DYERSVILLE HEALTH FOUNDATION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: DYERSVILLE HEALTH FOUNDATION INC (EIN 20-5383271)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-12
IRS object ID: 202221329349302637
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-12T11:31:21-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	205383271	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DYERSVILLE HEALTH FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DYER	BusinessNameControlTxt
Phone	5635898772	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 3RD STREET SW	AddressLine1Txt
City	DYERSVILLE	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52040	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KIM DUWE	PersonNm
Person Title	REGIONAL VP FINANCE	PersonTitleTxt
Phone	5635898772	PhoneNum
Signature	2022-05-12	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KIM	PersonFirstNm
Person Last	DUWE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE DYERSVILLE FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	SUSAN HAFKEMEYER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 MERCY DRIVE	AddressLine1Txt
City	DUBUQUE	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$170,173	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYONE.ORG/DUBUQUE/DYERSVILLE/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2006	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE SUPPORT FOR THE PROGRAMS OF MERCYONE DYERSVILLE MEDICAL CENTER	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$352,750	PYContributionsGrantsAmt
CY Contributions Grants	$101,875	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$24,111	PYInvestmentIncomeAmt
CY Investment Income	$48,203	CYInvestmentIncomeAmt
PY Other Revenue	-$5,158	PYOtherRevenueAmt
CY Other Revenue	$9,051	CYOtherRevenueAmt
PY Total Revenue	$371,703	PYTotalRevenueAmt
CY Total Revenue	$159,129	CYTotalRevenueAmt
PY Grants And Similar Paid	$700,984	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$31,542	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$83,605	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$19,380	CYTotalFundraisingExpenseAmt
PY Other Expenses	$22,849	PYOtherExpensesAmt
CY Other Expenses	$48,565	CYOtherExpensesAmt
PY Total Expenses	$807,438	PYTotalExpensesAmt
CY Total Expenses	$80,107	CYTotalExpensesAmt
PY Revenues Less Expenses	-$435,735	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$79,022	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,282,769	TotalAssetsBOYAmt
Total Assets EOY	$1,535,508	TotalAssetsEOYAmt
Total Liabilities BOY	$19,383	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,227	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,263,386	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,514,281	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.DYERSVILLE HEALTH FOUNDATION IS A MEMBER OF MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$56,669	ExpenseAmt
Grant	$31,542	GrantAmt
Revenue	$9,051	RevenueAmt
Desc	THE PURPOSE OF THE DYERSVILLE HEALTH FOUNDATION (THE FOUNDATION) IS TO ENHANCE HEALTH CARE IN THE DYERSVILLE SERVICE AREA BY PROVIDING FINANCIAL ASSISTANCE TO MERCYONE DYERSVILLE MEDICAL CENTER, MERCYONE SENIOR CARE (A DIVISION OF MERCYONE DUBUQUE MEDICAL CENTER, A RELATEDORGANIZATION) AND THE ELLEN KENNEDY LIVING CENTER. FROM THE FIRST EFFORTS TO BUILD A HOSPITAL IN DYERSVILLE IN THE 1960S, THE EXISTENCE AND SUCCESS OF MERCYONE DYERSVILLE MEDICAL CENTER HAS DEPENDED TO A GREAT EXTENT ON COMMUNITY VOLUNTEERISM AND PHILANTHROPIC GIVING. THE FOUNDATION IS COMMITTED TO MAKING SURE THAT COMMUNITY SUPPORT REMAINS STRONG, THEREBY KEEPING HEALTH CARE SERVICES IN THE COMMUNITY STRONG. THE MERCY - DYERSVILLE AUXILIARY COMES UNDER THE UMBRELLA OF THE FOUNDATION. THE AUXILIARY RAISES FUNDS FOR EQUIPMENT AND PROGRAM SUPPORT THROUGH ANNUAL DUES, THE HOLIDAY FESTIVAL AND THE HOSPITAL GIFT SHOP. ADDITIONAL SUPPORT FOR THE FOUNDATION COMES FROM ESTATES, MEMORIALS, LOCAL ORGANIZATIONS AND INDIVIDUALS. THE FOUNDATION BOARD REPRESENTS THE COMMUNITIES SERVED AND OVERSEES ALL ASPECTS OF THE FOUNDATION AND MAKES SURE THAT ALL FUNDS RAISED HERE WILL BE USED HERE. OUR GOAL FOR FISCAL YEAR 2021 WAS TO RAISE FUNDS FOR 3D MAMMORGRAPY EQUIPMENT FOR MERCYONE DYERSVILLE MEDICAL CENTER. PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION: WWW.MERCYONE.ORG/DUBUQUE/DYERSVILLE/DYERSVILLE-FOUNDATION/	Desc
Total Program Service Expenses	$56,669	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	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	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TONYA JOHNSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5635899808	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 MERCY DRIVE	AddressLine1Txt
City	DUBUQUE	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52001	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KIM DUWE
VP FINANCE EASTERN IOWA REGION	0.50	49.50	Yes (X)	$0	$223,130	$41,333
SUSAN HAFKEMEYER
DIRECTOR; EXEC DIRECTOR AS OF 7/20	10.00	30.00	Yes (X)	$0	$127,363	$21,605	Yes (X)
ELIZABETH HEINS
DIRECTOR; EXEC DIR THROUGH 7/20	40.00	0.00	Yes (X)	$0	$62,179	$42,374	Yes (X)
