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SAINT AGNES MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SAINT AGNES MEDICAL CENTER (EIN 94-1437713)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201921359349300032
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)
Return2019-05-15T08:56:43-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941437713EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT AGNES MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone5594503559PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 EAST HERNDON AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL PRUSAITISPersonNm
Person TitleCFOPersonTitleTxt
Phone5594503375PhoneNum
Signature2019-05-15SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address170.232.227.252IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm08:56:07IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0E4C15207DC127BDB52450F77D4060F40C3F1AE4AtSubmissionCreationDeviceId
At Submission Filing Device Id924F5484B370A9FF257601B07D0C5CFB195EBBD3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNANCY HOLLINGSWORTHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 EAST HERNDON AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$526,805,067GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAMC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND HOSPITAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2886TotalEmployeeCnt
Total Volunteers916TotalVolunteersCnt
Total Gross UBI$252,431TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$130,754NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,760,966PYContributionsGrantsAmt
CY Contributions Grants$3,073,541CYContributionsGrantsAmt
PY Program Service Revenue$478,005,740PYProgramServiceRevenueAmt
CY Program Service Revenue$498,030,191CYProgramServiceRevenueAmt
PY Investment Income$9,580,924PYInvestmentIncomeAmt
CY Investment Income$16,915,149CYInvestmentIncomeAmt
PY Other Revenue$3,468,198PYOtherRevenueAmt
CY Other Revenue$3,511,372CYOtherRevenueAmt
PY Total Revenue$492,815,828PYTotalRevenueAmt
CY Total Revenue$521,530,253CYTotalRevenueAmt
PY Grants And Similar Paid$2,811,480PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,023,370CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$212,695,714PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,622,260CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$61,275PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$41,901CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$867,603CYTotalFundraisingExpenseAmt
PY Other Expenses$263,875,093PYOtherExpensesAmt
CY Other Expenses$254,819,533CYOtherExpensesAmt
PY Total Expenses$479,443,562PYTotalExpensesAmt
CY Total Expenses$477,507,064CYTotalExpensesAmt
PY Revenues Less Expenses$13,372,266PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,023,189CYRevenuesLessExpensesAmt
Total Assets BOY$746,368,363TotalAssetsBOYAmt
Total Assets EOY$762,461,791TotalAssetsEOYAmt
Total Liabilities BOY$183,581,545TotalLiabilitiesBOYAmt
Total Liabilities EOY$174,111,259TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$562,786,818NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$588,350,532NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE, SAINT AGNES MEDICAL CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT AGNES MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$396,938,091ExpenseAmt
Grant$5,023,370GrantAmt
Revenue$500,156,660RevenueAmt
DescSAINT AGNES MEDICAL CENTER, LOCATED IN FRESNO, CALIFORNIA, IS AN ACUTE-CARE HOSPITAL SERVING THE RESIDENTS IN FOUR LOCAL COUNTIES; FRESNO, MADERA, KINGS, AND TULARE. SAINT AGNES MEDICAL CENTER OPERATES A 436-BED, STATE-OF-THE-ART MEDICAL CENTER CAMPUS, BRINGING TOGETHER THE MOST ADVANCED EQUIPMENT AND FACILITIES, AND THE EXPERTISE OF TOP-RANKED PHYSICIANS AND STAFF. FOR OVER 80 YEARS, SAINT AGNES MEDICAL CENTER HAS PROMISED TO PROVIDE THE HIGHEST QUALITY, MOST COMPASSIONATE HEALTH CARE TO THE PEOPLE IN THE SAN JOAQUIN VALLEY. FROM EMERGENCY, DIAGNOSTIC AND REHABILITATIVE SERVICES TO CARDIAC, CANCER, NEUROLOGICAL AND ORTHOPEDIC CARE, SAINT AGNES MEDICAL CENTER CAN BE TRUSTED TO BE THERE TO SERVE THE PEOPLE OF THESE COMMUNITIES FOR YEARS TO COME. IN FISCAL YEAR 2018, THE HOSPITAL PROVIDED 107,601 PATIENT DAYS OF HEALTHCARE SERVICES TO THE COMMUNITY.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SAMC.COMDesc
Total Program Service Expenses$396,938,091TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
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 FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
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 Document525IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2886EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN KALOMIRIS CONTROLLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5594503559PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 E HERNDON AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
NANCY HOLLINGSWORTH
DIRECTOR; PRESIDENT & CEO54.001.00Yes (X)Yes (X)$0$790,799$49,811
DEBORAH IKEDA
DIRECTOR; CHAIR AS OF 1/182.001.00Yes (X)Yes (X)$0$0$0
A THOMAS FERDINANDI JR
DIRECTOR; CHAIR THROUGH 12/173.000.00Yes (X)Yes (X)$0$0$0
MICHAEL TOLLADAY
DIRECTOR; VICE CHAIR AS OF 1/182.000.00Yes (X)Yes (X)$0$0$0
DIANNE NURY
DIRECTOR AND VICE CHAIR THR 12/172.000.00Yes (X)Yes (X)$0$0$0
SHERRY DOLAN RSM
DIRECTOR2.000.00Yes (X)$0$0$0
CAROLYN DRAKE
DIRECTOR2.000.00Yes (X)$0$0$0
ALLEN EVANS MD
DIRECTOR2.000.00Yes (X)$0$0$0
WILLIAM HADCOCK MD
DIRECTOR THROUGH 12/17; PHYSICIAN4.000.00Yes (X)$22,842$0$0
JULIE MALDONADO
DIRECTOR2.000.00Yes (X)$0$0$0
KATHLEEN MORONEYCSC
DIRECTOR2.000.00Yes (X)$0$0$0
JUDGE ROBERT OLIVER
DIRECTOR AS OF 1/182.000.00Yes (X)$0$0$0
TERRENCE O'ROURKE MD
DIRECTOR2.000.00Yes (X)$0$0$0
DALPINDER SANDHU MD
DIRECTOR AS OF 1/182.000.00Yes (X)$0$0$0
LUIS SANTANA
DIRECTOR2.000.00Yes (X)$0$0$0
SHERI SHAPIRO
DIRECTOR; SVP MARKETING/ACQUISITION2.0048.00Yes (X)$0$603,546$146,413
DORA WESTERLUND
DIRECTOR AS OF 1/182.000.00Yes (X)$0$0$0
O JAMES WOODWARD III
DIRECTOR THROUGH 12/172.000.00Yes (X)$0$0$0
RICK WOLF
SECRETARY; GENERAL COUNSEL49.001.00Yes (X)$0$301,199$35,463
MICHAEL PRUSAITIS
CHIEF FINANCIAL OFFICER & TREASURER49.001.00Yes (X)$0$365,413$36,550
STACY VAILLANCOURT
CHIEF ADMINISTRATIVE OFFICER50.000.00$0$330,594$30,012Yes (X)
W EUGENE EGERTON MD
CHIEF MEDICAL OFFICER49.001.00$0$514,399$18,336Yes (X)
KIMBERLY MEEKER
CHIEF OPER OFFICER/CHIEF NURSE EXEC50.000.00$0$323,689$29,433Yes (X)
GERALD MARGOSIAN
COORD. PHARM. OPERATIONS50.000.00$342,552$0$46,462Yes (X)
MICHAEL FREUDIGER
CHARGE PHARMACIST50.000.00$332,321$0$20,875Yes (X)
JOHN FRYE JR
DIRECTOR ORGANIZATION PERFORMANCE50.000.00$282,183$0$35,302Yes (X)
DEBORA CHAPPELL
VP CLINICAL SERVICES THROUGH 8/1750.000.00$264,181$0$180,460Yes (X)
SHERMAN KONG
PHARMACIST50.000.00$245,014$0$19,291Yes (X)
MARK BATEMAN
FORMER OFFCR; INT VP, SMPG THR 7/170.0050.00$0$158,000$112Yes (X)
RICHARD O'CONNELL
FORMER KEY EMPLOYEE; TRINITY EVP0.0055.00$0$880,863$16,625Yes (X)
STEPHEN SOLDO MD
FORMER KE; SVC LINE LEADER THR 7/1749.001.00$102,926$0$11,133Yes (X)
TONI KAZARIAN
FORMER KE; DIR PATIENT LOGISTICS50.000.00$201,123$0$34,114Yes (X)
JONATHAN FELTON
FORMER KEY EMPLOYEE0.000.00$0$220,797$13,619Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,793,142TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,489,299TotReportableCompRltdOrgAmt
Total Other Compensation$724,011TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K588IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
STRATEGIC STAFFING SOLUTIONS
645 GRISWOLD ST 2900DETRIOTMI48226STAFFING SERVICES$8,953,108
PADEN & BLETSCHER CONSTRUCTION
7080 N MARKS AVE STE 118FRESNOCA93711CONSTRUCTION SERVICES$5,313,763
SEALS CONSTRUCTION INC
PO BOX 6670VISALIACA93290CONSTRUCTION SERVICES$3,375,020
GALEN INPATIENT PHYSICIANS INC
2100 POWELL ST STE 900EMERYVILLECA94608PHYSICIAN MANAGEMENT SERVICES$2,686,146
ALL SERVICE ELECTRIC CO INC
7222 SOUTH MAPLE AVEFRESNOCA93725CONSTRUCTION SERVICES$2,354,996
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K75CntrctRcvdGreaterThan100KCnt
Fundraising$197,041FundraisingAmt
Related Organizations$87,652RelatedOrganizationsAmt
All Other Contributions$2,788,848AllOtherContributionsAmt
Noncash Contributions$656,999NoncashContributionsAmt
Total Contributions$3,073,541TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
ACUTE INPATIENT SERVICES622110$349,293,562$349,293,562
ACUTE OUTPATIENT SERVICES622110$148,736,629$148,484,198$252,431
FieldValueIRS element (for citing)
Total Program Service Revenue$498,030,191TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,059,305TotalRevenueColumnAmt
Exclusion$6,059,305ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,075,535RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,549,732RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,474,197RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,474,197TotalRevenueColumnAmt
Exclusion-$1,474,197ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,733,325SecuritiesAmt
Other$1,531,673OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$409,154OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,733,325SecuritiesAmt
Other$1,122,519OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,855,844TotalRevenueColumnAmt
Exclusion$10,855,844ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$306,667FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$197,041ContriRptFundraisingEventAmt
Fundraising Direct Expenses$274,126FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,541TotalRevenueColumnAmt
Exclusion$32,541ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$77,258GamingGrossIncomeAmt
Gaming Direct Expenses$41,802GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,456TotalRevenueColumnAmt
Exclusion$35,456ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$2,538,672$2,538,672
OTHER RELATED REVENUE622110$1,810,814$1,810,814
GOV'T SUBSIDY - EHR622110$568,086$568,086
FieldValueIRS element (for citing)
Other Revenue Total$4,917,572OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$521,530,253TotalRevenueColumnAmt
Related Or Exempt Func Income$500,156,660RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$252,431UnrelatedBusinessRevenueAmt
Exclusion$18,047,621ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,728,628TotalAmt
Program Services$4,728,628ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$294,742TotalAmt
Program Services$294,742ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,082,955TotalAmt
Program Services$22,842ProgramServicesAmt
Management And General$3,060,113ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$383,101TotalAmt
Program Services$33,806ProgramServicesAmt
