SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAINT ALPHONSUS MEDICAL CENTER BAKER CITY INC (EIN 27-1790052)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-09
IRS object ID: 202021919349301887
Schema version: 2018v3.2
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-09T13:23:50-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	271790052	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT ALPHONSUS MEDICAL CENTER -	BusinessNameLine1Txt
Business Name Line2	BAKER CITY INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SAIN	BusinessNameControlTxt
Phone	5415236461	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3325 POCAHONTAS ROAD	AddressLine1Txt
City	BAKER CITY	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	978141464	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	B LANNIE CHECKETTS	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5415236461	PhoneNum
Signature	2020-07-09	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.232.229.228	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-09	IPDt
IP Tm	13:23:42	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	403A83BCAAA913A93C4B950ECE6CC8F4A14CBF47	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	PRISCILLA LYNN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3325 POCAHONTAS ROAD	AddressLine1Txt
City	BAKER CITY	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	978141464	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$37,225,333	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SAINTALPHONSUS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	265	TotalEmployeeCnt
Total Volunteers	56	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,700	PYContributionsGrantsAmt
CY Contributions Grants	$33,695	CYContributionsGrantsAmt
PY Program Service Revenue	$33,668,910	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,298,973	CYProgramServiceRevenueAmt
PY Investment Income	-$36,431	PYInvestmentIncomeAmt
CY Investment Income	-$4,475	CYInvestmentIncomeAmt
PY Other Revenue	$775,503	PYOtherRevenueAmt
CY Other Revenue	$851,787	CYOtherRevenueAmt
PY Total Revenue	$34,431,682	PYTotalRevenueAmt
CY Total Revenue	$37,179,980	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,980	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,938	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$17,046,311	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$18,524,120	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$60,922	CYTotalFundraisingExpenseAmt
PY Other Expenses	$15,877,929	PYOtherExpensesAmt
CY Other Expenses	$18,554,613	CYOtherExpensesAmt
PY Total Expenses	$32,928,220	PYTotalExpensesAmt
CY Total Expenses	$37,083,671	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,503,462	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$96,309	CYRevenuesLessExpensesAmt
Total Assets BOY	$18,454,570	TotalAssetsBOYAmt
Total Assets EOY	$22,070,614	TotalAssetsEOYAmt
Total Liabilities BOY	$15,729,807	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,317,839	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,724,763	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,752,775	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$28,922,086	ExpenseAmt
Grant	$4,938	GrantAmt
Revenue	$36,952,356	RevenueAmt
Desc	SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY (SAMC-BAKER CITY) IS A COMMUNITY HOSPITAL LOCATED IN BAKER CITY, OREGON, WHOSE HISTORY STARTS OVER 100 YEARS AGO. SAMC-BAKER CITY IS LICENSED FOR 25 BEDS AND SERVES ABOUT 16,000 RESIDENTS IN BAKER COUNTY. SAMC-BAKER CITY OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24 HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, MATERNITY SERVICES, HEALTH EDUCATION AND WELLNESS PROMOTION. SAMC-BAKER CITY OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES WITH TWO SEPARATE CLINIC LOCATIONS. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG/LOCATION/SAINT-ALPHONSUS-MEDICAL-CENTER-BAKER-CITY	Desc
Total Program Service Expenses	$28,922,086	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	99	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	265	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE PLISCHKE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2083674504	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6301 EMERALD	AddressLine1Txt
City	BOISE	CityNm
State Abbreviation	ID	StateAbbreviationCd
ZIP	83706	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PHILIP HARROP
DIRECTOR; PRESIDENT THROUGH 7/18	54.00	1.00	Yes (X)	Yes (X)	$7,873	$158,178	$22,594
PRISCILLA LYNN
DIRECTOR; PRESIDENT & CNO AS OF 8/18	54.00	1.00	Yes (X)	Yes (X)	$141,299	$0	$38,172
DARREL ANDERSON
DIRECTOR; CHAIR	1.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
GARY DYER
DIRECTOR; VICE CHAIR	1.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
KENT BAILEY
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
ODETTE BOLANO
DIRECTOR; SAHS PRESIDENT & CEO AS OF 8/18	1.00	54.00	Yes (X)		$0	$632,251	$108,875
SUZANNE BRENNAN CSC
DIRECTOR AS OF 2/19	1.00	4.00	Yes (X)		$0	$0	$0
VICKEN GARABEDIAN MD
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
RONALD GRAVES
DIRECTOR THROUGH 12/18	1.00	4.00	Yes (X)		$0	$0	$0
STUART HARTLEY
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
MICHAEL HOLPER
DIR THRU 12/18; TRINITY HEALTH SVP	1.00	49.00	Yes (X)		$0	$750,932	$49,886
GERALDINE HOYLER CSC
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
SALLY JEFFCOAT
DIR AS OF 1/19; TRINITY HEALTH EVP	1.00	54.00	Yes (X)		$0	$1,621,782	$73,096
GEORGE JUETTEN
DIRECTOR THROUGH 12/18	1.00	4.00	Yes (X)		$0	$0	$0
JOHN KIRBY
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
MAUREEN KIM LYNCH MD
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
KAYE O'RIORDAN
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
MIRIAM NOHEMI ARIZPE
PAREDES, CSC; DIR THROUGH 9/18	1.00	4.00	Yes (X)		$0	$0	$0
STACY PEARSON
DIRECTOR THROUGH 10/18	1.00	4.00	Yes (X)		$0	$0	$0
DANIEL PUGA
DIRECTOR AS OF 1/19	1.00	4.00	Yes (X)		$0	$0	$0
RODNEY REIDER
DIRECTOR; SAHS PRES & CEO THRU 7/18	1.00	54.00	Yes (X)		$0	$1,014,249	$295,716
MIKE REULING
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
STEPHANIE WESTERMEIER
SECRETARY; SAHS VP & GENERAL COUNSEL	1.00	49.00		Yes (X)	$0	$413,415	$96,253
B LANNIE CHECKETTS
TREASURER; SAHS CFO	1.00	49.00		Yes (X)	$0	$460,090	$53,480
JEAN BASOM
REGIONAL DIRECTOR SUPPLY CHAIN	1.00	49.00			$0	$185,690	$31,999	Yes (X)
ERIC SANDEFUR DO
PHYSICIAN	50.00	0.00			$523,070	$0	$48,180		Yes (X)
DAVID RICHARDS MD
PHYSICIAN	50.00	0.00			$464,638	$0	$46,481		Yes (X)
DEREK ZICKGRAF DO
PHYSICIAN	50.00	0.00			$428,029	$0	$45,651		Yes (X)
CHRISTOPHER LIBY DO
PHYSICIAN	50.00	0.00			$321,141	$0	$35,352		Yes (X)
KAARE TINGELSTAD DO
PHYSICIAN	50.00	0.00			$270,552	$0	$41,782		Yes (X)
BLAINE PETERSEN
FORMER OFFICER; LOYOLA UNIV. CFO	0.00	50.00			$0	$932,932	$475,687			Yes (X)
H RAY GIBBONS
FORMER KEY EMPLOYEE	0.00	0.00			$0	$120,216	$10,208			Yes (X)
JAMES LEDERER MD
FORMER KEY EMPLOYEE	0.00	0.00			$0	$195,424	$15,873			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,156,602	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,485,159	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,489,285	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	30	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
REHABILITATION MGMT ASSOCIATION
901 N CURTIS RD 204	BOISE	ID	83707	REHABILITATION SERVICES	$966,164
ANDERSEN CONSTRUCTION COMPANY
6712 N CUTTER CIR	PORTLAND	OR	97217	CONSTRUCTION SERVICES	$964,595
ALLIANCE HEALTHCARE SERVICES
PO BOX 6600	NEWPORT BEACH	CA	92658	RADIOLOGY SERVICES	$417,075
THOMAS CUISINE MANAGEMENT
700 E FRANKLIN RD	MERIDIAN	ID	83642	FOOD SERVICE MANAGEMENT	$195,816
GRANDE RONDE HOSPITAL
PO BOX 3290	LA GRANDE	OR	97850	HEALTH CARE SERVICES	$171,644

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$33,695	RelatedOrganizationsAmt
Total Contributions	$33,695	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$36,298,973	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,298,973	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$36,298,973	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,701	TotalRevenueColumnAmt
Exclusion	$19,701	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$78,162	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$78,162	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,162	TotalRevenueColumnAmt
Exclusion	$78,162	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$9,400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$33,576	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$33,576	SecuritiesAmt
Other	$9,400	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$24,176	TotalRevenueColumnAmt
Exclusion	-$24,176	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$7,665	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$11,777	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,112	TotalRevenueColumnAmt
Exclusion	-$4,112	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER RELATED REVENUE	622110	$610,389	$610,389
CAFETERIA REVENUE	722514	$124,354		$124,354
GOV'T SUBSIDY-EHR	622110	$42,994	$42,994

Field	Value	IRS element (for citing)
Other Revenue Total	$777,737	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,179,980	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,952,356	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$193,929	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,938	TotalAmt
Program Services	$4,938	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$368,116	TotalAmt
Management And General	$368,116	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,427,881	TotalAmt
Program Services	$12,129,825	ProgramServicesAmt
Management And General	$2,260,952	ManagementAndGeneralAmt
Fundraising	$37,104	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$579,224	TotalAmt
Program Services	$490,512	ProgramServicesAmt
Management And General	$87,212	ManagementAndGeneralAmt
Fundraising	$1,500	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,170,911	TotalAmt
Program Services	$1,823,381	ProgramServicesAmt
Management And General	$341,953	ManagementAndGeneralAmt
Fundraising	$5,577	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$977,988	TotalAmt
Program Services	$805,065	ProgramServicesAmt
Management And General	$170,460	ManagementAndGeneralAmt
Fundraising	$2,463	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$31,797	TotalAmt
Program Services	$26,175	ProgramServicesAmt
Management And General	$5,542	ManagementAndGeneralAmt
Fundraising	$80	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,933	TotalAmt
Management And General	$13,933	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,500	TotalAmt
Management And General	$1,500	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$625	TotalAmt
Management And General	$625	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,958,576	TotalAmt
Program Services	$2,649,969	ProgramServicesAmt
Management And General	$304,212	ManagementAndGeneralAmt
Fundraising	$4,395	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$95,591	TotalAmt
Management And General	$94,635	ManagementAndGeneralAmt
Fundraising	$956	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$527,309	TotalAmt
Program Services	$434,073	ProgramServicesAmt
Management And General	$91,908	ManagementAndGeneralAmt
Fundraising	$1,328	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,564,254	TotalAmt
Program Services	$31,703	ProgramServicesAmt
Management And General	$1,532,551	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$537,251	TotalAmt
Program Services	$442,257	ProgramServicesAmt
Management And General	$93,641	ManagementAndGeneralAmt
Fundraising	$1,353	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$45,726	TotalAmt
Program Services	$37,641	ProgramServicesAmt
Management And General	$7,970	ManagementAndGeneralAmt
Fundraising	$115	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$56,908	TotalAmt
Program Services	$46,846	ProgramServicesAmt
Management And General	$9,919	ManagementAndGeneralAmt
Fundraising	$143	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$446,843	TotalAmt
Program Services	$446,843	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,763,141	TotalAmt
Program Services	$1,451,391	ProgramServicesAmt
Management And General	$307,310	ManagementAndGeneralAmt
Fundraising	$4,440	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$224,028	TotalAmt
Program Services	$184,417	ProgramServicesAmt
Management And General	$39,047	ManagementAndGeneralAmt
Fundraising	$564	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,815,166	$4,815,166
I/C PURCHASED SVCS	$2,959,309	$680,641	$2,278,668
HOSPITAL PROVIDER TAX	$1,255,114	$1,255,114
BAD DEBT	$805,232	$805,232

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$452,310	TotalAmt
Program Services	$360,897	ProgramServicesAmt
Management And General	$90,509	ManagementAndGeneralAmt
Fundraising	$904	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,083,671	TotalAmt
Program Services	$28,922,086	ProgramServicesAmt
Management And General	$8,100,663	ManagementAndGeneralAmt
Fundraising	$60,922	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$298,534	BOYAmt
EOY	$333,850	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,479,888	BOYAmt
EOY	$5,741,664	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$877,922	BOYAmt
EOY	$795,715	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$38,845	BOYAmt
EOY	$36,235	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$21,707,470	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,137,436	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$10,669,228	BOYAmt
EOY	$11,570,034	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$125,498	BOYAmt
EOY	$1,882,392	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$80,237	BOYAmt
EOY	$1,139,838	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$884,418	BOYAmt
EOY	$570,886	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,454,570	BOYAmt
EOY	$22,070,614	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,173,448	BOYAmt
EOY	$6,333,406	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$201,619	BOYAmt
EOY	$258,917	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,354,740	BOYAmt
EOY	$11,725,516	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,729,807	BOYAmt
EOY	$18,317,839	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,724,763	BOYAmt
EOY	$3,752,775	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,724,763	BOYAmt
EOY	$3,752,775	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$18,454,570	BOYAmt
EOY	$22,070,614	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$96,309	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$69,943	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$861,760	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule 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	$100,635	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$100,635	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$540,636	OtherCostOrOtherBasisAmt
Book Value	$540,636	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,694,310	OtherCostOrOtherBasisAmt
Depreciation	$3,568,056	DepreciationAmt
Book Value	$7,126,254	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,558,263	OtherCostOrOtherBasisAmt
Depreciation	$6,569,380	DepreciationAmt
Book Value	$1,988,883	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,914,261	OtherCostOrOtherBasisAmt
Book Value	$1,914,261	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,570,034	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	$350,719	F
EQUITY METHOD INVESTMENTS	$555,306	C
HEDGE FUNDS	$233,813	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,139,838	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OTHER CURRENT LIABILITIES	$13,602
INTERCOMPANY NOTES PAYABLE	$10,348,543
INTERCOMPANY ACCOUNTS PAYABLE	$977,628
ASSET RETIREMENT OBLIGATION (FIN 47)	$286,175
DEFERED COMP LIABILITY	$99,568

Field	Value	IRS element (for citing)
Total Liability	$11,725,516	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	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	$370,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$370,948	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,383,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,898,331	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,485,239	NetCommunityBenefitExpnsAmt
Total Expense	0.04090	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,754,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,898,331	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,856,187	NetCommunityBenefitExpnsAmt
Total Expense	0.05110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,812	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,871	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,871	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,848,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,898,331	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,949,870	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,707	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,707	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,354	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,354	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$805,232	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$3,760,355	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,004,502	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$244,147	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST ALPHONSUS MEDICAL CENTER-BAKER CTY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3325 POCAHONTAS ROAD	AddressLine1Txt
City	BAKER CITY	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97814	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SAINTALPHONSUS.ORG/BAKERCITY	WebsiteAddressTxt
State License	LICENSE 14-1469	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST ALPHONSUS MEDICAL CENTER-BAKER CITY	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	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
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
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. ALPHONSUS MEDICAL CENTER-BAKER CITY	PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY (SAMC - BAKER CITY) 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 SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: PRIORITY #1 - NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS- PREVALENCE OF OBESITY & DIABETES- LOW FRUIT AND VEGETABLE CONSUMPTION- PHYSICAL FITNESS OPPORTUNITIES/LACK OF LOW COST OPPORTUNITIES FOR ADULTS & CHILDREN, ESPECIALLY IN WINTER- FOOD INSECURITY/FOOD DESERTPRIORITY #2 - HEALTH SERVICES- ACCESS TO LOW-COST BASIC HEALTH CARE SERVICES- LACK OF MEDICARE PROVIDERS- LACK OF ACCESS TO MENTAL HEALTH, DENTAL AND SUBSTANCE USE TREATMENT- LACK OF EVENING/WEEKEND URGENT CAREPRIORITY #3 SUBSTANCE ABUSE- ALCOHOLISM/SUBSTANCE ABUSE- TOBACCO USE AND VAPING PREVALENCEPRIORITY #4 - FINANCIAL STABILITY- A JOB WITH A HIGH ENOUGH WAGE THAT ALLOWS THE ABILITY TO PAY FOR HOUSING, FOOD, HEALTHCARE, TRANSPORTATION AND OTHER NECESSARY EXPENSES- HIGH POVERTY AND ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) POPULATION (>50%)- AFFORDABLE HOUSING- TRANSPORTATIONPRIORITY #5 - EDUCATION- FAMILY/PARENTAL SUPPORT AND MOTIVATION- HIGHLY TRAINED TEACHERS IN THE CLASSROOM- MOTIVATION TO RECOGNIZE THE IMPORTANCE OF EDUCATION- ACCESS TO AFFORDABLE PHYSICAL ACTIVITY FOR CHILDREN (WINTER ACTIVITIES EMPHASIZED)
ST. ALPHONSUS MEDICAL CENTER-BAKER CITY	PART V, SECTION B, LINE 5: SAMC - BAKER CITY OBTAINED SURVEYS BETWEEN AUGUST 2018 AND APRIL 2019. THE SURVEY WAS ADMINISTERED THROUGH A VARIETY OF METHODS AIMED AT GETTING THE MOST DIVERSE CROSS-SECTION OF RESPONDENTS, INCLUDING THOSE MOST UNDER-SERVED AND AT RISK IN OUR COMMUNITIES INCLUDING PEOPLE WHO ARE POOR, SINGLE PARENTS, UNINSURED, AND THE ELDERLY. SURVEYS WERE ADMINISTERED THROUGH PARTNERSHIPS WITH SERVICE AGENCIES AND COMMUNITY EXPERTS SUCH AS THE BAKER COUNTY HEALTH DEPARTMENT, DEPARTMENT OF HUMAN SERVICES, COMMUNITY CONNECTIONS, THE BAKER 5J SCHOOL DISTRICT, THE HUNTINGTON SCHOOL DISTRICT, NEW DIRECTIONS NORTHWEST, THE BAKER COUNTY LIBRARY SYSTEM, AND THE LOCAL YMCA. THESE ENTITIES SERVE THE POOR, UNINSURED, AND ELDERLY POPULATIONS. PAPER SURVEYS WERE ALSO ADMINISTERED IN A VARIETY OF SETTINGS INCLUDING COMMUNITY EVENTS, SCHOOL FAIRS, CLIENT-BASED SERVICE SETTINGS, AND AREAS WHERE PEOPLE FROM UNDER-SERVED POPULATIONS TEND TO CONGREGATE SUCH AS SENIOR CENTERS, SERVICE AGENCIES, ETC. COMMUNITY HEALTH WORKERS FROM SAMC - BAKER CITY WERE INSTRUMENTAL IN ADMINISTERING PAPER SURVEYS TO CLIENTS THROUGHOUT THE SERVICE AREA. IN ADDITION, ELECTRONIC SURVEYS WERE ADMINISTERED VIA SURVEYMONKEY. A LINK TO THE ELECTRONIC VERSION OF THE SURVEY WAS PROVIDED TO THE COMMUNITY VIA THE SAINT ALPHONSUS FACEBOOK PAGE AND VIA THE ELKHORN MEDIA GROUP FACEBOOK PAGE. THE LINK WAS ALSO DISTRIBUTED VIA THE BAKER COUNTY 5J SCHOOL DISTRICT AND THE HUNTINGTON SCHOOL DISTRICT. ADDITIONAL COMMUNITY INPUT WAS GAINED THROUGH FOCUS GROUP CONVERSATIONS WITH COMMUNITY EXPERTS AND COMMUNITY SERVICE AGENCIES INCLUDING: BAKER COUNTY HEALTH DEPARTMENT, COMMUNITY CONNECTIONS, OREGON DEPARTMENT OF HUMAN SERVICES, SAMC - BAKER CITY COMMUNITY BOARD, YMCA, BAKER COUNTY 5J SCHOOL DISTRICT, AND GREATER OREGON BEHAVIORAL HEALTH, INC.
ST. ALPHONSUS MEDICAL CENTER-BAKER CITY	PART V, SECTION B, LINE 11: SAMC - BAKER CITY'S 2016 AND 2019 CHNA CONTAINED MANY OF THE SAME IDENTIFIED NEEDS, AND THEREFORE THE COMMUNITY BENEFIT ACTIVITIES CARRIED OUT IN FISCAL YEAR 2019 ALIGNED WITH THE NEEDS THAT WERE IDENTIFIED THROUGH THE 2019 CHNA. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS: NUTRITION, PHYSICAL ACTIVITY AND WEIGHT STATUS REMAINED THE NUMBER ONE PRIORITIZED NEED IN THE 2019 CHNA. IN FISCAL YEAR 2019, SAMC - BAKER CITY CONTINUED TO COLLABORATE WITH THE LOCAL SCHOOL DISTRICT TO SUSTAIN THE GONOODLE PROGRAM. THIS PROGRAM CREATIVELY WEAVES SHORT BURSTS OF PHYSICAL ACTIVITY INTO THE SCHOOL DAY, TEACHING KIDS THE LIFETIME BENEFITS OF MOVEMENT. SUBSTANCE ABUSE: THE 2019 IDENTIFIED NEEDS INCLUDED THE PREVALENCE OF TOBACCO AND VAPING. IN FISCAL YEAR 2019, SAMC - BAKER CITY INVESTED IN TWO COLLEAGUES, WHO WERE TRAINED AS TOBACCO TREATMENT SPECIALISTS. WE ARE CURRENTLY IN DEVELOPMENT OF OUR FY20-22 IMPLEMENTATION STRATEGY AND ADDITIONAL WORK IS PLANNED TO ADDRESS SUBSTANCE ABUSE BEGINNING IN 2020.SAMC - BAKER CITY ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. THEREFORE, THE FOLLOWING HEALTH NEEDS ARE NOT BEING ADDRESSED:- HEALTH SERVICES: THE 2019 CHNA DESCRIBED A LACK OF ACCESS TO LOW-COST BASIC HEALTHCARE SERVICES AS WELL AS A LACK OF MEDICARE PROVIDERS. FURTHER, IT INDICATED A LACK OF ACCESS TO MENTAL HEALTH, DENTAL AND SUBSTANCE USE TREATMENT AS WELL AS A LACK OF EVENING/WEEKEND URGENT CARE. WHILE ACCESS TO HEALTH SERVICES WAS NOT DIRECTLY ADDRESSED IN FY19, WE ARE IN THE PROCESS OF DEVELOPING OUR FISCAL YEAR 2020 - 2022 IMPLEMENTATION STRATEGY, WHICH WILL INCLUDE THE USE OF COMMUNITY HEALTHCARE WORKERS TO ASSESS AND ADDRESS THE SOCIAL INFLUENCERS OF HEALTH, WHICH MAY ADDRESS ACCESS TO THESE SERVICES.- FINANCIAL STABILITY: DUE TO COMPETING PRIORITIES, SAMC - BAKER CITY CANNOT DIRECTLY IMPACT THE FINANCIAL STABILITY OF THE COMMUNITY. HOWEVER, SAMC - BAKER CITY CAN FOCUS EFFORTS ON ASSISTING THE COMMUNITY WITH OBTAINING INSURANCE, DEVELOPMENT OF CAREER ADVANCEMENT PROGRAMS AND SCHOOL ASSISTANCE, AND BY PROVIDING ABOVE MINIMUM WAGE JOB OPPORTUNITIES TO COMMUNITY MEMBERS.- EDUCATION: THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF ONE OF OUR COMMUNITY PARTNERS, THE BAKER 5J SCHOOL DISTRICT, AND THEREFORE WAS NOT DIRECTLY ADDRESSED IN FISCAL YEAR 2019 BY SAMC - BAKER CITY.
ST. ALPHONSUS MEDICAL CENTER-BAKER CITY	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.
PART V, SECTION B, LINE 7A:	WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT
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.
PART V, SECTION B, LINE 10A:	WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY
PART V, LINE 16A, FAP WEBSITE:	WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEPART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCEPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - BAKER CLINIC FAMILY MEDICINE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3175 POCAHONTAS ROAD	AddressLine1Txt
City	BAKER CITY	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97814	ZIPCd

Field	Value	IRS element (for citing)
Facility	MEDICAL CLINIC	FacilityTxt

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:	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY (SAMC - BAKER CITY) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF OREGON. IN ADDITION, SAMC - BAKER CITY 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.SAMC - BAKER CITY ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $805,232, 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:	SAMC - BAKER CITY PARTICIPATED IN COALITION BUILDING AND ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT IN FISCAL YEAR 2019. SAINT ALPHONSUS IS PART OWNER IN THE EASTERN OREGON COORDINATED CARE ORGANIZATION (EOCCO). THE EOCCO IS A GROUP OF VARIOUS TYPES OF HEALTH CARE PROVIDERS WORKING TOGETHER FOR THE PEOPLE ON THE OREGON HEALTH PLAN (OREGON MEDICAID). THE LOCAL COMMUNITY ADVISORY COUNCIL (LCAC) IS A COUNCIL WITHIN THE EOCCO WHOSE MEMBERS INCLUDE PUBLIC HEALTH, MENTAL HEALTH, HOSPITAL SYSTEMS, AND COMMUNITY LEADERS. MONTHLY MEETINGS ARE HELD TO DISCUSS THE IDENTIFIED NEEDS WITHIN THE COMMUNITY AND TO IDENTIFY STRATEGIES TO MEET THOSE NEEDS. A SAINT ALPHONSUS REPRESENTATIVE PARTICIPATES IN THE LCAC. THE LCAC AND ITS MEMBERS HAVE HELD VARIOUS COMMUNITY EVENTS. IN FISCAL YEAR 2019, A TEEN CARNIVAL BROUGHT AWARENESS AND EDUCATION TO THE TEEN POPULATION; ENFORCING THE NEED TO OBTAIN WELLNESS EXAMS AND TO CREATE A RELATIONSHIP WITH DENTAL, MENTAL HEALTH AND PHYSICAL HEALTH PROVIDERS. A THREE-NIGHT TEEN WELLNESS EVENT PROVIDED WELLNESS EXAMS FOR TEENS, OFFERING DIFFERENT STATIONS INCLUDING DENTAL, PHYSICAL HEALTH, MENTAL HEALTH, REPRODUCTIVE HEALTH, IMMUNIZATIONS, AND SPORTS HEALTH - ALL IN ONE LOCATION.HOURS WERE ATTRIBUTED TO ADVOCATING FOR DIABETES PREVENTION PROGRAMMING ALONG WITH ST. LUKE'S EASTERN OREGON MEDICAL ASSOCIATES AND THE LOCAL YMCA AS WELL AS TOBACCO CESSATION PROGRAMMING IN PARTNERSHIP WITH THE LCAC.
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:	SAMC - BAKER CITY 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, SAMC - BAKER CITY IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAMC - BAKER CITY IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:	SAMC - BAKER CITY IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "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.FOR PATIENT ACCOUNTS RECEIVABLE RESULTING FROM REVENUE RECOGNIZED PRIOR TO JULY 1, 2018, PATIENT ACCOUNTS RECEIVABLE WERE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED. PRIOR TO THIS DATE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS ESTABLISHED TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. GENERALLY, THIS ALLOWANCE WAS ESTIMATED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYER. UNDER THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE ("ASU") NO. 2014-09 "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)," WHICH WAS ADOPTED EFFECTIVE JULY 1, 2018, 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 SUBSEQUENT TO THE ADOPTION OF ASU NO. 2014-09 ON JULY 1, 2018, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:	SAMC - BAKER CITY 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 - SAMC - BAKER CITY ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC - BAKER CITY COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SAMC - BAKER CITY OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. SAMC - BAKER CITY HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC - BAKER CITY 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 - THE PRIMARY SERVICE AREA FOR SAMC - BAKER CITY IS BAKER COUNTY, OREGON. BAKER COUNTY IS ONE OF THE EIGHT COUNTIES THAT COMPRISE EASTERN OREGON. WITH A TOTAL AREA OF 3,068 SQUARE MILES, BAKER COUNTY IS LARGER THAN DELAWARE AND RHODE ISLAND COMBINED. BY DEFINITION, BAKER COUNTY IS A "FRONTIER" COUNTY, WHICH IS DEFINED AS SIX OR FEWER PEOPLE PER SQUARE MILE. THE JULY 1, 2017 POPULATION ESTIMATE FOR BAKER COUNTY WAS 16,054, A MERE 5.2 PERSONS PER SQUARE MILE. FOR COMPARISON, THE UNITED STATES OVERALL HAS A POPULATION DENSITY OF 87 PEOPLE PER SQUARE MILE. BAKER COUNTY IS EXTREMELY RURAL AND MOUNTAINOUS, AND PORTIONS OF THE COUNTY ARE FREQUENTLY UNPASSABLE DURING WINTER MONTHS. THE MEDIAN HOUSEHOLD INCOME FROM 2013-2017 WAS $43,765, COMPARED TO $57,652 FOR THE UNITED STATES AS A WHOLE.THE SURROUNDING COUNTIES TO THE NORTH INCLUDE UNION AND WALLOWA COUNTIES. UNION COUNTY IS SERVED BY GRANDE RONDE HOSPITAL AND WALLOWA COUNTY IS SERVED BY WALLOWA MEMORIAL HOSPITAL. GRANT COUNTY TO THE WEST OF BAKER COUNTY IS SERVED BY BLUE MOUNTAIN HOSPITAL. MALHEUR COUNTY TO THE SOUTH OF BAKER COUNTY IS SERVED BY SAINT ALPHONSUS MEDICAL CENTER - ONTARIO.BAKER COUNTY IS NOTABLE FOR BEING VERY RURAL, SPARSELY POPULATED, AND WITH VERY LITTLE ETHNIC/RACIAL DIVERSITY. THE POPULATION HAS A SIGNIFICANTLY HIGHER 65 AND OLDER DEMOGRAPHIC, WITH A MEDIAN AGE MORE THAN 10 YEARS GREATER THAN THE OVERALL U.S. POPULATION. SOCIOECONOMIC STATUS AND EDUCATIONAL ATTAINMENT ARE SIGNIFICANTLY LOWER THAN THE STATE OF OREGON AND THE UNITED STATES.
PART VI, LINE 5:	OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SAMC - BAKER CITY USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY AND MEDICAL SERVICES FOR THE COMMUNITY, COLLABORATE WITH COMMUNITY PARTNERS, AND INVEST IN NEEDED COMMUNITY PROGRAMS. THE SUPPORT OF TRINITY HEALTH SYSTEM IS INVALUABLE IN HELPING US TO ADDRESS OUR NEEDS.REPRESENTATIVES FROM SAMC - BAKER CITY SIT ON LOCAL BUSINESS BOARDS. SAMC - BAKER CITY HOSTS AN ANNUAL LABORATORY BLOOD DRAW PROGRAM, PROVIDES FACILITY AND SERVICE EDUCATION TOURS, AND SUPPORTS SAFETY NET PROGRAMS CONDUCTED BY OUTSIDE LOCAL ORGANIZATIONS.SAMC - BAKER CITY SUPPORTS HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS BY HOSTING RURAL CLINICAL ROTATIONS FOR RN'S, CNA'S, RESPIRATORY THERAPISTS, AND RADIOLOGY INTERNS. UNFORTUNATELY, THE HOSPITAL'S SMALL SIZE LIMITS THE ABILITY TO PARTICIPATE IN ALL OF THE EDUCATION PROGRAMS AVAILABLE.SAMC - BAKER CITY PROVIDES A LEVEL 4 TRAUMA CENTER STAFFED 24/7 WITH ONSITE ER PHYSICIANS. THIS IS RARE FOR A CRITICAL ACCESS HOSPITAL LOCATED IN A COMMUNITY OF THIS SIZE. LOCAL EMPLOYERS HIGHLY VALUE THIS SERVICE AS IT PROVIDES A SAFETY NET FOR THEIR WORKERS. SAMC - BAKER CITY ALSO PARTICIPATES IN TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION.SAMC - BAKER CITY PARTICIPATES IN A REGIONAL TELEMEDICINE NETWORK WITH AN AFFILIATED TERTIARY HOSPITAL IN BOISE, IDAHO. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE CLINICAL EDUCATION, SPECIALTY PHYSICIAN CONSULTATION, AND EMERGENCY MEDICINE CONSULTATIONS. HAVING THIS SERVICE ALLOWS PATIENTS TO BE CARED FOR CLOSER TO THEIR HOME.SAMC - BAKER CITY ALSO HAS A VOLUNTEER COMMUNITY HOSPITAL BOARD WITH A FOCUS THAT INCLUDES QUALITY, SAFETY, COMMUNITY HEALTH CARE NEEDS, MISSION INTEGRATION, ETC. THIS BOARD UNDERSTANDS THE VALUE OF MAINTAINING A VIABLE HOSPITAL IN THEIR COMMUNITY AND STRONGLY SUPPORTS THE FACILITY.SAMC - BAKER CITY BEGAN CONVERSATIONS WITH A COMMUNITY PARTNER, COMMUNITY CONNECTIONS, REGARDING TRANSPORTATION OPTIONS AND SUPPORT WITHIN BAKER COUNTY. FURTHERMORE, SAINT ALPHONSUS HEALTH SYSTEM (SAHS) HAS CONTINUED WORK TOWARDS OBTAINING BABY FRIENDLY HOSPITAL DESIGNATION. SUBSTANTIAL WORK (90%) HAS BEEN COMPLETED TO DATE.SAHS PARTNERED WITH A NUMBER OF OTHER ORGANIZATIONS AND ASSOCIATIONS TO SUPPORT PASSAGE OF MEDICAID EXPANSION IN IDAHO, SUSTAINING EFFORTS TO EDUCATE THE PUBLIC ABOUT BENEFITS OF CLOSING THE COVERAGE GAP. TRANSPORTATION BARRIERS CONTINUED TO BE ADDRESSED VIA A PATIENT ACCESS VAN THAT TRANSPORTED PATIENTS TO MEDICAL APPOINTMENTS. HARMFUL SUBSTANCE USE: SAHS CONTINUED TO LEAD STATEWIDE COALITION EFFORTS TO RAISE THE LEGAL SALE AGE FOR TOBACCO AND E-CIGARETTES/VAPES, PRESENTING LEGISLATION AND BRINGING IN A NATIONAL EXPERT FROM STANFORD TO EDUCATE POLICY MAKERS, SCHOOL LEADERS AND STAKEHOLDERS ON THE EVIDENCE OF HARMS ASSOCIATED WITH E-CIGARETTES/VAPES.
PART VI, LINE 6:	SAMC - BAKER CITY 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 2019, EVERY TRINITY HEALTH ENTITY FOCUSED ON: 1. REDUCING TOBACCO USE 2. REDUCING OBESITY PREVALENCE3. ADDRESSING AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED BY THEIR HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESSING AT LEAST ONE SOCIAL INFLUENCER OF HEALTH TRINITY HEALTH ACKNOWLEDGES THAT 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 ITS COMMUNITIES. IN AN EFFORT TO ADDRESS SOME OF THESE INFLUENCERS, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) IN FISCAL YEAR 2016 TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE HOSPITALS OF TRINITY HEALTH. 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 FISCAL YEAR 2019, TRINITY HEALTH INVESTED $3.7 MILLION IN TCI AND HAS LEVERAGED OVER $6.5 MILLION IN COMMUNITY MATCH FUNDING TO DATE. ADDITIONALLY, TRINITY HEALTH'S GOOD SAMARITAN INITIATIVE (GSI) INVESTED $751,000 IN NINE REGIONAL HEALTH MINISTRIES TO SUPPORT THE INTEGRATION OF 16 COMMUNITY HEALTH WORKERS INTO CARE MANAGEMENT TEAMS. TRINITY HEALTH CONTINUES TO EXPAND THE NATIONAL DIABETES PREVENTION PROGRAM THROUGH THE SUPPORT OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION. IN ADDITION TO THE PROGRAMMATIC SPENDING DESCRIBED ABOVE, THE SYSTEM DEPLOYED NEW AND RENEWED LOANS OF $5.3 MILLION FOR PLACE-BASED INVESTING TO IMPROVE ACCESS TO AFFORDABLE HOUSING, HEALTHY FOODS, EDUCATION, AND ECONOMIC DEVELOPMENT. THE COMMUNITY-INVESTING PROGRAM ALSO HAS OUTSTANDING LOAN COMMITMENTS OF $6.0 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 2019, TRINITY HEALTH INVESTED NEARLY $1.2 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.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES	OR

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 (17 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
PHILIP HARROP
DIRECTOR; PRESIDENT THROUGH 7/18	$7,866	$113,297	$0	$44,524	$7	$357	$362	$7,276	$2,256	$12,700	$10,491	$178,154	$0	$0
PRISCILLA LYNN
DIRECTOR; PRESIDENT & CNO AS OF 8/18	$132,479	$0	$8,654	$0	$166	$0	$9,008	$0	$29,164	$0	$179,471	$0	$0	$0
ODETTE BOLANO
DIRECTOR; SAHS PRESIDENT & CEO AS OF	$0	$460,338	$0	$136,517	$0	$35,396	$0	$90,784	$0	$18,091	$0	$741,126	$0	$0
MICHAEL HOLPER
DIR THRU 12/18; TRINITY HEALTH SVP	$0	$447,135	$0	$180,396	$0	$123,401	$0	$20,625	$0	$29,261	$0	$800,818	$0	$0
SALLY JEFFCOAT
DIR AS OF 1/19; TRINITY HEALTH EVP	$0	$917,976	$0	$424,196	$0	$279,610	$0	$12,375	$0	$60,721	$0	$1,694,878	$0	$0
RODNEY REIDER
DIRECTOR; SAHS PRES & CEO THRU 7/18	$0	$511,870	$0	$185,487	$0	$316,892	$0	$258,648	$0	$37,068	$0	$1,309,965	$0	$0
STEPHANIE WESTERMEIER
SECRETARY; SAHS VP & GENERAL COUNSEL	$0	$310,437	$0	$90,889	$0	$12,089	$0	$68,386	$0	$27,867	$0	$509,668	$0	$0
B LANNIE CHECKETTS
TREASURER; SAHS CFO	$0	$354,744	$0	$69,532	$0	$35,814	$0	$16,500	$0	$36,980	$0	$513,570	$0	$0
JEAN BASOM
REGIONAL DIRECTOR SUPPLY CHAIN	$0	$163,470	$0	$19,269	$0	$2,951	$0	$14,088	$0	$17,911	$0	$217,689	$0	$0
ERIC SANDEFUR DO
PHYSICIAN	$521,569	$0	$284	$0	$1,217	$0	$20,625	$0	$27,555	$0	$571,250	$0	$0	$0
DAVID RICHARDS MD
PHYSICIAN	$460,672	$0	$0	$0	$3,966	$0	$16,500	$0	$29,981	$0	$511,119	$0	$0	$0
DEREK ZICKGRAF DO
PHYSICIAN	$365,355	$0	$62,500	$0	$174	$0	$12,375	$0	$33,276	$0	$473,680	$0	$0	$0
CHRISTOPHER LIBY DO
PHYSICIAN	$320,856	$0	$0	$0	$285	$0	$8,250	$0	$27,102	$0	$356,493	$0	$0	$0
KAARE TINGELSTAD DO
PHYSICIAN	$270,060	$0	$0	$0	$492	$0	$12,375	$0	$29,407	$0	$312,334	$0	$0	$0
BLAINE PETERSEN
FORMER OFFICER; LOYOLA UNIV. CFO	$0	$563,688	$0	$108,996	$0	$260,248	$0	$434,805	$0	$40,882	$0	$1,408,619	$0	$0
H RAY GIBBONS
FORMER KEY EMPLOYEE	$0	$22,540	$0	$0	$0	$97,676	$0	$0	$0	$10,208	$0	$130,424	$0	$0
JAMES LEDERER MD
FORMER KEY EMPLOYEE	$0	$191,741	$0	$0	$0	$3,683	$0	$2,634	$0	$13,239	$0	$211,297	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY (SAMC - BAKER CITY) IS A SUBSIDIARY IN THE SAINT ALPHONSUS HEALTH SYSTEM. SAMC - BAKER CITY'S PRESIDENT'S COMPENSATION IS DETERMINED BY THE SYSTEM'S PARENT ENTITY, SAINT ALPHONSUS HEALTH SYSTEM. SAINT ALPHONSUS HEALTH SYSTEM USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAMC - BAKER CITY'S PRESIDENT. - 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 2018. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: H. RAY GIBBONS - $90,871 BLAINE PETERSEN - $153,306 RODNEY REIDER - $167,720 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/18: BLAINE PETERSEN - $418,305 (PAID IN 2019) RODNEY REIDER - $246,273 (PAID IN 2019) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2018. 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 2018, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2018. THE FOLLOWING PAYOUTS FOR 2018 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: B. LANNIE CHECKETTS - $0 MICHAEL HOLPER - $105,295 SALLY JEFFCOAT - $229,074 BLAINE PETERSEN - $91,157 RODNEY REIDER - $130,718 THE FOLLOWING ACCRUALS FOR 2018 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $78,409 STEPHANIE WESTERMEIER - $51,886 THE FOLLOWING IS PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($275,000 FOR 2018). THE FOLLOWING PAYOUT FOR 2018 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: STEPHANIE WESTERMEIER - $3,627

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	SAINT ALPHONSUS MEDICAL GROUP - VALLEY MEDICAL CLINIC SAINT ALPHONSUS MEDICAL GROUP - BAKER CITY
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY (SAMC - BAKER CITY) IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SAMC - BAKER CITY. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAMC - BAKER CITY.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, THE FORM 990 FOR SAMC - BAKER CITY IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. 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	SAMC - BAKER CITY 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 SAMC - BAKER CITY, 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 SAMC - BAKER CITY 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 SAMC - BAKER CITY (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC - BAKER CITY OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAMC - BAKER CITY (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 SAMC - BAKER CITY. 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	LINE 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS IS ESTABLISHED BY SAINT ALPHONSUS HEALTH SYSTEM, A RELATED ORGANIZATION. IN ESTABLISHING CEO COMPENSATION, SAINT ALPHONSUS HEALTH SYSTEM FOLLOWS A PROCESS WHICH INCLUDES RESEARCHING WAGES AND BENEFITS IN DATA FOR A COMPENSATION REVIEW OF SIMILARLY SIZED ORGANIZATIONS. THE PRESIDENT AND CHEIF HUMAN RESOURCE OFFICER OF SAINT ALPHONSUS HEALTH SYSTEM REVIEW THE COMPENSATION ANNUALLY. LINE 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAMC - BAKER CITY IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING SYSTEM CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE SYSTEM CFO OF SAMC - BAKER CITY 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	SAMC - BAKER CITY 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, SAMC - BAKER CITY INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAMC - BAKER CITY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS FROM AFFILIATES 861,760.
FORM 990, PART XII, LINE 2:	SAMC - BAKER CITY'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY19 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (224 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)
CARING PARTNERS HOME HEALTH INC
1200 EARHART RD	ANN ARBOR	MI	48105	201681131	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	GLACIER HILLS INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995	ANN ARBOR	MI	48106	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)
HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUE	MUSKEGON	MI	49442	381386362	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	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)
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
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	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)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568525	HEALTH CARE SYSTEM SUPPORT	NJ	501(C)(3)	LINE 12B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08103	274357794	HEALTH CARE SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	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
3805 WEST CHESTER PIKE STE 100	NEWTOWN SQUARE	PA	19073	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 CLINIC CORPORATION
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTH CARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	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 AMICARE HOME HEALTHCARE OAKLAND
17410 COLLEGE PARKWAY STE 150	LIVONIA	MI	48152	383320698	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	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 12B, II		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		0		N/A
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
1820 44TH ST SE	KENTWOOD	MI	49508	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
1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 3	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CORPORATION
PO BOX 7957	MOBILE	AL	36670	636002215	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY PHYSICIAN NETWORK
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	461187365	MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	48333	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD	LIVONIA	MI	48152	383181557	BUILDING MANAGEMENT SERVICES	DE	501(C)(3)	LINE 12A, I		0		N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET	COLUMBUS	OH	43213	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222584082	FOUNDATION	CT	501(C)(3)	LINE 12C, III-FI		0		N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	061422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
MOUNT ST JOSEPH
7 HIGHTOWER STREET	WATERVILLE	ME	04901	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 44TH STREET	KENTWOOD	MI	49508	383073745	HEALTH CARE SERVICES (INACTIVE)	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	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 LOURDES HEALTH CARE SERVICES INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568528	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NJ	501(C)(3)	LINE 12B, II	MAXIS HEALTH SYSTEM	Yes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	222351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
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	0
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 12B, II	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
504 STATE STREET	SCHENECTADY	NY	12305	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141505031	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 10	SETON HEALTH SYSTEM 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	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH FOUNDATION INC
310 S MANNING BLVD	ALBANY	NY	12208	222345416	FOUNDATION	NY	501(C)(3)	LINE 12A, I	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141776186	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
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 AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET SUITE 100	CONSHOHOCKEN	PA	19428	232415137	FOUNDATION	PA	501(C)(3)	LINE 12A, I	ST AGNES CONTINUING CARE CENTER	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 CORPORATION	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
411 CANISTEO STREET	HORNELL	NY	14843	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	MEDICAL 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 CORPORATION	Yes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER	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 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
17410 COLLEGE PARKWAY STE 150	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
20555 VICTOR PARKWAY	LIVONIA	MI	48152	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 (FKA MERCY HEALTH SYSTEM OF SEPA)
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
20555 VICTOR PARKWAY	LIVONIA	MI	48152	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
17410 COLLEGE PARKWAY STE 150	LIVONIA	MI	48152	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)
VIRTUA OUR LADY OF LOURDES HOSPITAL INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	210635001	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
VIRTUA WILLINGBORO HOSPITAL INC
218 SUNSET ROAD	WILLINGBORO	NJ	08046	223612265	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	HEALTH NETWORK	MI	501(C)(4)	N/A	MERCY HEALTH PARTNERS	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
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
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1	VOORHEES	NJ	08043	223580847	HEALTH CARE SERVICES	NJ	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	N/A
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
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
MDRMRI TECHNICAL SERVICES LLC
5640 EAST TAFT ROAD 3770	SYRACUSE	NY	13220	161590982	MRI SERVICES	NY	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
C/O NAZARETH HOSP 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
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102	BOISE	ID	83706	510483218	PHARMACY	ID	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
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200E	MOUNT LAUREL	NJ	08054	202273476	RADIOLOGY	NJ	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
95 WOODLAND STREET 4TH FLOOR	HARTFORD	CT	06105	833165256	ACCOUNTABLE CARE ORGANIZATION	CT	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 (50 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 MANAGEMENT INC
1820 44TH STREET SE	KENTWOOD	MI	49508	382961814	WEIGHT MANAGEMENT	MI	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 HEALTHCARE EQUIPMENT CORP
1820 44TH STREET SE	KENTWOOD	MI	49508	382578569	HOME MEDICAL EQUIPMENT	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)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223366580	MEDICAL ADMINISTRATION	NJ	N/A	C	Yes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521986562	HOME CARE SERVICES	MD	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)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223361862	MEDICAL SERVICES	NJ	N/A	C	Yes (1)
LOURDES URGENT CARE SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08103	464188202	URGENT CARE CENTER	NJ	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
411 CANISTEO STREET	HORNELL	NY	14843	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
23 CAMPION ROAD	NEW HARTFORD	NY	13413	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)
TRI-HOSPITAL MRI CENTER
2800 DEQUINDRE	WARREN	MI	48092	382884297	HEALTH CARE 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	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
C	$900,000	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
M	$134,197	PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
M	$4,030,020	PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
P	$214,495	PER BOOKS
TRINITY HEALTH CORPORATION
M	$823,472	PER BOOKS
TRINITY HEALTH CORPORATION
P	$595,817	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$95,712	PER BOOKS
TRINITY HEALTH CORPORATION
R	$430,842	PER BOOKS