ELLIOT SALTER
DIRECTOR; CHAIR	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
REX MASSEY
DIRECTOR; VICE CHAIR	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
BRIAN CASSIDY
DIRECTOR & TREASURER THROUGH 5/21	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
CONNIE SCHUELLER
DIRECTOR; SECRETARY	0.50	0.00	Yes (X)	$0	$0	$0	Yes (X)
KAREN BELL
DIRECTOR THROUGH 12/20	0.50	0.00		$0	$0	$0	Yes (X)
MARTINA BOCKENSTEDT
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
ELAINE BURKLE
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
TED DEACON
DIRECTOR THROUGH 12/20	0.50	0.00		$0	$0	$0	Yes (X)
JIM KLOSTERMANN
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
DIANE KNEPPER
DIRECTOR THROUGH 12/20	0.50	0.00		$0	$0	$0	Yes (X)
DR DAN MARTIN
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
DERRICK PARSONS
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
DR KAREN RUNDE
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
OLIVIA SALTER
DIRECTOR AS OF 1/21	0.50	0.00		$0	$0	$0	Yes (X)
JOAN STEGER
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
SHEILA TEGELER
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
DR ROBERT TOMAS
DIRECTOR THROUGH 12/20	0.50	0.00		$0	$0	$0	Yes (X)
DR JOSH WOODLAND
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$412,672	TotReportableCompRltdOrgAmt
Total Other Compensation	$105,312	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$32,956	RelatedOrganizationsAmt
All Other Contributions	$68,919	AllOtherContributionsAmt
Noncash Contributions	$2,830	NoncashContributionsAmt
Total Contributions	$101,875	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,931	TotalRevenueColumnAmt
Exclusion	$10,931	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$37,272	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	$37,272	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,272	TotalRevenueColumnAmt
Exclusion	$37,272	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$19,794	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$11,044	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,750	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,750	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER RELATED REVENUE	Desc
Business	813211	BusinessCd
Total Revenue Column	$301	TotalRevenueColumnAmt
Related Or Exempt Func Income	$301	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$301	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,129	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,051	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$48,203	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$31,542	TotalAmt
Program Services	$31,542	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,366	TotalAmt
Program Services	$274	ProgramServicesAmt
Management And General	$546	ManagementAndGeneralAmt
Fundraising	$546	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,780	TotalAmt
Program Services	$1,756	ProgramServicesAmt
Management And General	$3,512	ManagementAndGeneralAmt
Fundraising	$3,512	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
INTERCO. PURCHASED SVCS	$38,306	$22,984	$15,322
PERMIT/LICENSE FEES	$113	$113

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,107	TotalAmt
Program Services	$56,669	ProgramServicesAmt
Management And General	$4,058	ManagementAndGeneralAmt
Fundraising	$19,380	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,550	BOYAmt
EOY	$18,640	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$702,911	BOYAmt
EOY	$836,715	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$36,087	BOYAmt
EOY	$35,482	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$533,134	BOYAmt
EOY	$644,008	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$87	BOYAmt
EOY	$663	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,282,769	BOYAmt
EOY	$1,535,508	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,383	BOYAmt
EOY	$21,227	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,383	BOYAmt
EOY	$21,227	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	$730,252	BOYAmt
EOY	$870,273	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$533,134	BOYAmt
EOY	$644,008	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,263,386	BOYAmt
EOY	$1,514,281	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,282,769	BOYAmt
EOY	$1,535,508	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$79,022	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$161,747	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,126	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	2	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEIN	Organization TypeOrganizationTypeCd	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
ELLEN KENNEDY LIVING CENTER
421472720	10	Yes (1)	$0	$0
MERCY HEALTH SERVICES-IOWA CORP (DBA MERCY MEDICAL CENTER-DYERSVILLE)
311373080	3	Yes (1)	$31,542	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	2	SupportedOrganizationsTotalCnt
Support Sum	$31,542	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	Yes (1)	OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 12G, COLUMN (VI)	DYERSVILLE HEALTH FOUNDATION PROVIDES AUXILIARY SERVICES TO ITS SUPPORTED ORGANIZATIONS.
