MERCY MEDICAL CENTER-CLINTON INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL CENTER-CLINTON INC (EIN 42-1336618)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-11
- IRS object ID
- 202101319349300740
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-11T13:48:37-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421336618 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER - CLINTON INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 5632445555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 527322940 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIM DUWE | PersonNm |
| Person Title | REGIONAL VP FINANCE | PersonTitleTxt |
| Phone | 5632445555 | PhoneNum |
| Signature | 2021-05-11 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 CLINTON MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAY TAKES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 527322940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $139,152,062 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYONE.ORG/CLINTON/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 1060 | TotalEmployeeCnt |
| Total Volunteers | 180 | TotalVolunteersCnt |
| Total Gross UBI | $193,125 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $151,026 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,380,681 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,775,277 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $127,603,019 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,061,873 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,698,710 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,284,697 | PYOtherRevenueAmt |
| CY Other Revenue | $2,404,474 | CYOtherRevenueAmt |
| PY Total Revenue | $99,272,873 | PYTotalRevenueAmt |
| CY Total Revenue | $139,086,884 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $56,154 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $63,192 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,142,983 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,369,423 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $52,227,755 | PYOtherExpensesAmt |
| CY Other Expenses | $77,320,895 | CYOtherExpensesAmt |
| PY Total Expenses | $101,426,892 | PYTotalExpensesAmt |
| CY Total Expenses | $138,753,510 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,154,019 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $333,374 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $133,398,596 | TotalAssetsBOYAmt |
| Total Assets EOY | $151,013,221 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,297,007 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $50,444,497 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $104,101,589 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $100,568,724 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MERCYONE SERVES WITH FIDELITY TO THE GOSPEL AS A COMPASSIONATE, HEALING MINISTRY OF JESUS CHRIST TO TRANSFORM THE HEALTH OF OUR COMMUNITIES. MERCY MEDICAL CENTER - CLINTON IS A MEMBER OF MERCYONE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $124,086,798 | ExpenseAmt |
| Grant | $63,192 | GrantAmt |
| Revenue | $127,156,153 | RevenueAmt |
| Desc | MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) IS LOCATED IN CLINTON, IOWA. MERCYONE CLINTON IS A FULL-SERVICE COMMUNITY HEALTH SYSTEM SERVING RESIDENTS IN CLINTON, IOWA AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND NORTHWESTERN ILLINOIS. WITH A HISTORY DATING BACK MORE THAN 130 YEARS, MERCYONE CLINTON IS PROUD TO OFFER THE LATEST IN HEALTH AND MEDICAL SERVICES WITH A CARING, COMPASSIONATE AND PERSONAL TOUCH.MERCYONE CLINTON PROVIDES A BROAD RANGE OF SERVICES TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE BI-STATE AREA. WITH TWO MAIN CAMPUSES, MERCYONE CLINTON OPERATES 163 LICENSED BEDS. SERVICES INCLUDE A RADIATION ONCOLOGY CENTER IN AFFILIATION WITH THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, TWO CARDIAC CATHETERIZATION LABS, RENAL DIALYSIS AND A TRAUMA CENTER. RESIDENTS ALSO HAVE ACCESS TO THE SKILL OF MERCYONE CLINTON'S HOME HEALTH AND HOSPICE CARE, AS WELL AS QUALITY EQUIPMENT AND SUPPLIES THROUGH MERCY HOME MEDICAL EQUIPMENT. IN FISCAL YEAR 2020 THE HOSPITAL PROVIDED OVER 10,000 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY.RECOGNIZING THE IMPORTANCE OF MAINTAINING HEALTH, MERCYONE CLINTON CREATES OPPORTUNITIES TO PROMOTE WELLNESS AND ASSIST PEOPLE TO TAKE RESPONSIBILITY FOR THEIR OWN HEALTH AND WELL-BEING. IN ADDITION, MERCYONE CLINTON SUPPORTS COMMUNITY PROGRAMS AND ACTIVITIES THAT ENHANCE THE CULTURAL AND ECONOMIC PROSPERITY OF ITS ASSOCIATES AND THE COMMUNITY AT LARGE.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.MERCYONE.ORG/CLINTON/ | Desc |
| Total Program Service Expenses | $124,086,798 | 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 | Yes (1) | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | 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 | Yes (1) | 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 | 213 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1060 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIM DUWE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5635899977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 527322940 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SALLY JEFFCOAT | ||||||||||
| DIR/EVP GROWTH/STRATEGY TH THR 12/19 | 1.00 | 54.00 | Yes (X) | $0 | $1,666,932 | $80,042 | ||||
| LINDA ROSS | ||||||||||
| DIR AS OF 1/20; CHIEF LEGAL OFFCR TH | 1.00 | 54.00 | Yes (X) | $0 | $1,311,639 | $65,772 | ||||
| ABDULLAH FOAD MD | ||||||||||
| PHYSICIAN, ORTHOPEDIC SURGERY | 50.00 | 0.00 | $867,446 | $0 | $45,909 | Yes (X) | ||||
| MARCIA SMITH | ||||||||||
| SEC/ASSOC COUNSEL MERCYONE THR 10/19 | 1.00 | 44.00 | $0 | $413,741 | $404,300 | Yes (X) | ||||
| ROBERT MAGNUS MD | ||||||||||
| PHYSICIAN, ORTHOPEDIC SURGERY | 50.00 | 0.00 | $740,777 | $0 | $50,893 | Yes (X) | ||||
| MOHAMMED IRSHAD MD | ||||||||||
| PHYSICIAN, GASTROENTEROLOGY | 50.00 | 0.00 | $629,554 | $0 | $17,979 | Yes (X) | ||||
| RICKY MADDOX MD | ||||||||||
| PHYSICIAN, GENERAL SURGERY | 50.00 | 0.00 | $581,112 | $0 | $13,618 | Yes (X) | ||||
| SAADI ALBAGHDADI MD | ||||||||||
| PHYSICIAN, CARDIOLOGY | 50.00 | 0.00 | $543,246 | $0 | $9,447 | Yes (X) | ||||
| KAY TAKES | ||||||||||
| PRESIDENT EASTERN IOWA REGION | 25.00 | 30.00 | $0 | $478,335 | $51,752 | Yes (X) | ||||
| RODNEY SCHLADER | ||||||||||
| FORMER OFFICER; PRES MERCYONE N IOWA | 0.00 | 55.00 | $0 | $439,668 | $85,172 | Yes (X) | ||||
| WILLIAM MURDOCK | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $199,530 | $83,466 | Yes (X) | ||||
| KIM DUWE | ||||||||||
| VP FINANCE EASTERN IOWA REGION | 20.00 | 30.00 | $0 | $213,233 | $38,484 | Yes (X) | ||||
| AMY BERENTES | ||||||||||
| EVP, COO EASTERN IOWA REGION | 20.00 | 30.00 | $0 | $208,642 | $23,017 | Yes (X) | ||||
| MILTON AVERY | ||||||||||
| DIRECTOR; CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARY CORITA HEID RSM | ||||||||||
| DIRECTOR; VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROBERT RITZ | ||||||||||
| DIRECTOR; REGIONAL PRESIDENT & CEO | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RALPH REEDER MD | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MAURITA SOUKUP RSM | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HEATHER CAMPBELL | ||||||||||
| SEC AT 11/19;CHIEF LGL OFCR MERCYONE | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| MICHAEL WEGNER | ||||||||||
| TREASURER; REGIONAL CFO | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,362,135 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,931,720 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $969,851 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | 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 |
|---|---|---|---|---|---|
| APOGEE MEDICAL MANAGEMENT | |||||
| 2525 E CAMELBACK RD | PHOENIX | AZ | 85016 | HOSPITALISTS | $1,491,374 |
| VOSS BROTHERS PLUMBING AND HEATING | |||||
| 301 SOUTH 2ND ST | DES MOINES | IA | 52732 | PLUMBING SERVICES | $1,260,619 |
| IOWA EMERGENCY SERVICES LLC | |||||
| PO BOX 634850 | CINCINNATI | OH | 45263 | ER STAFFING PHYSICIANS | $1,065,464 |
| AMERICAN STAFFING GROUP INC | |||||
| 3051 WILLOWOOD RD | EDMOND | OK | 73034 | STAFFING SERVICES | $948,498 |
| HEALTH CAROUSEL LLC | |||||
| 1700 MADISON RD | CINCINNATI | OH | 45209 | STAFFING SERVICES | $775,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $21,431 | RelatedOrganizationsAmt |
| Government Grants | $7,274,130 | GovernmentGrantsAmt |
| All Other Contributions | $85,120 | AllOtherContributionsAmt |
| Total Contributions | $7,380,681 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $126,305,895 | $126,305,895 | ||
| PHARMACY REVENUE | 446110 | $1,121,872 | $1,121,872 | ||
| LABORATORY UBI | 621500 | $175,252 | $175,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $127,603,019 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,045,223 | TotalRevenueColumnAmt |
| Exclusion | $1,045,223 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $656,351 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,165 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $622,186 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $622,186 | TotalRevenueColumnAmt |