Management And General$349,295ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$184,871,115TotalAmt
Program Services$174,168,548ProgramServicesAmt
Management And General$10,124,537ManagementAndGeneralAmt
Fundraising$578,030FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,286,627TotalAmt
Program Services$4,988,169ProgramServicesAmt
Management And General$281,903ManagementAndGeneralAmt
Fundraising$16,555FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,603,104TotalAmt
Program Services$9,970,078ProgramServicesAmt
Management And General$599,931ManagementAndGeneralAmt
Fundraising$33,095FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,395,358TotalAmt
Program Services$12,191,442ProgramServicesAmt
Management And General$1,163,462ManagementAndGeneralAmt
Fundraising$40,454FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$147,463TotalAmt
Program Services$33,917ProgramServicesAmt
Management And General$113,546ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$315,827TotalAmt
Management And General$315,827ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$41,901TotalAmt
Fundraising$41,901FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$580,207TotalAmt
Management And General$580,207ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$44,001,006TotalAmt
Program Services$37,423,679ProgramServicesAmt
Management And General$6,560,683ManagementAndGeneralAmt
Fundraising$16,644FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,621,223TotalAmt
Program Services$17,842ProgramServicesAmt
Management And General$1,585,041ManagementAndGeneralAmt
Fundraising$18,340FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,301,074TotalAmt
Program Services$2,215,593ProgramServicesAmt
Management And General$1,052,756ManagementAndGeneralAmt
Fundraising$32,725FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,852,257TotalAmt
Program Services$178,130ProgramServicesAmt
Management And General$17,674,127ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,601,482TotalAmt
Program Services$3,911,260ProgramServicesAmt
Management And General$690,222ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,952TotalAmt
Program Services$1,256ProgramServicesAmt
Management And General$4,313ManagementAndGeneralAmt
Fundraising$383FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$377,311TotalAmt
Program Services$267,743ProgramServicesAmt
Management And General$91,081ManagementAndGeneralAmt
Fundraising$18,487FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,396,952TotalAmt
Program Services$3,396,952ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,718,101TotalAmt
Program Services$9,388,920ProgramServicesAmt
Management And General$17,321,829ManagementAndGeneralAmt
Fundraising$7,352FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,772,992TotalAmt
Management And General$2,772,992ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP$78,442,921$78,442,921
HOSPITAL PROVIDER TAX$39,804,249$39,804,249
I/C PURCHASED SERVICES$11,607,924$11,607,924
UBI TAXES$37,655$37,655

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,234,937TotalAmt
Program Services$15,457,374ProgramServicesAmt
Management And General$3,713,926ManagementAndGeneralAmt
Fundraising$63,637FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$477,507,064TotalAmt
Program Services$396,938,091ProgramServicesAmt
Management And General$79,701,370ManagementAndGeneralAmt
Fundraising$867,603FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,795,145BOYAmt
EOY$140,380EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$220,974BOYAmt
EOY$127,778EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$168,269,092BOYAmt
EOY$136,668,630EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,182,313BOYAmt
EOY$1,850,631EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,815,041BOYAmt
EOY$6,709,372EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,240,917BOYAmt
EOY$1,419,629EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$541,093,458LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$341,349,482LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$196,530,005BOYAmt
EOY$199,743,976EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$182,432,770BOYAmt
EOY$235,412,898EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$161,465,187BOYAmt
EOY$149,996,512EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,416,919BOYAmt
EOY$30,391,985EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$746,368,363BOYAmt
EOY$762,461,791EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$79,091,736BOYAmt
EOY$72,035,157EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,818,462BOYAmt
EOY$1,669,937EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,671,347BOYAmt
EOY$100,406,165EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$183,581,545BOYAmt
EOY$174,111,259EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$555,588,530BOYAmt
EOY$579,048,033EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,616,601BOYAmt
EOY$3,709,031EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,581,687BOYAmt
EOY$5,593,468EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$562,786,818BOYAmt
EOY$588,350,532EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$746,368,363BOYAmt
EOY$762,461,791EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$44,023,189ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,068,883NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,528,358OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

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$62,581GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$743DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$63,324TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSAINT AGNES MEDICAL CENTER HAS HAD DIRECT CONTACT WITH AND SENT MAILINGS TO LEGISLATORS DURING THE YEAR. THIS CONTACT INCLUDED DISCUSSIONS OF HEALTH CARE AND MEDICARE ISSUES. SAINT AGNES MEDICAL CENTER HAS ALSO MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT AGNES MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. ORGANIZATION EMPLOYEES ALSO ENGAGE IN ADVOCACY ON ISSUES RELATED TO HEALTH CARE AND HEALTH CARE PROVIDERS. SUCH ACTIVITIES CONSIST OF WRITTEN AND VERBAL COMMUNICATIONS WITH FEDERAL, STATE AND LOCAL ELECTED OFFICIALS AND GOVERNMENT AGENCIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,581,687BeginningYearBalanceAmt
Contributions$1,031,822ContributionsAmt
Investment Earnings Or Losses-$20,042InvestmentEarningsOrLossesAmt
End Year Balance$5,593,467EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,591,505BeginningYearBalanceAmt
Contributions$999ContributionsAmt
Investment Earnings Or Losses-$10,817InvestmentEarningsOrLossesAmt
End Year Balance$4,581,687EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,625,707BeginningYearBalanceAmt
Contributions$22,189ContributionsAmt
Investment Earnings Or Losses-$4,591InvestmentEarningsOrLossesAmt
Other Expenditures$51,800OtherExpendituresAmt
End Year Balance$4,591,505EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,902,528BeginningYearBalanceAmt
Contributions$1,000ContributionsAmt
Investment Earnings Or Losses-$13,083InvestmentEarningsOrLossesAmt
Other Expenditures$11,264,738OtherExpendituresAmt
End Year Balance$4,625,707EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,896,841BeginningYearBalanceAmt
Contributions$32,790ContributionsAmt
Investment Earnings Or Losses$1,484,915InvestmentEarningsOrLossesAmt
Other Expenditures$512,018OtherExpendituresAmt
End Year Balance$15,902,528EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,045,927InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,949,544OtherCostOrOtherBasisAmt
Book Value$10,995,471BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$346,359,934OtherCostOrOtherBasisAmt
Depreciation$202,242,357DepreciationAmt
Book Value$144,117,577BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$163,429,053OtherCostOrOtherBasisAmt
Depreciation$139,107,125DepreciationAmt
Book Value$24,321,928BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,309,000OtherCostOrOtherBasisAmt
Book Value$20,309,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$199,743,976TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES$53,844,902F
EQUITY METHOD INVESTMENTS$65,383,095C
HEDGE FUNDS$30,768,515F
FieldValueIRS element (for citing)
Total Book Value Securities$149,996,512TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
INTERCOMPANY ACCOUNTS PAYABLE$4,158,502
ASSET RETIREMENT OBLIGATION (FIN 47)$2,082,798
INTERCOMPANY NOTES PAYABLE$92,771,945
OTHER LONG-TERM LIABILITIES$1,017,122
OTHER CURRENT LIABILITIES$375,798
FieldValueIRS element (for citing)
Total Liability$100,406,165TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationSAINT AGNES MEDICAL CENTER'S ENDOWMENT FUNDS ARE USED FOR CAPITAL ACQUISITIONS, STAFF EDUCATION, AND HEALTHCARE OPERATIONS.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GAVEL GROUPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line126439 RANCHO PARKWAY SOUTH SUITE 1AddressLine1Txt
CityLAKE FORESTCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92630ZIPCd
FieldValueIRS element (for citing)
ActivitySOLICITED AUCTION ITEMS FOR FOUNDATION EVENTActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$157,460GrossReceiptsAmt
Retained By Contractor$41,901RetainedByContractorAmt
Net To Organization$115,559NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$157,460TotalGrossReceiptsAmt
Total Retained By Contractors$41,901TotalRetainedByContractorsAmt
Total Net To Organization$115,559TotalNetToOrganizationAmt
Licensed StatesCALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER DANCEEvent1Nm
Gross Receipts Event1$261,330GrossReceiptsEvent1Amt
Charitable Contri Event1$65,300CharitableContriEvent1Amt
Gross Revenue Event1$196,030GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$40,915RentFacilityCostsEvent1Amt
Food And Beverage Event1$55,660FoodAndBeverageEvent1Amt
Entertainment Event1$8,131EntertainmentEvent1Amt
Other Direct Expenses Event1$38,505OtherDirectExpensesEvent1Amt
Event2LUNCHEON & FASHION SHOWEvent2Nm
Gross Receipts Event2$136,544GrossReceiptsEvent2Amt
Charitable Contri Event2$67,890CharitableContriEvent2Amt
Gross Revenue Event2$68,654GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$41,231RentFacilityCostsEvent2Amt
Food And Beverage Event2$19,010FoodAndBeverageEvent2Amt
Entertainment Event2$7,550EntertainmentEvent2Amt
Other Direct Expenses Event2$17,573OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$105,834GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$63,851CharitableContriOtherEventsAmt