PART IV, SECTION B, LINE 2	DYERSVILLE HEALTH FOUNDATION PROVIDES SUPPORT TO UNRELATED CHARITIES THAT ARE MANAGED BY AND CARRY OUT THE CHARITABLE PURPOSES OF MERCY HEALTH SERVICES - IOWA AND TRINITY HEALTH.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$383,134	BeginningYearBalanceAmt
Investment Earnings Or Losses	$110,874	InvestmentEarningsOrLossesAmt
End Year Balance	$494,008	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$400,118	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$16,984	InvestmentEarningsOrLossesAmt
End Year Balance	$383,134	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$408,412	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$8,294	InvestmentEarningsOrLossesAmt
End Year Balance	$400,118	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$402,217	BeginningYearBalanceAmt
Investment Earnings Or Losses	$6,195	InvestmentEarningsOrLossesAmt
End Year Balance	$408,412	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$390,668	BeginningYearBalanceAmt
Investment Earnings Or Losses	$11,549	InvestmentEarningsOrLossesAmt
End Year Balance	$402,217	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	DYERSVILLE HEALTH FOUNDATION MAINTAINS AN ENDOWMENT FUND TO SUPPORT THE FUTURE NEEDS OF MERCYONE DYERSVILLE MEDICAL CENTER, MERCYONE SENIOR CARE (A DIVISION OF MERCYONE DUBUQUE MEDICAL CENTER, A RELATED ORGANIZATION), AND THE ELLEN KENNEDY LIVING CENTER.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HEALTH SERVICES-IOWA CORP	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 - 3RD STREET SW	AddressLine1Txt
City	DYERSVILLE	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52040	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	311373080	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$31,542	CashGrantAmt
Purpose Of Grant	SUPPORT MERCYONE DYERSVILLE MEDICAL CENTER AND MERCYONE SENIOR CARE	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS MADE BY DYERSVILLE HEALTH FOUNDATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. GRANTS MADE TO A RELATED HOSPITAL REPRESENT EXPENSES INCURRED BY THE HOSPITAL FOR TEMPORARILY RESTRICTED GIFTS, FOR EITHER EQUIPMENT OR PROGRAMS AND SERVICES. ONCE THE GIFT RESTRICTION IS SATISFIED, A TRANSFER IS MADE TO REIMBURSE THE HOSPITAL FOR THE EXPENSE. THE FOUNDATION BOARD APPROVES TRANSFERS FOR SATISFIED DONATIONS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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

Field	Value	IRS element (for citing)
Person	KIM DUWE	PersonNm
Title	VP FINANCE EASTERN IOWA REGION	TitleTxt
Base Compensation Filing Org	$0	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$220,175	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$2,955	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$10,421	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$30,912	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$0	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$264,463	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	DYERSVILLE HEALTH FOUNDATION (THE FOUNDATION) IS A SUBSIDIARY OF MERCYONE DYERSVILLE MEDICAL CENTER, A DIVISION OF MERCY HEALTH SERVICES - IOWA (MHS-IA). THE FOUNDATION'S EXECUTIVE DIRECTOR IS PAID DIRECTLY BY MHS-IA. MHS-IA USED THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR: -COMPENSATION SURVEY OR STUDY
PART I, LINE 4A	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2020. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ELIZABETH HEINS - $21,845 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $28,567 OF SEVERANCE FOR ELIZABETH HEINS WHICH WAS UNPAID AS OF 12/31/20. THE $28,567 WAS PAID AND INCLUDED IN ELIZABETH HEINS' TAXABLE INCOME IN 2021.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	ELLIOT SALTER, BOARD CHAIR, AND OLIVIA SALTER, BOARD MEMBER, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF DYERSVILLE HEALTH FOUNDATION IS MERCY HEALTH SERVICES - IOWA. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY HEALTH SERVICES - IOWA IS THE SOLE MEMBER OF DYERSVILLE HEALTH FOUNDATION. MERCY HEALTH SERVICES - IOWA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, MERCY HEALTH SERVICES - IOWA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SERVICES - IOWA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, THE FORM 990 FOR DYERSVILLE HEALTH FOUNDATION IS REVIEWED BY MANAGEMENT. 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	DYERSVILLE HEALTH FOUNDATION 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 DYERSVILLE HEALTH FOUNDATION WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF DYERSVILLE HEALTH FOUNDATION AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO DYERSVILLE HEALTH FOUNDATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF DYERSVILLE HEALTH FOUNDATION. 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	QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR DYERSVILLE HEALTH FOUNDATION'S EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY MERCY HEALTH SERVICES - IOWA (D/B/A MERCYONE DYERSVILLE MEDICAL CENTER), A RELATED ORGANIZATION. QUESTION 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS OF THE DYERSVILLE HEALTH FOUNDATION IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING VP FINANCE 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 VP FINANCE OF THE DYERSVILLE HEALTH FOUNDATION 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.