| Exclusion | $622,186 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $658,656 | SecuritiesAmt |
| Other | $25,844 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $31,013 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $658,656 | SecuritiesAmt |
| Other | -$5,169 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $653,487 | TotalRevenueColumnAmt |
| Exclusion | $653,487 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CHILDCARE REVENUE | 624410 | $527,062 | $527,062 | ||
| CAFETERIA REVENUE | 722514 | $387,095 | $387,095 | ||
| MANAGEMENT REVENUE | 541618 | $51,067 | $33,194 | $17,873 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $817,064 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $817,064 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,782,288 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,086,884 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $127,156,153 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $193,125 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,356,925 | 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 | $32,195 | TotalAmt |
| Program Services | $32,195 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,997 | TotalAmt |
| Program Services | $30,997 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,607 | TotalAmt |
| Management And General | $225,607 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,735,808 | TotalAmt |
| Program Services | $48,559,183 | ProgramServicesAmt |
| Management And General | $3,176,625 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,369,962 | TotalAmt |
| Program Services | $1,281,710 | ProgramServicesAmt |
| Management And General | $88,252 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,581,599 | TotalAmt |
| Program Services | $4,307,340 | ProgramServicesAmt |
| Management And General | $274,259 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,456,447 | TotalAmt |
| Program Services | $3,140,455 | ProgramServicesAmt |
| Management And General | $315,992 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,370 | TotalAmt |
| Program Services | $306,370 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,163 | TotalAmt |
| Management And General | $69,163 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,021 | TotalAmt |
| Management And General | $110,021 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,977,805 | TotalAmt |
| Program Services | $15,426,386 | ProgramServicesAmt |
| Management And General | $1,551,419 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,427 | TotalAmt |
| Program Services | $7,488 | ProgramServicesAmt |
| Management And General | $558,939 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,859,062 | TotalAmt |
| Program Services | $1,342,384 | ProgramServicesAmt |
| Management And General | $516,678 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,133,126 | TotalAmt |
| Program Services | $135,795 | ProgramServicesAmt |
| Management And General | $4,997,331 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,125,135 | TotalAmt |
| Program Services | $5,079,355 | ProgramServicesAmt |
| Management And General | $45,780 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,672 | TotalAmt |
| Program Services | $251,196 | ProgramServicesAmt |
| Management And General | $19,476 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,456 | TotalAmt |
| Program Services | $109,629 | ProgramServicesAmt |
| Management And General | $29,827 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,660 | TotalAmt |
| Program Services | $764,660 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,831,704 | TotalAmt |
| Program Services | $6,338,419 | ProgramServicesAmt |
| Management And General | $1,493,285 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,236 | TotalAmt |
| Program Services | $1,044,236 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI TAXES | $14,000 | $14,000 | |
| MEDICAL SUPPLIES | $26,726,850 | $26,726,850 | |
| INTERCO. PURCHASED SVCS | $4,180,365 | $1,031,676 | $3,148,689 |
| BAD DEBT | $3,253,952 | $3,253,952 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,947,891 | TotalAmt |
| Program Services | $2,799,509 | ProgramServicesAmt |
| Management And General | $148,382 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,753,510 | TotalAmt |
| Program Services | $124,086,798 | ProgramServicesAmt |
| Management And General | $14,666,712 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,791 | BOYAmt |
| EOY | $533,593 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,524,908 | BOYAmt |
| EOY | $18,340,454 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,971 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,105,699 | BOYAmt |
| EOY | $2,803,753 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,927 | BOYAmt |
| EOY | $481,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $137,204,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $104,784,355 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,665,616 | BOYAmt |
| EOY | $32,420,467 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,732,409 | BOYAmt |
| EOY | $60,033,363 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,989,571 | BOYAmt |
| EOY | $23,346,309 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,093 | BOYAmt |
| EOY | $16,971 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,652,611 | BOYAmt |
| EOY | $13,037,193 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,398,596 | BOYAmt |
| EOY | $151,013,221 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,985,798 | BOYAmt |
| EOY | $7,423,042 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $470,661 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,117 | BOYAmt |
| EOY | $431 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,281 | BOYAmt |
| EOY | $762,485 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,784,811 | BOYAmt |
| EOY | $41,787,878 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,297,007 | BOYAmt |
| EOY | $50,444,497 | 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 | $104,101,589 | BOYAmt |
| EOY | $100,568,724 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,101,589 | BOYAmt |
| EOY | $100,568,724 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,398,596 | BOYAmt |
| EOY | $151,013,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $333,374 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$740,271 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,125,968 | 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 | $13,548 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $13,548 | 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 | MERCY MEDICAL CENTER - CLINTON 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 MERCY MEDICAL CENTER - CLINTON WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $905,281 | OtherCostOrOtherBasisAmt |
| Book Value | $905,281 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,855,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,614,470 | DepreciationAmt |
| Book Value | $10,240,820 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $277,218 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,648 | DepreciationAmt |
| Book Value | $215,570 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $77,248,679 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,006,119 | DepreciationAmt |
| Book Value | $16,242,560 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,918,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,118 | DepreciationAmt |
| Book Value | $4,816,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $32,420,467 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | $6,670,374 | F |
| HEDGE FUNDS | $4,168,984 | F |
| EQUITY METHOD INVESTMENTS | $12,506,951 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $23,346,309 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $70,167 |
| INTERCOMPANY RECEIVABLES | $358,150 |
| INTERCOMPANY LONG-TERM ASSETS | $6,191,015 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $6,417,861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,037,193 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $21,700 |
| INTERCOMPANY NOTES PAYABLE | $16,319,928 |
| INTERCOMPANY PAYABLES | $4,695,263 |
| ASSET RETIREMENT OBLIGATION | $1,026,085 |
| OPERATING LEASE LIABILITIES | $6,262,639 |
| MEDICARE CASH ADVANCES | $13,462,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,787,878 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | MERCY LIVING CENTER, A LONG TERM CARE FACILITY, HAS A CUSTODIAL ACCOUNT THAT IS FOR LONG TERM CARE RESIDENTS' PERSONAL USE. |
| PART V, LINE 4: | ENDOWMENTS HELD BY MERCY HEALTHCARE FOUNDATION - CLINTON FOR THE BENEFIT OF MERCY MEDICAL CENTER - CLINTON ARE REPORTED ON THE FORM 990 OF MERCY HEALTHCARE FOUNDATION - CLINTON. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,136,626 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,136,626 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,867,291 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,974,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,892,606 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,003,917 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,974,685 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,029,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05930 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 3116 | PersonsServedCnt |