Gross Revenue Other Events$41,983GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$16,060RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$18,919FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,465EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$9,107OthDirectExpnssOtherEventsAmt
Gross Receipts Total$503,708GrossReceiptsTotalAmt
Charitable Contributions Tot$197,041CharitableContributionsTotAmt
Gross Revenue Total Events$306,667GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$98,206RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$93,589FoodAndBeverageTotalEventsAmt
Entertainment Total Events$17,146EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$65,185OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$274,126DirectExpenseSummaryEventsAmt
Net Income Summary$32,541NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$77,258GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,750CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$40,052NonCashPrizesOtherGamingAmt
Rent Fclty Costs Other Gaming$0RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming$0OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.10000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$77,258GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$1,750CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$40,052NonCashPrizesTotalGamingAmt
Direct Expense Summary Gaming$41,802DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$35,456NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
Licensed0LicensedInd
Explanation If NoORGANIZATION IS EXEMPT AND DOES NOT REQUIRE A LICENSE.ExplanationIfNoTxt
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksSTEPHEN KALOMIRISIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line11111 E SPRUCE AVENUEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonTERI AMERINEGamingManagerPersonNm
Gaming Manager Compensation$1,800GamingManagerCompensationAmt
Gaming Manager Services ProvTHE GAMING ACTIVITIES AT SAINT AGNES MEDICAL CENTER PRIMARILY RELATE TO RAFFLE TICKET SALES AT FUNDRAISING EVENTS. TERI AMERINE, VP - FOUNDATION, MANAGES THE OVERALL GAMING ACTIVITIES INCLUDING THE RECORDKEEPING, HIRING AND FIRING OF WORKERS, AND MAKING THE BANK DEPOSITS FOR THE GAMING ACTIVITIES. TERI AMERINE'S COMPENSATION ALLOCATED TO GAMING ACTIVITIES IS APPROXIMATELY $1,800GamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)FormAndLineReferenceDesc
ExplanationTHE AGREEMENT SPECIFIES THAT SAINT AGNES MEDICAL CENTER WILL COMPENSATE THE GAVEL GROUP A PERCENTAGE OF AUCTION AND SILENT AUCTION NET PROFIT AND AN AUCTION PRODUCTION FEE.ExplanationTxt

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)
Total Community Benefit Expns$2,503,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,503,500NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$167,430,468TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,969,857DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,460,611NetCommunityBenefitExpnsAmt
Total Expense0.03500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$169,933,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150,969,857DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,964,111NetCommunityBenefitExpnsAmt
Total Expense0.04030TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served47496PersonsServedCnt
Total Community Benefit Expns$2,135,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$168,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,966,910NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1005PersonsServedCnt
Total Community Benefit Expns$2,554,506TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,554,506NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$274,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$274,388NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served48501PersonsServedCnt
Total Community Benefit Expns$4,964,730TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$168,926DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,795,804NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Persons Served48501PersonsServedCnt
Total Community Benefit Expns$174,898,698TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$151,138,783DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,759,915NetCommunityBenefitExpnsAmt
Total Expense0.05050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,331,224BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$165,913,931ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$153,959,058CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$11,954,873MedicareSurplusOrShortfallAmt

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 Line1SAINT AGNES MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11303 E HERNDON AVEAddressLine1Txt
CityFRESNOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93720ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SAMC.COMWebsiteAddressTxt
State LicenseHOSPITAL LICENSE # 040000173StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT AGNES MEDICAL CENTERBusinessNameLine1Txt
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 Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SAMC.COM/COMMUNITY-BENEFITSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.SAMC.COM/COMMUNITY-BENEFITSStrategyWebsiteURLTxt
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 URLWWW.SAMC.COM/FINANCIAL-SUPPORTFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SAMC.COM/FINANCIAL-SUPPORTFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SAMC.COM/FINANCIAL-SUPPORTFAPSummaryOnWebsiteURLTxt
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
Other PublicityYes (X)OtherPublicityInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: SAINT AGNES MEDICAL CENTER INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED FOR TAX YEAR 2017 THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. ACCESS TO CARE2. BREATHING PROBLEMS3. DIABETES4. MENTAL HEALTH 5. OBESITY6. MATERNAL AND INFANT HEALTH (INFANT MORTALITY/PREMATURE BIRTH)7. SUBSTANCE ABUSE 8. ORAL HEALTH9. VIOLENCE AND INJURY PREVENTIONOTHER NEEDS IDENTIFIED INCLUDED: - CVD/STROKE (HYPERTENSION)- MATERNAL AND INFANT HEALTH (TEEN OR UNINTENDED PREGNANCY)
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 5: THE 2016 CHNA ASSESSED FRESNO, KINGS, MADERA AND TULARE COUNTIES, WHICH TOGETHER COMPRISE A MAJOR PORTION OF SAN JOAQUIN OR CENTRAL VALLEY OF CALIFORNIA. COMMUNITY INPUT IDENTIFIED COMMUNITY HEALTH NEEDS, AND SECONDARY DATA CONFIRMED THE NEEDS RANK BELOW STATE AVERAGES. FURTHER REVIEW OF THE HEALTH NEEDS DETERMINED THE EXTENT TO WHICH HEALTH INEQUITIES MAY EXIST AND WHICH SEGMENTS OF THE POPULATION ARE MORE NEGATIVELY IMPACTED. IN ADDITION TO PRIMARY DATA SOURCES, A STRONG EMPHASIS WAS PLACED ON ADMINISTERING A COMMUNITY SURVEY, CONDUCTING FOCUS GROUPS, AND INTERVIEWING KEY STAKEHOLDERS IN EACH COUNTY.IN ORDER TO LEVERAGE THE OPPORTUNITY TO USE A CONSISTENT SET OF QUESTIONS ACROSS ALL FOUR COUNTIES, A CHNA SURVEY THAT WAS DEVELOPED BY THE MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH WAS RECOMMENDED BY THE WORKGROUP FOR USE IN THIS PROCESS. THIS CHNA SURVEY WAS DESIGNED BY THE HEALTHY MADERA COALITION WITH THE COUNTY PUBLIC HEALTH DEPARTMENT STAFF. THIRTY-SIX QUESTIONS FOCUSED ON DEMOGRAPHIC INFORMATION AND CENTERED ON KEY HEALTH CONCERNS AND FACTORS THAT INFLUENCE THE HEALTH OF THE COMMUNITY.THE CHNA SURVEY, WHICH WAS ADMINISTERED BETWEEN JULY AND DECEMBER 2015, CENTERED ON SOLICITING PERSPECTIVES ON HEALTH NEEDS, PERCEPTIONS ON WHAT ENVIRONMENTAL FACTORS INFLUENCE THE HEALTH OF THE COMMUNITY, BEHAVIORS THAT IMPACT HEALTH, AND WHAT MAKES IT HARD TO GET HEALTH CARE IN THEIR COUNTY. OTHER QUESTIONS FOCUSED ON WHAT PARTICIPANTS CONSIDER TO BE INDICATORS OF A HEALTHY COMMUNITY AND WHAT FACTORS IN THEIR COMMUNITY MOST NEED IMPROVEMENT. THREE QUESTIONS WERE USED TO DETERMINE IF THE RESPONDENT WAS A HOSPITAL STAFF MEMBER AND WHAT HOSPITAL THEY WORKED AT IN ORDER TO DISTINGUISH HEALTH CARE WORKERS VERSUS RESIDENTS TAKING THE SURVEY. HEALTH CARE WORKERS WERE ALSO ASKED TO COMPLETE A QUESTION ABOUT WHAT PATIENT ISSUES THEY MOST OFTEN SEE IN THEIR DEPARTMENT.A TOTAL OF 15 FOCUS GROUPS WERE CONDUCTED BETWEEN AUGUST AND OCTOBER 2015, AND RANGED IN SIZE FROM 3 TO 28 PARTICIPANTS. THE FOCUS GROUPS WERE COORDINATED IN PARTNERSHIP WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: FRESNO METRO MINISTRY, A NONPROFIT ESTABLISHED IN 1970 WITH A MISSION TO ADVOCATE FOR THE HEALTH AND WELL-BEING OF THE COMMUNITY; CENTRO LA FAMILIA ADVOCACY SERVICES, A NONPROFIT WORKING TO EMPOWER LOW-INCOME PEOPLE TO ACCESS LIFE-SUSTAINING RESOURCES THROUGH EDUCATION, TRAINING AND SOCIAL SERVICES; THE KINGS COUNTY ACTION ORGANIZATION, A COALITION THAT SEEKS TO PROVIDE PROGRAMS THAT DEVELOP SELF-SUFFICIENCY IN INDIVIDUALS, FAMILIES, AND COMMUNITIES WITHIN KINGS COUNTY; AND THE TULE RIVER TRIBE LOCATED APPROXIMATELY 18 MILES FROM PORTERVILLE. IN ADDITION, THE MADERA COUNTY DEPARTMENT OF PUBLIC HEALTH AND CAMARENA HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, ASSISTED WITH THE OUTREACH EFFORTS IN THEIR OWN COUNTY AND PROVIDED THE COMMUNITY SURVEY USED FOR THE CHNA. THE FOCUS GROUPS WERE ATTENDED BY HOSPITAL AND FACILITY STAFF, COMMUNITY LEADERS FROM NONPROFIT AND FAITH-BASED ORGANIZATIONS, ELECTED OFFICIALS, AND RESIDENTS. THESE SESSIONS WERE CONDUCTED PRIMARILY IN ENGLISH. FOCUS GROUPS COMPRISED OF PRIMARILY RESIDENTS, INCLUDING MOTHERS AND YOUTH, WERE CONDUCTED IN ENGLISH AND SPANISH. CHILDCARE WAS PROVIDED AT TWO OF THE FOCUS GROUPS.THE WORKGROUP IDENTIFIED APPROXIMATELY 95 INDIVIDUALS CONSIDERED TO BE KEY STAKEHOLDERS IN THE REGION WHO COULD PROVIDE A UNIQUE PERSPECTIVE ON THE HEALTH OF THE COMMUNITY, HEALTH CARE DELIVERY SYSTEMS IN PLACE, AND OVERALL CONDITIONS THAT INFLUENCE HEALTH BEHAVIORS. THEIR ORGANIZATIONS REPRESENTED CONSTITUENTS INCLUDING MEMBERS OF MEDICALLY UNDERSERVED POPULATIONS EXPERIENCING HEALTH DISPARITIES, OR THOSE AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED, OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS.CONSULTANTS CONTACTED EACH STAKEHOLDER, OFFERING TO CONDUCT PHONE OR IN-PERSON INTERVIEWS. THIRTY-SIX STAKEHOLDER INTERVIEWS WERE CONDUCTED BETWEEN JULY 20 AND SEPTEMBER 10, 2015. THEY INCLUDED LEADERS FROM THE FRESNO COUNTY HOUSING AUTHORITY, FRESNO COUNTY BEHAVIORAL HEALTH, CENTRAL CALIFORNIA CHILDREN'S INSTITUTE, STONE SOUP, KINGS COUNTY ACTION ORGANIZATION, PORTERVILLE HIGH SCHOOL, TULARE COUNTY HEALTH AND HUMAN SERVICES AGENCY, FRESNO CENTER FOR NEW AMERICANS, EVERY NEIGHBORHOOD PARTNERSHIP, VISALIA UNIFIED SCHOOL DISTRICT, POVERELLO HOUSE, YOUTH LEADERSHIP INSTITUTE, FRESNO DEPARTMENT OF PUBLIC HEALTH, CAMARENA HEALTH, AND MADERA PUBLIC HEALTH DEPARTMENT. THE FORMAT FOR THE INTERVIEWS WAS IDENTICAL TO THE FOCUS GROUP PROCESS.
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH:1. ADVENTIST HEALTH/ADVENTIST MEDICAL CENTER - HANFORD2. ADVENTIST MEDICAL CENTER - REEDLEY3. ADVENTIST MEDICAL CENTER - SELMA4. ADVENTIST MEDICAL CENTER - CENTRAL VALLEY GENERAL HOSPITAL5. CLOVIS COMMUNITY MEDICAL CENTER6. COALINGA REGIONAL MEDICAL CENTER7. COMMUNITY REGIONAL MEDICAL CENTER (INCLUDES COMMUNITY BEHAVIORAL HEALTH CENTER)8. FRESNO HEART & SURGICAL HOSPITAL9. KAISER PERMANENTE FRESNO MEDICAL CENTER10. KAWEAH DELTA HEALTH CARE DISTRICT11. MADERA COMMUNITY HOSPITAL12. SIERRA VIEW DISTRICT HOSPITAL13. VALLEY CHILDREN'S HEALTHCARE
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 6B: IN ORDER TO CONDUCT THE REGIONAL CHNA FOR FRESNO, KINGS, MADERA AND TULARE COUNTIES, HOSPITAL LEADERS FROM EACH COUNTY ENGAGED WITH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA TO FORM THE HOSPITAL COUNCIL COMMUNITY BENEFIT WORKGROUP.
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 11: IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER ADDRESSED FOUR OF THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA AS FOLLOWS:ACCESS TO CARE - PART OF SAINT AGNES MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE SERVICES WITH COMPASSION AND RESPECT, REGARDLESS OF RACE, CREED, SEX, AGE OR FINANCIAL STATUS. IN FISCAL YEAR 2018, THIS INCLUDED A CONTINUED COMMITMENT TO PROVIDE ACCESSIBLE SERVICES TO PATIENTS WHO HAD LIMITED OR NO RESOURCES TO PAY FOR CARE. SAINT AGNES MEDICAL CENTER'S FINANCIAL ASSISTANCE PROGRAM CONTINUED TO BE A RESOURCE TO ELIGIBLE PATIENTS WHO MET FINANCIAL GUIDELINES. STAFF WERE ALSO AVAILABLE TO ASSIST PATIENTS IN APPLYING FOR PUBLIC ASSISTANCE PROGRAMS OR TO ESTABLISH A MANAGEABLE MONTHLY PAYMENT PLAN. THE CENTRAL VALLEY SERVICE AREA IS DESIGNATED AS A "MEDICALLY UNDERSERVED" AREA. ACCORDING TO THE 2016 NEEDS ASSESSMENT, SAINT AGNES MEDICAL CENTER'S SERVICE AREA AVERAGES 48 PHYSICIANS PER 100,000 RESIDENTS, FAR FEWER THAN THE CALIFORNIA AVERAGE OF 72 PHYSICIANS. TO ADDRESS THIS DEFICIENCY, SAINT AGNES MEDICAL CENTER TOOK THE STEPS NEEDED TO BECOME A TEACHING HOSPITAL AND SUCCESSFULLY LAUNCHED AN INTERNAL MEDICAL RESIDENCY PROGRAM. IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER WELCOMED ITS INAUGURAL CLASS OF 16 RESIDENTS. COMMUNITY HEALTH WORKERS AT SAINT AGNES MEDICAL CENTER CONTINUED TO CONNECT PATIENTS AND COMMUNITY MEMBERS WHO ARE MEDICALLY VULNERABLE AND WHO FACE SOCIAL CHALLENGES WITH RESOURCES SUCH AS PRIMARY CARE, SPECIALTY CARE, INSURANCE ENROLLMENT, TRANSPORTATION, HOUSING AND OTHER SOCIAL RESOURCES. SAINT AGNES MEDICAL CENTER ALSO CONTINUED TO COLLABORATE WITH AND PROVIDE FINANCIAL SUPPORT TO COMMUNITY CLINICS AND OTHER SAFETY-NET PROVIDERS. EXAMPLES INCLUDE: - FULLY SUBSIDIZING HEALTH AND DENTAL SERVICES AT THE HOLY CROSS CLINIC- SUPPORTING AND COLLABORATING WITH PROGRAMS SERVING HOMELESS PATIENTS, INCLUDING THE RESCUE MISSION RESPITE CARE PROGRAM AND THE POVERELLO HOUSE, CATHOLIC CHARITIES, AND HOLY CROSS CENTER FOR WOMEN - PROVIDING EXPERTISE AND COUNSEL TO ADVISORY COMMITTEES FOR THE FRESNO UNIFIED SCHOOL DISTRICT (FUSD) HEALTH CARE PARTNERSHIP ADVISORY COUNCIL, AND FOR THE COMMUNITY CONVERSATIONS ON MENTAL HEALTH AND SUICIDE PREVENTION PROGRAM, IN ORDER TO IMPROVE THE INFRASTRUCTURE OF SAFETY-NET PROGRAMS. SAINT AGNES MEDICAL CENTER'S COLLABORATION WITH COMMUNITY BENEFIT ORGANIZATIONS WITHIN THE FRESNO SERVICE AREA CONTINUED TO BE AN IMPORTANT ELEMENT TO REDUCING BARRIERS FOR HEALTH CARE. IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER CONTINUED TO: - FACILITATE THE HEALTH PROFESSIONS EDUCATIONAL SUPPORT PROGRAM IN PARTNERSHIP WITH HIGHER EDUCATION INSTITUTIONS, - PARTICIPATE ON THE STEERING COMMITTEE FOR THE FRESNO COUNTY HEALTH IMPROVEMENT PARTNERSHIP (FCHIP), - ACT AS AN ADVISORY MEMBER OF THE CHILDREN'S MOVEMENT HEALTHCARE WORKGROUP, AND- CHAIR THE FCHIP'S HEALTH LITERACY WORKGROUP. SUPPORTING PATIENTS IN THE MANAGEMENT OF THEIR OWN HEALTH WAS ANOTHER KEY COMPONENT FOR SAINT AGNES MEDICAL CENTER'S ACCESS TO CARE STRATEGY. THESE EFFORTS INCLUDED: - OFFERING NO-COST PROGRAMS LIKE THE BETTER BREATHERS PROGRAM, SICKLE CELL PROGRAM, CANCER SUPPORT GROUPS, NEW MOM SUPPORT GROUP, AND CHRONIC DISEASE MANAGEMENT AND PREVENTION WORKSHOPS TO PATIENTS, THEIR FAMILIES AND COMMUNITY MEMBERS, AND - PROVIDING NO-COST BLOOD PRESSURE SCREENINGS AND DIABETES SCREENINGS IN THE COMMUNITY.DIABETES AND OBESITY - THE OCCURRENCE RATES OF DIABETES AND OBESITY IN SAINT AGNES MEDICAL CENTER'S PRIMARY FRESNO SERVICE AREA ARE HIGHER THAN THE CALIFORNIA STATE AVERAGE. MEDICARE BENEFICIARIES WITH DIABETES ARE 4.8% HIGHER ON AVERAGE AS COMPARED TO THE STATE, AND OBESITY RATES ARE 4.25% HIGHER. IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER CONTINUED ITS INVOLVEMENT AND SUPPORT FOR A COMMUNITY-CENTERED AND INTEGRATED FOCUS ON HEALTH, HEALTHY CHOICES, AND WELLNESS AND PREVENTION. THROUGH THESE INITIATIVES, SAINT AGNES MEDICAL CENTER ENGAGED RESIDENTS AND COLLABORATED WITH NEIGHBORHOOD-BASED ORGANIZATIONS, HEALTH CARE PROVIDERS, PUBLIC HEALTH, SAFETY-NET CLINICS, HEALTH EDUCATORS AND HEALTH PLANS. IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER: - FINANCIALLY SUPPORTED EXISTING DIABETES PREVENTION AND MANAGEMENT PROGRAMS, INCLUDING THE IMPLEMENTATION OF THE NATIONAL DIABETES PREVENTION PROGRAM, AND A DIABETES EDUCATION AND EMPOWERMENT PROGRAM, - PARTICIPATED AS ADVISORY MEMBERS OF THE FRESNO DIABETES COLLABORATIVE, WHICH PROVIDED TOOLS FOR DIABETES RISK ASSESSMENTS AND COORDINATED HEALTH SYMPOSIUMS FOR HEALTH PROFESSIONALS AND COMMUNITY MEMBERS, AND- PROVIDED FINANCIAL SUPPORT TO COMMUNITY-BASED NON-PROFITS TO AID IN THE DEVELOPMENT OF CURRICULUM AND TRAINING OF COMMUNITY HEALTH WORKERS TO INCREASE AWARENESS OF THE CORRELATION BETWEEN ORAL HEALTH AND DIABETES. SEVERAL FACTORS CONTRIBUTE TO THE HIGH RATES OF DIABETES AND OBESITY IN SAINT AGNES MEDICAL CENTER'S SERVICE AREA: POOR NUTRITION AND/OR LACK OF PHYSICAL ACTIVITY, POOR ACCESS TO CARE, AND POOR HEALTH LITERACY. SAINT AGNES MEDICAL CENTER INCREASED ACCESS TO CULTURALLY COMPETENT, HIGH-QUALITY DIABETES MANAGEMENT EDUCATION FOR LOW-INCOME INDIVIDUALS. THESE EFFORTS INCLUDED: - CONTINUED SUPPORT AND OFFERINGS OF HEALTHIER YOU WORKSHOPS TO PROVIDE CHRONIC DISEASE SELF-MANAGEMENT HEALTH EDUCATION IN BOTH ENGLISH AND SPANISH LANGUAGES TO COMMUNITY MEMBERS AT NO COST, - CONTINUED CROSS-TRAINING FOR COMMUNITY PARTNER ORGANIZATIONS AND COMMUNITY RESIDENTS AS "LAY LEADER" FACILITATORS OF THE HEALTHIER YOU PROGRAM, - EXPANDING THE USE OF CARE COORDINATORS AND COMMUNITY HEALTH WORKERS TO PROVIDE ASSISTANCE IN GUIDING INDIVIDUALS THROUGH SOCIAL SUPPORT SYSTEMS AND AVAILABLE RESOURCES TO INCREASE CONSUMPTION OF FRESH FRUITS AND VEGETABLES, AND- OFFERING THE HOLY CROSS CENTER FOR WOMEN'S "JUNIOR VOLUNTEER PROGRAM" DURING SUMMER VACATION MONTHS TO KEEP CHILDREN AND FAMILIES ENGAGED IN HEALTHY ACTIVITIES. ORAL HEALTH - SAINT AGNES MEDICAL CENTER'S SERVICE AREA RANKS BELOW THE STATE OF CALIFORNIA AVERAGES IN SEVERAL AREAS RELATED TO ORAL HEALTH. THE PERCENT OF ADULTS WITH POOR DENTAL HEALTH IS 13.1% AS COMPARED TO 11.3% FOR THE STATE OF CALIFORNIA; THE PERCENT OF ADULTS WITH NO DENTAL EXAM IS 35.27% AS COMPARED TO 30.5% FOR THE STATE OF CALIFORNIA; AND THE PERCENT OF CHILDREN AGED 2-11 WHO SAW A DENTIST 6-12 MONTHS AGO IS 16.6% AS COMPARED TO 3.9% FOR THE STATE OF CALIFORNIA.ACTIONS TAKEN BY SAINT AGNES MEDICAL CENTER TO ADDRESS ORAL HEALTH INCLUDED:- PROMOTING AND STAFFING THE HOLY CROSS CLINIC DENTAL CLINIC TO PROVIDE ACCESS TO CARE TO LOW-INCOME, UNINSURED, AND UNDERINSURED POPULATIONS,- PROVIDING ORAL HEALTH EDUCATION, - OFFERING PREVENTATIVE ORAL HEALTH SERVICES TO ALL IN NEED REGARDLESS OF ABILITY TO PAY, AND - PROVIDING FINANCIAL SUPPORT TO COMMUNITY-BASED NON-PROFITS TO AID IN THE DEVELOPMENT OF CURRICULUM AND TRAINING OF COMMUNITY HEALTH WORKERS TO INCREASE AWARENESS OF THE CORRELATION BETWEEN ORAL HEALTH AND DIABETES. SAINT AGNES MEDICAL CENTER ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND/OR WITHIN ITS ABILITY TO INFLUENCE. SAINT AGNES MEDICAL CENTER WILL REMAIN ENGAGED IN COMMUNITY COALITIONS, COLLABORATIVE WORK AND INITIATIVES TO OFFER INSIGHT AND SUPPORT AS APPROPRIATE. ADDITIONALLY, SAINT AGNES MEDICAL CENTER WILL CONTINUE TO ANALYZE AND IMPLEMENT BEST PRACTICES AND WILL CONTINUE TO PROVIDE RESOURCES FOR PATIENTS, BUT DUE TO COMPETING PRIORITIES WHICH SAINT AGNES MEDICAL CENTER HAS THE EXPERTISE TO INFLUENCE, THE FOLLOWING NEEDS WILL NOT BE SPECIFICALLY ADDRESSED: - BREATHING PROBLEMS (ASTHMA) - MENTAL HEALTH- MATERNAL AND INFANT HEALTH - INFANT MORTALITY & PREMATURE BIRTHS OR TEEN/UNINTENDED PREGNANCY - SUBSTANCE ABUSE - CARDIO VASCULAR DISEASE (CVD)/STROKE (HYPERTENSION) - VIOLENCE AND INJURY PREVENTION
SAINT AGNES MEDICAL CENTERPART 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.
SAINT AGNES MEDICAL CENTERPART V, SECTION B, LINE 16J: THE FOLLOWING ORGANIZATIONS RECEIVED THE PLAIN LANGUAGE SUMMARY OF THE FAP: POVERELLO HOUSE, THE MEXICAN CONSULATE, READING AND BEYOND, THE UNITED WAY, CENTRO LA FAMILIA, FIRST 5 FRESNO COUNTY, FRESNO RESCUE MISSION, AND FRESNO COMMUNITY FOOD BANK.
SAINT AGNES MEDICAL CENTER:PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SAINT AGNES NORTHWEST LABORATORY
4770 W HERNDON AVEFRESNOCA93722LAB
2 - SAINT AGNES PEACHWOOD LABORATORY
275 W HERNDON AVECLOVISCA93612LAB (THROUGH 12/31/17)
3 - HOLY CROSS CENTER FOR WOMEN
421 F STREETFRESNOCA93706DAYTIME SHELTER FOR WOMEN AND CHILDREN
4 - HOLY CROSS CLINIC AT POVERELLO HOUSE
412 F STREETFRESNOCA93706MEDICAL/DENTAL FOR THE INDIGENT

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:SAINT AGNES MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF CALIFORNIA. IN ADDITION, SAINT AGNES MEDICAL CENTER 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, SAINT AGNES MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):THE FOLLOWING NUMBER, $7,331,224, 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 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:SAINT AGNES MEDICAL CENTER 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, SAINT AGNES MEDICAL CENTER IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT AGNES MEDICAL CENTER IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:SAINT AGNES MEDICAL CENTER 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:SAINT AGNES MEDICAL CENTER 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 - IN ADDITION TO THE CHNA, SAINT AGNES MEDICAL CENTER CONTINUALLY 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, PATIENT DATA, PUBLIC HEALTH DATA, PUBLISHED COUNTY HEALTH RANKINGS, MARKET STUDIES, AND OTHER REPORTS ARE ANALYZED ON A REGULAR BASIS TO HELP DETERMINE TRENDS AND EMERGING HEALTH NEEDS FOR THE SERVICE AREA. ONGOING PARTICIPATION IN LOCAL AREA STAKEHOLDER MEETINGS, COMMUNITY ROUNDTABLES AND HEALTH STRATEGY FORUMS ALLOW FOR ALIGNMENT WITH LOCAL COMMUNITY-BASED ORGANIZATIONS AND STRATEGIES.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT AGNES MEDICAL CENTER 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. SAINT AGNES MEDICAL CENTER 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. SAINT AGNES MEDICAL CENTER HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT AGNES MEDICAL CENTER 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 - SAINT AGNES MEDICAL CENTER DEFINES THE COMMUNITY SERVED AS THOSE INDIVIDUALS RESIDING WITHIN ITS HOSPITAL SERVICE AREA WITHOUT EXCLUSION OF LOW-INCOME OR UNDERSERVED POPULATIONS. SAINT AGNES MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE MAJORITY OF FRESNO AND PORTIONS OF MADERA COUNTIES. THE REMAINDER OF FRESNO AND MADERA COUNTIES, AS WELL AS PORTIONS OF KINGS AND TULARE COUNTIES, COMPRISES THE SECONDARY SERVICE AREA OF SAINT AGNES MEDICAL CENTER. A TOTAL OF 1,109,936 PEOPLE LIVE WITHIN SAINT AGNES MEDICAL CENTER'S PRIMARY FRESNO AND MADERA SERVICE AREA, WHICH COVERS 8,095.92 SQUARE MILES ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2011-15 5-YEAR ESTIMATES. THE CITY OF FRESNO IS THE LARGEST OF THE CITIES IN FRESNO COUNTY. MADERA COUNTY IS THE FURTHEST NORTH OF ALL FOUR COUNTIES, WITH THE LARGEST CITY BEING MADERA. A TOTAL OF 605,031 PEOPLE LIVE IN KINGS AND TULARE COUNTIES. THE COUNTIES FACE MANY CHALLENGES. AMONG 58 CALIFORNIA COUNTIES, FRESNO COUNTY RANKED 52ND, MADERA RANKED 45TH, TULARE RANKED 50TH, AND KINGS COUNTY RANKED 37TH IN HEALTH OUTCOMES, AS REPORTED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE. THE DATA INCLUDES PREMATURE BIRTHS AND DEATHS, LOW BIRTH WEIGHTS, ACCESS TO EXERCISE ACTIVITIES, OBESITY, PHYSICIAN-TO-RESIDENT RATIO, RATE OF UNINSURED RESIDENTS, AND NUMEROUS OTHER FACTORS. ECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS.POVERTY IS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH BECAUSE THE ABSENCE OF ECONOMIC RESOURCES IMPACTS HOUSING CHOICES, FOOD OPTIONS, AND OVERALL LIFESTYLE CHOICES. WITHIN SAINT AGNES MEDICAL CENTER'S PRIMARY SERVICE AREA, NEARLY 51% OF RESIDENTS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), AND SLIGHTLY MORE THAN 54% OF TULARE AND KINGS LIVE BELOW 200% FPL. THE AREA'S UNEMPLOYMENT RATE IS CONSISTENTLY ABOVE THE NATIONAL AND STATE RATES. TOTAL UNEMPLOYMENT WITHIN THE PRIMARY SERVICE AREA FOR THE CURRENT MONTH WAS 46,407, OR 9.1% OF THE CIVILIAN NON-INSTITUTIONALIZED POPULATION AGE 16 AND OLDER (NON-SEASONALLY ADJUSTED). TULARE AND KINGS UNEMPLOYMENT RATE IS SLIGHTLY HIGHER AT 10.5%. PER CAPITA INCOME RANGES FROM $17,970 IN MADERA COUNTY TO $20,408 IN FRESNO COUNTY, WHICH IS SUBSTANTIALLY LOWER THAN THE CALIFORNIA AVERAGE OF $30,318. SAINT AGNES MEDICAL CENTER'S SERVICE AREA AS A WHOLE IS AN AREA OF IMMENSE NEED, WITH FEWER HEALTH RESOURCES THAN THE REST OF THE STATE. IT IS A REGION OF GREAT DIVERSITY, WITH BOTH URBAN AND RURAL POPULATIONS, AND MANY IMMIGRANTS. THE ESTIMATED POPULATION THAT IS OF HISPANIC, LATINO, OR SPANISH ORIGIN IS 942,307. THIS REPRESENTS 54.95% OF THE TOTAL REPORT AREA POPULATION, WHICH IS GREATER THAN THE NATIONAL RATE OF 17.13%.THE DIVERSITY OF THE REGION IS REFLECTED IN THE WIDE RANGE OF LANGUAGES SPOKEN IN EACH COUNTY. LESS THAN 20% OF THE POPULATION OVER AGE 5 HAS A LIMITED ENGLISH PROFICIENCY, AND NEARLY 10% IS LINGUISTICALLY ISOLATED. WITHIN SAINT AGNES MEDICAL CENTER'S SERVICE AREA, NEARLY 84% OF RESIDENTS WITH LIMITED ENGLISH PROFICIENCY SPEAK SPANISH; 10.35% SPEAK ASIAN OR PACIFIC ISLAND LANGUAGES, AND 4.86% SPEAK INDO-EUROPEAN LANGUAGES. EDUCATION OR EDUCATIONAL ATTAINMENT IS STRONGLY LINKED TO HEALTH OUTCOMES; A 25-YEAR-OLD IN THE UNITED STATES WITHOUT A HIGH SCHOOL DIPLOMA TODAY WILL DIE NINE YEARS SOONER THAN A COLLEGE GRADUATE. PEOPLE WITH MORE EDUCATION LIVE LONGER, EXPERIENCE BETTER HEALTH OUTCOMES AND TEND TO PRACTICE HEALTH-PROMOTING BEHAVIORS (I.E. GETTING REGULAR EXERCISE, REFRAINING FROM SMOKING, OR GETTING TIMELY MEDICAL CHECKUPS, IMMUNIZATIONS OR SCREENINGS). UNFORTUNATELY, OVER A QUARTER OF THE POPULATION IN MADERA AND FRESNO, AND MORE THAN 30% IN TULARE AND KINGS COUNTIES, LACK A HIGH SCHOOL DIPLOMA. WITHIN EACH COUNTY, LESS THAN 20% OF THE POPULATION HAVE A BACHELOR'S DEGREE COMPARED TO 31.43% OF CALIFORNIA AS A WHOLE. MADERA COUNTY'S BACHELOR'S DEGREE RATE IS 13.34%, WHICH IS SUBSTANTIALLY LOWER THAN THE STATE'S RATE. ANOTHER FACTOR IMPACTING SAINT AGNES MEDICAL CENTER'S PRIMARY SERVICE AREA AS A WHOLE IS THE LOW RATE OF PRIMARY CARE PHYSICIANS IN THE REGION, AND CONSEQUENTLY, A HIGH RANGE OF THE POPULATION LIVES WITHIN A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). ANOTHER FACTOR THAT EXACERBATES ACCESS TO CARE IS THE HIGH RATE OF ADULTS AND CHILDREN THAT LACK INSURANCE. THESE FACTORS IMPACT RATES OF PREVENTABLE HOSPITALIZATIONS, POTENTIAL YEARS OF LIFE LOST, AND THE NUMBER OF PEOPLE WHO DO NOT RECEIVE PREVENTATIVE CARE. THE NUMBER OF PRIMARY CARE PHYSICIANS PER 100,000 POPULATION IN FRESNO AND MADERA COUNTIES IS 67.9, WHICH IS LOWER THAN THE STATE'S RATE OF 86.7. TULARE AND KINGS COUNTIES ARE EVEN LOWER AT 47.2 PER 100,000. MORE THAN 16% OF FRESNO AND MADERA AND 14.79% OF TULARE AND KINGS COUNTY RESIDENTS ARE UNINSURED, HIGHER THAN CALIFORNIA'S RATE OF 14.7%. A COMMUNITY'S HEALTH IS ALSO AFFECTED BY THE PHYSICAL ENVIRONMENT. A SAFE, CLEAN ENVIRONMENT THAT PROVIDES ACCESS TO HEALTHY FOOD AND RECREATIONAL OPPORTUNITIES IS IMPORTANT TO MAINTAINING AND IMPROVING COMMUNITY HEALTH. ACCORDING TO THE CENTERS FOR DISEASE CONTROL, THE PERCENTAGE OF DAYS WITH PARTICULATE MATTER 2.5 LEVELS ABOVE THE NATIONAL AMBIENT AIR QUALITY STANDARD (35 MICROGRAMS PER CUBIC METER) PER YEAR IN THE SERVICE AREA AS A WHOLE WAS NEARLY FOUR TIMES HIGHER THAN THE STATE. ADDITIONALLY, MORE THAN 500,000 RESIDENTS HAVE LIMITED ACCESS TO SUPERMARKETS, SUPERCENTERS, GROCERY STORES, OR OTHER SOURCES OF HEALTHY AND AFFORDABLE FOOD.
PART VI, LINE 5:OTHER INFORMATION - IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER CONTINUED TO PROMOTE HEALTH IN THE COMMUNITY THROUGH A VARIETY OF ACTIVITIES AND INVOLVEMENT. THEY INCLUDED THE FOLLOWING: WORKFORCE DEVELOPMENT - SAINT AGNES MEDICAL CENTER IS LOCATED IN A HEALTH PROFESSIONS SHORTAGE AREA AND THEREFORE 100% OF ITS SERVICE AREA IS DEFINED AS "MEDICALLY UNDERSERVED."IN FISCAL YEAR 2018, SAINT AGNES EMBARKED ON BECOMING A TEACHING HOSPITAL AND SUCCESSFULLY LAUNCHED AN INTERNAL MEDICAL RESIDENCY PROGRAM, WELCOMING ITS INAUGURAL CLASS OF 16 RESIDENTS.SAINT AGNES CONTINUED TO MAKE IT A PRIORITY TO SUPPORT HEALTH PROFESSION EDUCATION FOR NURSING STUDENTS AND OTHER PROFESSIONS, INCLUDING, BUT NOT LIMITED TO, RADIOLOGY TECHNICIANS, SURGERY TECHNICIANS, PARAMEDICS, AND SOCIAL WORKERS. ADDITIONALLY, SAINT AGNES MEDICAL CENTER PARTICIPATED IN THE HEALTH CARE CAREER PATHWAY INITIATIVE AND PROVIDED EXPERTISE TO FRESNO UNIFIED SCHOOL DISTRICT'S CAREER TECHNICAL EDUCATION PROGRAM. HOMELESSNESS - SAINT AGNES MEDICAL CENTER CONTINUED TO PLAY A CRITICAL ROLE IN EFFORTS TO END HOMELESSNESS BY FINANCIALLY SUPPORTING AND SERVING ON THE BOARD OF FRESNO FIRST STEPS HOME, A HOUSING FIRST MODEL THAT LAUNCHED IN 2011 AND IS CHAMPIONED BY FRESNO MAYOR LEE BRAND. SAINT AGNES MEDICAL CENTER CONTINUED ITS SUPPORT OF THE MULTI-AGENCY PARTNERSHIP (MAP) PROGRAM BY PROVIDING STAFF AND THROUGH PARTICIPATION ON ITS ADVISORY COUNCIL. MAP IS DESIGNED TO PROVIDE HOUSING ASSISTANCE, MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, AND OTHER SOCIAL NEEDS THROUGH ONE COORDINATED ENTRY POINT. SAINT AGNES MEDICAL CENTER CONTINUED TO FINANCIALLY SUBSIDIZE THE HOLY CROSS CENTER FOR WOMEN, WHICH SERVES VULNERABLE WOMEN AND CHILDREN IN THE COMMUNITY. MANY WOMEN WHO ARE SERVED BY THE CENTER ARE HOMELESS AND ARE PROVIDED MEALS, A PLACE TO SHOWER, AND SAFE REFUGE. COMMUNITY TRANSFORMATION - THE FRESNO COUNTY HEALTH IMPROVEMENT PARTNERSHIP (FCHIP) IS A COUNTY-WIDE EFFORT TO IMPLEMENT POLICIES, SYSTEMS, AND ENVIRONMENTS TO IMPROVE HEALTH. IN ADDITION TO PROVIDING STAFF FOR ITS STEERING COMMITTEE AND TO PARTICIPATE IN THE DIABETES WORKGROUP AND TO LEAD THE HEALTH LITERACY WORKGROUP, THE INITIATIVE RECEIVED FINANCIAL SUPPORT FOR INFRASTRUCTURE DEVELOPMENT AND TO ASSIST WITH THE HIRING OF A PROGRAM DIRECTOR TO FACILITATE THE WORK OF THE PARTNERSHIP. PARTNERED WITH THE DEPARTMENT OF PUBLIC HEALTH, FCHIP SUCCESSFULLY DEVELOPED AND MADE AVAILABLE TO THE PUBLIC A WEB-BASED HEALTH PRIORITY INDEX (HPI) PLATFORM TO HELP INFORM INTERVENTIONS, INFRASTRUCTURE PLANNING, AND RESOURCE ALLOCATION WITHIN FRESNO COUNTY. FRESNO UNIFIED SCHOOL DISTRICT UTILIZED THE HPI AS ONE CRITERIA IN CHOOSING FUTURE SCHOOL-BASED HEALTH CLINICS. THE FCHIP STEERING COMMITTEE ALSO PARTNERED WITH THE PUBLIC HEALTH INSTITUTE AND THE CALIFORNIA ACCOUNTABLE COMMUNITIES FOR HEALTH (CACHI) TO BUILD ITS CAPACITY TO COLLABORATE, ALIGN, AND LEVERAGE RESOURCES. A STRATEGIC PLAN PROCESS FOCUSED FCHIP'S EFFORTS ON INFRASTRUCTURE AND THE FOLLOWING WORK GROUPS: DIABETES COLLABORATIVE, LAND USE AND PLANNING, HEALTH LITERACY AND EMPOWERMENT, TOBACCO COALITION, AND FOOD SECURITY. SAINT AGNES ALSO PROVIDED FINANCIAL SUPPORT IN FISCAL YEAR 2018 TO SAINTS REST COMMUNITY ECONOMIC DEVELOPMENT CORP. FOR THE DEVELOPMENT OF A GREEN SPACE PROJECT THAT WILL INCLUDE A COMMUNITY ACTIVITY CENTER, BIKE PATHS, AND A PLAYGROUND. THE PROJECT IS DESIGNED TO SERVE AN AREA OF FRESNO WHOSE RESIDENTS ARE LOW-INCOME. TOBACCO - SMOKE FREE - SAINT AGNES MEDICAL CENTER IS DEDICATED TO POLICY AND SYSTEMS CHANGE EFFORTS THAT POSITIVELY IMPACT THE HEALTH AND WELL-BEING OF RESIDENTS WITHIN OUR SERVICE AREA. AS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST HEALTH CARE SYSTEMS IN THE UNITED STATES, SAINT AGNES MEDICAL CENTER PARTICIPATED IN A REVIEW OF ITS EXISTING TOBACCO-FREE CAMPUS AND HEALTHY VENDING MACHINE POLICIES AND PRACTICES. THE OBJECTIVE OF THESE EFFORTS WAS TO STRENGTHEN THE EXISTING POLICY TO KEEP UP WITH NEW TOBACCO PRODUCT MARKETING (E-CIGARETTES, VAPORIZERS, ETC.). SAINT AGNES MEDICAL CENTER'S EFFORTS EXTENDED BEYOND ITS OWN CAMPUS WITH FINANCIAL SUPPORT PROVIDED TO THE YOUTH LEADERSHIP INSTITUTE. THE INSTITUTE TRAINS YOUTH TO ADVOCATE AND MAKE SIGNIFICANT IMPACTS ON LOCAL TOBACCO ISSUES RELATED TO STOREFRONT ADVERTISING AND SMOKE-FREE PARKS. AS A RESULT OF THEIR WORK, THE CITY OF SELMA ADOPTED A NEW, MORE RESTRICTIVE CODE RELATED TO SMOKE-FREE PUBLIC EVENTS THROUGHOUT THE CITY. IN ADDITION TO SUPPORTING COMMUNITY CHANGE, SAINT AGNES MEDICAL CENTER SUPPORTS INDIVIDUAL CHANGE FOR HEALTHIER LIFESTYLES. RESPIRATORY THERAPISTS RECEIVED TRAINING TO FACILITATE WORKSHOPS IN PARTNERSHIP WITH THE AMERICAN LUNG ASSOCIATION. THE FREEDOM FROM SMOKING PROGRAM PROVIDES PATIENTS AND COMMUNITY RESIDENTS THE TOOLS AND SKILLS NECESSARY TO SUCCESSFULLY QUIT TOBACCO USAGE. THESE PROGRAMS ARE OFFERED FREE OF CHARGE TO ALL PARTICIPANTS. BABY-FRIENDLY - IN FISCAL YEAR 2018, SAINT AGNES MEDICAL CENTER JOINED BABY-FRIENDLY USA, UNICEF, AND THE WORLD HEALTH ORGANIZATION IN PROMOTING OPTIMAL INFANT NUTRITION AND MOTHER-BABY BONDING BY PROMOTING THE TEN STEPS OF SUCCESSFUL BREASTFEEDING. AS A RESULT, SAINT AGNES MEDICAL CENTER BECAME THE ONLY BABY-FRIENDLY DESIGNATED HOSPITAL IN FRESNO COUNTY. COMMUNITY SUPPORT - THE LEADERSHIP TEAM AT SAINT AGNES MEDICAL CENTER CONTINUED TO PROVIDE TIME AND EXPERTISE TO SUPPORT NEARLY 30 LOCAL COMMUNITY BOARDS. SAINT AGNES MEDICAL CENTER ALSO CONTINUED TO SPONSOR COMMUNITY-BASED ORGANIZATIONS' MISSION TO HEALTH AND WELLNESS.
PART VI, LINE 6:SAINT AGNES MEDICAL CENTER 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.
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
AMERICAN HEART ASSOCATION
7425 N PALM BLUFFS AVE 101FRESNOCA93711135613797501(C)(3)$15,000SPONSORSHIP/DONATION
CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION
4910 N CHESTNUT AVEFRESNOCA93726946003272501(C)(3)$275,000SUPPORT MOBILE HEALTH CLINIC AND SPONSORSHIP
CENTRAL CALIFORNIA WOMEN'S CONFERENCE
PO BOX 3187TURLOCKCA95381770178140501(C)(3)$20,000SPONSORSHIP/DONATION
FRESNO MADERA MEDICAL SOCIETY
255 W FALLBROOK AVE 104FRESNOCA93711941115551501(C)(6)$5,000SPONSORSHIP/DONATION
POVERELLO HOURSE
412 F STREETFRESNOCA93706770007985501(C)(3)$7,877SPONSORSHIP/DONATION
MARJAREE MASON CENTER
1600 M STREETFRESNOCA93721941156639501(C)(3)$10,000SPONSORSHIP/DONATION
FRESNO FIRST STEPS HOME
2600 FRESNO STFRESNOCA93721272531998501(C)(3)$20,000SPONSORSHIP/DONATION
FRESNO PHILHARMONIC ASSOCIATION
2377 W SHAW AVE 101FRESNOCA93711941309738501(C)(3)$5,000SPONSORSHIP/DONATION
CLINICAL PASTORAL EDUCATION OF CENTRAL CALIFORNIA
1303 E HERNDON AVE 965FRESNOCA93720262859810501(C)(3)$49,996SPONSORSHIP/DONATION
CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO
149 N FULTON STREETFRESNOCA93701941678938501(C)(3)$15,000SPONSORSHIP/DONATION
FOUNDATION FOR CLOVIS SCHOOLS
1450 HERNDON AVECLOVISCA93611770140576501(C)(3)$10,000SPONSORSHIP/DONATION
TURNING POINT OF CENTRAL CALIFORNIA
PO BOX 7447VISALIACA932907447941719862501(C)(3)$5,000SPONSORSHIP/DONATION
CALIFORNIA HEALTH COLLABORATIVE
1680 W SHAW AVEFRESNOCA93711942862660501(C)(3)$12,500SPONSORSHIP/DONATION
YOUTH LEADERSHIP INSTITUTE
940 HOWARD STSAN FRANCISCOCA94103680184712501(C)(3)$7,500SPONSORSHIP/DONATION
EVERY NEIGHBORHOOD PARTNERSHIP
2044 E NEES AVEFRESNOCA93720870814198501(C)(3)$21,274SPONSORSHIP/DONATION
FRESNO COUNTY ECONOMIC OPPORTUNITIES COMMISSION
1920 MARIPOSA MALL 330FRESNOCA93721941606519501(C)(3)$25,000SPONSORSHIP/DONATION
SAINTS REST COMMUNITY ECONOMIC DEVELOPMENT CORP
1550 E REV CHESTER RIGGINS AVEFRESNOCA93706300409593501(C)(3)$25,000SPONSORSHIP/DONATION
WESTCARE CALIFORNIA INC
1505 N CHESTNUTFRESNOCA93703237368450501(C)(3)$250,000SPONSORSHIP/DONATION
MEDICAL MINISTRIES INTERNATIONAL
1004 SAN JOSE AVE 122CLOVISCA93612770498274501(C)(3)MEDICAL SUPPLIES$299,241COSTMEDICAL SUPPLIES
TRINITY HOME HEALTH SERVICES
17410 COLLEGE PARKWAY 150LIVONIAMI48152382621935501(C)(3)$3,650,240COMMUNITY WELFARE
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (8 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
HOUSING/IN HOME CARE11$10,692COSTTEMPORARY HOUSING & ASSISTED LIVING
PHARMACEUTICALS119$38,323COSTPRESCRIPTION DRUGS
FUNERAL EXPENSES8$1,513COSTFUNERAL EXPENSES
MEDICAL EQUIPMENT & SUPPLIES33$5,055COSTMEDICAL EQUIPMENT & SUPPLIES
HEALTH INSURANCE/COBRA2$2,301COSTHEALTH INSURANACE / COBRA
FOOD VOUCHERS572$36,000COSTFOOD VOUCHERS
TRANSPORTATION VOUCHERS2349$187,686COSTTRANSPORTATION VOUCHERS
DURABLE MEDICAL EQUIPMENT77$13,172COSTDURABLE MEDICAL EQUIPMENT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS MADE BY SAINT AGNES MEDICAL CENTER 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 (17 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