FORM 990, PART VI, SECTION C, LINE 19	DYERSVILLE HEALTH FOUNDATION 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. DYERSVILLE HEALTH FOUNDATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO/FROM AFFILIATES 10,126.
FORM 990, PART XII, LINE 2:	DYERSVILLE HEALTH FOUNDATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY21 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (208 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
245 STATE ST SE	GRAND RAPIDS	MI	49503	272491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET	PITTSBURGH	PA	15219	251436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
114 WOODLAND STREET	HARTFORD	CT	06105	042182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
5315 ELLIOTT DR 102	YPSILANTI	MI	48197	382507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET	COLUMBUS	OH	43213	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	0
EAST NORRITON PHYSICIANS SERVICES INC
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232515999	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE	DEWITT	NY	13214	461051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RD	ANN ARBOR	MI	48105	208072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes (1)
GLACIER HILLS INC
1200 EARHART RD	ANN ARBOR	MI	48105	381891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HEART CENTER OF GREATER WATERBURY INC
114 WOODLAND STREET	HARTFORD	CT	06105	830416893	MANAGEMENT	CT	501(C)(3)	LINE 12A, I		0		N/A
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	520738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	812531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	832256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD	SIOUX CITY	IA	51104	383320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 12A, I		0		N/A
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	475676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH AND CLAYTON STREETS	WILMINGTON	DE	19805	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
LIFE ST FRANCIS CORPORATION
7500 K JOHNSON BOULEVARD	BORDENTOWN	NJ	08505	222797282	PACE PROGRAM	NJ	501(C)(3)	LINE 10	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD	FAYETTEVILLE	NC	28304	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE	MELROSE PARK	IL	60160	474147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY	LIVONIA	MI	48152	911940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY CARE CENTER
20555 VICTOR PARKWAY	LIVONIA	MI	48152	853904921	HEALTH CARE AND HOSPITAL SERVICES	MI	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
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	231352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREET	MUSKEGON	MI	49440	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH NETWORK INC
1449 NW 128TH ST BLDG 5	CLIVE	IA	50325	421478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12C, III-FI		0		N/A
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD	MUSKEGON	MI	49444	382589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH PLAN
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	222483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes (1)
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	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
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	362170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	203357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY LIFE 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 3	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLE	WEST SPRINGFIELD	MA	01089	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CORPORATION
PO BOX 7957	MOBILE	AL	36670	636002215	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY PHYSICIAN NETWORK
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	461187365	MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	48333	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD	LIVONIA	MI	48152	383181557	BUILDING MANAGEMENT SERVICES	DE	501(C)(3)	LINE 12A, I		0		N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET	COLUMBUS	OH	43213	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	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
7 HIGHTOWER STREET	WATERVILLE	ME	04901	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE	MUSKEGON	MI	49440	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	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
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	203261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NE PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232497355	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET	OAKLAND	NE	68045	311678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
6150 EAST BROAD STREET	COLUMBUS	OH	43213	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	ST PETER'S HOSPITAL	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	454208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	811807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	271763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	HEALTH CARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 12A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	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	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 10	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	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	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	820200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	451994612	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF NEW ENGLAND PNO INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE	PLYMOUTH	IN	46563	356043563	VOLUNTEER SERVICE AUXILIARY	IN	501(C)(3)	LINE 12A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES - INDIANA INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120	GRAND RAPIDS	MI	49505	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	060646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAMARITAN CHILD CARE CENTER INC