| Total Community Benefit Expns | $300,875 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $300,875 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 2210 | PersonsServedCnt |
| Total Community Benefit Expns | $5,768,702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,580,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,188,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 146 | PersonsServedCnt |
| Total Community Benefit Expns | $64,380 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,380 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 5472 | PersonsServedCnt |
| Total Community Benefit Expns | $6,133,957 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,580,617 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,553,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01880 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 5472 | PersonsServedCnt |
| Total Community Benefit Expns | $26,137,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,555,302 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,582,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07810 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 426 | PersonsServedCnt |
| Total Community Benefit Expns | $213,407 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 426 | PersonsServedCnt |
| Total Community Benefit Expns | $213,407 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,253,952 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $36,106,220 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,747,757 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,641,537 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 CLINTON IMAGING SERVICES LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MRI SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.65000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.35000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | MERCYONE CLINTON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 N 4TH STREET | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52732 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYONE.ORG/CLINTON/ | WebsiteAddressTxt |
| State License | 230056H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | LAB, RADIOLOGY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCYONE CLINTON MEDICAL CENTER | 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 | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | 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 |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | 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 |
| 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 |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| 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 (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:MERCYONE CLINTON MEDICAL CENTER (MERCYONE CLINTON) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED TO BE SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. SUBSTANCE ABUSE, INCLUDING ALCOHOL, HEROIN, AND OPIOID ABUSE3. ACCESS TO HEALTH SERVICES, PRIMARY CARE PROVIDERS AND TRANSPORTATION4. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY, INCLUDING COMMUNITY RESOURCES AND PARTNERSHIPS AND PROGRAM IMPLEMENTATION5. SUICIDE6. EDUCATION/POVERTY LEVELS7. COMMUNITY ENGAGEMENT |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 5: MERCYONE CLINTON, WORKING IN CONJUNCTION WITH THE GENESIS VISITING NURSES ASSOCIATION (VNA), HELD A SERIES OF MEETINGS WITH VARIOUS COMMUNITY AGENCIES AND ELECTED OFFICIALS TO REVIEW DATA AND PRIORITIZE LOCAL HEALTH ISSUES. THE VNA SERVES AS THE PUBLIC HEALTH NURSING AGENCY FOR CLINTON COUNTY AND IS CONTRACTED TO HANDLE MOST OF THE COUNTY'S PUBLIC HEALTH FUNCTIONS. AS A RESULT, THE HEALTH ISSUES IDENTIFIED AS A PART OF THIS PROCESS BECAME THE PRIORITIES FOR CLINTON COUNTY, THE GEOGRAPHIC AREA WHERE MOST OF THE POPULATION THAT MERCYONE CLINTON SERVES RESIDE. MEETINGS WERE CONDUCTED WITH PUBLIC HEALTH ON DECEMBER 11, 2017 AND JANUARY 10, 2018. MEETINGS WERE CONDUCTED WITH OTHER AGENCIES AND ELECTED OFFICIALS ON DECEMBER 7, 2017 AND JANUARY 24, 2018. SURROUNDING COUNTIES: INPUT WAS SOUGHT FROM JACKSON, CARROLL, AND WHITESIDE COUNTIES AND WAS INCORPORATED BY REVIEWING COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT MATERIAL AND INCLUDING INPUT FROM KEY STAKEHOLDERS REPRESENTING EACH OF THE COUNTIES. FEEDBACK WAS RECEIVED FROM JACKSON AND WHITESIDE COUNTIES. CARROLL COUNTY DID NOT PROVIDE INPUT FOR THE CHNA. SURVEY OF THOSE WHO ARE POOR: MERCYONE CLINTON CONDUCTED FOCUS GROUPS WITH STAYING AHEAD, A GROUP OF INDIVIDUALS THAT ARE WORKING TO IMPROVE THEIR LIFE BY UNDERSTANDING THE ROOT CAUSES OF POVERTY AND WORK TOWARDS DEVELOPING ACTION PLANS TO MAINTAIN SELF-SUFFICIENCY. THE MISSION OF STAYING AHEAD IS TO IMPROVE LIVES, HELP WITH SELF-SUFFICIENCY, AND CONTINUE THE MOMENTUM OF SUSTAINABILITY, WHICH HELPS MEMBERS OF THE COMMUNITY GET OUT OF POVERTY. SURVEYS WERE COLLECTED FROM THIS GROUP TO IDENTIFY THEIR HEALTH NEEDS. SURVEYING OCCURRED ON DECEMBER 6 AND DECEMBER 13, 2017. MINORITY FOCUS GROUPS: MERCYONE CLINTON CONDUCTED SURVEYS WITH INFORMATION REFERRAL, A GROUP THAT REPRESENTS LOWER INCOME LEVELS AND AFRICAN AMERICAN AND HISPANIC GROUPS. THE SURVEYS WERE COLLECTED DURING FOOD PANTRY DAYS AND WHEN INDIVIDUALS WERE COMING IN FOR FINANCIAL ASSISTANCE FOR MEDICATIONS, HOUSING AND UTILITIES. THE SURVEYS COLLECTED WERE COMPRISED OF 21% AFRICAN AMERICAN, 11% HISPANIC, 58% CAUCASIAN AND 11% OTHER. SURVEYS WERE COLLECTED FOR TWO WEEKS IN DECEMBER 2017 AND TWO WEEKS IN JANUARY 2018. |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 6B: CLINTON COUNTY COMMUNITY FOCUS GROUP: AS A WAY TO GAIN INSIGHT INTO THE UNDERSERVED POPULATION, GENESIS VNA AND MERCYONE CLINTON CONVENED A SERIES OF MEETINGS WITH REPRESENTATIVES FROM VARIOUS ORGANIZATIONS WITHIN THE SERVICE AREA INCLUDING THE FOLLOWING:-BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER-CLINTON COUNTY BOARD OF HEALTH-CLINTON COUNTY BOARD OF SUPERVISORS-EASTERN IOWA COMMUNITY COLLEGE - CLINTON-GATEWAY IMPACT (SUBSTANCE ABUSE) COUNCIL-CLINTON COUNTY SHERIFF DEPARTMENT-CLINTON FIRE DEPARTMENT-FULTON SUPERINTENDENT (WHITESIDE COUNTY)-SISTERS OF SAINT FRANCIS-HILLCREST FAMILY SERVICES - WIC-HY-VEE GROCERY STORE-COMMUNITY HEALTH CLINIC-CLINTON SCHOOL DISTRICT-WOMEN'S HEALTH SERVICES-IOWA STATE EXTENSION SERVICE-IOWA STATE SENATE OFFICE-LUTHERAN SOCIAL SERVICES-UNITED WAY OF CLINTON COUNTY-VISITING NURSES OF IOWA (I-SMILE) DENTAL PROGRAM -YWCA |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 7D: MERCYONE CLINTON COMMUNICATED ITS CHNA TO THE BROADER COMMUNITY IN THE FOLLOWING WAYS: BY DISTRIBUTING COPIES AT NO CHARGE TO INDIVIDUALS WHO SERVED ON THE CHNA STEERING COMMITTEE, BY DISTRIBUTING COPIES TO INDIVIDUALS WHO PARTICIPATED IN THE SOCIAL SERVICES FOCUS GROUP, AND BY PUBLISHING ARTICLES IN THE HOSPITAL'S NEWSLETTERS. |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 11: MAJOR PRIORITIES (IN ORDER OF PRIORITY):MENTAL HEALTH SERVICE: IN FISCAL YEAR 2020, THE HOSPITAL CONTINUED ITS SUPPORT FOR BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER'S OUTPATIENT BEHAVIORAL HEALTH SERVICES AND ITS OWN INPATIENT MENTAL HEALTH UNIT. MAINTAINING AN INPATIENT UNIT WAS SEEN AS CRITICAL SINCE THE NEXT NEAREST UNIT IS OVER 35 MILES AWAY AND MANY OF THOSE WHO HAVE CHRONIC MENTAL ILLNESSES HAVE TRANSPORTATION CHALLENGES. THE ANNUAL RENT SUBSIDY FOR BRIDGEVIEW IN FISCAL YEAR 2020 WAS $103,040, BASED ON THE MOST RECENT MEDICARE COST REPORT. THE ESTIMATED ANNUAL SUBSIDY TO THE MENTAL HEALTH UNIT CAN BE REFLECTED IN OTHER PARTS OF THE HOSPITAL'S FORM 990. HOWEVER, WHAT WOULD NOT BE INCLUDED IN THAT NUMBER IS THE SUBSIDY THE HOSPITAL PROVIDES FOR PROFESSIONAL CARE. DUE TO A SHORTAGE OF PSYCHIATRISTS IN THE COMMUNITY, THE HOSPITAL'S INPATIENT BEHAVIORAL HEALTH UNIT IS STAFFED BY A TELE-PSYCHIATRIST SERVICE. THE SUBSIDY TO MAINTAIN THAT SERVICE DURING FISCAL YEAR 2020 WAS $266,255.SUBSTANCE ABUSE: MERCYONE CLINTON PROVIDED MEETING SPACE TO COMMUNITY RESOURCES UNITED TO STOP HEROIN (CRUSH), AND MULTIPLE MERCYONE CLINTON EMPLOYEES ACTIVELY SERVED ON THAT COALITION. IN FISCAL YEAR 2020, MERCYONE CLINTON COMPLETED OPIOID USE DISORDER AND "STAMP OUT STIGMA" EDUCATION WITH THE HOSPITAL AND CLINIC'S EMPLOYEES, EMERGENCY ROOM PROVIDERS, COMMUNITY PHYSICIANS, AND MULTIPLE COMMUNITY ORGANIZATIONS. EDUCATION IN THE COMMUNITY IS ONGOING AND CONTINUES TO EVOLVE BASED ON THE NEEDS OF "JUST IN TIME" TRAINING AND PROBLEM RESOLUTION IN THE ER AND THE LOCAL COMMUNITY. WITH A PROJECTED INCREASE OF 126% FOR FATAL OPIOID OVERDOSES IN IOWA FROM 2019 TO 2020, THIS ISSUE HAS RISEN TO THE TOP ON THE MOST RECENT CHNA, AND MERCYONE CLINTON IS CURRENTLY DEVELOPING NEW ACTION PLANS TO CONTINUE TO PROACTIVELY ADDRESS THIS IMPORTANT COMMUNITY ISSUE. COMMUNITY STAKEHOLDERS, INCLUDING MERCYONE CLINTON, ARE AWAITING RESULTS ON THE MOST RECENT GRANT APPLICATION SUBMITTED TO CONTINUE TO ASSIST PEOPLE WITH OPIOID USE DISORDER WITH THE MERCYONE CLINTON MEDICATION-ASSISTED TREATMENT (MAT) CLINIC THAT OPENED IN OCTOBER 2019. PLANS ARE BEING EXPLORED TO SECURE THE NEEDED FUNDING TO EXPAND THE NUMBER OF HOURS AVAILABLE TO