PART XII, LINE 2: | GOOD SAMARITAN HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY24 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
| FORM 990, PAGE 1, PART C, DOING BUSINESS AS NAMES: | ST. MARY'S GOOD SAMARITAN HOSPITAL |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (226 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 | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 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 | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 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 INITIATIVES - IOWA CORP | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| CATHOLIC HEALTH MINISTRIES | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM | 501(C)(3) | LINE 1 | 0 | VT | N/A | |||
| CENTRAL COMMUNITY HOSPITAL | ||||||||||||
| 901 DAVIDSON ST NW | ELKADER | IA | 52043 | 420818642 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY COMMUNITY HOSPITAL GROUP LLC | Yes (1) | ||
| COVENANT FOUNDATION INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421295784 | FOUNDATION | IA | 501(C)(3) | LINE 7 | COVENANT MEDICAL CENTER INC | Yes (1) | ||
| COVENANT MEDICAL CENTER INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421264647 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 342032340 | HEALTH CARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| DUBUQUE MERCY HEALTH FOUNDATION | ||||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| DYERSVILLE HEALTH FOUNDATION INC | ||||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| EDDY LICENSED HOME CARE AGENCY | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| EMBRACING AGE INC | ||||||||||||
| 333 BUTTERNUT DRIVE | DEWITT | NY | 13214 | 461051881 | PACE PROGRAM | NY | 501(C)(3) | LINE 12B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| EMPIRE HOME INFUSION SERVICE INC | ||||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 10 | HOME AIDE SERVICE OF EASTERN NEW YORK INC | Yes (1) | ||
| FARREN CARE CENTER INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| FRANCISCAN ELDERCARE CORPORATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 223008680 | LONG TERM CARE (INACTIVE) | DE | 501(C)(3) | LINE 10 | ST FRANCIS HOSPITAL INC | Yes (1) | ||
| GENESIS HEALTH SERVICES FOUNDATION | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421421670 | FOUNDATION | IA | 501(C)(3) | LINE 7 | GENESIS HEALTH SYSTEM | Yes (1) | ||
| GENESIS HEALTH SYSTEM | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421418847 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| GENESIS HEALTH SYSTEM (IL) | ||||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363616314 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH NETWORK INC | Yes (1) | ||
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | EMPLOYEE BENEFIT TRUST | IA | 501(C)(3) | LINE 12A, I | GENESIS HEALTH SYSTEM | Yes (1) | ||
| GENESIS MEDICAL CENTER ALEDO | ||||||||||||
| 409 NW 9TH AVENUE | ALEDO | IL | 61231 | 454475683 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (IL) | Yes (1) | ||
| GLACIER HILLS FOUNDATION | ||||||||||||
| 1200 EARHART RD | ANN ARBOR | MI | 48105 | 208072723 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | GLACIER HILLS INC | Yes (1) | ||
| GLACIER HILLS INC | ||||||||||||
| 1200 EARHART RD | ANN ARBOR | MI | 48105 | 381891500 | SENIOR LIVING COMMUNITY | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| GLEN EDDY INC | ||||||||||||
| 1 GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| GLOBAL HEALTH MINISTRY | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GOOD SAMARITAN HOSPITAL INC | ||||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | 0 | ||
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| GOTTLIEB MEMORIAL FOUNDATION | ||||||||||||
| 701 WEST NORTH AVENUE | MELROSE PARK | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | LINE 12D, III-O | 0 | N/A | ||
| GOTTLIEB MEMORIAL HOSPITAL | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| HAWTHORNE RIDGE INC | ||||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HEARTWOOD LODGE TRINITY HEALTH | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 382602971 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| HERITAGE HOUSE NURSING CENTER INC | ||||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HOLY CROSS CARENET INC | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 521945054 | LONG TERM CARE | MD | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| HOLY CROSS HEALTH FOUNDATION INC | ||||||||||||
| 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20910 | 208428450 | FOUNDATION | MD | 501(C)(3) | LINE 7 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH INC | ||||||||||||