2215 BURDETT AVE	TROY	NY	12180	141710225	CHILD CARE SERVICES	NY	501(C)(3)	LINE 10	ST PETER'S HEALTH PARTNERS	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROAD	SCHENECTADY	NY	12303	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SIOUXLAND PARAMEDICS INC
PO BOX 3349	SIOUX CITY	IA	51102	421185707	MEDICAL TRANSPORTATION SERVICES	IA	501(C)(3)	LINE 12A, I		0		N/A
SISTERS OF PROVIDENCE CARE CENTERS INC
114 WOODLAND STREET	HARTFORD	CT	06105	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST FRANCIS MEDICAL ASSOCIATES PA
601 HAMILTON AVENUE	TRENTON	NJ	08629	832199054	HEALTH CARE SERVICES	NJ	501(C)(3)	LINE 3	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 7	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	223127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST	CHELSEA	MI	48118	824757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 3	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 CENTER PROPERTIES INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	237219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	474754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE	SYRACUSE	NY	13203	150532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	222149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	273899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	161516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	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 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)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 12A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	811660088	FOUNDATION	GA	501(C)(3)	LINE 12A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM 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	ST MARY'S HEALTH CARE SYSTEM 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	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE	SCHENECTADY	NY	12308	141338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	203018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 10	ST JOSEPH'S HOSPITAL HEALTH CTR FOUNDATION INC	Yes (1)
THE BURDETT CARE CENTER INC
2215 BURDETT AVE	TROY	NY	12180	272153849	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	SAMARITAN HOSPITAL	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 NORTHEAST HEALTH FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	060660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12B, II		0		N/A
THHS OAKLAND FKA CRANBROOK HOSPICE CARE
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383320699	HOSPICE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I		0		N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 9184	FARMINGTON HILLS	MI	48333	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 9184	FARMINGTON HILLS	MI	48333	824005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	475244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	833546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE
PO BOX 9184	FARMINGTON HILLS	MI	48333	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
ELLEN KENNEDY LIVING CENTER
1177 7TH STREET SW	DYERSVILLE	IA	52040	421472720	SENIOR LIVING COMMUNITY	IA	501(C)(3)	LINE 10		0		N/A

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
607 DEWEY AVENUE SUITE 300	GRAND RAPIDS	MI	49504	383306673	REHABILITATION THERAPY SERVICES	MI	N/A	0	Yes (1)
BH VENTURE ONE LP
905 WATSON STREET	PITTSBURGH	PA	15219	384098074	REAL ESTATE	PA	N/A	0	Yes (1)
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
CATHERINE HORAN BUILDING ASSOCIATES LP
1221 MAIN STREET SUITE 105	HOLYOKE	MA	01040	042723429	PROPERTY MANAGEMENT	MA	N/A	0	Yes (1)
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A	0	0
CENTRAL NEW JERSEY HEART SERVICES LLC
45 SAPPHIRE DRIVE	PRINCETON	NJ	08550	208525458	CARDIAC PROGRAM	NJ	N/A	0	0
CLINTON IMAGING SERVICES LLC
1410 N 4TH STREET	CLINTON	IA	52732	412044739	MRI DIAGNOSTIC SERVICES	IA	N/A	0	0
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	URGENT CARE CENTER	LA	N/A	0	Yes (1)
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061487582	IMAGING CENTER	CT	N/A	0	Yes (1)
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVE	LATHAM	NY	12110	833542382	MEDICAL SERVICES	NY	N/A	0	Yes (1)
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A	0	Yes (1)
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROAD	ANN ARBOR	MI	48104	382648446	LABORATORY	MI	N/A	0	Yes (1)
GATEWAY HEALTH PLAN LP
444 LIBERTY AVE SUITE 2100	PITTSBURGH	PA	15222	251691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A	0	Yes (1)
GREATER HARTFORD LITHOTRIPSY LLC
114 WOODLAND STREET	HARTFORD	CT	06105	061578891	LITHOTRIPSY SERVICES	CT	N/A	0	Yes (1)
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A	0	Yes (1)
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	IMAGING CENTER	ID	N/A	0	Yes (1)