PATIENTS IN ADDITION TO ADDING SERVICES FOR PATIENTS SUFFERING FROM STIMULANT USE DISORDER. THE ORIGINAL GRANT TO START THE MAT PROGRAM WAS RECEIVED IN OCTOBER 2018 WITH A PROJECTED PATIENT ROSTER OF 10 PATIENTS IN THE FIRST YEAR AFTER OPENING. SINCE OPENING IN OCTOBER 2019, MERCYONE CLINTON HAS PROVIDED SERVICES TO 44 PATIENTS WITH 27 STILL ACTIVELY ENGAGED IN SERVICES. SEVERAL OF THOSE PATIENTS HAVE BEEN ACTIVELY ENGAGED IN THEIR RECOVERY FOR ALMOST 12 MONTHS. WITH THE COLLABORATION OF MULTIPLE COMMUNITY PARTNERS INCLUDING MENTAL HEALTH, SUBSTANCE ABUSE, PEER SUPPORT, THE CITY OF CLINTON, CLINTON FIRE, AND CLINTON POLICE, THE EFFORTS HAVE DRAMATICALLY REDUCED VISITS TO THE ER FOR SUBSTANCE ABUSE ASSOCIATED HEALTH CARE PROBLEMS IN ADDITION TO SAVING LIVES BY REDUCING THE NUMBER OF FATAL OVERDOSES. ACCESS TO CARE: MERCYONE CLINTON SUPPORTED IMPROVED ACCESS TO CARE IN A VARIETY OF WAYS IN FISCAL YEAR 2020. MERCYONE CLINTON SERVED OUR COMMUNITY WITH ENT, GASTROENTEROLOGY AND ORTHOPEDIC SERVICES AT THE MERCY SPECIALTY CLINIC. IN CONJUNCTION WITH THE CLINIC, CHARITY CARE AND FREE HEALTH SCREENINGS WERE PROVIDED. THE HOSPITAL ALSO ACTIVELY EXPANDED PRIMARY CARE AND SPECIALTY SERVICES BY RECRUITING MORE PROVIDERS. IN FISCAL YEAR 2020 WE ADDED AN INTERNAL MEDICINE PHYSICIAN, PEDIATRICIAN, PEDIATRIC NURSE PRACTITIONER, URGENT CARE NURSE PRACTITIONER, URGENT CARE PHYSICIAN ASSISTANT, CARDIOLOGY NURSE PRACTITIONER, GASTROENTEROLOGIST AND GENERAL SURGEON. THE RATIO OF RESIDENTS TO PROVIDERS, AS EVIDENCED BY THE 2020 COUNTY HEALTH RANKINGS, IS 2,770:1 IN JACKSON COUNTY, 1,960:1 IN CLINTON COUNTY, 2,900:1 IN CARROLL COUNTY, AND 1,700:1 IN WHITESIDE COUNTY. THIS SUPPORTS THE NEED TO RECRUIT PHYSICIANS TO THE AREA. DURING FISCAL YEAR 2020, $114,782 WAS SPENT ON RECRUITING PHYSICIANS/PROVIDERS TO PURSUE EMPLOYMENT OPPORTUNITIES AND IMPROVE THE PROVIDER PATIENT RATIO IN OUR SERVICE AREA. IN ADDITION, TRANSPORTATION WAS A FOCUS TO IMPROVE ACCESS TO HEALTH CARE WITHIN OUR COMMUNITY. THE HOSPITAL HELPED PATIENTS WITH A FINANCIAL NEED ACCESS HEALTHCARE BY PROVIDING TRANSPORTATION TO AND FROM THE HOSPITAL OR TO OTHER MEDICAL PROVIDERS. IN FISCAL YEAR 2020, THE TOTAL CONTRIBUTION FOR TRANSPORTATION WITH MEDIC, AN AMBULANCE SERVICE, CAB, OR BUS VOUCHERS WAS $44,570. NUTRITION, PHYSICAL ACTIVITY AND OBESITY: BASED ON THE RWJ FOUNDATION COUNTY HEALTH RANKINGS FROM 2020, CLINTON COUNTY SAW A 33% INCREASE IN ADULT OBESITY, AND A 28% INCREASE IN PHYSICAL INACTIVITY COMPARED TO THE NATIONAL RANKINGS OF 26% AND 20% RESPECTIVELY. WWW.COUNTYHEALTHRANKINGS.ORGTHE HOSPITAL ADDRESSED WEIGHT LOSS AND PHYSICAL ACTIVITY THROUGH EFFORTS WITH THE LOCAL LET'S LIVE HEALTHY CLINTON INITIATIVE, PROVIDED EDUCATION IN AREA SCHOOLS ON NUTRITION AND PHYSICAL ACTIVITY PROGRAMS, OFFERED CLASSES ON DIABETES PREVENTION (PREVENT T2), AND A CLASS ON LIFESTYLE MEDICINE CALLED COMPLETE HEALTH IMPROVEMENT PROGRAM (CHIP). PREVENT T2 WAS PROVIDED FREE TO THE COMMUNITY; CHIP WAS PROVIDED AT A COST, BUT THOSE WITH A FINANCIAL NEED COULD APPLY FOR A SCHOLARSHIP. THE CLINTON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A GOAL TO "DECREASE OR MAINTAIN THE PERCENTAGE OF ADULTS OVER THE AGE OF 18 IN CLINTON COUNTY WHO REPORT NO PHYSICAL ACTIVITY ON THE COUNTY HEALTH RANKINGS." IN CONJUNCTION WITH THE COUNTY'S HEALTH GOAL, THE HEALTHY LIFESTYLE COALITION DEVELOPED A MASTER STRATEGIC PLAN. THE MASTER PLAN TARGETED THREE AREAS - EAT WELL, MOVE MORE, AND FEEL BETTER. THE EAT WELL SUBCOMMITTEE WORKED TO EXPAND THE DONATION GARDEN PROGRAM, A SCHOOL GREENHOUSE, AND HEALTHY CONCESSIONS AT SCHOOL SPORTING EVENTS. THE MOVE MORE SUBCOMMITTEE WORKED TO EXPAND THE BIKE SHARE PROGRAM, SEMI-STRUCTURED RECESS, CAMPAIGNS TO REDUCE SCREEN TIME IN THE SCHOOLS, EXPANDING THE WALKING SCHOOL BUS PROGRAM, AND EDUCATION ON THE 5-2-1-0 HEALTHIEST STATE INITIATIVE IN THE SCHOOLS. THE FEEL BETTER SUBCOMMITTEE BEGAN REORGANIZING THE TOBACCO COALITION, BREATHE EASY, AND DEVELOPING A NEW MISSION AND VISION WITH INITIATIVES THAT FOCUS ON POLICY, SYSTEM, AND ENVIRONMENT TO REDUCE NICOTINE. IN ADDITION, THE FEEL BETTER GROUP CONTINUED WORKING ON EXPANDING THE ADVERSE CHILDHOOD EXPERIENCES (ACES) TRAINING TO MORE CHILD CARE PROVIDERS. THE PARTNERSHIP OF THESE COMMITTEES INCLUDE BUT ARE NOT LIMITED TO MERCYONE, YWCA, PUBLIC HEALTH, CITY MANAGER, ASSISTANT ENGINEER, LOCAL AREA SUPERINTENDENTS, IOWA STATE EXTENSION OFFICE, COUNTY BOARD OF HEALTH, CHAMBER OF COMMERCE, CLINTON COMMUNITY COLLEGE, CLINTON HERALD, AND MEDICAL ASSOCIATES.SECONDARY PRIORITIES: WHILE NOT THE TOP AREAS OF FOCUS IN FISCAL YEAR 2020 FOR MERCYONE CLINTON'S COMMUNITY BENEFIT PROGRAM, THE HOSPITAL ALSO WORKED ON A VARIETY OF OTHER HEALTH ISSUES INCLUDING THE FOLLOWING: TOBACCO USE, FOOD INSECURITY, PRESCRIPTION ASSISTANCE, TRANSPORTATION, EXERCISE, DIABETES, HEART DISEASE/HIGH BLOOD PRESSURE, SENIOR SERVICES, FALL PREVENTIONS, CANCER AWARENESS/PREVENTION, AND LOW BIRTH WEIGHT BABIES.MERCYONE CLINTON CANNOT REALISTICALLY ADDRESS, EITHER DIRECTLY OR INDIRECTLY, ALL THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. TIME, MONEY, AND OTHER RESOURCES ARE TOO LIMITED. HOWEVER, MERCYONE CLINTON DOES LOOK FOR OPPORTUNITIES TO PARTNER WITH, SUPPORT, OR ENCOURAGE OTHER ORGANIZATIONS IN THE COMMUNITY WHO CAN MORE EFFECTIVELY AND/OR TIMELY ADDRESS OTHER HEALTH NEEDS IN THE COMMUNITY. LISTED BELOW ARE THE REMAINING NEEDS THAT WERE NOT ADDRESSED IN FISCAL YEAR 2020 AND THE CORRESPONDING ALTERNATIVE PROVIDER. SUICIDE: COMPETING PRIORITIES EXCLUDED THIS NEED FROM BEING DIRECTLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES. MERCYONE CLINTON DID KEEP THIS HEALTH NEED IN MIND WHEN DEVELOPING THE MENTAL HEALTH AND SUBSTANCE ABUSE IMPLEMENTATION STRATEGY. A HIGH INCIDENCE OF SUICIDE MAY BE ATTRIBUTED TO THE MENTAL HEALTH AND SUBSTANCE ABUSE IN THE AREA. EDUCATION/POVERTY LEVELS: COMPETING PRIORITIES EXCLUDED THIS NEED FROM BEING DIRECTLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES BUT IS INDIRECTLY ADDRESSED WITH SYSTEMIC INITIATIVES OF SOCIAL CARE AND COMMUNITY HEALTH EDUCATION PROGRAMS. COMMUNITY ENGAGEMENT: COMPETING PRIORITIES EXCLUDED THIS NEED FROM BEING DIRECTLY ADDRESSED IN THE IMPLEMENTATION STRATEGIES, BUT MERCYONE CLINTON SUPPORTED COMMUNITY EVENTS/PROGRAMS AND SERVED ON COALITIONS AND COMMUNITY BOARDS THAT RELATE TO THE TOP HEALTH NEEDS. |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 15E: THE HOSPITAL PROVIDES ASSISTANCE WITH SIGNING UP FOR MEDICARE OR MEDICAID. |
| MERCYONE CLINTON MEDICAL CENTER | PART V, SECTION B, LINE 20E: IF AN INDIVIDUAL REGISTERS AS SELF-PAY, INDIVIDUAL MEETS WITH A FINANCIAL COUNSELOR. |
| MERCYONE CLINTON MEDICAL CENTER - PART V, SECTION B, LINE 7A: | WWW.MERCYONE.ORG/CLINTON/ABOUT-US/COMMUNITY-BENEFIT/ |
| MERCYONE CLINTON MEDICAL CENTER - PART V, SECTION B, LINE 10A: | WWW.MERCYONE.ORG/CLINTON/ABOUT-US/COMMUNITY-BENEFIT/ |
| MERCYONE CLINTON MEDICAL CENTER - PART V, SECTION B, LINE 9: | AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. |
| MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16A, FAP WEBSITE: | WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
| MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16B, FAP APPLICATION WEBSITE: | WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
| MERCYONE CLINTON MEDICAL CENTER, PART V, LINE 16C: | FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MERCYONE.ORG/CLINTON/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY LIVING CENTER - NORTH | ||||
| 600 14TH AVE NORTH | CLINTON | IA | 52732 | LONG TERM CARE |
| 2 - MERCY SPECIALTY CLINIC | ||||
| 1410 NORTH 4TH STREET | CLINTON | IA | 52732 | OUTPATIENT CLINIC |
| 3 - CLINTON IMAGING SERVICES | ||||
| 1410 NORTH 4TH STREET | CLINTON | IA | 52732 | MRI DIAGNOSTIC SERVICES |
| 4 - MERCYONE CLINTON NORTH HEALTH PLAZA | ||||
| 915 13TH AVE NORTH | CLINTON | IA | 52732 | OUTPATIENT CLINIC |
| 5 - MERCYONE FULTON FAMILY MEDICINE | ||||
| 1705 16TH AVE | FULTON | IL | 61252 | OUTPATIENT CLINIC |
| 6 - MERCYONE DEWITT FAMILY MEDICINE | ||||
| 1021 11TH ST | DEWITT | IA | 52742 | OUTPATIENT CLINIC |
| 7 - MERCYONE MORRISON FAMILY MEDICINE | ||||
| 635 E LINCOLNWAY | MORRISON | IL | 61270 | OUTPATIENT CLINIC |
| 8 - MERCYONE CLINTON URGENT CARE | ||||
| 2400 LILLIAN WAY | CLINTON | IA | 52732 | URGENT CARE CLINIC AND OCCUPATIONAL MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, MERCYONE CLINTON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. |
| PART I, LINE 7: | THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(F): | THE FOLLOWING NUMBER, $3,253,952, 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: | THE COMMUNITY BUILDING PROGRAMS SUPPORTED BY MERCYONE CLINTON ARE INTENDED TO PROMOTE THE OVERALL HEALTH OF OUR COMMUNITY. MANY ARE AIMED AT IMPROVING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, CHALLENGING FAMILY SITUATIONS, FINANCIAL CHALLENGES, AND ENVIRONMENTAL PROBLEMS. THE FOLLOWING COMMUNITY BUILDING ACTIVITIES OCCURRED IN FISCAL YEAR 2020:COMMUNITY CHILDCARE: THE CLINTON COUNTY REGION HAS APPROXIMATELY 1,900 CHILD CARE SPACES AVAILABLE AND 7,800 CHILDREN AGES 0 TO 12. CLINTON IS CONSIDERED A CHILD CARE DESERT; AS A RESULT, MERCYONE CLINTON IS ONE OF 5 FACILITIES THAT PROVIDES AND SUBSIDIZES CHILDCARE TO SUPPORT THIS COMMUNITY NEED. DRUG ENDANGERED CHILD TASK FORCE: IN FISCAL YEAR 2020, MERCYONE CLINTON SERVED ON THIS TASK FORCE TO REDUCE THE RISK FOR DRUG-ENDANGERED CHILDREN BORN IN OUR FACILITY. CLINTON AND LOCAL SCHOOLS: MERCYONE CLINTON PROVIDES COMMUNITY HEALTH EDUCATION FOR SCHOOLS IN CLINTON AND WHITESIDE COUNTY. THE GOAL OF THIS EDUCATION IS TO TEACH STUDENTS THE BENEFITS OF EXERCISE AND HEALTHY EATING TO SUPPORT ONE OF THE TOP HEALTH PRIORITIES IN THE AREA - NUTRITION, OBESITY, AND PHYSICAL ACTIVITY HEALTH NEED IN THE COMMUNITY. |