NANCY HOLLINGSWORTH
DIRECTOR; PRESIDENT & CEO$0$485,629$0$104,316$0$200,854$0$20,250$0$29,561$0$840,610$0$66,053
SHERI SHAPIRO
DIRECTOR; SVP MARKETING/ACQUISITION$0$426,748$0$163,245$0$13,553$0$118,424$0$27,989$0$749,959$0$0
RICK WOLF
SECRETARY; GENERAL COUNSEL$0$269,385$0$29,316$0$2,498$0$12,150$0$23,313$0$336,662$0$0
MICHAEL PRUSAITIS
CHIEF FINANCIAL OFFICER & TREASURER$0$310,460$0$38,453$0$16,500$0$12,150$0$24,400$0$401,963$0$0
STACY VAILLANCOURT
CHIEF ADMINISTRATIVE OFFICER$0$285,800$0$36,137$0$8,657$0$12,150$0$17,862$0$360,606$0$0
W EUGENE EGERTON MD
CHIEF MEDICAL OFFICER$0$422,279$0$42,700$0$49,420$0$12,150$0$6,186$0$532,735$0$0
KIMBERLY MEEKER
CHIEF OPER OFFICER/CHIEF NURSE EXEC$0$255,519$0$26,775$0$41,395$0$12,150$0$17,283$0$353,122$0$0
GERALD MARGOSIAN
COORD. PHARM. OPERATIONS$317,122$0$0$0$25,430$0$20,250$0$26,212$0$389,014$0$0$0
MICHAEL FREUDIGER
CHARGE PHARMACIST$318,083$0$1,000$0$13,238$0$12,150$0$8,725$0$353,196$0$0$0
JOHN FRYE JR
DIRECTOR ORGANIZATION PERFORMANCE$277,204$0$0$0$4,979$0$16,200$0$19,102$0$317,485$0$0$0
DEBORA CHAPPELL
VP CLINICAL SERVICES THROUGH 8/17$137,246$0$0$0$126,935$0$161,700$0$18,760$0$444,641$0$0$0
SHERMAN KONG
PHARMACIST$230,547$0$0$0$14,467$0$18,380$0$911$0$264,305$0$0$0
MARK BATEMAN
FORMER OFFCR; INT VP, SMPG THR 7/17$0$133,000$0$25,000$0$0$0$112$0$0$0$158,112$0$0
RICHARD O'CONNELL
FORMER KEY EMPLOYEE; TRINITY EVP$0$31,633$0$193,351$0$655,879$0$7,059$0$9,566$0$897,488$0$0
STEPHEN SOLDO MD
FORMER KE; SVC LINE LEADER THR 7/17$11,012$0$0$0$91,914$0$1,667$0$9,466$0$114,059$0$0$0
TONI KAZARIAN
FORMER KE; DIR PATIENT LOGISTICS$188,262$0$0$0$12,861$0$15,266$0$18,848$0$235,237$0$0$0
JONATHAN FELTON
FORMER KEY EMPLOYEE$0$33,129$0$0$0$187,668$0$389$0$13,230$0$234,416$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SAINT AGNES MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT AGNES MEDICAL CENTER'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT AGNES MEDICAL CENTER'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2017. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DEBORA CHAPPELL - $76,668 JONATHAN FELTON - $158,101 RICHARD O'CONNELL - $448,968 STEPHEN SOLDO - $69,000 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $147,306 OF SEVERANCE FOR DEBORA CHAPPELL WHICH WAS UNPAID AS OF 12/31/17. THE $147,306 WAS PAID AND INCLUDED IN HER TAXABLE INCOME IN 2018. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2017, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2017. THE FOLLOWING PAYOUTS FOR 2017 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NANCY HOLLINGSWORTH - $105,188 RICHARD O'CONNELL - $202,294 THE FOLLOWING ACCRUAL FOR 2017 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: SHERI SHAPIRO - $106,274 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($270,000 FOR 2017). THE FOLLOWING PAYOUT FOR 2017 FOR THESE PLANS IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: NANCY HOLLINGSWORTH - $71,308 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SAINT AGNES MEDICAL PROVIDERS INC (SAMP)
W.E. EGERTON, KEY EMPLOYEE, WAS THE SOLE STOCKHOLDER OF SAMP IN FY18$808,250PAYMENTS MADE BY SAINT AGNES MEDICAL CENTER TO SAMP FOR PHYSICIAN SERVICES.0
KELSEY VAILLANCOURT
FAMILY MEMEMBER OF STACY VAILLANCOURT, KEY EMPLOYEE$33,806EMPLOYMENT0
(no name)
0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$501,899NoncashContributionsRptF990Amt
Method Of Determining RevenuesCLOSING VALUE - TSFRMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)AUCTION ITEMS138$153,883DONOR VALUE
Yes (X)MISCELLANEOUS4$1,217DONOR VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 32B:SAINT AGNES MEDICAL CENTER ENTERED INTO AN AGREEMENT WITH THE GAVEL GROUP TO SOLICIT AUCTION ITEMS FOR FOUNDATION EVENTS.
PART I, LINE 33:SAINT AGNES MEDICAL CENTER RECEIVED GIFT-IN-KIND DONATIONS IN SUPPORT OF FUNDRAISING EVENTS. THESE DONATIONS ARE PRIMARILY AUCTION ITEMS, AND THE REVENUE FOR THESE ITEMS IS NOT RECORDED UNLESS THE ITEMS ARE SOLD DURING THE AUCTION. ITEMS THAT DO NOT SELL AT THE AUCTION ARE RETURNED TO THE DONOR. DONATED SUPPLIES ARE ALSO RECEIVED FOR THE FUNDRAISING EVENTS AND ARE RECORDED AT FAIR MARKET VALUE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ATRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT AGNES MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, THE FORM 990 FOR SAINT AGNES MEDICAL CENTER IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD. 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 12CSAINT AGNES MEDICAL CENTER 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 SAINT AGNES MEDICAL CENTER, 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 SAINT AGNES MEDICAL CENTER 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 SAINT AGNES MEDICAL CENTER (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT AGNES MEDICAL CENTER OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT AGNES MEDICAL CENTER (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 SAINT AGNES MEDICAL CENTER. 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 15QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT AGNES MEDICAL CENTER IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF SAINT AGNES MEDICAL CENTER 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 19SAINT AGNES MEDICAL CENTER 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, SAINT AGNES MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT AGNES MEDICAL CENTER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER TO AFFILIATE -15,890,988. TRANSFER TO AFFILIATE (SAMF) FOR OPERATING EXPENSES -10,200,000. CHANGE IN EQUITY OF UNCONSOLIDATED AFFILIATES -437,370.
FORM 990, PART XII, LINE 2:SAINT AGNES MEDICAL CENTER'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 CORPYes (1)
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
1500 FOREST GLEN ROADSILVER SPRINGMD20910208428450FOUNDATIONMD501(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 CORPORATION0
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
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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)
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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)
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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)
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301 PROSPECT AVENUESYRACUSENY13203222149775FOUNDATIONNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
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301 PROSPECT AVENUESYRACUSENY13203273899821HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
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301 PROSPECT AVENUESYRACUSENY13203161516863HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
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1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502TITLE HOLDING COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
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1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232567468FOUNDATIONPA501(C)(3)LINE 7ST MARY MEDICAL CENTERYes (1)
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1230 BAXTER STREETATHENSGA30606020576648SENIOR LIVING COMMUNITYGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
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445 NEW KARNER RDALBANYNY12205222692940FOUNDATIONNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
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445 NEW KARNER RDALBANYNY12205141608921HOSPICE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
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310 SOUTH MANNING BLVDALBANYNY12208222743478FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
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114 WOODLAND STREETHARTFORDCT06105060660403VOLUNTEER SERVICE AUXILIARYCT501(C)(3)LINE 12B, II0N/A
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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 RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT AGNES MEDICAL FOUNDATION
A$1,348,265PER BOOKS
SAINT AGNES MEDICAL FOUNDATION
B$10,200,000PER BOOKS
SAINT AGNES MEDICAL FOUNDATION
Q$1,323,012PER BOOKS
TRINITY HOME HEALTH SERVICES
B$3,650,240PER BOOKS
TRINITY HEALTH CORPORATION
B$15,890,988PER BOOKS
TRINITY HEALTH CORPORATION
C$87,652PER BOOKS
TRINITY HEALTH CORPORATION
M$39,703,425PER BOOKS
TRINITY HEALTH CORPORATION
P$10,257,313PER BOOKS
TRINITY HEALTH CORPORATION
Q$5,592,512PER BOOKS
TRINITY HEALTH CORPORATION
R$3,856,767PER BOOKS