| 1500 FOREST GLEN ROAD | SILVER SPRING | MD | 20910 | 520738041 | HEALTH CARE AND HOSPITAL SERVICES | MD | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791028 | HEALTH CARE AND HOSPITAL SERVICES | FL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS OUTPATIENT SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 465421068 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS PRIMARY CARE INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 812531495 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS SENIOR SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 832256461 | HEALTH CARE SERVICES | FL | 501(C)(3) | LINE 10 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOME AIDE SERVICE OF EASTERN NEW YORK INC | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141514867 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| HOSPICE OF NORTH IOWA | ||||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 10 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| HOSPICE OF NORTH OTTAWA COMMUNITY INC | ||||||||||||
| PO BOX 532020 | LIVONIA | MI | 48153 | 382370192 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| HOUSE OF MERCY | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421323808 | HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48105 | 383316559 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| JOHNSON MEMORIAL HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 475676956 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| LANGHORNE MRI INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | HEALTH CARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LIFE AT LOURDES INC | ||||||||||||
| 2475 MCCLELLAN AVENUE | PENNSAUKEN | NJ | 08109 | 261854750 | PACE PROGRAM | NJ | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE AT ST FRANCIS HEALTHCARE INC | ||||||||||||
| 1072 JUSTISON STREET | WILMINGTON | DE | 19801 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE ST JOSEPH OF THE PINES INC | ||||||||||||
| 4900 RAEFORD ROAD | FAYETTEVILLE | NC | 28304 | 272159847 | PACE PROGRAM | NC | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LIFE ST MARY | ||||||||||||
| 2500 NORTHGATE ROAD | TREVOSE | PA | 19053 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| LOYOLA MEDICINE TRANSPORT LLC | ||||||||||||
| 905 W NORTH AVE | MELROSE PARK | IL | 60160 | 474147171 | TRANSPORTATION SERVICES | IL | 501(C)(3) | LINE 10 | LOYOLA UNIVERSITY MEDICAL CENTER | Yes (1) | ||
| LOYOLA UNIVERSITY HEALTH SYSTEM | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363342448 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| LOYOLA UNIVERSITY MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364015560 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| LTC (EDDY) INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | MANAGEMENT SERVICES FOR LONG TERM CARE | NY | 501(C)(3) | LINE 12B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 911940902 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MCAULEY CENTER INC | ||||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | SENIOR LIVING COMMUNITY | CT | 501(C)(3) | LINE 10 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MCAULEY MINISTRIES | ||||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | GRANT MAKING | PA | 501(C)(3) | LINE 12B, II | PITTSBURGH MERCY HEALTH SYSTEM INC | Yes (1) | ||
| MEDIC EMS | ||||||||||||
| 1204 E HIGH STREET | DAVENPORT | IA | 52803 | 421186903 | AMBULANCE TRANSFERS | IA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | ||
| MERCY AUXILARY | ||||||||||||
| 814 13TH AVE N UNIT 6A | CLINTON | IA | 53732 | 421348035 | VOLUNTEER SERVICE AUXILIARY | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| MERCY AUXILIARY OF CENTRAL IOWA | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 426076069 | VOLUNTEER SERVICE AUXILIARY | IA | 501(C)(3) | LINE 12A, I | MERCY FOUNDATION OF DES MOINES IOWA | Yes (1) | ||
| MERCY CARE CENTER | ||||||||||||
| 3753 SOUTH COTTAGE GROVE AVE | CHICAGO | IL | 60653 | 853904921 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY CARE FOUNDATION INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FOUNDATION | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| 3805 W CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 231352191 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY CLINICS INC | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421193699 | HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 10 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY COLLEGE OF HEALTH SCIENCES | ||||||||||||
| 928 6TH AVENUE | DES MOINES | IA | 50309 | 421511682 | COLLEGE OF HEALTH SCIENCE | IA | 501(C)(3) | LINE 2 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY COMMUNITY HEALTH INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061492707 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 12B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY FAMILY SUPPORT | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY FOUNDATION OF DES MOINES IOWA | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 237358794 | FOUNDATION | IA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY FOUNDATION INC | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363227350 | FOUNDATION | IL | 501(C)(3) | LINE 7 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | ||||||||||||
| PO BOX 532020 | LIVONIA | MI | 48153 | 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 | ||||||||||||
| 411 LAUREL STREET SUITE 200 | DES MOINES | IA | 50314 | 421478417 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH PARTNERS | ||||||||||||
| 1500 E SHERMAN BLVD | MUSKEGON | MI | 49444 | 382589966 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HEALTH PLAN | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY HEALTH SERVICES - IOWA CORP | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF CHICAGO | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363163327 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE FOUNDATION - CLINTON | ||||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY MEDICAL CENTER - CLINTON INC | Yes (1) | ||
| MERCY HOME HEALTH | ||||||||||||
| PO BOX 532020 | LIVONIA | MI | 48153 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HOME HEALTH SERVICES | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232325058 | MANAGEMENT SERVICES FOR HOME HEALTH | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MERCY HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 362170152 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY HOSPITAL CADILLAC FOUNDATION | ||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 203357131 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL OF FRANCISCAN SISTERS INC | ||||||||||||
| 201 8TH AVENUE SE | OELWEIN | IA | 50662 | 421178403 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| MERCY LIFE | ||||||||||||
| 1930 SOUTH BROAD STREET | PHILADELPHIA | PA | 19145 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE CENTER CORPORATION | ||||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY OUTREACH | PA | 501(C)(3) | LINE 10 | PITTSBURGH MERCY HEALTH SYSTEM INC | Yes (1) | ||
| MERCY LIFE OF ALABAMA | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE INC | ||||||||||||
| 200 HILLSIDE CIRCLE | WEST SPRINGFIELD | MA | 01089 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232627944 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| MERCY MEDICAL CENTER - CENTERVILLE | ||||||||||||
| 1 ST JOSEPHS DRIVE | CENTERVILLE | IA | 52544 | 420680308 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - CLINTON INC | ||||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - NEWTON | ||||||||||||
| 204 N 4TH AVE E | NEWTON | IA | 50208 | 421470935 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH INITIATIVES - IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 141880022 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 454884805 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY SENIOR CARE INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581366508 | COMMUNITY OUTREACH | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES DOWNTOWN INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | TITLE HOLDING COMPANY | GA | 501(C)(3) | LINE 12B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 382719605 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY SPECIALIST PHYSICIANS INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 264033168 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY SUBURBAN HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 231396763 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| MOUNT CARMEL COLLEGE OF NURSING | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | LINE 2 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH INSURANCE COMPANY | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 873948434 | MEDICARE HMO | CT | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF IDAHO INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 831422704 | MEDICARE HMO | ID | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN OF NEW YORK INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 833278543 | MEDICARE HMO | NY | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311471229 | MEDICARE HMO | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311439334 | HEALTH CARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311113966 | FOUNDATION | OH | 501(C)(3) | LINE 12A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT SINAI HOSPITAL FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 222584082 | FOUNDATION | CT | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | ||
| MOUNT SINAI REHABILITATION HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061422973 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| MOUNT ST JOSEPH | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 010274998 | LONG TERM CARE | ME | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||||
| 1675 LEAHY ST SUITE 210 | MUSKEGON | MI | 49442 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | ||
| NAZARETH HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232794121 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| NAZARETH PHYSICIAN SERVICES INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 203261266 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NORTH OTTAWA HOSPITAL AUXILIARY INC | ||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 386088836 | FUNDRAISING | MI | 501(C)(3) | LINE 12D, III-O | 0 | N/A | ||
| NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421207432 | TITLE HOLDING COMPANY | IA | 501(C)(2) | N/A | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| PO BOX 203 | SIOUX CITY | IA | 51102 | 208072234 | HEALTH CARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| PO BOX 203 | SIOUX CITY | IA | 51102 | 311678345 | FOUNDATION | NE | 501(C)(3) | LINE 12A, I | OAKLAND MERCY HOSPITAL | Yes (1) | ||
| OSUMOUNT CARMEL HEALTH ALLIANCE | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 311654603 | COOPERATIVE HEALTH CARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| OUR LADY OF MERCY LIFE CENTER | ||||||||||||
| 2 MERCYCARE LANE | GUILDERLAND | NY | 12084 | 141743506 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 454208896 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| PITTSBURGH MERCY HEALTH SYSTEM INC | ||||||||||||
| 3333 5TH AVENUE | PITTSBURGH | PA | 15213 | 251464211 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| PROBILITY THERAPY SERVICES | ||||||||||||
| 2058 S STATE STREET | ANN ARBOR | MI | 48104 | 202020239 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROFESSIONAL MED TEAM | ||||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MERCY HEALTH PARTNERS | Yes (1) | ||
| RIVERBEND MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 811807730 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| SJ MANAGEMENT COMPANY OF SYRACUSE INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 271763712 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 12A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| SAINT AGNES MEDICAL CENTER | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTH CARE AND HOSPITAL SERVICES | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT AGNES MEDICAL FOUNDATION | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTH CARE SERVICES | CA | 501(C)(3) | LINE 12A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | ||
| SAINT ALPHONSUS DIVERSIFIED CARE INC | ||||||||||||
| 1055 NORTH CURTIS ROAD | 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 NORTH 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 ROAD | 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 10 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| SAINT JOSEPH'S TOWER INC | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 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 | ||||||||||||
| PO BOX 532020 | LIVONIA | MI | 48153 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| SAINT MARY'S FOUNDATION | ||||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | FOUNDATION | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| SAINT MARY'S HOSPITAL FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 222528400 | FOUNDATION | CT | 501(C)(3) | LINE 7 | SAINT MARY'S HOSPITAL INC | Yes (1) | ||
| SAINT MARY'S HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646844 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| SAMARITAN HOSPITAL | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SAMARITAN HOSPITAL AND THE EDDY FOUNDATION | ||||||||||||
| 310 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222743478 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SARTORI HEALTH CARE FOUNDATION INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421240996 | FOUNDATION | IA | 501(C)(3) | LINE 7 | SARTORI MEMORIAL HOSPITAL INC | Yes (1) | ||
| SARTORI MEMORIAL HOSPITAL INC | ||||||||||||
| 515 COLLEGE STREET | CEDAR FALLS | IA | 50613 | 420758901 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | WHEATON FRANCISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| SENIOR CARE CONNECTION INC | ||||||||||||
| 1938 CURRY ROAD | SCHENECTADY | NY | 12303 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE | ||||||||||||
| ONE ABELE BLVD | CLIFTON PARK | NY | 12065 | 141756230 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| SIOUXLAND PARAMEDICS INC | ||||||||||||
| PO BOX 3349 | SIOUX CITY | IA | 51102 | 421185707 | MEDICAL TRANSPORTATION SERVICES | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| SJHSJOC HOLDINGS INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | HEALTH CARE SYSTEM SUPPORT | GA | 501(C)(3) | LINE 12B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| ST FRANCIS HOSPITAL INC | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 223127184 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH MERCY CHELSEA INC | ||||||||||||
| 775 SOUTH MAIN ST | CHELSEA | MI | 48118 | 824757260 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ST JOSEPH OF THE PINES INC | ||||||||||||
| 100 GOSSMAN DRIVE | SOUTHERN PINES | NC | 28387 | 560694200 | LONG TERM CARE | NC | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 206 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 202497520 | COLLEGE OF NURSING | NY | 501(C)(3) | LINE 2 | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S HEALTH AT HOME INC | ||||||||||||
| PO BOX 532020 | LIVONIA | MI | 48152 | 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 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 150532254 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 222149775 | FOUNDATION | NY | 501(C)(3) | LINE 12B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S MEDICAL PC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 273899821 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 12A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S PHYSICIAN HEALTH PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 161516863 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 12A, I | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST MARY BUILDING AND DEVELOPMENT | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | TITLE HOLDING COMPANY | PA | 501(C)(2) | N/A | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY EMERGENCY MEDICAL SERVICES | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 465354512 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY MEDICAL CENTER | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| ST MARY'S FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S GOOD SAMARITAN FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 811660088 | FOUNDATION | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S HIGHLAND HILLS INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | SENIOR LIVING COMMUNITY | GA | 501(C)(3) | LINE 10 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S HOSPITAL INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 580566223 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S MEDICAL GROUP INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 261858563 | HEALTH CARE SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST MARY'S SACRED HEART HOSPITAL INC | ||||||||||||
| 367 CLEAR CREEK PARKWAY | LAVONIA | GA | 30553 | 473752176 | HEALTH CARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH GEORGIA INC | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 453570715 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 141348692 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL FOUNDATION INC | ||||||||||||
| 310 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222262982 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER | ||||||||||||
| 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 141338386 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | FOUNDATION | NY | 501(C)(3) | LINE 7 | SUNNYVIEW HOSPITAL AND REHABILITATION CENTER | Yes (1) | ||
| THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 203018640 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 12C, III-FI | ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC | Yes (1) | ||
| THE COMMUNITY HOSPICE FOUNDATION INC | ||||||||||||
| 445 NEW KARNER RD | ALBANY | NY | 12205 | 222692940 | FOUNDATION | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | ||
| THE COMMUNITY HOSPICE INC | ||||||||||||
| 445 NEW KARNER RD | ALBANY | NY | 12205 | 141608921 | HOSPICE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||||||||||||
| 707 EAST CEDAR STREET STE 100 | SOUTH BEND | IN | 46617 | 351654543 | FOUNDATION | IN | 501(C)(3) | LINE 7 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | ||||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| THE MARJORIE DOYLE ROCKWELL CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141793885 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| THE MERCY HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 043398280 | HEALTH CARE AND HOSPITAL SERVICES | MA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060660403 | VOLUNTEER SERVICE AUXILIARY | CT | 501(C)(3) | LINE 12B, II | 0 | N/A | ||
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | ||||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| TRINITY CONTINUING CARE SERVICES | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 382559656 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - INDIANA | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 930907047 | LONG TERM CARE | IN | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS | ||||||||||||
| PO BOX 530009 | LIVONIA | MI | 48152 | 824005577 | LONG TERM CARE | MI | 501(C)(3) | LINE 10 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY HEALTH - MICHIGAN | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH CORPORATION | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTH MINISTRIES | Yes (1) | ||
| TRINITY HEALTH GEORGIA INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 880878641 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL) | ||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 383330803 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | ||
| TRINITY HEALTH LIFE PENNSYLVANIA INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 475244984 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | 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 | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH PACE ALEXANDRIA INC | ||||||||||||
| 3403 GOVERNMENT STREET | ALEXANDRIA | LA | 71302 | 923433625 | PACE PROGRAM | LA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC | ||||||||||||
| 200 PERRY PARKWAY | GAITHERSBURG | MD | 20877 | 923450659 | PACE PROGRAM | MD | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PACE OF PENSACOLA INC | ||||||||||||
| 5020 COMMERCE PARK CIRCLE | PENSACOLA | FL | 32505 | 922940854 | PACE PROGRAM | FL | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PLAN OF MICHIGAN INC | ||||||||||||
| 3100 EASTON SQUARE PL STE 300 | COLUMBUS | OH | 43219 | 843836552 | MEDICARE HMO | MI | 501(C)(4) | N/A | MOUNT CARMEL HEALTH PLAN INC | Yes (1) | ||
| TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN | ||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 933727867 | HEALTH CARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | 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 532020 | LIVONIA | MI | 48153 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| VILLA MARY IMMACULATE | ||||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| WHEATON FRANCISCAN HEALTHCARE-IOWA INC | ||||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421177001 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IA | 501(C)(3) | LINE 12B, II | MERCY HEALTH NETWORK INC | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (54 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | |||||||||
| 625 KENMOOR AVE SE SUITE 100 | GRAND RAPIDS | MI | 49546 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | 0 | Yes (1) |
| BH VENTURE ONE LP | |||||||||
| 905 WATSON STREET | PITTSBURGH | PA | 15219 | 384098074 | REAL ESTATE | PA | N/A | 0 | Yes (1) |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 48213 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| CENTER FOR DIGESTIVE CARE LLC | |||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | 0 | 0 |
| CLINTON IMAGING SERVICES LLC | |||||||||
| 1410 N 4TH STREET | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | 0 | 0 |
| CONVENIENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 721439481 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| DIAGNOSTIC IMAGING OF SOUTHBURY LLC | |||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061487582 | IMAGING CENTER | CT | N/A | 0 | Yes (1) |
| EVERETT ROAD ASC LLC | |||||||||
| 30 CENTURY HILL DRIVE | LATHAM | NY | 12110 | 833542382 | MEDICAL SERVICES | NY | N/A | 0 | Yes (1) |
| FOREST PARK IMAGING LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | 0 | Yes (1) |
| GENGASTRO LLC | |||||||||
| 2222 53RD AVENUE | BETTENDORF | IA | 52722 | 562315623 | AMBULATORY SURGERY CENTER | IA | N/A | 0 | 0 |
| GENRAD IMAGING ILLINOIS LLC | |||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 473785124 | DIAGNOSTIC IMAGING CENTER | IL | N/A | 0 | Yes (1) |
| GENRAD IMAGING LLC | |||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 453571628 | DIAGNOSTIC IMAGING CENTER | IA | N/A | 0 | Yes (1) |
| HAWARDEN REGIONAL HEALTH CLINICS LLC | |||||||||
| 1111 11TH ST | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | 0 | Yes (1) |
| HEALTHRISE BUSINESS INTELLIGENCE LLC | |||||||||
| 18000 W 9 MILE FL 10 | SOUTHFIELD | MI | 48075 | 845053960 | REVENUE CYCLE MANAGEMENT | DE | N/A | 0 | 0 |
| HURON GASTRO ENDOSCOPY CENTER LLC | |||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 853580801 | MEDICAL SERVICES | MI | N/A | 0 | 0 |
| INTERMOUNTAIN MEDICAL IMAGING LLC | |||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | IMAGING CENTER | ID | N/A | 0 | Yes (1) |
| LAKE CHARLES URGENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 272272979 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| LANGHORNE MOB PARTNERS LP | |||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232622772 | MEDICAL OFFICE BUILDING RENTAL | PA | N/A | 0 | Yes (1) |
| LCMC URGENT CARE LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 300951534 | URGENT CARE CENTER | DE | N/A | 0 | Yes (1) |
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | |||||||||
| 1 WESTBROOK CORP CTR | WESTCHESTER | IL | 60154 | 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 SUITE 300 | COLUMBUS | OH | 43219 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | 0 | Yes (1) |
| MEDWORKS LLC | |||||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A | 0 | 0 |
| MERCY HEART CTR OP SERVICES LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | 0 | 0 |
| MERCY REHABILITATION HOSPITAL LLC | |||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 814437201 | HEALTH CARE SERVICES | IA | N/A | 0 | 0 |
| MERCYMANOR PARTNERSHIP | |||||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A | 0 | Yes (1) |
| MERCYUSP HEALTH VENTURES LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 471290300 | OUTPATIENT SURGERY | IA | N/A | 0 | 0 |
| MERCYONE - HFH HOME MEDICAL SHOP LLC | |||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 854007472 | MEDICAL EQUIPMENT SALES | IA | N/A | 0 | 0 |
| MERCYONE - KRHC HOME MEDICAL SHOP LLC | |||||||||
| 1515 S PHILLIPS STREET SUITE 1 | ALGONA | IA | 50511 | 923276114 | MEDICAL EQUIPMENT SALES | IA | N/A | 0 | 0 |
| NAUGATUCK VALLEY MRI LLC | |||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061239526 | IMAGING CENTER | CT | N/A | 0 | 0 |
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | |||||||||
| 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | 0 | Yes (1) |
| NUCO HEALTH LLC | |||||||||
| 18000 W 9 MILE FLOOR 10 | SOUTHFIELD | MI | 48075 | 460951661 | REVENUE CYCLE MANAGEMENT | DE | N/A | 0 | 0 |
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | |||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A | 0 | Yes (1) |
| PREMIER HEALTH HOLDINGS LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 472665226 | URGENT CARE CENTERS | DE | N/A | 0 | 0 |
| PRIMARY CARE PHYSICIAN CENTER LLC | |||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364038505 | OFFICE BUILDING RENTAL | IL | N/A | 0 | Yes (1) |
| RAPIDES AFTER HOURS CLINIC LLC | |||||||||
| 10319 JEFFERSON HIGHWAY | BATON ROUGE | LA | 70809 | 451772383 | URGENT CARE CENTER | LA | N/A | 0 | Yes (1) |
| SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 843522377 | OUTPATIENT SURGERY | CA | N/A | 0 | 0 |
| SAINT AGNESUSP SURGERY CENTERS LLC | |||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 364896811 | MEDICAL SERVICES | CA | N/A | 0 | 0 |
| SAINT ALPHONSUS CALDWELL CANCER CENTER LLC | |||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | HEALTH CARE SERVICES | ID | N/A | 0 | Yes (1) |
| 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 | HEALTH CARE 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 ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | |||||||||
| 3100 EASTON SQUARE PLACE SUITE 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 | HEALTH CARE SERVICES | NY | N/A | 0 | Yes (1) |
| ST MARY REHABILITATION HOSPITAL LLP | |||||||||
| 330 SEVEN SPRINGS WAY | BRENTWOOD | TN | 37027 | 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) |
| TAYLOR STATION SURGICAL CENTER | |||||||||
| 3100 EASTON SQUARE PL SUITE 300 | COLUMBUS | OH | 43219 | 311459910 | OUTPATIENT SURGERY | OH | N/A | 0 | 0 |
| TEN MILE SURGERY CENTER LLC | |||||||||
| 875 S VANGUARD WAY STE 120 | MERIDIAN | ID | 83642 | 845119941 | OUTPATIENT SURGERY | ID | N/A | 0 | 0 |
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | |||||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 272871206 | OUTPATIENT SURGERY | PA | N/A | 0 | Yes (1) |
| THPH URGENT CARE LLC | |||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 852464958 | URGENT CARE CENTERS | DE | N/A | 0 | 0 |
| WEST LAKES SURGERY CENTER LLC | |||||||||
| 12499 UNIVERSITY AVENUE SUITE 100 | CLIVE | IA | 50325 | 205345295 | OUTPATIENT SURGERY | IA | N/A | 0 | 0 |
| WOODLAND IMAGING CENTER LLC | |||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/ IMAGING | MI | N/A | 0 | 0 |
| WOODLAND PARTNERS REAL ESTATE LLC | |||||||||
| 129 WOODLAND STREET | HARTFORD | CT | 06105 | 833371094 | REAL ESTATE | CT | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (45 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE HORAN BUILDING CORPORATION | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||
| CENTRAL VALLEY HEALTH PLAN INC | |||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 611846844 | HEALTH INSURANCE | CA | N/A | C | Yes (1) | ||||
| DES MOINES MEDICAL CENTER INC | |||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420837382 | REAL ESTATE | IA | N/A | C | Yes (1) | ||||
| FHS SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 272995699 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN ASSOCIATES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 202991688 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN HEALTH SUPPORT INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161236354 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN MANAGEMENT SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161351193 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANKLIN MEDICAL GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061470493 | PHYSICIAN OFFICE | CT | N/A | C | Yes (1) | ||||
| GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 863949369 | PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| GENVENTURES INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421269171 | SUPPORT SERVICES/PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 318 RIVER RIDGE DR NW SUITE 100 | WALKER | MI | 49544 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||
| HEALTH CARE MANAGEMENT ADMINISTRATORS INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161450960 | HEALTH CARE MANAGEMENT | NY | N/A | C | Yes (1) | ||||
| HURON ARBOR CORPORATION | |||||||||||||
| 5301 EAST HURON RIVER DR | ANN ARBOR | MI | 48106 | 382475644 | OFFICE RENTAL | MI | N/A | C | Yes (1) | ||||
| IHA AFFILIATION CORPORATION | |||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES II INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 263795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232625981 | GENERAL PARTNER OF LMOB PARTNERS | PA | N/A | C | Yes (1) | ||||
| MACNEAL HEALTH PROVIDERS INC | |||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363361297 | MEDICAL SERVICES | IL | N/A | C | Yes (1) | ||||
| MARYLAND CARE GROUP INC | |||||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 521815313 | HEALTH CARE HOLDING | MD | N/A | C | Yes (1) | ||||
| MAXIS HEALTH TRENTON INC | |||||||||||||
| 20555 VICTOR PKWY | LIVONIA | MI | 48152 | 884267557 | PROPERTY HOLDINGS | NJ | N/A | C | Yes (1) | ||||
| MCMC EASTWICK INC | |||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||
| MEDNOW INC | |||||||||||||
| 4300 E FLAMINGO AVE | NAMPA | ID | 83687 | 820389927 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||
| MERCY MEDICAL SERVICES | |||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | Yes (1) | ||||
| MISERICORDIA ASSURANCE COMPANY LTD | |||||||||||||
| 980457943 | SELF-INSURANCE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| MOB 1 OWNERS' ASSOCIATION | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | N/A | C | Yes (1) | ||||
| MOUNT CARMEL 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 FRANCIS BEHAVIORAL HEALTH GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061384686 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAINT FRANCIS CARE MEDICAL GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAINT JOSEPH'S MCAULEY PARK I LLC | |||||||||||||
| 424 DECATUR ST | ATLANTA | GA | 30312 | 880592157 | PROPERTY MANAGEMENT | GA | N/A | C | Yes (1) | ||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061232868 | PROPERTY MANAGEMENT | CT | N/A | C | Yes (1) | ||||
| SJM PROPERTIES INC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 161294991 | PROPERTY HOLDINGS | NY | N/A | C | Yes (1) | ||||
| SJPE PRACTICE MANAGEMENT SERVICES INC | |||||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 454164964 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| SJRMC HOLDINGS INC | |||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 474763735 | PROPERTY HOLDINGS | IN | N/A | C | Yes (1) | ||||
| ST ELIZABETH HEALTH SUPPORT SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161540486 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| SYNANON INC | |||||||||||||
| 1309 SHELDON ROAD | GRAND HAVEN | MI | 49417 | 382715568 | URGENT CARE | MI | N/A | C | Yes (1) | ||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 042938161 | LAB SERVICES | MA | N/A | C | Yes (1) | ||||
| THRE SERVICES LLC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||
| TRINITY ASSURANCE LTD | |||||||||||||
| 980453602 | SELF-INSURANCE | N/A | C | Yes (1) | GOV SQ BLDG 4 34 LIME TREE BAY | 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 530009 | LIVONIA | MI | 48152 | 371572595 | SENIOR SERVICES | PA | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST MARY'S GOOD SAMARITAN FOUNDATION INC | ||
| C | $66,715 | PER BOOKS |
| ST MARY'S HOSPITAL | ||
| C | $207,301 | PER BOOKS |
| ST MARY'S MEDICAL GROUP INC | ||
| M | $814,349 | PER BOOKS |
| TRINITY HEALTH - MICHIGAN | ||
| M | $97,609 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $811,903 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $196,736 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $1,318,110 | PER BOOKS |