| 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: | MERCYONE CLINTON 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, MERCYONE CLINTON IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCYONE CLINTON IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | MERCYONE CLINTON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED." PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION FOR THE PERIOD JULY 1, 2019 THROUGH APRIL 30, 2020. |
| PART III, LINE 8: | MERCYONE CLINTON DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - MERCYONE CLINTON ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND CONTINUED EFFORTS TO IMPROVE PATIENT CARE. THE HEALTH OF THE COMMUNITY IS REGULARLY ASSESSED USING HOSPITAL PATIENT DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE CLINTON COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCYONE CLINTON OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MERCYONE CLINTON HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCYONE CLINTON MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - MERCYONE CLINTON SERVES AN AREA CONSISTING OF 16 ZIP CODES ALONG THE MISSISSIPPI RIVER IN EASTERN IOWA AND WESTERN ILLINOIS. ITS PRIMARY AND SECONDARY SERVICE AREAS HAVE A TOTAL POPULATION OF APPROXIMATELY 52,762. WHILE THE OVERALL POPULATION IS DECLINING, THE NUMBER OF RESIDENTS 65 YEARS OF AGE AND OLDER IS PROJECTED TO INCREASE. THE ETHNICITY OF MERCYONE CLINTON'S SERVICE AREA IS PRIMARILY WHITE. CLINTON AND JACKSON COUNTIES REGISTER 94.2% AND 97.4% OF RESIDENTS, RESPECTIVELY, AS WHITE, WHILE 96.6% OF CARROLL COUNTY RESIDENTS AND 94.9% OF WHITESIDE COUNTY RESIDENTS IDENTIFY AS WHITE. CLINTON COUNTY HAS THE HIGHEST PERCENTAGE OF BLACK OR AFRICAN-AMERICAN POPULATION, AT 2.8%. JACKSON, CARROLL, AND WHITESIDE COUNTY ALL REPORTED LESS THAN 2% OF RESIDENTS AS BLACK OR AFRICAN-AMERICAN. WHITESIDE COUNTY HAS THE HIGHEST PERCENTAGE OF RESIDENTS WITH A HISPANIC ETHNICITY, AT 11.6%. CLINTON COUNTY REPORTS 2.9%, CARROLL COUNTY REPORTS 3.3%, AND JACKSON COUNTY REPORTS 1.3% HISPANIC OR LATINO.ACCORDING TO THE US CENSUS BUREAU IN 2015, THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS AND IOWA WAS $59,590 AND $54,843 RESPECTIVELY. THE MEDIAN HOUSEHOLD INCOME FOR THE UNITED STATES WAS $55,775. WHEN COMPARED TO STATE AND NATIONAL DATA, ALL FOUR COUNTIES IN THE SERVICE AREA HAVE MEDIAN HOUSEHOLD INCOMES THAT ARE SIGNIFICANTLY LOWER. WHITESIDE COUNTY HAS THE LOWEST HOUSEHOLD INCOME AT $45,463, FOLLOWED BY JACKSON COUNTY AT $49,956, CARROLL COUNTY AT $50,432, AND CLINTON COUNTY AT $52,945.MERCYONE CLINTON MEDICAL CENTER IS THE ONLY FULL-SERVICE COMMUNITY HEALTH SYSTEM SERVING RESIDENTS IN CLINTON, IOWA, AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND NORTHWESTERN ILLINOIS. MERCYONE CLINTON PROVIDES A BROAD RANGE OF SERVICES TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE BI-STATE AREA. SERVICES INCLUDE A RADIATION ONCOLOGY CENTER IN AFFILIATION WITH THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS, TWO CARDIAC CATHETERIZATION LABS, RENAL DIALYSIS AND A TRAUMA CENTER. RESIDENTS ALSO HAVE ACCESS TO THE SKILL OF MERCYONE'S HOME HEALTH AND HOSPICE CARE, AS WELL AS QUALITY EQUIPMENT AND SUPPLIES THROUGH MERCYONE HOME MEDICAL EQUIPMENT.THE CITY OF CLINTON HAS A FEDERALLY QUALIFIED HEALTH CARE FACILITY TO PROVIDE SERVICES IN UNDERSERVED URBAN AND RURAL COMMUNITIES. THIS INCLUDES PATIENTS WITH AND WITHOUT HEALTH INSURANCE, MEDICARE AND MEDICAID PATIENTS, VETERANS, HOMELESS PERSONS, AND PRIVATE PAY PATIENTS. |
| PART VI, LINE 5: | OTHER INFORMATION - AS A SOLE COMMUNITY PROVIDER, MERCYONE CLINTON OFFERS MANY SERVICES TO THE COMMUNITY THAT WOULD OTHERWISE BE UNAVAILABLE. IN ADDITION TO TRADITIONAL ACUTE CARE SERVICES, EMERGENCY SERVICES, RADIATION ONCOLOGY, RENAL DIALYSIS, HOME CARE, HOSPICE CARE, WOUND CARE AND INPATIENT BEHAVIORAL HEALTH ARE OFFERED REGARDLESS OF ABILITY TO PAY. IN-KIND BOARD MEMBER: MERCYONE CLINTON OFFERS IN-KIND TIME SPENT ON COMMUNITY BOARDS. SPECIFICALLY, MERCYONE CLINTON EMPLOYEES HAVE A PRESENCE SERVING ON ROTARY, UNITED WAY EXECUTIVE BOARD, CLINTON REGIONAL DEVELOPMENT CORPORATION, CLINTON CHAMBER OF COMMERCE, YWCA AND RIVER BLUFF COMMUNITY FOUNDATION. IN-KIND DONATIONS AND FINANCIAL SUPPORT: MERCYONE CLINTON PROVIDED FINANCIAL SUPPORT IN FISCAL YEAR 2020 TO GATEWAY IMPACT, INFORMATION REFERRAL AND SERVICES, SUICIDE AWARENESS, PREGNANCY CENTER, AMERICAN HEART ASSOCIATION AND MS. TO ADDRESS THE CHALLENGES IN OUR COMMUNITY AT THE ROOT OF MANY HEALTH PROBLEMS. MAJOR COMMUNITY BENEFIT PROGRAMS ARE LISTED BELOW ALONG WITH THE DESCRIPTION OF THEIR IMPACT ON IMPROVING HEALTH IN THE COMMUNITY.PRENATAL EDUCATION: MERCYONE CLINTON PROVIDED EDUCATION TO LOW INCOME FAMILIES TO PROMOTE HEALTHY OUTCOMES FOR MOTHER AND BABY. THE MAJORITY OF DELIVERIES AT OUR HOSPITAL ARE WITH MOTHERS WHO ARE AT OR BELOW THE POVERTY LEVEL. EVIDENCE HAS DOCUMENTED THAT EDUCATION HAS AN IMPACT ON HEALTHY PREGNANCIES AND HEALTHY BABIES. MERCYONE CLINTON IS ACTIVELY MOVING TO BECOME A CERTIFIED BABY FRIENDLY SITE. BABY FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS.AMBULANCE AND CAB SERVICE: MERCYONE CLINTON WORKED WITH LOCAL CAB SERVICES AND AMBULANCE PROVIDERS TO ASSURE TRANSPORTATION FOR MEDICAL CARE OR TRANSPORTATION HOME. ACCESS TO CARE CONTINUES TO BE A GAP IN OUR COMMUNITY. IN FISCAL YEAR 2020, PARATRANSIT WAS PROVIDED FOR PATIENTS IN THE ED, RENAL DIALYSIS, CARDIAC REHAB, BEHAVIORAL MEDICAL UNIT AND OUTPATIENT NUTRITION EDUCATION AND PEOPLE IN THE COMMUNITY SEEKING HEALTH EDUCATION PROGRAMS. DUE TO THE COVID-19 PANDEMIC, MTA PROVIDED TRANSPORTATION FREE IN APRIL AND MAY 2020 FOR PATIENTS SEEKING CARE. PRESCRIPTION ASSISTANCE: DURING FISCAL YEAR 2020, MERCYONE CLINTON PROVIDED 140 PATIENTS WITH FREE PRESCRIPTIONS WORTH $8,617 TO LOW INCOME INDIVIDUALS BEING DISCHARGED FROM THE HOSPITAL. WHILE THE INITIAL FOCUS OF THIS PROGRAM WAS ON CONGESTIVE HEART FAILURE PATIENTS, WHICH STARTED IN FISCAL YEAR 2016, MERCYONE CLINTON EXPANDED THE PROGRAM TO INCLUDE A BROADER RANGE OF INPATIENTS. DIABETES & HEALTH EDUCATION: DIABETES IS CLEARLY A SIGNIFICANT ISSUE FOR OUR SERVICE AREA RESIDENTS. THERE ARE SEVERAL WAYS THAT MERCYONE CLINTON ADDRESSED THIS ISSUE IN FISCAL YEAR 2020. MERCYONE CLINTON HAS TWO LIFESTYLE COACHES TO FACILITATE THE PREVENT T2 CLASSES. PREVENT T2 IS A CENTERS FOR DISEASE CONTROL RECOGNIZED DIABETES PREVENTION PROGRAM (DPP). THE CERTIFIED DIABETES EDUCATOR AND COMMUNITY WELLNESS COORDINATOR HAVE PROVIDED THREE YEARLONG CLASSES IN FISCAL YEAR 2020. THE PREVENT T2 PROGRAM WAS OFFERED FOR FREE. A PROCESS WAS DEVELOPED WITH THE LOCAL COMMUNITY CLINIC AND PRIMARY CARE PHYSICIANS TO INITIATE REFERRALS FOR THE PREVENT T2 PROGRAM. IN FISCAL YEAR 2020, MERCYONE CLINTON WORKED WITH 37 PARTICIPANTS IN THE YEARLONG CLASSES. AS A RESULT OF THE COVID-19 PANDEMIC, CLASSES WERE OFFERED VIRTUALLY FROM MARCH TO JUNE 2020.SUBSIDIZED PROGRAMS: BRIDGEVIEW MENTAL HEALTH, A FINANCIAL SUBSIDY, PROVIDED MENTAL HEALTH SERVICES TO COUNTY FUNDED AND OTHER LOW INCOME AND/OR UNINSURED PATIENTS IN OUR COMMUNITY. SPECIALTY CLINIC SUBSIDY PROVIDES GI, ENT AND ORTHOPEDIC SERVICES TO PATIENTS IN THE COMMUNITY, OPERATING AT A LOSS, DUE IN PART TO ACCEPTANCE OF MEDICAID AND CHARITY CARE PATIENTS. COMMUNITY HEALTH TASK FORCE: MERCYONE CLINTON ACTIVELY LED A HEALTHY LIFESTYLE COALITION CALLED LET'S LIVE HEALTHY CLINTON (LLHC) FOCUSING ON EAT WELL, MOVE MORE, AND FEEL BETTER. KEY STAKEHOLDERS ON THE TASK FORCE WERE CLINTON SCHOOLS, PUBLIC HEALTH, CITY OF CLINTON, IOWA STATE EXTENSION OFFICE, YWCA, CLINTON COMMUNITY COLLEGE, CLINTON VISITOR BUREAU, AND HY-VEE. MERCYONE CLINTON SERVED ON THE GATEWAY IMPACT COALITION (ANTI-DRUG) AND CRUSH - "COMMUNITY RESOURCES UNITED TO STOP HEROIN." MERCYONE CLINTON WORKED WITH A WORKGROUP CALLED BREATHE EASY TO COMBAT TOBACCO AND NICOTINE IN THE COMMUNITY. STEPPING ON: DUE TO A HIGH INCIDENCE OF FALLS AND/OR FALL RISKS, MERCYONE CLINTON PROVIDED A PROGRAM FOR PEOPLE 65 AND OLDER CALLED STEPPING ON. THE PROGRAM TEACHES PARTICIPANTS ON FALL PREVENTION BEHAVIORS, STRENGTHENING AND BALANCE EXERCISE. THIS IS AN EVIDENCE-BASED PROGRAM AND IS OFFERED FREE AS A COMMUNITY BENEFIT TO IMPROVE THE FALL RISKS OF THE ELDERLY POPULATION IN OUR COMMUNITY. FREEDOM FROM SMOKING: AS NOTED IN THE CLINTON COUNTY HEALTH RANKINGS, 17% OF CLINTON COUNTY'S ADULT POPULATION ARE SMOKERS. FREEDOM FROM SMOKING, SUPPORTED BY THE AMERICAN LUNG ASSOCIATION, WAS OFFERED FREE AS A COMMUNITY BENEFIT PROGRAM. DURING THE COVID-19 PANDEMIC, A VIRTUAL OPTION WAS OFFERED. MERCYONE CLINTON WILL APPLY FOR BABY FRIENDLY DESIGNATION IN FEBRUARY 2021. IN FISCAL YEAR 2020, MERCYONE CLINTON CONTINUED TO WORK WITH MERCYONE HEALTH PLAZA, WOMEN'S HEALTH SERVICES AND INFINITY MEDICAL GROUP TO PROVIDE CONSISTENT PRENATAL PATIENTS EDUCATIONAL MATERIAL. ALL PRENATAL PATIENTS ARE OFFERED A FREE ZOOM