HEART INSTITUTE OF ST MARY LLC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	454903701	CARDIOVASCULAR SERVICES	PA	N/A	0	Yes (1)
LAKE CHARLES URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	272272979	URGENT CARE CENTER	LA	N/A	0	Yes (1)
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	300951534	URGENT CARE CENTER	DE	N/A	0	Yes (1)
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVD SUITE 1004-202	BATON ROUGE	LA	70809	201367299	URGENT CARE CENTER	LA	N/A	0	Yes (1)
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	364119522	SURGICAL SERVICES	IL	N/A	0	Yes (1)
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A	0	Yes (1)
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A	0	Yes (1)
MCE MOB IV LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
MEDILUCENT MOB I
6150 EAST BROAD STREET	COLUMBUS	OH	43213	204911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
MEDWORKS LLC
375 EAST CEDAR STREET	NEWINGTON	CT	06111	061490483	REHABILITATION SERVICES	CT	N/A	0	0
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A	0	0
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA	N/A	0	Yes (1)
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	471290300	OUTPATIENT SURGERY	IA	N/A	0	0
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061239526	IMAGING CENTER	CT	N/A	0	0
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA	N/A	0	Yes (1)
OSWEGO HEALTH HOME CARE LLC
113 SCHUYLER STREET	FULTON	NY	13069	472463736	HOME HEALTH CARE	NY	N/A	0	Yes (1)
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL	N/A	0	Yes (1)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	URGENT CARE CENTERS	DE	N/A	0	Yes (1)
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	75202	364038505	OFFICE BUILDING RENTAL	IL	N/A	0	Yes (1)
RADISSON SJH PROPERTIES LLC
100 MADISON STREET SUITE 1200	SYRACUSE	NY	13202	461892799	MEDICAL OFFICE BUILDING	NY	N/A	0	Yes (1)
RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	451772383	URGENT CARE CENTER	LA	N/A	0	Yes (1)
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
15305 DALLAS PARKWAY STE 1600	ADDISON	TX	75001	843522377	OUTPATIENT SURGERY	CA	N/A	0	0
SAINT AGNESUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	364896811	MEDICAL SERVICES	CA	N/A	0	0
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A	0	0
SJLS LLC
920 WINTER ST	WALTHAM	MA	02451	201796650	DIALYSIS SERVICES	NY	N/A	0	0
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A	0	0
ST AGNES LONG-TERM INTENSIVE CARE LLP
C/O MHS ONE WEST ELM ST STE 100	CONSHOHOCKEN	PA	19428	200984882	LONG TERM INTENSIVE CARE	PA	N/A	0	Yes (1)
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	HEALTH CARE SERVICES	ID	N/A	0	Yes (1)
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905	SYRACUSE	NY	13203	161104293	RADIOLOGY SERVICES	NY	N/A	0	Yes (1)
ST MARY REHABILITATION HOSPITAL LLP
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	273938747	HEALTH CARE SERVICES	DE	N/A	0	0
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY	N/A	0	Yes (1)
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	272871206	OUTPATIENT SURGERY	PA	N/A	0	Yes (1)
THPH URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	852464958	URGENT CARE CENTERS	DE	N/A	0	Yes (1)
TRINITY HEALTH OF NEW ENGLAND URGENT CARE LLC
1000 ASYLUM AVENUE	HARTFORD	CT	06105	842665996	HEALTH CARE SERVICES	DE	N/A	0	0
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/ IMAGING	MI	N/A	0	0
WOODLAND PARTNERS REAL ESTATE LLC
129 WOODLAND STREET	HARTFORD	CT	06105	833371094	REAL ESTATE	CT	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (41 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)
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)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161450960	HEALTH CARE MANAGEMENT	NY	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C	Yes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	263795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
MACNEAL HEALTH PROVIDERS INC
750 PASQUINELLI DRIVE SUITE 216	WESTMONT	IL	60059	363361297	MEDICAL SERVICES	IL	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521815313	HEALTH CARE HOLDING	MD	N/A	C	Yes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100	CONSHOHOCKEN	PA	19428	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)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C	Yes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	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)
PROVIDENCE HOMECARE INC
114 WOODLAND STREET	HARTFORD	CT	06105	043317426	HEALTH CARE SERVICES	MA	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	83706	331078261	HEALTH CARE SERVICES (INACTIVE)	ID	N/A	C	Yes (1)
SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061384686	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061432373	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SJM PROPERTIES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVE	SYRACUSE	NY	13203	454164964	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	474763735	PROPERTY HOLDINGS	IN	N/A	C	Yes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161540486	MEDICAL SERVICES	NY	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	042938161	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	Yes (1)
TRINITY ASSURANCE LTD
				980453602	SELF-INSURANCE		N/A	C	Yes (1)	PO BOX 1159 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)
WORKPLACE HEALTH OF GRAND HAVEN INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd