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BAUM-HARMON MERCY HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BAUM-HARMON MERCY HOSPITAL (EIN 42-1500277)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-10
IRS object ID
201901309349303670
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-10T12:22:45-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421500277EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAUM HARMON MERCY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAUMBusinessNameControlTxt
Phone7129572300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 N WELCH AVEAddressLine1Txt
CityPRIMGHARCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51245ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJESICA HANSONPersonNm
Person TitleVP FINANCE, MERCY SIOUX CITYPersonTitleTxt
Phone7129572300PhoneNum
Signature2019-05-10SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address170.232.227.252IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-10IPDt
IP Tm12:22:16IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id931FD144836D950546B27D5795367136474FF98EAtSubmissionCreationDeviceId
At Submission Filing Device IdE9C924457B5D275461852EC86B70A375E5271692AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE O FOR LISTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBETH HUGHESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 FIFTH STREETAddressLine1Txt
CitySIOUX CITYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,509,944GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYONE.ORG/PRIMGHARWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND HOSPITAL SERVICESActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,091,922PYContributionsGrantsAmt
CY Contributions Grants$569,952CYContributionsGrantsAmt
PY Program Service Revenue$7,475,232PYProgramServiceRevenueAmt
CY Program Service Revenue$7,577,637CYProgramServiceRevenueAmt
PY Investment Income-$6,754PYInvestmentIncomeAmt
CY Investment Income-$15,527CYInvestmentIncomeAmt
PY Other Revenue$271,455PYOtherRevenueAmt
CY Other Revenue$348,599CYOtherRevenueAmt
PY Total Revenue$9,831,855PYTotalRevenueAmt
CY Total Revenue$8,480,661CYTotalRevenueAmt
PY Grants And Similar Paid$10,268PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$40,850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,300,712PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,118,713CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,469,742PYOtherExpensesAmt
CY Other Expenses$3,631,193CYOtherExpensesAmt
PY Total Expenses$8,780,722PYTotalExpensesAmt
CY Total Expenses$8,790,756CYTotalExpensesAmt
PY Revenues Less Expenses$1,051,133PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$310,095CYRevenuesLessExpensesAmt
Total Assets BOY$3,938,705TotalAssetsBOYAmt
Total Assets EOY$3,690,144TotalAssetsEOYAmt
Total Liabilities BOY$534,646TotalLiabilitiesBOYAmt
Total Liabilities EOY$596,065TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,404,059NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,094,079NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE, MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.BAUM HARMON MERCY HOSPITAL IS A MEMBER OF MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,372,410ExpenseAmt
Grant$40,850GrantAmt
Revenue$7,762,020RevenueAmt
DescBAUM HARMON MERCY HOSPITAL (BAUM HARMON) WAS FOUNDED IN 1970 TO PROVIDE QUALITY HEALTH CARE TO THE RESIDENTS OF PRIMGHAR, IOWA AND SURROUNDING COMMUNITIES. BAUM HARMON OFFERS COMPREHENSIVE CARE FOR ALL FAMILY MEMBERS THROUGH INPATIENT CARE AND EMERGENCY SERVICES. BAUM HARMON HAS 14 ACUTE CARE BEDS THAT CAN SWING TO A SKILLED CARE UNIT. BAUM HARMON HAS BEEN DESIGNATED A CRITICAL ACCESS HOSPITAL BY THE STATE OF IOWA. BAUM HARMON ALSO OPERATES FOUR PHYSICIAN CLINICS IN PRIMGHAR, PAULLINA, SUTHERLAND, AND HARTLEY, IOWA. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION: WWW.MERCYONE.ORG/PRIMGHARDesc
Total Program Service Expenses$8,372,410TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISTY DULINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7129572313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 N WELCH AVEAddressLine1Txt
CityPRIMGHARCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51245ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANGIE SHILLING
CEO/ADMINISTRATOR THROUGH 7/1749.001.00Yes (X)Yes (X)$0$75,938$11,013
ANDREW SCHIERHOLZ DC
DIRECTOR; CHAIR1.000.00Yes (X)Yes (X)$0$0$0
STEVE LOSHMAN
DIRECTOR; VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
JANELLE SCHUKNECHT
DIRECTOR; SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
HUGH DEPAULIS
DIR, TREAS & VP FINANCE THR 10/171.0049.00Yes (X)Yes (X)$0$246,097$37,981
SHAILESH DESAI MD
DIR & BHMH CLINIC PHYSICIAN THR 5/1850.000.00Yes (X)$0$278,356$40,350
MISTY DULIN
DIR AS OF 4/18; DIR CRITICAL ACCESS45.000.00Yes (X)$0$53,627$1,907
RITA KRUGER
DIRECTOR1.000.00Yes (X)$0$0$0
TRACY LARSON
DIR; CHIEF NURSING OFFICER MERCY SC1.0049.00Yes (X)$0$219,616$36,202
BRIAN MONSMA
DIR & VP MERCY SC THROUGH 8/171.0049.00Yes (X)$0$224,652$191,846
SOE NYUNT MD
DIR AS OF 6/18; BHMH PHYSICIAN50.000.00Yes (X)$0$287,069$18,077
ROB STOWE
DIR AS OF 8/17; EXEC DIR MERCY SC1.0044.00Yes (X)$0$112,135$30,041
GEORGE VON MOCK
DIR AS OF 2/18; FIN DIR MERCY SC1.0044.00Yes (X)$0$121,291$32,564
SUE MCCAULEY
INTERIM CEO 7/17-3/18; FINANCE DIR50.000.00Yes (X)Yes (X)$0$77,807$18,746
BETH HUGHES
PRESIDENT MERCY SC AS OF 5/181.0054.00Yes (X)$0$0$0
JEANNETT WU MD
PHYSICIAN50.000.00$0$277,913$41,182Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,974,501TotReportableCompRltdOrgAmt
Total Other Compensation$459,909TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SUSTAINABLE MODULAR MANAGEMENT
7500 DALLAS PARKWAY STE 175PLANOTX75024CONTRACTOR SERVICES$321,838
HEALOGICS WOUND CARE & HYPERBARIC SERVIC
5220 BELFORT RDJACKSONVILLEFL32256MANAGEMENT SERVICES$172,204
THERAPEUTIC HEALTH SERVICES
1000 LINCOLN CIRCLE SEORANGE CITYIA51041MEDICAL SERVICES$165,124
GRAPETREE MEDICAL STAFFING
1003 23RD STREETMILFORDIA51351MEDICAL STAFFING SERVICES$155,313
SANFORD MEDICAL CENTER
PO BOX 5074SIOUX FALLSSD57117MEDICAL SERVICES$110,907
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$522,751RelatedOrganizationsAmt
Government Grants$38,141GovernmentGrantsAmt
All Other Contributions$9,060AllOtherContributionsAmt
Total Contributions$569,952TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business622110BusinessCd
Total Revenue Column$7,577,637TotalRevenueColumnAmt
Related Or Exempt Func Income$7,577,637RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,577,637TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$136TotalRevenueColumnAmt
Exclusion$136ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$6,230PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Personal$13,620PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal-$7,390PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,390TotalRevenueColumnAmt
Exclusion-$7,390ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$15,663OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$15,663OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,663TotalRevenueColumnAmt
Exclusion-$15,663ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHILD CARE624410$164,038$164,038
GOV'T SUBSIDY - EHR622110$91,655$91,655
CAFETERIA REVENUE722514$7,568$7,568

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,728TotalRevenueColumnAmt
Related Or Exempt Func Income$92,728RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$355,989OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,480,661TotalRevenueColumnAmt
Related Or Exempt Func Income$7,762,020RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$148,689ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,850TotalAmt
Program Services$40,850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$862,890TotalAmt
Program Services$623,852ProgramServicesAmt
Management And General$239,038ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$399,807TotalAmt
Program Services$399,807ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,978,578TotalAmt
Program Services$2,955,255ProgramServicesAmt
Management And General$23,323ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$604,100TotalAmt
Program Services$593,390ProgramServicesAmt
Management And General$10,710ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$273,338TotalAmt
Program Services$257,933ProgramServicesAmt
Management And General$15,405ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$159,680TotalAmt
Program Services$150,681ProgramServicesAmt
Management And General$8,999ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,031TotalAmt
Management And General$2,031ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,035,565TotalAmt
Program Services$1,017,868ProgramServicesAmt
Management And General$17,697ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,326TotalAmt
Program Services$43,715ProgramServicesAmt
Management And General$2,611ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$118,313TotalAmt
Program Services$111,645ProgramServicesAmt
Management And General$6,668ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$213,636TotalAmt
Program Services$201,596ProgramServicesAmt
Management And General$12,040ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$224,163TotalAmt
Program Services$211,530ProgramServicesAmt
Management And General$12,633ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,201TotalAmt
Program Services$25,668ProgramServicesAmt
Management And General$1,533ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30,782TotalAmt
Program Services$29,047ProgramServicesAmt
Management And General$1,735ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$359,248TotalAmt
Program Services$339,002ProgramServicesAmt
Management And General$20,246ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,182TotalAmt
Program Services$5,834ProgramServicesAmt
Management And General$348ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$604,564$604,564
I/C PURCHASED SERVICES$564,538$532,722$31,816
EQUIPMENT MAINTENANCE$185,033$174,605$10,428
BAD DEBT$34,678$34,678

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,253TotalAmt
Program Services$18,168ProgramServicesAmt
Management And General$1,085ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,790,756TotalAmt
Program Services$8,372,410ProgramServicesAmt
Management And General$418,346ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$37,045BOYAmt
EOY$27,729EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,332,290BOYAmt
EOY$1,314,200EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$209,376BOYAmt
EOY$214,548EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$57,430BOYAmt
EOY$47,339EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,957,057LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,000,866LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,692,185BOYAmt
EOY$1,956,191EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$405,000BOYAmt
EOY$2,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$205,379BOYAmt
EOY$128,137EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,938,705BOYAmt
EOY$3,690,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$452,223BOYAmt
EOY$498,613EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$82,423BOYAmt
EOY$97,452EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$534,646BOYAmt
EOY$596,065EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,998,959BOYAmt
EOY$3,092,079EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$405,100BOYAmt
EOY$2,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,404,059BOYAmt
EOY$3,094,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,938,705BOYAmt
EOY$3,690,144EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$310,095ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$115OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$1,503GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$1,503TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationBAUM HARMON MERCY HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO NATIONAL AND REGIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED BAUM HARMON MERCY HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,525OtherCostOrOtherBasisAmt
Book Value$62,525BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,976,408OtherCostOrOtherBasisAmt
Depreciation$1,052,738DepreciationAmt
Book Value$923,670BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,901,007OtherCostOrOtherBasisAmt
Depreciation$1,931,065DepreciationAmt
Book Value$969,942BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,117OtherCostOrOtherBasisAmt
Depreciation$17,063DepreciationAmt
Book Value$54BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,956,191TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
INTERCOMPANY ACCOUNTS PAYABLE$57,264
ASSET RETIREMENT OBLIGATION (FIN 47)$40,188
FieldValueIRS element (for citing)
Total Liability$97,452TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served151PersonsServedCnt
Total Community Benefit Expns$42,211TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$42,211NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1536PersonsServedCnt
Total Community Benefit Expns$449,881TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,993NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1687PersonsServedCnt
Total Community Benefit Expns$492,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$150,204NetCommunityBenefitExpnsAmt
Total Expense0.01710TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1960PersonsServedCnt
Total Community Benefit Expns$12,680TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,680NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$20,661TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,661NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served2020PersonsServedCnt
Total Community Benefit Expns$33,341TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,341NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served3707PersonsServedCnt
Total Community Benefit Expns$525,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$183,545NetCommunityBenefitExpnsAmt
Total Expense0.02090TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$304,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$220,721DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,467NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$304,188TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$220,721DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,467NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$34,678BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$4,626,248ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,835,011CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$208,763MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAUM HARMON MERCY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1255 N WELCH AVEAddressLine1Txt
CityPRIMGHARCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51245ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MERCYONE.ORGWebsiteAddressTxt
State License710106HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherREHAB, SKILLED NURSING CARE, CLINICSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BAUM HARMON MERCY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BAUM HARMON MERCY HOSPITALPART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: BAUM HARMON MERCY HOSPITAL (BAUM HARMON) 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: - EXPANSION OF MENTAL HEALTH SERVICES FOR BOTH ACUTE AND CHRONIC CARE- PREVENTION, TREATMENT AND MANAGEMENT OF CHRONIC ILLNESSES SUCH AS CANCER, DIABETES, DEMENTIA, CARDIOVASCULAR, PULMONARY, AND RENAL DISEASES CENTERING ON ACCESS TO CARE- HEALTH-RELATED EDUCATION ON A VARIETY OF TOPICS INCLUDING, BUT NOT LIMITED TO, SAFE RECREATIONAL ACTIVITIES FOR CHILDREN AND TEENS, INCREASED AWARENESS OF PROBLEMS ASSOCIATED WITH DRUG AND ALCOHOL USE, AND PREVENTION, TREATMENT AND MANAGEMENT OF OBESITY IN CITIZENS OF ALL AGES- SUPPORT OF COMMUNITY BUILDING ACTIVITIES INCLUDING BUT NOT LIMITED TO: - EMERGENCY PREPAREDNESS AND PROVISION OF EMERGENCY RESPONSE SERVICES - INCREASED EMPHASIS ON THE CONTINUITY OF CARE WITH HIGH QUALITY, PLEASANT AND SAFE OPTIONS FOR PERSONS UNABLE TO LIVE INDEPENDENTLY IN THEIR OWN HOMES - MAINTENANCE OF HIGH QUALITY CHILD CARE OPTIONS IN PRIMGHAR - PROVISION OF ESSENTIAL HEALTH CARE CARE SERVICES CLOSE TO HOME-PRIMARY CARE CLINICS AND PHARMACY SERVICES- PROMOTION OF HEALTHY LIFESTYLES AND INCREASED ACCEPTANCE OF PERSONAL RESPONSIBILITY FOR HEALTH OUTCOMES-SOME COMMUNITY MEMBERS ARE CONCERNED ABOUT A LACK OF RECREATIONAL OPPORTUNITIES AND SPECIFICALLY ABOUT THERE NOT BEING A SWIMMING POOL IN PRIMGHAR- HIGH QUALITY AND LOW COST ESSENTIAL HEALTH CARE SERVICES AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY FOR SERVICES OR LEVEL OF INSURANCE COVERAGE - ENVIRONMENTAL HEALTH-SAFE WATER, SAFE COMMUNITIES- VIBRANT AND SAFE COMMUNITIES WITH GOOD SCHOOLS, JOB OPPORTUNITIES, AFFORDABLE HOUSING, AND ACCESS TO HIGH QUALITY CHILD AND SENIOR CARE OPTIONS
BAUM HARMON MERCY HOSPITALPART V, SECTION B, LINE 5: IN CONDUCTING THE CURRENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF, OR EXPERTISE IN PUBLIC HEALTH.DATA WAS ACQUIRED BETWEEN OCTOBER 2016 AND JANUARY 2017.BAUM HARMON CONDUCTED A SURVEY MONKEY SURVEY OF SERVICE AREA RESIDENTS IN NOVEMBER AND DECEMBER 2016. INVITATIONS WERE SENT TO A LARGE NUMBER OF INDIVIDUALS AND SOME COMMUNITY ORGANIZATIONS, AS WELL AS ADVERTISED IN THE LOCAL NEWSPAPERS. OVER 300 INDIVIDUALS RESPONDED TO THE SURVEY AND RESPONSES CAN BE FOUND ON PAGES 16-21 OF THE CHNA REPORT. BAUM HARMON FACILITATED A FOCUS GROUP THAT REVIEWED INTERNAL AND EXTERNAL TRENDS IN HEALTH CARE, LOCAL DEMOGRAPHICS AND COUNTY HEALTH RANKINGS FOR O'BRIEN COUNTY. THE GROUP DISCUSSION IDENTIFIED HEALTH NEEDS IN THE COMMUNITIES AND FOCUSED ON THE PRIORITY NEEDS TO BE ADDRESSED BY BAUM HARMON INDEPENDENTLY AND/OR IN COLLABORATION WITH OTHER COMMUNITY GROUPS AND ORGANIZATIONS. MEMBERS OF THE FOCUS GROUP INCLUDED BAUM HARMON AND MERCY MEDICAL CENTER - SIOUX CITY REPRESENTATIVES, AS WELL AS SEVERAL BANKERS, COMMUNITY ACTIVISTS, PHYSICIANS, RETIRED PERSONS, BUSINESS COMMUNITY, HOSPITAL EMPLOYEES, ELECTED OFFICIALS, BOARD OF HEALTH AND THE FACILITATORS. AS PART OF THE COMMUNITY NEEDS ASSESSMENT PROCESS, THE HOSPITAL'S STAFF CONSULTED IN PERSON, OR BY TELEPHONE, THE FOLLOWING REPRESENTATIVES:- O'BRIEN COUNTY EMERGENCY MANAGEMENT COORDINATES PLANNING, TRAINING, EXERCISING OF PLANS, AND EMERGENCY RESPONSE AND RECOVERY,- O'BRIEN COUNTY PUBLIC HEALTH DEPARTMENT SERVES ALL CITIZENS OF THE COUNTY WITH HEALTH SERVICES, IMMUNIZATIONS, PUBLIC INFORMATION AND COMMUNITY NEEDS ASSESSMENT AND RESPONSE PLANNING,- O'BRIEN COUNTY OFFICE OF THE DEPARTMENT OF HUMAN SERVICES, SERVES THOSE WHO ARE POOR, VICTIMS OF ABUSE, THOSE WHO ARE HANDICAPPED, AND OTHERS NEEDING FOOD, MEDICAL CARE AND/OR HOUSING ASSISTANCE,- O'BRIEN COUNTY GENERAL ASSISTANCE PROVIDES EMERGENCY ASSISTANCE TO COUNTY RESIDENTS FOR RENT, SHELTER, UTILITIES, MEDICAL ATTENTION AND BURIAL ASSISTANCE FOR THOSE WHO MEET INCOME AND RESOURCE GUIDELINES,- O'BRIEN COUNTY SHERIFF'S DEPARTMENT IS RESPONSIBLE FOR LAW ENFORCEMENT, INVESTIGATION AND RESPONSE TO EMERGENCIES, OPERATIONS OF THE JAIL AND THE 911 COMMUNICATIONS SYSTEM,- SANFORD HOME HEALTH AND HOSPICE IS A HOMECARE AGENCY PROVIDING A VARIETY OF HEALTH SERVICES TO HOMEBOUND AND LOW INCOME INDIVIDUALS AND NEW OR EXPECTANT MOTHERS,- ELDERBRIDGE PROVIDES SERVICES TO THE ELDERLY AND DISABLED WITH A LARGE NUMBER OF SUPPORTIVE SERVICES INCLUDING CASE MANAGEMENT, NUTRITION PROGRAMS, CAREGIVER SUPPORT AND PROTECTION OF ELDER RIGHTS,- PRIDE GROUP HOME PROVIDES RESIDENTIAL CARE AND SERVICES TO THE MENTALLY AND DEVELOPMENTALLY DISABLED PERSONS IN A COMMUNITY SETTING,- CENTERS AGAINST ABUSE AND SEXUAL ASSAULT (CAASA) PROVIDES SEXUAL ASSAULT VICTIM SERVICES INCLUDING COUNSELING, CRISIS INTERVENTION AND VICTIM-FOCUSED SUPPORT, - UPPER DES MOINES AGENCY SERVES LOW INCOME FAMILIES AND INDIVIDUALS AND DISABLED PERSONS PROVIDING ASSISTANCE WITH HEATING, WEATHERIZATION, FOOD ASSISTANCE AND ADVOCACY, - SEASONS CENTER FOR BEHAVIORAL HEALTH FOCUSES ON COMPREHENSIVE AND PERSONAL BEHAVIORAL HEALTH SERVICES IN LOCATIONS CONVENIENT TO THE CLIENTS, - AREA EDUCATION AGENCY 12 SERVES CHILDREN WITH SPECIAL NEEDS FROM BIRTH TO AGE 21. THEY ALSO PROVIDE ASSISTANCE TO AREA SCHOOL DISTRICTS AND SPECIAL NEEDS CHILDREN ENROLLED IN LOCAL SCHOOLS.IN ADDITION, DATA WAS COLLECTED FROM WEBSITES OF SEVERAL OF THE ABOVE ORGANIZATIONS, EITHER PRIOR TO, OR FOLLOWING THE INDIVIDUAL CONTACTS. ADDITIONAL WEBSITES INCLUDED COMMUNITY COMMONS AND THE IOWA DEPARTMENT OF PUBLIC HEALTH. ADDITIONAL DETAILS ABOUT THE ROLES AND RESPONSIBILITIES OF THESE ORGANIZATIONS CAN BE FOUND IN THE CHNA REPORT ON PAGES 23-30.
BAUM HARMON MERCY HOSPITALPART V, SECTION B, LINE 11: BAUM HARMON HAS ADOPTED IMPLEMENTATION STRATEGIES TO ADDRESS FOUR IDENTIFIED SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY. THEY ARE:- EXPANSION OF MENTAL HEALTH SERVICES FOR BOTH ACUTE AND CHRONIC CARE: ACTIVITIES IN FISCAL YEAR 2018 INCLUDED PARTNERING WITH A LOCAL SERVICE PROVIDER TO IMPROVE PATIENT ACCESS, INCREASING THE CAPACITY OF BAUM HARMON TO MANAGE MENTAL HEALTH PATIENTS IN CRISIS UNTIL APPROPRIATE REFERRALS CAN BE MADE, AND INCREASING THE OPPORTUNITY FOR MENTAL HEALTH PATIENTS TO UTILIZE LOCAL SERVICES FOR MEDICATION MONITORING. ADDITIONALLY, IN-HOUSE LAB TESTING CHANGED TO INCLUDE AMMONIA LEVELS (AN IMPORTANT TEST USED FOR PATIENTS USING CERTAIN PSYCHE-ACTIVE MEDS) AND DISCUSSION AND PLANNING ENSUED FOR THE DEVELOPMENT OF A TELEMEDICINE OPTION FOR THE PROVISION OF SERVICES. - ACCESS TO PRIMARY AND SPECIALTY CARE FOR ACUTE AND CHRONIC DISEASE MANAGEMENT: ACTIVITIES IN FISCAL YEAR 2018 INCLUDED CONTINUED ACCESS TO PRIMARY CARE AT FOUR RURAL HEALTH CLINICS, PROVIDE AND GROW THE NUMBER OF PARTICIPANTS IN COMMUNITY HEALTH SCREENING EVENTS, AND PROMOTED/ADVERTISED PREVENTIVE MEASURES TO IMPROVE POPULATION HEALTH. DURING FISCAL YEAR 2018, WE HAVE HAD A NUMBER OF CHANGES IN PROVIDERS AND PROGRAM MANAGERS FOR CARDIAC REHAB AND OUTPATIENT SERVICES WITH MANY OF THE POSITIONS FILLED AND REMAINING POSITIONS OPEN WITH ACTIVE POSTINGS. ALL PROGRAMS HAVE CONTINUED WITHOUT INTERRUPTIONS.- COMMUNITY HEALTH EDUCATION FOR PEOPLE OF ALL AGES: ACTIVITIES IN FISCAL YEAR 2018 INCLUDED PROVIDING HEALTH INFORMATION IN WAITING AREAS AND EXAM ROOMS; AGAIN HOSTING A BOOTH AT THE O'BRIEN COUNTY FAIR WITH PROGRAMMING AIMED AT 4 TO 14 YEAR OLD CHILDREN ON BIKE SAFETY-STRESSING WEARING OF BIKE HELMETS, BEING TOBACCO AND DRUG FREE, RECOGNIZING THE HARM OF SHAKING A BABY, AND THE IMPAIRMENT THAT RESULTS FROM INTOXICATING SUBSTANCES; MAKING FIRST AID AND CPR CLASSES AVAILABLE TO THE COMMUNITY ON REQUEST; AND SUPPORTING OTHER TYPES OF EDUCATIONAL OPPORTUNITIES FOR THE PUBLIC. RESPONSE AT THE O'BRIEN COUNTY FAIR CONTINUES TO BE EXCELLENT.- COMMUNITY BUILDING ACTIVITIES: ACTIVITIES IN FISCAL YEAR 2018 INCLUDED PARTICIPATION AND SUPPORT OF LOCAL CHAMBER AND BUSINESS COMMUNITY PROJECTS, PROVISION OF CHILDCARE SERVICES AND EARLY CHILDHOOD EDUCATION IN AN AREA WITH A KNOWN SHORTAGE OF THESE SERVICES; ESPECIALLY CHILDCARE FOR INFANTS, SUPPORT OF LOCAL SCHOOL DISTRICTS WITH ACTIVITIES SUPPORTING SAFE RECREATIONAL ACTIVITIES AND SPORTS PARTICIPATION, AND FINANCIAL SUPPORT OF LOCAL EMS SERVICES TO PURCHASE SPECIFIC ITEMS OF PATIENT CARE EQUIPMENT.THE HOSPITAL FACILITY DID NOT ADDRESS ALL OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA. BAUM HARMON RECOGNIZES THAT WHEN BLENDING TOGETHER ALL OF THE DATA SOURCES UTILIZED IN THE CHNA REPORT, AN EXHAUSTIVE LIST OF HEALTH CARE NEEDS FOR THE SERVICE AREA OF BAUM HARMON CAN BE DEVELOPED. OUR LIST WOULD BE CONSISTENT WITH THE LIST OF FINDINGS FOR ALMOST EVERY OTHER RURAL COMMUNITY IN IOWA AND THE STATE AS A WHOLE. COMMUNITY NEEDS INCLUDE:- PREVENTION, TREATMENT AND MANAGEMENT OF OBESITY IN CITIZENS OF ALL AGES- PROMOTION OF HEALTHY LIFESTYLES AND INCREASED ACCEPTANCE OF PERSONAL RESPONSIBILITY FOR HEALTH OUTCOMES- EMERGENCY PREPAREDNESS AND PROVISION OF EMERGENCY RESPONSE SERVICES- HIGH QUALITY AND LOW COST ESSENTIAL HEALTH CARE SERVICES AVAILABLE TO ALL, REGARDLESS OF ABILITY TO PAY FOR SERVICES OR LEVEL OF INSURANCE COVERAGE. BAUM HARMON PROVIDES CONSISTENT ACCESS TO CARE AT THE HOSPITAL AND CLINICS AND OFFERS FINANCIAL ASSISTANCE TO THOSE IN NEED. HOWEVER, MANY PATIENTS HAVE DIFFICULTY UNDERSTANDING THE EVER-CHANGING HEALTH INSURANCE REQUIREMENTS AND LIMITATIONS, THE NEW MEDICAID SYSTEM IN IOWA, AND THE MEDICARE COVERAGES AND LIMITATIONS.- ENVIRONMENTAL HEALTH-SAFE WATER, SAFE COMMUNITIES- VIBRANT AND SAFE COMMUNITIES WITH GOOD SCHOOLS (CURRENTLY EXIST BUT ARE HAMPERED BY TIGHT BUDGETS, JOB OPPORTUNITIES (SOMEWHAT LIMITED IN SMALL TOWNS, RURAL IOWA), AFFORDABLE HOUSING (SOMEWHAT LIMITED IN SMALL TOWNS, RURAL IOWA), AND HIGH QUALITY CHILD AND SENIOR CARE OPTIONS (VARIES WITH THE COMMUNITY BEING CONSIDERED)- INCREASED EMPHASIS ON THE CONTINUITY OF CARE WITH HIGH QUALITY, PLEASANT AND SAFE OPTIONS FOR PERSONS UNABLE TO LIVE INDEPENDENTLY IN THEIR OWN HOMES- PROVISION OF ESSENTIAL HEALTH CARE SERVICES CLOSE TO HOME; PRIMARY CARE CLINICS AND PHARMACY SERVICES- HEALTH-RELATED EDUCATION ON A VARIETY OF TOPICSDUE TO THE FINITE RESOURCES OF A CRITICAL ACCESS HOSPITAL LIKE BAUM HARMON, A PROCESS WAS DEVELOPED FOR IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS; THE HOSPITAL'S RESOURCES TO ADDRESS THE NEEDS, EITHER ALONE OR IN COLLABORATION WITH COMMUNITY PARTNERS, AND NEEDS THAT ARE BEYOND OUR CAPACITY TO ADDRESS. IN MANY CASES, BAUM HARMON MAY BE ABLE TO FACILITATE ACTIONS TOWARD A COMMUNITY NEED BUT WILL BE UNABLE TO FULLY ADDRESS THE NEED AND WILL NOT TAKE ADDITIONAL STRATEGIC ACTION TO ADDRESSES THESE NEEDS. IN THE CHNA REPORT, BAUM HARMON DESCRIBES SPECIFIC ACTIONS PLANNED TO ADDRESS THE NEEDS OF THE SERVICE AREA COMMUNITY.
BAUM HARMON MERCY HOSPITALPART 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.
BAUM HARMON MERCY HOSPITAL - PART V, SECTION B, LINE 7A:WWW.MERCYONE.ORG/PRIMGHAR/ABOUT-US/COMMUNITY-BENEFIT/
BAUM HARMON MERCY HOSPITAL - PART V, SECTION B, LINE 10A:WWW.MERCYONE.ORG/PRIMGHAR/ABOUT-US/COMMUNITY-BENEFIT/
BAUM HARMON MERCY HOSPITAL, PART V, LINE 16A, FAP WEBSITE:WWW.MERCYONE.ORG/PRIMGHAR/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
BAUM HARMON MERCY HOSPITAL, PART V, LINE 16B, FAP APPLICATION WEBSITE:WWW.MERCYONE.ORG/PRIMGHAR/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
BAUM HARMON MERCY HOSPITAL, PART V, LINE 16C,FAP PLAIN LANGUAGE SUMMARY WEBSITE:WWW.MERCYONE.ORG/PRIMGHAR/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:BAUM HARMON MERCY HOSPITAL (BAUM HARMON) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, BAUM HARMON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE:(WWW.TRINITY-HEALTH.ORG/MERCY-MEDICAL-CENTER-SIOUX-CITY-IA).
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, $34,678, 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:IN FISCAL YEAR 2018, BAUM HARMON PROVIDED A COMMUNITY SUPPORT INITIATIVE BY OPERATING THE KIDS KAMPUS DAYCARE CENTER. KIDS KAMPUS DAYCARE WAS ESTABLISHED BY BAUM HARMON IN 1989 TO ENSURE ACCESS TO QUALITY CHILDCARE SERVICES FOR HOSPITAL AND CLINIC EMPLOYEES. THE SUCCESS AND POPULARITY OF KIDS KAMPUS LED TO ITS CONTINUED GROWTH AS A DAYCARE CAMPUS OPEN TO THE PUBLIC. KIDS KAMPUS PROVIDES A SECURE AND STIMULATING ENVIRONMENT FOR MANY CHILDREN IN THE PRIMGHAR COMMUNITY AND SURROUNDING AREA. THE FACILITY IS LICENSED FOR 13 INFANTS AND 31 CHILDREN DAILY FROM AGE TWO AND OLDER WITH A TOTAL ENROLLMENT OF 48 CHILDREN RANGING IN AGE FROM A FEW WEEKS TO TWELVE YEARS. THIRTY-ONE AREA FAMILIES BENEFIT FROM THESE SERVICES. DURING FISCAL YEAR 2018, THERE WAS AN OPPORTUNITY TO TRANSITION KIDS KAMPUS INTO AN INDEPENDENT 501(C)(3) AND THE TRANSITION WAS ACCOMPLISHED AT THE END OF THE FISCAL YEAR.
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:BAUM HARMON 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, BAUM HARMON IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, BAUM HARMON IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:BAUM HARMON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."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:BAUM HARMON 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 - BAUM HARMON 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. IN 2016, A COMPREHENSIVE ASSESSMENT PROCESS WAS CONDUCTED AND A CHNA REPORT WAS WRITTEN WITH AN IMPLEMENTATION PLAN. BOTH DOCUMENTS WERE APPROVED BY THE BAUM HARMON BOARD OF DIRECTORS IN MARCH 2017.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - BAUM HARMON 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. BAUM HARMON 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. BAUM HARMON HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. BAUM HARMON 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 2015 CENSUS POPULATION ESTIMATE FOR O'BRIEN COUNTY IS 13,984 PEOPLE, A DECREASE OF 2.9% BETWEEN APRIL 1, 2010 AND JULY 1, 2015. OF THESE, 6.0% ARE UNDER AGE 5 YEARS, 23.4% ARE UNDER AGE 18 YEARS AND 20.8% ARE AGE 65 YEARS AND OLDER. PERSONS 65 YEARS AND OLDER ARE 20.8% OF THE CITIZENS OF O'BRIEN COUNTY AND ARE ONLY 16.1% OF THE POPULATION OF THE ENTIRE STATE OF IOWA. 9.2% OF THE POPULATION IS LIVING BELOW THE POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME FOR 2011-2015 WAS $55,227 AND THIS IS $2,044 ABOVE THE AVERAGE FOR THE STATE OF IOWA. THE ECONOMIC IMPACT OF THE HEALTH SECTOR UPON THE ECONOMY OF O'BRIEN COUNTY IS TREMENDOUS, AS SHOWN IN DATA PUBLISHED BY THE IOWA HOSPITAL ASSOCIATION IN JANUARY 2018 FOR THE PREVIOUS YEAR. BAUM HARMON'S ECONOMIC IMPACT WAS OVER $6.96 MILLION WITH AN ADDITIONAL $1.1 MILLION IN RETAIL SALES. THE HEALTH SECTOR EMPLOYS A LARGE NUMBER OF RESIDENTS, SIMILAR TO A LARGE INDUSTRIAL FIRM. IF THE HEALTH SECTOR INCREASES OR DECREASES IN SIZE, THE MEDICAL HEALTH OF THE COMMUNITY, AS WELL AS THE ECONOMIC HEALTH OF THE COMMUNITY, IS GREATLY AFFECTED. FOR THE ATTRACTION OF INDUSTRIAL FIRMS, BUSINESSES, AND RETIREES, IT IS CRUCIAL THAT THE AREA HAS A QUALITY HEALTH SECTOR. OFTEN OVERLOOKED IS THE FACT THAT A PROSPEROUS HEALTH SECTOR ALSO CONTRIBUTES TO THE ECONOMIC HEALTH OF THE COMMUNITY.
PART VI, LINE 5:OTHER INFORMATION - AS A CRITICAL ACCESS HOSPITAL, IT IS VERY IMPORTANT FOR US TO WORK COLLABORATIVELY TO ASSURE THAT WE ARE OFFERING WHAT THE COMMUNITY NEEDS. THE HOSPITAL BOARD IS MADE UP OF INDIVIDUALS FROM EACH ONE OF THE PRIMARY COMMUNITIES IN OUR SERVICE AREA AND FROM OUR NETWORK HOSPITAL, MERCY MEDICAL CENTER-SIOUX CITY.OUR OPEN MEDICAL STAFF PROVIDES SEVERAL DIFFERENT STYLES OF CARE, FROM INTERNISTS TO FAMILY PRACTICE PHYSICIANS AND A WIDE ARRAY OF SPECIALTY PHYSICIANS. BAUM HARMON HAS FOUR PROVIDER-BASED RURAL HEALTH CLINICS SERVING PRIMGHAR, SUTHERLAND, PAULLINA, HARTLEY AND THE SURROUNDING RURAL AREAS. BAUM HARMON HAS EMPLOYEES WHO SERVE ON THE REGION 3 HOSPITAL PREPAREDNESS PROGRAM STEERING COMMITTEE AS A RESPONSIBILITY RELATED TO THEIR EMPLOYMENT. EMPLOYEES VOLUNTEER WITH A WIDE VARIETY OF ORGANIZATIONS INCLUDING THEIR CHURCHES, CHAMBERS OF COMMERCE, SCHOOL BOARDS, AND NUMEROUS SERVICE CLUBS.BAUM HARMON STAFF PROVIDE SUBSIDIZED COMMUNITY SCREENING EVENTS WHICH OFFER DIABETES AND LIPID SCREENINGS IN FOUR COMMUNITIES, VASCULAR SCREENINGS TWICE ANNUALLY AT THE HOSPITAL AND PROSTATE SCREENINGS IN TWO OF OUR CLINIC SITES. THESE SCREENING EVENTS ARE OPEN TO THE PUBLIC.BAUM HARMON PROVIDES WORKSITE HEALTH SCREENINGS FOR A SCHOOL DISTRICT IN OUR SERVICE AREA AND ALSO COUNTY GOVERNMENT; BOTH ORGANIZATIONS REQUEST THIS ASSISTANCE.FROM TIME-TO-TIME, BAUM HARMON DONATES UNOPENED, OUTDATED MEDICAL SUPPLIES AND EQUIPMENT REMOVED FROM SERVICE TO CHARITABLE CAUSES INCLUDING: DR. WESTER'S MISSION IN AFRICA, GLOBAL HEALTH MINISTRIES THROUGH THE LUTHERAN CHURCH, AND WHEN THE OPPORTUNITY PRESENTS, SOME SUPPLIES ARE SENT WITH STAFF GOING ON MEDICAL/SURGICAL MISSION TRIPS.BAUM HARMON REACHES OUT TO THE COMMUNITIES AND PUBLIC BY OPERATING AND SUBSIDIZING A DAY CARE CENTER AND FITNESS CENTER. THE DAY CARE CENTER PROVIDES CHILD CARE FOR MANY FAMILIES IN THE COMMUNITY, INCLUDING TRADITIONAL DAY CARE, A BEFORE AND AFTER SCHOOL PROGRAM AND EMERGENCY RESPITE CARE. THE FITNESS CENTER PROVIDES AN AFFORDABLE PLACE TO EXERCISE AND REHABILITATE AFTER INJURIES/ILLNESSES.BAUM HARMON STAFF WORK CLOSELY WITH O'BRIEN COUNTY EMERGENCY MANAGEMENT AND O'BRIEN COUNTY PUBLIC HEALTH AND OTHER COMMUNITY PARTNERS IN DEVELOPING AND TESTING EMERGENCY RESPONSE PLANS FOR A VARIETY OF POTENTIAL THREATS TO INDIVIDUALS AND COMMUNITIES. THE HOSPITAL PROVIDES CPR AND FIRST AID TRAINING FOR SEVERAL OTHER ORGANIZATIONS AND BUSINESSES OUTSIDE OF THE HOSPITAL. THE HOSPITAL DOES CHARGE A FEE FOR THESE CLASSES BUT THE FEE DOES NOT COVER ALL OF THE ASSOCIATED COSTS.
PART VI, LINE 6:BAUM HARMON 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 MINISTRIES DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2018, EVERY MINISTRY FOCUSED ON FOUR GOALS: 1. REDUCE TOBACCO USE 2. REDUCE OBESITY PREVALENCE3. ADDRESS AT LEAST ONE SIGNIFICANT HEALTH NEED IDENTIFIED IN THE MINISTRY COMMUNITY HEALTH NEEDS ASSESSMENT4. ADDRESS AT LEAST ONE SOCIAL DETERMINANT OF HEALTH TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI) TO ADVANCE COMMUNITY PARTNERSHIPS THAT FOCUS ON IMPROVING THE HEALTH AND WELL-BEING IN COMMUNITIES SERVED BY THE MINISTRIES OF TRINITY HEALTH. TCI IS AN INNOVATIVE FUNDING MODEL AND TECHNICAL ASSISTANCE INITIATIVE SUPPORTING EIGHT COMMUNITIES USING POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO PREVENT TOBACCO USE AND CHILDHOOD OBESITY, AS WELL AS ADDRESS SOCIAL DETERMINANTS OF HEALTH. TRINITY HEALTH INVESTED $3.6 MILLION IN FISCAL YEAR 2018 IN TCI. IN FISCAL YEAR 2018, TRINITY HEALTH LAUNCHED THE GOOD SAMARITAN INITIATIVE (GSI) TO SUPPORT THE MOST VULNERABLE PATIENTS' SOCIAL AND ECONOMIC NEEDS IN OUR SYSTEM THROUGH INTEGRATING COMMUNITY HEALTH WORKERS AS PART OF CARE TEAMS ACROSS NINE MINISTRIES. TRINITY HEALTH INVESTED OVER $260,000 IN FISCAL YEAR 2018 IN GSI. ADDITIONALLY, TRINITY HEALTH INVESTED $500,000 IN ELEVEN GRANTS TO IMPROVE THE BUILT ENVIRONMENT ACROSS EIGHT MINISTRIES. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROMOTING WELLNESS AND DEVELOPING PROGRAMS SPECIFICALLY SUPPORTING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, AND MOVING FORWARD POLICY, SYSTEM AND ENVIRONMENTAL CHANGE. THE ORGANIZATION WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2018, TRINITY HEALTH INVESTED OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1KIDS KAMPUS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 4TH ST NEAddressLine1Txt
CityPRIMGHARCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51245ZIPCd
FieldValueIRS element (for citing)
Recipient EIN825466369RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Non Cash Assistance$30,850NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceVAN, PLAYGROUND EQUIPMENT, APPLIANCES, FURNITURE, ELECTRONICS, AND TOYSNonCashAssistanceDesc
Purpose Of GrantCOMMUNITY SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS MADE BY BAUM HARMON TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HUGH DEPAULIS
DIR, TREAS & VP FINANCE THR 10/17$0$198,673$0$0$0$47,424$0$21,141$0$16,840$0$284,078$0$0
SHAILESH DESAI MD
DIR & BHMH CLINIC PHYSICIAN THR 5/18$0$276,787$0$0$0$1,569$0$16,200$0$24,150$0$318,706$0$0
TRACY LARSON
DIR; CHIEF NURSING OFFICER MERCY SC$0$193,670$0$25,671$0$275$0$11,783$0$24,419$0$255,818$0$0
BRIAN MONSMA
DIR & VP MERCY SC THROUGH 8/17$0$128,539$0$25,545$0$70,568$0$171,549$0$20,297$0$416,498$0$0
SOE NYUNT MD
DIR AS OF 6/18; BHMH PHYSICIAN$0$286,849$0$0$0$220$0$16,200$0$1,877$0$305,146$0$0
GEORGE VON MOCK
DIR AS OF 2/18; FIN DIR MERCY SC$0$121,141$0$0$0$150$0$5,294$0$27,270$0$153,855$0$0
JEANNETT WU MD
PHYSICIAN$0$277,333$0$0$0$580$0$16,200$0$24,982$0$319,095$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3BAUM HARMON MERCY HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. BAUM HARMON MERCY HOSPITAL'S CEO IS PAID DIRECTLY BY MERCY MEDICAL CENTER - SIOUX CITY, A SUBSIDIARY OF TRINITY HEALTH CORPORATION. MERCY MEDICAL CENTER - SIOUX CITY USED THE FOLLOWING METHOD TO ESTABLISH THE COMPENSATION OF BAUM HARMON MERCY HOSPITAL'S CEO: - COMPENSATION SURVEY OR STUDY
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2017. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: HUGH DEPAULIS - $44,120 BRIAN MONSMA - $61,600 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/17: HUGH DEPAULIS - $8,824 (PAID IN 2018) BRIAN MONSMA - $161,700 ($154,000 PAID IN 2018 AND $7,700 TO BE PAID IN 2019) THE FOLLOWING ARE PARTICIPANTS IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 451. THE FOLLOWING ARE THE 451 DEFERRALS FOR CALENDAR 2017: SHAILESH DESAI, MD - $26,000 SOE NYUNT, MD - $65,000 JEANNETT WU, MD - $65,000

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHRISTIE RODGER
FAMILY MEMBER OF ANGIE SHILLING, OFFICER$80,712EMPLOYMENT ARRANGEMENT0
JEANNETT WU
FAMILY MEMBER OF SOE NUYNT, MD, BOARD MEMBER$319,095EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, DOING BUSINESS NAMES:HARTLEY MERCY MEDICAL CLINIC MERCYONE PRIMGHAR MEDICAL CENTER PAULLINA MERCY MEDICAL CLINIC PRIMGHAR MERCY MEDICAL CLINIC SUTHERLAND MERCY MEDICAL CLINIC
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF BAUM HARMON MERCY HOSPITAL (BAUM HARMON) IS MERCY HEALTH SERVICES - IOWA (MHS-IA). SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7AMHS-IA IS THE SOLE MEMBER OF BAUM HARMON. MHS-IA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF BAUM HARMON.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, MHS-IA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MHS-IA 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 11BPRIOR TO FILING, THE FORM 990 FOR BAUM HARMON IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CBAUM HARMON 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 BAUM HARMON, 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 BAUM HARMON 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 BAUM HARMON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO BAUM HARMON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF BAUM HARMON (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 BAUM HARMON. 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 15QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF BAUM HARMON IS ESTABLISHED BY MERCY MEDICAL CENTER - SIOUX CITY, A RELATED ORGANIZATION. QUESTION 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS OF BAUM HARMON IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CERTAIN OFFICERS' 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 CERTAIN OFFICERS AND DIRECTORS OF BAUM HARMON ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19BAUM HARMON 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, BAUM HARMON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE: (WWW.TRINITY-HEALTH.ORG/MERCY-MEDICAL-CENTER-SIOUX-CITY-IA) BAUM HARMON'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL SERVICES: PROGRAM SERVICE EXPENSES 511,705. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 511,705. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 185,590. MANAGEMENT AND GENERAL EXPENSES 11,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 196,674. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 209,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 209,834. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 79,163. MANAGEMENT AND GENERAL EXPENSES 4,728. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,891. LAUNDRY/LINEN SERVICES: PROGRAM SERVICE EXPENSES 7,601. MANAGEMENT AND GENERAL EXPENSES 454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,055. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 3,539. MANAGEMENT AND GENERAL EXPENSES 211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,750. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,563. MANAGEMENT AND GENERAL EXPENSES 93. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,656. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 18,873. MANAGEMENT AND GENERAL EXPENSES 1,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,000.
FORM 990, PART XI, LINE 9:EQUITY TRANSFERS FROM AFFILIATES 115.
FORM 990, PART XII, LINE 2:BAUM HARMON'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY18 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (227 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684581492325GRANT MAKINGFL501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREETHARTFORDCT06105061450170HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORP0
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307FOUNDATIONIA501(C)(3)LINE 12A, IBAUM HARMON MERCY HOSPITALYes (1)
BEECHWOOD INC
2212 BURDETT AVETROYNY12180141651563TITLE HOLDING COMPANYNY501(C)(2)N/ALTC (EDDY) INCYes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREETPITTSBURGHPA15219251436685HOMELESS SHELTERPA501(C)(3)LINE 7PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
BRIGHTSIDE INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040042182395HEALTH CARE SERVICESMA501(C)(3)LINE 10THE MERCY HOSPITAL INCYes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREETCOHOESNY12047141701597LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
CARING PARTNERS HOME HEALTH INC
1200 EARHART RDANN ARBORMI48105201681131HOME HEALTH SERVICESMI501(C)(3)LINE 10GLACIER HILLS INCYes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173HEALTH CARE SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAYLIVONIAMI48152GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM501(C)(3)LINE 10VTN/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUENEWARKNJ07102262616342INACTIVE ENTITYNJ501(C)(3)LINE 10SAINT MICHAEL'S MEDICAL CENTERYes (1)
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3MOUNT CARMEL HEALTH SYSTEMYes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVEDUBUQUEIA52001262227941FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
EAST NORRITON PHYSICIANS SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232515999HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000TROYNY12180141818568HOME HEALTH SERVICESNY501(C)(3)LINE 3LTC (EDDY) INCYes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVEDEWITTNY13214461051881PACE PROGRAMNY501(C)(3)LINE 10ST JOSEPH'S HEALTH INCYes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVEMALTANY12020141795732HOME HEALTH SERVICESNY501(C)(3)LINE 10HOME AIDE SERVICE OF EASTERN NEW YORK INCYes (1)
FARREN CARE CENTER INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040042501711LONG TERM CAREMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500WILMINGTONDE19805223008680LONG TERM CARE (INACTIVE)DE501(C)(3)LINE 10ST FRANCIS HOSPITALYes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RDANN ARBORMI48105208072723FOUNDATIONMI501(C)(3)LINE 12A, IGLACIER HILLS INCYes (1)
GLACIER HILLS INC
1200 EARHART RDANN ARBORMI48105381891500SENIOR LIVING COMMUNITYMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVENISKAYUNANY12309141794150SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTH CARE SERVICESMI501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAYGREENSBOROGA30642261720984HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3GOTTLIEB MEMORIAL HOSPITALYes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUEMELROSE PARKIL60160743260011FOUNDATIONIL501(C)(3)LINE 12C, III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
GRAND RAPIDS MEDICAL EDUCATION PARTNERS
945 OTTAWA AVE NWGRAND RAPIDSMI49503237270669MEDICAL EDUCATION TRAINING PROGRAMSMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUEMUSKEGONMI49442381386362HEALTH CARE SERVICESMI501(C)(3)LINE 10MERCY HEALTH PARTNERSYes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HEART CENTER OF GREATER WATERBURY INC
PO BOX 2153WATERBURYCT06722830416893MANAGEMENTCT501(C)(3)LINE 12A, I0N/A
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVETROYNY12180141725101LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48152521945054LONG TERM CAREMD501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
HOLY CROSS HEALTH FOUNDATION INC
10720 COLUMBIA PIKESILVER SPRINGMD20901208428450FOUNDATIONMD501(C)(3)LINE 7HOLY CROSS HEALTH INCYes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROADSILVER SPRINGMD20910520738041HEALTH CARE AND HOSPITAL SERVICESMD501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791028HEALTH CARE AND HOSPITAL SERVICESFL501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308465421068HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308812531495HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOME & COMMUNITY HEALTH SERVICES INC
114 WOODLAND STREETHARTFORDCT06105810723591HOME HEALTH SERVICESCT501(C)(3)LINE 10TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000TROYNY12180141514867HOME HEALTH SERVICESNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA50401421173708HOSPICE SERVICESIA501(C)(3)LINE 10MERCY HEALTH SERVICES-IOWA CORPYes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVDSIOUX CITYIA51104383320710HOSPICE SERVICESIA501(C)(3)LINE 12A, I0N/A
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105475676956HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232519529HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232571699HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUEPENNSAUKENNJ08109261854750PACE PROGRAMNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH AND CLAYTON STREETSWILMINGTONDE19805452569214PACE PROGRAMDE501(C)(3)LINE 10ST FRANCIS HOSPITALYes (1)
LIFE ST FRANCIS CORPORATION
7500 K JOHNSON BOULEVARDBORDENTOWNNJ08505222797282PACE PROGRAMNJ501(C)(3)LINE 10ST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVESOUTHERN PINESNC28387272159847PACE PROGRAMNC501(C)(3)LINE 3ST JOSEPH OF THE PINES INCYes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047262976184PACE PROGRAMPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUECAMDENNJ08103222568525VOLUNTEER SERVICE AUXILIARYNJ501(C)(3)LINE 12B, IIOUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUECAMDENNJ08103274357794HEALTH CARE SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROADWILLINGBORONJ08046223612265HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVEMELROSE PARKIL60160474147171TRANSPORATION SERVICESIL501(C)(3)LINE 10LOYOLA UNIVERSITY MEDICAL CENTERYes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
LTC (EDDY) INC
2212 BURDETT AVETROYNY12180222564710MANAGEMENT SERVICES FOR LONG TERM CARENY501(C)(3)LINE 12B, IIST PETER'S HEALTH PARTNERSYes (1)
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705HOME HEALTH SERVICES (INACTIVE)IA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE STE 100NEWTOWN SQUAREPA19073911940902HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)PA501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
MCAULEY CENTER INC
275 STEELE ROADWEST HARTFORDCT06117061058086SENIOR LIVING COMMUNITYCT501(C)(3)LINE 10MERCY COMMUNITY HEALTH INCYes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTH CARE SERVICES (INACTIVE)MI501(C)(3)LINE 3CATHERINE MCAULEY HEALTH SERVICES CORPYes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUEPITTSBURGHPA15213943436142GRANT MAKINGPA501(C)(3)LINE 12B, IIPITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVDALBANYNY12204141338457HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152383320698HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREETATLANTAGA30312581448522FOUNDATIONGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428231352191HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061492707HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12B, IITRINITY CONTINUING CARE SERVICESYes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325059HOME HEALTH SERVICESPA501(C)(3)LINE 10MERCY HOME HEALTH SERVICESYes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350FOUNDATIONIL501(C)(3)LINE 7MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREETMUSKEGONMI49440383321856HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232829864FOUNDATIONPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH NETWORK INC
1111 6TH AVENUEDES MOINESIA50314421478417HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTDE501(C)(3)LINE 12B, II0N/A
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVDMUSKEGONMI49444382589966HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
MERCY HEALTH PLAN
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428222483605MEDICAID MANAGED CARE PLANPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232212638HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUETUPPER LAKENY12986150532211HEALTH CARE AND HOSPITAL SERVICES (INACTIVE)NY501(C)(3)LINE 3MERCY UIHLEIN HEALTH CORPORATIONYes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH STCLINTONIA52732421316126FOUNDATIONIA501(C)(3)LINE 70N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064231352099HOME HEALTH SERVICESPA501(C)(3)LINE 10MERCY HOME HEALTH SERVICESYes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325058MANAGEMENT SERVICES FOR HOME HEALTHPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
1820 44TH ST SEKENTWOODMI49508203357131FOUNDATIONMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREETPITTSBURGHPA15233251604115COMMUNITY OUTREACHPA501(C)(3)LINE 10PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957MOBILEAL36670273163002PACE PROGRAMAL501(C)(3)LINE 3TRINITY HEALTH PACEYes (1)
MERCY LIFE INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040453086711PACE PROGRAMMA501(C)(3)LINE 3SISTERS OF PROVIDENCE CARE CENTERS INCYes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232627944HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA52732421336618HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA50401421229151FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CORPORATION
PO BOX 7957MOBILEAL36670636002215PACE PROGRAMAL501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
MERCY MEDICAL GROUP INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040454884805HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY PHYSICIAN NETWORK
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428461187365MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONSPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY SENIOR CARE INC
424 DECATUR STREETATLANTAGA30312581366508COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREETATLANTAGA30312272046353TITLE HOLDING COMPANYGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI48333382719605LONG TERM CAREMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
MERCY SPECIALIST PHYSICIANS INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040264033168HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428231396763HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY UIHLEIN HEALTH CORPORATION
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073161535133HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)NY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROADLIVONIAMI48152383181557BUILDING MANAGEMENT SERVICESDE501(C)(3)LINE 12A, I0N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)LINE 2MOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMOOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966FOUNDATIONOH501(C)(3)LINE 12A, IMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105222584082FOUNDATIONCT501(C)(3)LINE 12C, III-FI0N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105061422973HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
MOUNT ST JOSEPH
7 HIGHTOWER STREETWATERVILLEME04901010274998LONG TERM CAREME501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 44TH STREETKENTWOODMI49508383073745HEALTH CARE SERVICES (INACTIVE)MI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918COMMUNITY OUTREACHMI501(C)(3)LINE 7MERCY HEALTH PARTNERSYes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUEPHILADELPHIAPA19152232300951FOUNDATIONPA501(C)(3)LINE 12A, INAZARETH HOSPITALYes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUEPHILADELPHIAPA19152232794121HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428203261266HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
NE PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232497355HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTH CARE AND HOSPITAL SERVICESNE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345FOUNDATIONNE501(C)(3)LINE 12A, IOAKLAND MERCY HOSPITALYes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
6150 EAST BROAD STREETCOLUMBUSOH43213311654603COOPERATIVE HEALTH CARE DELIVERY SYSTEMOH501(C)(3)LINE 12A, I0N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES INC
1600 HADDON AVENUECAMDENNJ08103222568528HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNJ501(C)(3)LINE 12B, IIMAXIS HEALTH SYSTEMYes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUECAMDENNJ08103222351960FOUNDATIONNJ501(C)(3)LINE 7OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF LOURDES MEDICAL CENTER INC
1600 HADDON AVENUECAMDENNJ08103210635001HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANEGUILDERLANDNY12084141743506LONG TERM CARENY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040454208896HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUEPITTSBURGHPA15213251464211HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREETANN ARBORMI48104202020239HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI49442382638284HEALTH CARE SERVICESMI501(C)(3)LINE 10MERCY HEALTH PARTNERSYes (1)
RIVERBEND MEDICAL GROUP INC
271 CAREW STSPRINGFIELDMA01104811807730HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUESYRACUSENY13203271763712HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTH CARE AND HOSPITAL SERVICESCA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTH CARE SERVICESCA501(C)(3)LINE 12A, ISAINT AGNES MEDICAL CENTERYes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011BUILDING MANAGEMENT SERVICESID501(C)(3)LINE 10SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978HEALTH CARE SYSTEM SUPPORTID501(C)(3)LINE 12A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER - BAKER CITYYes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREETONTARIOOR97914943059469VOLUNTEER SERVICE AUXILIARYOR501(C)(3)LINE 10SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814271790052HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUENAMPAID83687261737256FOUNDATIONID501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-NAMPAYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUENAMPAID83687820200896HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914271789847HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105451994612HEALTH CARE SERVICESCT501(C)(3)LINE 12B, IITRINITY HEALTH OF NEW ENGLAND PNO INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREETHARTFORDCT06105060646813HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105061008255FOUNDATIONCT501(C)(3)LINE 7SAINT FRANCIS HOSPITAL AND MEDICAL CENTERYes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUENEWARKNJ07102262616230INACTIVE ENTITYNJ501(C)(3)LINE 10SAINT MICHAEL'S MEDICAL CENTERYes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAYLIVONIAMI48152473129127PACE PROGRAMIN501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670PLYMOUTHIN46563351142669HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545350868157HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563VOLUNTEER SERVICE AUXILIARYIN501(C)(3)LINE 12A, ISAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545351568821HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREETATLANTAGA30312581744848HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTGA501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREETATLANTAGA30312581752700HEALTH CARE SERVICESGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI48333311040468SENIOR LIVING COMMUNITYIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICES - INDIANA INCYes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120GRAND RAPIDSMI49505383320700HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602FOUNDATIONMI501(C)(3)LINE 7TRINITY HEALTH-MICHIGANYes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105222528400FOUNDATIONCT501(C)(3)LINE 7SAINT MARY'S HOSPITAL INCYes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105060646844HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAINT MICHAEL'S MEDICAL CENTER INC
111 CENTRAL AVENUENEWARKNJ07102262616046HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3MAXIS HEALTH SYSTEMYes (1)
SAMARITAN CHILD CARE CENTER INC
2215 BURDETT AVETROYNY12180141710225CHILD CARE SERVICESNY501(C)(3)LINE 10ST PETER'S HEALTH PARTNERSYes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVETROYNY12180141338544HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SENIOR CARE CONNECTION INC
504 STATE STREETSCHENECTADYNY12305141708754PACE PROGRAMNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUETROYNY12180141505031VOLUNTEER SERVICE AUXILIARYNY501(C)(3)LINE 10SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVDCLIFTON PARKNY12065141756230LONG TERM CARENY501(C)(3)LINE 10SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH FOUNDATION INC
310 S MANNING BLVDALBANYNY12208222345416FOUNDATIONNY501(C)(3)LINE 12A, ISETON HEALTH SYSTEM INCYes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUETROYNY12180141776186HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040222541103LONG TERM CAREMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREETATLANTAGA30312472299757HEALTH CARE SYSTEM SUPPORTGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232840137PACE PROGRAMPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232415137FOUNDATIONPA501(C)(3)LINE 12A, IST AGNES CONTINUING CARE CENTERYes (1)
ST FRANCIS FOUNDATION
PO BOX 2500WILMINGTONDE19805510374158FOUNDATIONDE501(C)(3)LINE 12A, IST FRANCIS HOSPITALYes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500WILMINGTONDE19805510064326HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUETRENTONNJ08629521025476FOUNDATIONNJ501(C)(3)LINE 7ST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUETRENTONNJ08629223431049HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3MAXIS HEALTH SYSTEMYes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREETHORNELLNY14843223127184HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)NY501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVESOUTHERN PINESNC28387560694200LONG TERM CARENC501(C)(3)LINE 3TRINITY CONTINUING CARE SERVICESYes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUESYRACUSENY13203202497520COLLEGE OF NURSINGNY501(C)(3)LINE 2ST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUESYRACUSENY13203237219294BUILDING MANAGEMENT SERVICESNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUESYRACUSENY13203474754987HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUESYRACUSENY13203150532254HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUESYRACUSENY13203222149775FOUNDATIONNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUESYRACUSENY13203273899821HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVENUESYRACUSENY13203161516863HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502TITLE HOLDING COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047465354512HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
ST MARY HOME INCORPORATED
2021 ALBANY AVENUEWEST HARTFORDCT06117060646843LONG TERM CARECT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047231913910HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232567468FOUNDATIONPA501(C)(3)LINE 7ST MARY MEDICAL CENTERYes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREETATHENSGA30606582544232FOUNDATIONGA501(C)(3)LINE 12A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREETATHENSGA30606811660088FOUNDATIONGA501(C)(3)LINE 12A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREETATHENSGA30606580566223HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREETATHENSGA30606020576648SENIOR LIVING COMMUNITYGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREETATHENSGA30606261858563HEALTH CARE SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAYLAVONIAGA30553473752176HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVDALBANYNY12208453570715HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVDALBANYNY12208461177336HEALTH CARE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVDALBANYNY12208141348692HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVDALBANYNY12208222262982FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUESCHENECTADYNY12308141338386HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVESCHENECTADYNY12308222505127FOUNDATIONNY501(C)(3)LINE 12A, ISUNNYVIEW HOSPITAL AND REHABILITATION CENTERYes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RDALBANYNY12205222692940FOUNDATIONNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RDALBANYNY12205141608921HOSPICE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
707 EAST CEDAR STREET STE 175SOUTH BENDIN46617351654543FOUNDATIONIN501(C)(3)LINE 7SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVETROYNY12180222570478LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141793885LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MERCY HOSPITAL INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040043398280HEALTH CARE AND HOSPITAL SERVICESMA501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
THE NORTHEAST HEALTH FOUNDATION INC
310 SOUTH MANNING BLVDALBANYNY12208222743478FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC
114 WOODLAND STREETHARTFORDCT06105060660403VOLUNTEER SERVICE AUXILIARYCT501(C)(3)LINE 12B, II0N/A
THHS OAKLAND FKA CRANBROOK HOSPICE CARE
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152383320699HOSPICE SERVICES (INACTIVE)MI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVERPORT HURONMI48060382485700HEALTH CARE SERVICESMI501(C)(3)LINE 12A, I0N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI48333382559656LONG TERM CAREMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 9184FARMINGTON HILLSMI48333930907047LONG TERM CAREIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 9184FARMINGTON HILLSMI48333824005577LONG TERM CAREMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12B, IICATHOLIC HEALTH MINISTRIESYes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAYLIVONIAMI48152475244984PACE PROGRAMPA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREETHARTFORDCT06105061491191HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREETHARTFORDCT06105061450168HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAYLIVONIAMI48152473073124PACE PROGRAMMI501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCEMI501(C)(9)N/ATRINITY HEALTH CORPORATIONYes (1)
TRINITY HOME HEALTH SERVICES
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152382621935MANAGEMENT SERVICES FOR HOME HEALTH SYSTEMMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
UIHLEIN MERCY CENTER
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073150532190HEALTH CARE SERVICES (INACTIVE)NY501(C)(3)LINE 3MERCY UIHLEIN HEALTH CORPORATIONYes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVDALBANYNY12208141438749LONG TERM CARENY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
WESTSHORE HEALTH NETWORK
1820 44TH STREETKENTWOODMI49508383280200HEALTH NETWORKMI501(C)(4)N/AMERCY HEALTH PARTNERSYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (48 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213311608125MEDICAL OFFICE BUILDING RENTALOHN/A
CATHERINE HORAN BUILDING ASSOCIATES LP
1221 MAIN STREET SUITE 105HOLYOKEMA01040042723429PROPERTY MANAGEMENTMAN/A
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1VOORHEESNJ08043223580847HEALTH CARE SERVICESNJN/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/A
CENTRAL NEW JERSEY HEART SERVICES LLC
45 SAPPHIRE DRIVEPRINCETONNJ08550208525458CARDIAC PROGRAMNJN/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202MOLINEIL61265412044739MRI DIAGNOSTIC SERVICESIAN/A
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTHSOUTHBURYCT06488061487582IMAGING CENTERCTN/A
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/A
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/A
GATEWAY HEALTH PLAN LP
444 LIBERTY AVE SUITE 2100PITTSBURGHPA15222251691945MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATIONPAN/A
GREATER HARTFORD LITHOTRIPSY LLC
114 WOODLAND STHARTFORDCT06105061578891LITHOTRIPSY SERVICESCTN/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/A
HEART INSITUTE OF ST MARY LLC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047454903701CARDIOVASCULAR SERVICESPAN/A
IDAHO ASC HOLDINGS LLC
1055 N CURTIS ROADBOISEID83706364729605HOLDING COMPANY FOR AMBULATORY SURGERYIDN/A
INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC
14 COLUMBIA CIRCLE DRIVEALBANYNY12203465676066ACCOUNTABLE CARE ORGANIZATIONNYN/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209364119522SURGICAL SERVICESILN/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/A
MCE MOB IV LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213421544707MEDICAL OFFICE BUILDING RENTALOHN/A
MDRMRI TECHNICAL SERVICES LLC
5640 EAST TAFT ROAD 3770SYRACUSENY13220161590982MRI SERVICESNYN/A
MEDILUCENT MOB I
6150 EAST BROAD STREETCOLUMBUSOH43213204911370MEDICAL OFFICE BUILDING RENTALOHN/A
MEDWORKS LLC
375 EAST CEDAR STREETNEWINGTONCT06111061490483REHABILITATION SERVICESCTN/A
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616262116721SUBLEASE MRI EQUIPMENTILN/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/A
MERCYMANOR PARTNERSHIP
PO BOX 10086TOLEDOOH43699521931012NURSING HOMEPAN/A
MERCYUSP HEALTH VENTURES LLC
15305 DALLAS PARKWAY STE 1600 LB 28ADDISONTX75001471290300OUTPATIENT SURGERYIAN/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213311369473MEDICAL OFFICE BUILDING RENTALOHN/A
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTHSOUTHBURYCT06488061239526IMAGING CENTERCTN/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
C/O NAZARETH HOSP 2601 HOLME AVEPHILADELPHIAPA19152232388040MEDICAL OFFICE BUILDINGPAN/A
OSWEGO HEALTH HOME CARE LLC
113 SCHUYLER STREETFULTONNY13069472463736HOME HEALTH CARENYN/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREETOAKLAND PARKFL33334352325646AMBULATORY SURGERY CENTERFLN/A
PRIMARY CARE PHYSICIAN CENTER LLC
1445 ROSS AVENUE SUITE 1400DALLASTX75202364038505OFFICE BUILDING RENTALILN/A
RADISSON SJH PROPERTIES LLC
5000 CAMPUSWOOD DRIVE SUITE 100EAST SYRACUSENY13057461892799MEDICAL OFFICE BUILDINGNYN/A
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/A
SJLS LLC
7650 SE 27TH ST STE 200MERCER ISLANDWA98040201796650DIALYSIS SERVICESNYN/A
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200EMOUNT LAURELNJ08054202273476RADIOLOGYNJN/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047364559869INVESTMENT AND OPERATION OF A MEDICAL BUILDINGPAN/A
ST AGNES LONG-TERM INTENSIVE CARE LLP
C/O MHS ONE WEST ELM ST STE 100CONSHOHOCKENPA19428200984882LONG TERM INTENSIVE CAREPAN/A
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DRCALDWELLID83605820526861HEALTH CARE SERVICESIDN/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
6150 EAST BROAD STREETCOLUMBUSOH43213311603660MEDICAL OFFICE BUILDING RENTALOHN/A
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905SYRACUSENY13203161104293RADIOLOGY SERVICESNYN/A
ST MARY REHABILITATION HOSPITAL LLP
680 SOUTH FOURTH STREETLOUISVILLEKY40202273938747HEALTH CARE SERVICESDEN/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201ALBANYNY12206460463892OUTPATIENT SURGERYNYN/A
TAMARACK MEDICAL CLINIC LLC
402 LAKE CASCADE PARKWAYCASCADEID83611201637921OUTPATIENT MEDICAL SERVICESIDN/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047272871206OUTPATIENT SURGERYPAN/A
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/ IMAGINGMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (52 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUETROYNY12180141668024REAL ESTATENYN/ACYes (1)
CATHERINE HORAN BUILDING CORPORATION
1233 MAIN STREETHOLYOKEMA01040042938160BUILDING MANAGEMENTMAN/ACYes (1)
CHESTNUT RISK SERVICES LTD
INSURANCEN/ACYes (1)11 VICTORIA STREETHAMILTONBDBD
DIVERSIFIED COMMUNITY SERVICES INC
1233 MAIN STREETHOLYOKEMA01040043128890MEDICAL SERVICESMAN/ACYes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214272995699MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214202991688MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161236354MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161351193MANAGEMENT SERVICESNYN/ACYes (1)
FRANKLIN MEDICAL GROUP PC
56 FRANKLIN STWATERBURYCT06706061470493PHYSICIAN OFFICECTN/ACYes (1)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVEMELROSE PARKIL60160363330529MANAGEMENT SERVICESILN/ACYes (1)
HEF INC
1820 44TH STREET SEKENTWOODMI49508383086401OFFICE STAFFINGMIN/ACYes (1)
HACKLEY HEALTH MANAGEMENT CENTER
1820 44TH STREET SEKENTWOODMI49508382961814WEIGHT MANAGEMENTMIN/ACYes (1)
HACKLEY HEALTH VENTURES INC
1820 44TH STREET SEKENTWOODMI49508382589959OTHER MEDICAL SERVICESMIN/ACYes (1)
HACKLEY HEALTHCARE EQUIPMENT
1820 44TH STREET SEKENTWOODMI49508382578569HOME MEDICAL EQUIPMENTMIN/ACYes (1)
HACKLEY PROFESSIONAL PHARMACY
1820 44TH STREET SEKENTWOODMI49508382447870PHARMACYMIN/ACYes (1)
HEALTH CARE MANAGEMENT
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161450960HEALTH CARE MANAGEMENTNYN/ACYes (1)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223366580MEDICAL ADMINISTRATIONNJN/ACYes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
1500 FOREST GLEN RDSILVER SPRINGMD20910521986562HOME CARE SERVICESMDN/ACYes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DRANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/ACYes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/ACYes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047263795549GENERAL PARTNER OF LMOB PARTNERS, IIPAN/ACYes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232625981GENERAL PARTNER OF LMOB PARTNERSPAN/ACYes (1)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223361862MEDICAL SERVICESNJN/ACYes (1)
LOURDES URGENT CARE SERVICES PC
1600 HADDON AVENUECAMDENNJ08103464188202URGENT CARE CENTERNJN/ACYes (1)
MACNEAL HEALTH PROVIDERS INC
750 PASQUINELLI DR SUITE 216WESTMONTIL60559363361297MEDICAL SERVICESILN/ACYes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RDSILVER SPRINGMD20910521815313HEALTH CARE HOLDINGMDN/ACYes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100CONSHOHOCKENPA19428232184261MEDICAL OFFICE BUILDINGSPAN/ACYes (1)
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927MEDICAL SERVICESIDN/ACYes (1)
MERCY HOME CARE INC
1233 MAIN STREETHOLYOKEMA01040043317426HEALTH CARE SERVICESMAN/ACYes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
1233 MAIN STREETHOLYOKEMA01040043029929MEDICAL SERVICESMAN/ACYes (1)
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/ACYes (1)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227348DORMANTILN/ACYes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHN/ACYes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAYFORT LAUDERDALEFL33308591145192MEDICAL SERVICESFLN/ACYes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROADBOISEID83706820524649ACCOUNTABLE CARE ORGANIZATIONIDN/ACYes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID83706331078261HEALTH CARE SERVICES (INACTIVE)IDN/ACYes (1)
SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC
114 WOODLAND STREETHARTFORDCT06105061384686MEDICAL SERVICESCTN/ACYes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREETHARTFORDCT06105061432373MEDICAL SERVICESCTN/ACYes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUETROYNY12180141607244REAL ESTATENYN/ACYes (1)
SJM PROPERTIES INC
411 CANISTEO STREETHORNELLNY14843161294991PROPERTY HOLDINGSNYN/ACYes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVESYRACUSENY13203454164964MANAGEMENT SERVICESNYN/ACYes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545474763735PROPERTY HOLDINGSINN/ACYes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
2209 GENESEE STREETUTICANY13501161540486MEDICAL SERVICESNYN/ACYes (1)
ST MARY'S HIGHLAND HILLS VILLAGE INC
1230 BAXTER STREETATHENSGA30606582276801ASSISTED LIVINGGAN/ACYes (1)
SYSTEM COORDINATED SERVICES INC
1233 MAIN STREETHOLYOKEMA01040042938161LAB SERVICESMAN/ACYes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/ACYes (1)
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUEFORT GRATIOTMI48054382884297HEALTH CARE SERVICESMIN/ACYes (1)
TRINITY ASSURANCE LTD
980453602SELF-INSURANCEN/ACYes (1)PO BOX 1159 GRAND CAYMANGRAND CAYMANCJCJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAYLIVONIAMI48152473794666ACCOUNTABLE CARE ORGANIZATIONDEN/ACYes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/ATYes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 9184FARMINGTON HILLSMI48333371572595SENIOR SERVICESPAN/ACYes (1)
WORKPLACE HEALTH OF GRAND HAVEN INC
1820 44TH STREET SEKENTWOODMI49508383112035OCCUPATIONAL HEALTHMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY HEALTH SERVICES - IOWA CORP
C$401,086PER BOOKS
MERCY HEALTH SERVICES - IOWA CORP
M$721,473PER BOOKS
MERCY HEALTH SERVICES - IOWA CORP
P$75,280PER BOOKS
MERCY HEALTH SERVICES - IOWA CORP
Q$213,007PER BOOKS
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
C$119,567PER BOOKS