PRENATAL CLASS AS WELL AS BREASTFEEDING CLASS REGARDLESS OF PRENATAL CARE OR DELIVERY LOCATION. HEALTHY VENDING: OUR HEALTH SYSTEM IS COMPLIANT WITH THE LIVE YOUR LIFE GREEN LOGO SNACK CRITERIA, AND 60% OF THE SNACKS IN THE CAMPUS VENDING MACHINES MEET THE SNACK CRITERIA.TOBACCO-FREE CAMPUS: MERCYONE CLINTON IS A TOBACCO FREE CAMPUS AND UPDATED ITS POLICY TO BE A "NICOTINE" FREE CAMPUS, WHICH INCLUDES E-CIGARETTES.MERCYONE CLINTON WORKED WITH CRUSH, GATEWAY IMPACT, CLINTON SUBSTANCE ABUSE COUNCIL AND OTHER KEY STAKEHOLDERS ON EFFORTS TO ELIMINATE OPIOID USE, AMPHETAMINES, AND ALCOHOL IN FISCAL YEAR 2020. AMY BERENTES, COO, SERVED ON THE BOARDS FOR THE CLINTON REGIONAL DEVELOPMENT CORPORATION AND THE CHAMBER OF COMMERCE, WHERE MANY LOCAL ISSUES ARE DISCUSSED. SHE ALSO HAD REGULAR CONVERSATIONS WITH THE MAYOR AND CITY ADMINISTRATOR ON PRESSING ISSUES. SHE PRESENTED ON THE STATE OF HEALTH CARE TO A GROUP OF CITY LEADERS WHEN US SENATOR CHARLES GRASSLEY CAME TO CLINTON. MERCYONE CLINTON BEGAN WORKING WITH THE POPULATION HEALTH SERVICES ORGANIZATION IN FISCAL YEAR 2020 TO IDENTIFY PATIENTS IN NEED OF SOCIAL INFLUENCERS OF HEALTH. CASE MANAGERS ASK PATIENTS QUESTIONS REGARDING FOOD ACCESS, TRANSPORTATION NEEDS, HOUSING, AND ACCESS TO PRIMARY CARE PHYSICIANS. IF A PATIENT IS IDENTIFIED AS NEEDING SOCIAL CARE, THEY ARE REFERRED TO THE COMMUNITY HEALTH AND WELL-BEING DEPARTMENT SO THE PATIENT CAN BE CONNECTED WITH COMMUNITY RESOURCES. MERCYONE CLINTON IS COLLABORATING WITH SERVICE ORGANIZATIONS IN THE COMMUNITY TO SUPPORT PATIENTS IN NEED OF SOCIAL CARE. IN FISCAL YEAR 2020, MERCYONE CLINTON PROVIDED SOCIAL CARE SUPPORT FOR PATIENTS IN NEED OF TRANSPORTATION TO AND FROM DIALYSIS, CARDIAC REHAB, PHYSICAL THERAPY, AND COMMUNITY HEALTH EDUCATION PROGRAMS. PATIENTS IN FINANCIAL NEED LEAVING THE HOSPITAL MAY UTILIZE THE FREE TRANSPORTATION SERVICE THROUGH THE MTA PARATRANSIT PROGRAM. GROCERIES WITH GRACE WAS DESIGNED TO MAKE SURE PATIENTS DO NOT LEAVE OUR FACILITY IN NEED OF FOOD. HIGH NEED AREAS FOR GROCERIES WITH GRACE ARE THE ED, HOMECARE, BEHAVIORAL MEDICAL UNIT, AND DIABETES AND/OR NUTRITION EDUCATION OUTPATIENTS. FROM JULY 2019 TO MARCH 2020, SIGNIFICANT ENERGY WENT INTO PLANNING FOR A MOBILE MEDICAL UNIT, WHICH WOULD STAFF A COMMUNITY HEALTH WORKER AND MAKE HEALTH CARE MORE ACCESSIBLE TO POPULATIONS WHO ARE POOR AND UNDERSERVED IN THE SERVICE AREA OF MERCYONE CLINTON BY TAKING HEALTH CARE TO THOSE WHO NEED IT. THE MOBILE CLINIC WAS TO ADDRESS INEQUITIES IN HEALTH CARE ACCESS BY PROVIDING PREVENTATIVE, PRIMARY CARE, AND WELLNESS EDUCATION TO PEOPLE WHO DO NOT CURRENTLY HAVE ACCESS TO HEALTH SCREENINGS AND EDUCATION. A PRESERVING OUR LEGACY GRANT WAS APPLIED FOR AND $250,000 WAS AWARDED, HOWEVER OUR EFFORTS WERE HALTED IN LATE MARCH 2020 WHEN OUR GRANT AWARD WAS FROZEN SECONDARY TO PANDEMIC. WE CONTINUED WITH OUR WORK ON THIS STREET MEDICINE CONCEPT AND ARE HOPEFUL WE WILL BE ABLE TO SECURE ALTERNATIVE FUNDING STREAM(S) TO SUPPORT THIS MUCH NEEDED OUTREACH. CONTINUED AFTER PART VI, LINE 6. |
| PART VI, LINE 6: | MERCYONE CLINTON IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER HOSPITALS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2020, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH 4. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENTADDITIONALLY, IN RESPONSE TO COVID-19, TRINITY HEALTH MEMBER HOSPITALS MOBILIZED NATIONAL INFRASTRUCTURE TO ASSESS THE MOST URGENT NEEDS IN THEIR COMMUNITIES. TRINITY HEALTH MEMBER HOSPITALS STRENGTHENED PARTNERSHIPS WITH COMMUNITY-BASED ORGANIZATIONS AND COLLABORATED WITH MEDICAL GROUPS AND CLINICALLY INTEGRATED NETWORKS PROVIDING DIRECT PATIENT CARE TO ENSURE THAT PATIENT SOCIAL NEEDS WERE MET IN THE COMMUNITY. LIKEWISE, MEMBER HOSPITALS ACCELERATED THEIR SOCIAL SERVICES RESPONSE BY ESTABLISHING SOCIAL CARE PROGRAMS TO CONNECT PATIENTS, COLLEAGUES AND COMMUNITY MEMBERS TO LOCAL SOCIAL SERVICES SUCH AS: FOOD, HOUSING, FINANCIAL ASSISTANCE AND ACCESS TO HEALTH CARE. FROM MARCH THROUGH JUNE, SOCIAL CARE MADE OVER 103,000 CONNECTIONS, AND TRINITY HEALTH PROVIDED OVER 44,000 MEDICAL SERVICES TO THOSE WHO ARE HOMELESS AND THROUGH COMMUNITY TESTING EVENTS. SOCIAL INFLUENCERS OF HEALTH - SUCH AS ADEQUATE HOUSING, PERSONAL SAFETY AND ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE - HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH INVESTED $3.7 MILLION IN THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), WHICH INITIALLY LAUNCHED IN FISCAL YEAR 2016. TCI IS A SHARED FUNDING MODEL AND TECHNICAL-ASSISTANCE INITIATIVE SUPPORTING EIGHT TRINITY HEALTH HOSPITALS, AND THEIR COMMUNITY PARTNERS, TO IMPLEMENT POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AND TO AFFECT CHANGE RELATED TO THE SOCIAL INFLUENCERS OF HEALTH. IN ADDITION TO TRINITY HEALTH'S INVESTMENT, TCI HAS LEVERAGED OVER $12.4 MILLION IN COMMUNITY MATCH FUNDING TO DATE. IN FISCAL YEAR 2020, IN RESPONSE TO COVID-19, TCI SWIFTLY SHIFTED THEIR FOCUS IN MARCH TO ADDRESSING FOOD INSECURITY, HEALTHCARE WORKER PROTECTIVE EQUIPMENT, SUPPORTING CLOSED SCHOOLS TO EFFECTIVELY REACH CHILDREN, MENTAL HEALTH INTERVENTIONS AND EMERGENCY AID/FINANCIAL ASSISTANCE DIRECTLY TO INDIVIDUALS IN NEED. OVERALL TCI COMMUNITIES REDIRECTED NEARLY $520,000 TO SUPPORT COVID-19 RELATED NEEDS.TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP) THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND HELPED 2,374 PARTICIPANTS COLLECTIVELY LOSE 15,382 POUNDS FROM JANUARY 2018 THROUGH SEPTEMBER 2020. IN MARCH 2020, WITH THE SURGE OF COVID-19 SPREADING ACROSS THE COUNTRY, TRINITY HEALTH MEMBER HOSPITALS TRANSITIONED NEARLY 90% OF ALL IN-PERSON NDPP COHORTS TO AN ONLINE VERSION OF THE LIFESTYLE CHANGE PROGRAM.TRINITY HEALTH DEPLOYED $5.1 MILLION IN NEW AND RENEWED LOANS FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATIONAL SCHOLARSHIPS, AND ECONOMIC DEVELOPMENT. ADDITIONALLY, TRINITY HEALTH WORKED WITH ALL OF ITS BORROWERS THAT HAD LOANS COMING DUE IN THE MIDST OF THE SPRING COVID-19 SURGE TO EXTEND THEIR LOANS FOR SIX MONTHS. THIS ACTION ALLOWED MORE THAN $2.9 MILLION IN INVESTMENTS TO REMAIN IN THE FIELD AND PROVIDED BREATHING ROOM TO OUR COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION PARTNERS THAT WERE SERVING OUR COMMUNITIES DURING THE CRISIS. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $9.6 MILLION TO COMMUNITY INFRASTRUCTURE PROJECTS, WHICH WILL BE DEPLOYED IN FUTURE YEARS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2020, TRINITY HEALTH INVESTED OVER $1.3 BILLION IN COMMUNITY BENEFIT, SUCH AS INITIATIVES SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING TO MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM, AND ENVIRONMENTAL CHANGE. COVID-19 ACCOUNTED FOR NEARLY $4.9 MILLION IN PROGRAMMATIC COMMUNITY BENEFIT EXPENSES AND ACTIVITIES, INCLUDING COMMUNITY TESTING AND EDUCATION, INCIDENT COMMAND CENTERS, SUPPORT FOR LOCAL ORGANIZATIONS (I.E. PROVIDING PPE, OTHER SUPPLIES, STAFF TIME), SOCIAL SUPPORTS (FOOD, HOUSING, MENTAL HEALTH, CHILDCARE), AND OTHER COMMUNITY DISASTER PREPAREDNESS EFFORTS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
| PART VI, LINE 5 CONTINUED: | IN MARCH 2020, MERCYONE CLINTON FORMED AN INCIDENT COMMAND CENTER AND MET DAILY TO MITIGATE THE SURGE RISK OF COVID-19 PATIENTS WITHIN THE HOSPITAL AND COMMUNITY. THE COMMAND CENTER WORKED COLLABORATIVELY WITH PUBLIC HEALTH, EMERGENCY MANAGEMENT OFFICERS, AND MERCYONE CLINTON KEY PLAYERS TO DEVELOP STRATEGIES TO PREPARE FOR PERSONAL PROTECTIVE EQUIPMENT, HOSPITAL BEDS, STAFFING, AND COMMUNITY DONATIONS. AS A RESULT, A CALL CENTER WAS INITIATED FOR COMMUNITY MEMBERS TO CALL WITH COVID-19 RELATED QUESTIONS. MANY HOURS WERE SPENT SUPPORTING THE COMMUNITY ASSURING SAFETY MEASURES WERE TAKEN, SOCIAL CARE SUPPORTED, AND PATIENTS AND FAMILIES IN THE COMMUNITY WERE TAKEN CARE OF DURING THE PANDEMIC. SCREENING STATIONS WERE SET UP AT ENTRANCES TO SCREEN COLLEAGUES, PATIENTS, AND VISITORS FOR FEVER AND COVID-19 SYMPTOMS. ALL ENTERING THE MEDICAL CENTER WERE PROVIDED A FACE MASK. AMBASSADORS WERE SCHEDULED TO STAFF THE ENTRANCES WHICH INCLUDED COLLEAGUES FROM ALL DIFFERENT DEPARTMENTS. MERCYONE CLINTON PREPARED A LARGE TENT OUTSIDE OF THE COMMUNITY MEDICAL CLINIC AND MOST RECENTLY MOVED THE TENT TO THE URGENT CARE CENTER TO SUPPORT VOLUME OF PATIENTS PRESENTING WITH COVID-19 SYMPTOMS. MERCYONE CLINTON'S EMERGENCY MANAGEMENT COORDINATOR AND INFECTION CONTROL NURSE WORKED WITH LOCAL NURSING HOMES AND THE FEDERAL PRISON IN ILLINOIS TO ADVISE ON DIRECTION OF TESTING, PROVIDED TESTING SUPPLIES, SAFETY MEASURES AND SUPPORT DURING HIGH NUMBER OF COVID-19 CASES. MERCYONE CLINTON WORKED WITH LOCAL SCHOOLS TO DEVELOP A RETURN TO SCHOOL PLAN AND SAFETY MEASURES FOR STUDENTS AND STAFF TO FOLLOW.MERCYONE CLINTON QUICKLY IMPLEMENTED TELEHEALTH OPPORTUNITIES IN SEVERAL SERVICE AREAS TO ASSURE THE CONTINUUM OF CARE DURING THE PANDEMIC. DEPARTMENTS THAT PROVIDED THESE SERVICES WERE: CARDIOLOGY, FAMILY PRACTICE, HOSPITALISTS WITH INPATIENTS, INTERNAL MEDICINE, UROLOGY, PODIATRY, AND SURGICAL. MERCYONE CLINTON'S COMMUNITY HEALTH COORDINATOR PROVIDED ALL HEALTH EDUCATION CLASSES VIRTUALLY DURING THE PANDEMIC SO CLASSES WERE NOT INTERRUPTED AND COULD BE PROVIDED IN A SAFE MANNER.MERCYONE CLINTON WORKED WITH ESSENTIAL WORKERS IN THE COMMUNITY AND PROVIDED RAPID TESTING. SPECIFICALLY, POLICE AND FIRE DEPARTMENTS WERE GIVEN RAPID TESTING SO THE WORKERS COULD GET BACK TO WORK SAFELY AND QUICKLY TO CONTINUE PROTECTING AND SUPPORTING THE COMMUNITY. MERCYONE CLINTON CREATED A TRIAGE TEAM OF FIVE ANONYMOUS PHYSICIANS TO TRIAGE SCARCE RESOURCES (VENTILATORS, CRITICAL CARE BEDS, THERAPEUTICS) IN THE EVENT OF A COVID-19 SURGE. THE MISSION LEADER FACILITATED MULTIPLE ZOOM MEETINGS WITH THIS TEAM TO REVIEW TRIAGE GUIDELINES AND SOLIDIFY PROCESS FOR TRIAGING SCARCE RESOURCES IN THE EVENT OF A COVID-19 SURGE. THE CLINICAL INFORMATICS TEAM WORKED DILIGENTLY WITH TRINITY HEALTH INFORMATICS TO CREATE A DISCREET FIELD IN THE ELECTRONIC MEDICAL RECORD TO CHART SEQUENTIAL ORGAN FAILURE ASSESSMENT "SOFA" SCORES, SO TIMELY REPORTS COULD BE GENERATED FOR TRIAGE PHYSICIANS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CLINTON REGIONAL DEVELOPMENT CORPORATION | |||||||
| 144 8TH AVENUE SOUTH | CLINTON | IA | 52732 | 420738495 | 501(C)(4) | $20,000 | COMMUNITY SUPPORT |
| GATEWAY IMPACT COALITION | |||||||
| 250 20TH AVE NORTH | CLINTON | IA | 52732 | 421349205 | 501(C)(3) | $10,000 | COMMUNITY SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|
| TRANSPORTATION ASSISTANCE | 287 | $22,380 | $0 |
| PRESCRIPTION ASSISTANCE | 140 | $8,617 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE BY MERCY MEDICAL CENTER - CLINTON TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SALLY JEFFCOAT | ||||||||||||||
| DIR/EVP GROWTH/STRATEGY TH THR 12/19 | $0 | $936,984 | $0 | $441,598 | $0 | $288,350 | $0 | $12,600 | $0 | $67,442 | $0 | $1,746,974 | $0 | $0 |
| LINDA ROSS | ||||||||||||||
| DIR AS OF 1/20; CHIEF LEGAL OFFCR TH | $0 | $667,438 | $0 | $296,794 | $0 | $347,407 | $0 | $12,600 | $0 | $53,172 | $0 | $1,377,411 | $0 | $0 |
| ABDULLAH FOAD MD | ||||||||||||||
| PHYSICIAN, ORTHOPEDIC SURGERY | $865,158 | $0 | $0 | $0 | $2,288 | $0 | $8,400 | $0 | $37,509 | $0 | $913,355 | $0 | $0 | $0 |
| MARCIA SMITH | ||||||||||||||
| SEC/ASSOC COUNSEL MERCYONE THR 10/19 | $0 | $354,216 | $0 | $0 | $0 | $59,525 | $0 | $375,301 | $0 | $28,999 | $0 | $818,041 | $0 | $0 |
| ROBERT MAGNUS MD | ||||||||||||||
| PHYSICIAN, ORTHOPEDIC SURGERY | $735,233 | $0 | $0 | $0 | $5,544 | $0 | $12,600 | $0 | $38,293 | $0 | $791,670 | $0 | $0 | $0 |
| MOHAMMED IRSHAD MD | ||||||||||||||
| PHYSICIAN, GASTROENTEROLOGY | $625,000 | $0 | $0 | $0 | $4,554 | $0 | $16,800 | $0 | $1,179 | $0 | $647,533 | $0 | $0 | $0 |
| RICKY MADDOX MD | ||||||||||||||
| PHYSICIAN, GENERAL SURGERY | $578,904 | $0 | $0 | $0 | $2,208 | $0 | $12,600 | $0 | $1,018 | $0 | $594,730 | $0 | $0 | $0 |
| SAADI ALBAGHDADI MD | ||||||||||||||
| PHYSICIAN, CARDIOLOGY | $532,171 | $0 | $0 | $0 | $11,075 | $0 | $8,400 | $0 | $1,047 | $0 | $552,693 | $0 | $0 | $0 |
| KAY TAKES | ||||||||||||||
| PRESIDENT EASTERN IOWA REGION | $0 | $385,467 | $0 | $27,983 | $0 | $64,885 | $0 | $21,000 | $0 | $30,752 | $0 | $530,087 | $0 | $0 |
| RODNEY SCHLADER | ||||||||||||||
| FORMER OFFICER; PRES MERCYONE N IOWA | $0 | $408,941 | $0 | $18,971 | $0 | $11,756 | $0 | $46,861 | $0 | $38,311 | $0 | $524,840 | $0 | $0 |
| WILLIAM MURDOCK | ||||||||||||||
| FORMER OFFICER | $0 | $49,204 | $0 | $0 | $0 | $150,326 | $0 | $58,250 | $0 | $25,216 | $0 | $282,996 | $0 | $0 |
| KIM DUWE | ||||||||||||||
| VP FINANCE EASTERN IOWA REGION | $0 | $202,017 | $0 | $8,609 | $0 | $2,607 | $0 | $9,971 | $0 | $28,513 | $0 | $251,717 | $0 | $0 |
| AMY BERENTES | ||||||||||||||
| EVP, COO EASTERN IOWA REGION | $0 | $207,526 | $0 | $0 | $0 | $1,116 | $0 | $12,673 | $0 | $10,344 | $0 | $231,659 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MERCY MEDICAL CENTER - CLINTON IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY MEDICAL CENTER - CLINTON'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY MEDICAL CENTER - CLINTON'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2019. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: WILLIAM MURDOCK - $138,942 MARCIA SMITH - $48,886 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/19: WILLIAM MURDOCK - $57,389 (PAID IN 2020) MARCIA SMITH - $362,701 (PAID IN 2020) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2019. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2019, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2019. THE FOLLOWING PAYOUTS FOR 2019 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: SALLY JEFFCOAT - $238,926 LINDA ROSS - $310,671 KAY TAKES - $53,866 THE FOLLOWING ACCRUAL FOR 2019 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: RODNEY SCHLADER - $25,861 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 ($280,000 FOR 2019). THE FOLLOWING PAYOUTS FOR 2019 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RODNEY SCHLADER - $3,617 MARCIA SMITH - $3,918 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUBSTANTIAL CONTRIBUTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SUBSTANTIAL CONTRIBUTOR | RelationshipDescriptionTxt |
| Transaction | $252,242 | TransactionAmt |
| Transaction | DONOR PROVIDED GOODS/SERVICES TO MERCY MEDICAL CENTER - CLINTON | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, ITEM C | DBA: MERCYONE CLINTON MEDICAL CENTER DBA: MERCY MEDICAL CENTER - CLINTON DBA: MERCY HOME CARE & HOSPICE - CLINTON DBA: MERCY LIVING CENTER - NORTH DBA: MERCY SPECIALTY CLINIC - CLINTON DBA: MERCY HOME MEDICAL EQUIPMENT DBA: MERCY WOUND CARE CENTER DBA: MERCYONE MEDICAL GROUP CLINTON |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF MERCY MEDICAL CENTER - CLINTON (MERCYONE CLINTON) ARE MERCY HEALTHCARE FOUNDATION - CLINTON (THE CLASS A MEMBER) AND MERCY HEALTH SERVICES-IOWA CORP. (THE CLASS B MEMBER). SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SYSTEM PARENT, TRINITY HEALTH CORPORATION, APPOINTS THE DIRECTORS OF MERCYONE CLINTON. THE BOARD OF DIRECTORS ELECTS THE BOARD OFFICERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | MERCY HEALTH SERVICES-IOWA, CLASS B MEMBER, AND TRINITY HEALTH CORPORATION, SYSTEM PARENT, 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 CLASS A MEMBER, MERCY HEALTHCARE FOUNDATION - CLINTON MUST APPROVE THE SALE OF SUBSTANTIALLY ALL ASSETS TO, OR MERGER OF MERCYONE CLINTON WITH, AN ENTITY NOT AFFILIATED WITH TRINITY HEALTH CORPORATION. MERCY HEALTHCARE FOUNDATION - CLINTON MUST ALSO APPROVE ANY MODIFICATIONS TO GOVERNING DOCUMENTS THAT WOULD CHANGE THE VOTING OR APPROVAL RIGHTS OF THE CLASS A MEMBER. 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 MERCYONE CLINTON 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 | MERCYONE CLINTON 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 MERCYONE CLINTON, 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 MERCYONE CLINTON 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 INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, 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 MERCYONE CLINTON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE CLINTON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE CLINTON (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 MERCYONE CLINTON. 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 MERCYONE CLINTON IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VICE PRESIDENT 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 CEO AND VICE PRESIDENT FINANCE OF MERCYONE CLINTON 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 | MERCYONE CLINTON 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, MERCYONE CLINTON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MERCYONE CLINTON'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,115,238. MANAGEMENT AND GENERAL EXPENSES 282,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,398,096. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 5,439,358. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,439,358. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,277,721. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,277,721. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 241,139. MANAGEMENT AND GENERAL EXPENSES 1,646. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,785. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 995,486. MANAGEMENT AND GENERAL EXPENSES 1,188,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,183,761. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 94,280. MANAGEMENT AND GENERAL EXPENSES 18,466. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,746. BILLING SERVICES: PROGRAM SERVICE EXPENSES 103,398. MANAGEMENT AND GENERAL EXPENSES 37,888. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,286. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 159,766. MANAGEMENT AND GENERAL EXPENSES 22,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,052. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS TO AFFILIATES -3,023,258. ASSET IMPAIRMENT -102,710. |
| FORM 990, PART XII, LINE 2: | MERCYONE CLINTON'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY20 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY-CLINTON ANESTHESIA GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52732 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461906752 | EIN |
| Primary Activities | ANESTHESIOLOGISTS | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER - CLINTON INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (211 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 | Yes (1) | ||
| 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 12C, III-FI | 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 & COMMUNITY HEALTH SERVICES INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 810723591 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 10 | TRINITY HEALTH OF NEW ENGLAND CORP 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) | ||
| MARIAN HOME HEALTHCARE | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | HOME HEALTH SERVICES (INACTIVE) | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | 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) | ||
| MEMORIAL HOSPITAL ALBANY NY | ||||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | 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 | 0 | ||
| 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 HEALTH CARE FOUNDATION | ||||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FOUNDATION | PA | 501(C)(3) | LINE 12A, I | NAZARETH HOSPITAL | 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 | ||||||||||||
| 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 FOUNDATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 12A, I | ST FRANCIS HOSPITAL INC | Yes (1) | ||
| ST FRANCIS HOSPITAL INC | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH OF THE MID-ATLANTIC REGION | Yes (1) | ||
| ST FRANCIS MEDICAL ASSOCIATES PA | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 832199054 | HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 3 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER TRENTON NJ | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 223127184 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH MERCY CHELSEA INC | ||||||||||||
| 775 S 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 CENTER 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 175 | 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 12C, III-FI | 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 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH PACE | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH WELFARE BENEFIT TRUST | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HOME HEALTH SERVICES | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| VILLA MARY IMMACULATE | ||||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | |||||||
| BH VENTURE ONE LP | ||||||||||||||
| 905 WATSON STREET | PITTSBURGH | PA | 15219 | 384098074 | REAL ESTATE | PA | N/A | |||||||
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| CATHERINE HORAN BUILDING ASSOCIATES LP | ||||||||||||||
| 1221 MAIN STREET SUITE 105 | HOLYOKE | MA | 01040 | 042723429 | PROPERTY MANAGEMENT | MA | N/A | |||||||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | |||||||
| CENTRAL NEW JERSEY HEART SERVICES LLC | ||||||||||||||
| 45 SAPPHIRE DRIVE | PRINCETON | NJ | 08550 | 208525458 | CARDIAC PROGRAM | NJ | N/A | |||||||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 1410 N 4TH STREET | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | MERCY MEDICAL CENTER-CLINTON INC | RELATED | $159,678 | -$41,264 | 0 | 0 | 0.65000 | |
| DIAGNOSTIC IMAGING OF SOUTHBURY LLC | ||||||||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061487582 | IMAGING CENTER | CT | N/A | |||||||
| FOREST PARK IMAGING LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | |||||||
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | |||||||
| GATEWAY HEALTH PLAN LP | ||||||||||||||
| 444 LIBERTY AVE SUITE 2100 | PITTSBURGH | PA | 15222 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A | |||||||
| GREATER HARTFORD LITHOTRIPSY LLC | ||||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061578891 | LITHOTRIPSY SERVICES | CT | N/A | |||||||
| HAWARDEN REGIONAL HEALTH CLINICS LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | |||||||
| INTERMOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | IMAGING CENTER | ID | N/A | |||||||
| HEART INSTITUTE OF ST MARY LLC | ||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 454903701 | CARDIOVASCULAR SERVICES | PA | N/A | |||||||
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 364119522 | SURGICAL SERVICES | IL | N/A | |||||||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | |||||||
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | |||||||
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MEDILUCENT MOB I | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MEDWORKS LLC | ||||||||||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A | |||||||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | |||||||
| MERCYMANOR PARTNERSHIP | ||||||||||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A | |||||||
| MERCYUSP HEALTH VENTURES LLC | ||||||||||||||
| 15305 DALLAS PARKWAY STE 1600 LB 28 | ADDISON | TX | 75001 | 471290300 | OUTPATIENT SURGERY | IA | N/A | |||||||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| NAUGATUCK VALLEY MRI LLC | ||||||||||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061239526 | IMAGING CENTER | CT | N/A | |||||||
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | ||||||||||||||
| 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | |||||||
| OSWEGO HEALTH HOME CARE LLC | ||||||||||||||
| 113 SCHUYLER STREET | FULTON | NY | 13069 | 472463736 | HOME HEALTH CARE | NY | N/A | |||||||
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A | |||||||
| PRIMARY CARE PHYSICIAN CENTER LLC | ||||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 75202 | 364038505 | OFFICE BUILDING RENTAL | IL | N/A | |||||||
| RADISSON SJH PROPERTIES LLC | ||||||||||||||
| 5000 CAMPUSWOOD DRIVE SUITE 101 | EAST SYRACUSE | NY | 13057 | 461892799 | MEDICAL OFFICE BUILDING | NY | N/A | |||||||
| SAINT AGNESUSP SURGERY CENTERS LLC | ||||||||||||||
| 15305 DALLAS PARKWAY STE 1600 LB 28 | ADDISON | TX | 75001 | 364896811 | MEDICAL SERVICES | CA | N/A | |||||||
| SIXTY FOURTH STREET LLC | ||||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | |||||||
| SJLS LLC | ||||||||||||||
| 7650 SE 27TH ST STE 200 | MERCER ISLAND | WA | 98040 | 201796650 | DIALYSIS SERVICES | NY | N/A | |||||||
| SMMC MOB II LP | ||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 364559869 | INVESTMENT AND OPERATION OF A MEDICAL BUILDING | PA | N/A | |||||||
| 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 | |||||||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | HEALTH CARE SERVICES | ID | N/A | |||||||
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| ST JOSEPH'S IMAGING ASSOCIATES PLLC | ||||||||||||||
| 104 UNION AVE SUITE 905 | SYRACUSE | NY | 13203 | 161104293 | RADIOLOGY SERVICES | NY | N/A | |||||||
| ST MARY REHABILITATION HOSPITAL LLP | ||||||||||||||
| 680 SOUTH FOURTH STREET | LOUISVILLE | KY | 40202 | 273938747 | HEALTH CARE SERVICES | DE | N/A | |||||||
| ST PETER'S AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 1375 WASHINGTON AVENUE STE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A | |||||||
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | ||||||||||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 272871206 | OUTPATIENT SURGERY | PA | N/A | |||||||
| TRINITY HEALTH OF NEW ENGLAND ACO LLC | ||||||||||||||
| 1000 ASYLUM AVENUE 5TH FLOOR | HARTFORD | CT | 06105 | 833165256 | ACCOUNTABLE CARE ORGANIZATION | CT | N/A | |||||||
| TRINITY HEALTH OF NEW ENGLAND URGENT CARE LLC | ||||||||||||||
| 1000 ASYLUM AVENUE | HARTFORD | CT | 06105 | 842665996 | HEALTH CARE SERVICES | DE | N/A | |||||||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/ IMAGING | MI | N/A | |||||||
| WOODLAND PARTNERS REAL ESTATE LLC | ||||||||||||||
| 129 WOODLAND STREET | HARTFORD | CT | 06105 | 833371094 | REAL ESTATE | CT | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (43 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CALIFORNIA HEALTHCARE MANAGEMENT PARTNERS INC | |||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 820961647 | MANAGEMENT SERVICES | CA | N/A | C | Yes (1) | ||||
| 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) | ||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 043128890 | MEDICAL SERVICES | MA | 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 | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 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 | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CLINTON IMAGING SERVICES LLC | ||
| A | $74,217 | PER BOOKS |
| CLINTON IMAGING SERVICES LLC | ||
| C | $65,000 | PER BOOKS |
| MERCY HEALTH SERVICES - IOWA CORP | ||
| A | $1,320 | PER BOOKS |
| MERCY HEALTH SERVICES - IOWA CORP | ||
| M | $651,602 | PER BOOKS |
| MERCY HEALTH SERVICES - IOWA CORP | ||
| Q | $54,526 | PER BOOKS |
| TRINITY CONTINUING CARE SERVICES | ||
| P | $60,799 | PER BOOKS |
| TRINITY SENIOR SERVICES MANAGEMENT INC | ||
| C | $75,134 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES | ||
| M | $57,090 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES | ||
| P | $185,786 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | $3,155,093 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $9,959,578 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $3,601,820 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | $481,546 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $668,870 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| S | $876,262 | PER BOOKS |