MERCY SUBURBAN HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MERCY SUBURBAN HOSPITAL (EIN 23-1396763)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-10
- IRS object ID
- 201741309349301029
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T08:41:14-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 231396763 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY SUBURBAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6105676000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE WEST ELM STREET NO 100 | AddressLine1Txt |
| City | CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 194284108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY D FANELLI | PersonNm |
| Person Title | TREAS. & VP FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 6105676000 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUSAN CROUSHORE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE WEST ELM STREET NO 100 | AddressLine1Txt |
| City | CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 194284108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,980,033 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 783 | TotalEmployeeCnt |
| Total Volunteers | 23 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $191,059 | PYContributionsGrantsAmt |
| CY Contributions Grants | $106,696 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $104,101,114 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,094,460 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$680,144 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,803,355 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,243,775 | PYOtherRevenueAmt |
| CY Other Revenue | $778,877 | CYOtherRevenueAmt |
| PY Total Revenue | $104,855,804 | PYTotalRevenueAmt |
| CY Total Revenue | $51,783,388 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,466 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,565 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,276,420 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,870,315 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $61,555,244 | PYOtherExpensesAmt |
| CY Other Expenses | $34,325,208 | CYOtherExpensesAmt |
| PY Total Expenses | $107,837,130 | PYTotalExpensesAmt |
| CY Total Expenses | $62,197,088 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,981,326 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,413,700 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,226,406 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,580,219 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $72,510,812 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $54,512,787 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$35,284,406 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$47,932,568 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, MERCY HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. IN FULFILLING OUR MISSION, WE HAVE A SPECIAL CONCERN FOR PERSONS WHO ARE POOR AND DISADVANTAGED.MERCY SUBURBAN HOSPITAL IS A MEMBER OF MERCY HEALTH SYSTEM AND TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $49,979,656 | ExpenseAmt |
| Grant | $1,565 | GrantAmt |
| Revenue | $49,605,391 | RevenueAmt |
| Desc | MERCY SUBURBAN HOSPITAL OF EAST NORRITON, PA HAS BEEN DELIVERING QUALITY HEALTHCARE TO MONTGOMERY COUNTY AND THE SURROUNDING REGION FOR OVER 65 YEARS. MERCY SUBURBAN HOSPITAL PROVIDES FREE CARE, SUBSIDIZES THE CARE OF MEDICARE AND MEDICAID PATIENTS WHERE THE GOVERNMENT REIMBURSEMENT IS BELOW COST, AND SPONSORS HEALTH PROGRAMS AND ACTIVITIES FOR THE COMMUNITY. THESE PROGRAMS INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED, MEDICALLY UNDERSERVED AND A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES. MERCY SUBURBAN HOSPITAL OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24 HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, HEART AND STROKE CARE, SENIOR BEHAVORIAL HEALTH CARE, AMONG MANY OTHER HEALTH CARE SERVICES. MERCY SUBURBAN HOSPITAL IS CONSISTENTLY RECOGNIZED FOR CLINICAL EXCELLENCE AND IS PROUD OF THE MANY QUALITY ACHIEVEMENTS AND RECOGNITIONS IT HAS RECEIVED. IN FY16, THE HOSPITAL PROVIDED 8,882 PATIENT DAYS OF HEALTHCARE SERVICES TO THE COMMUNITY. | Desc |
| Total Program Service Expenses | $49,979,656 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 167 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 783 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTHONY D FANELLI JR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6105676000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE WEST ELM STREET SUITE 100 | AddressLine1Txt |
| City | CONSHOHOCKEN | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19428 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN CROUSHORE | ||||||||||
| DIRECTOR; MHS PRESIDENT AND CEO | 5.00 | 50.00 | Yes (X) | Yes (X) | $0 | $588,864 | $122,610 | |||
| KATHRYN CONNELLY-CONALLEN | ||||||||||
| DIR&MHS SVP ACUTE CARE SVCS THR 4/16 | 10.00 | 45.00 | Yes (X) | Yes (X) | $0 | $401,338 | $25,025 | |||
| CHRISTINA FITZ-PATRICK | ||||||||||
| DIR & EXEC DIR MERCY SUB THR 1/16 | 55.00 | 0.00 | Yes (X) | Yes (X) | $280,388 | $0 | $31,395 | |||
| GEORGE FALCONERO CPA | ||||||||||
| DIRECTOR; CHAIR THROUGH 12/15 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SISTER CHRISTINE MCCANN RSM | ||||||||||
| DIRECTOR & CHAIR AS OF 1/16 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SISTER KATHLEEN BOYCE RSM | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER IVETTE DIAZ RSM MSW | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARGARET DOLAN | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT PEARLSTEIN DO | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH PIZONKA ESQ | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER CATHE SHOULBERG RSM | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH VALERIO JR | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT YARMARK DO | ||||||||||
| DIRECTOR THROUGH 1/16 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER MARY ANNE BASILE RSM | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT BRIGHT | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENJAMIN CARTER | ||||||||||
| DIR AS OF 2/16; TRINITY CFO | 1.00 | 54.00 | Yes (X) | $0 | $1,510,330 | $47,466 | ||||
| JOHN GALLAGHER ESQ | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SARAH ELLEN LENAHAN EDD | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD MCBRIDE | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER CATHERINE MCGROARTY RSM | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY ROGERS | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER SCHIED | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARGUERITE SCHLAG EDD | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENNETH VALOSKY | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL BROOKS MD | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| T ANTHONY JONES | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARIANNE GRACE | ||||||||||
| DIRECTOR AS OF 2/16 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY FANELLI | ||||||||||
| TREAS AS OF 5/16; MHS VP FIN SVCS | 1.00 | 49.00 | Yes (X) | $0 | $202,652 | $25,330 | ||||
| MARK BULLOCK | ||||||||||
| SEC & MHS SVP LEGAL THROUGH 4/16 | 1.00 | 54.00 | Yes (X) | $0 | $385,781 | $44,111 | ||||
| MICHAEL HEMSLEY | ||||||||||
| SEC AS OF 5/16; TRIN DEP GENL CNSL | 1.00 | 49.00 | Yes (X) | $0 | $959,662 | $47,720 | ||||
| CATHERINE MIKUS | ||||||||||
| ASST SEC AS OF 5/16; MHS GENL CNSL | 1.00 | 49.00 | Yes (X) | $0 | $187,406 | $35,127 | ||||
| DAVID WAJDA | ||||||||||
| MHS VP FINANCE - ACUTE CARE | 10.00 | 40.00 | $0 | $232,359 | $21,821 | Yes (X) | ||||
| MICHAEL MAGRO | ||||||||||
| CMO ACUTE CARE | 50.00 | 0.00 | $170,025 | $90,472 | $30,408 | Yes (X) | ||||
| LESLIE TUPCHONG | ||||||||||
| CHAIR DEPT OF RAD THER | 50.00 | 0.00 | $442,320 | $0 | $45,523 | Yes (X) | ||||
| MARY ELLEN RAUNER | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $162,709 | $0 | $14,248 | Yes (X) | ||||
| MARGARET MCCLEAN-WEBSTER | ||||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $147,279 | $0 | $28,455 | Yes (X) | ||||
| FLORDELIZA LOPEZ | ||||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $138,561 | $0 | $25,757 | Yes (X) | ||||
| EDWARD YULICH | ||||||||||
| DIRECTOR INFO TECHNOLOGY | 40.00 | 0.00 | $136,697 | $0 | $27,187 | Yes (X) | ||||
| PHYLLIS BEIDLER | ||||||||||
| DIRECTOR SURGERY SERVICES | 40.00 | 0.00 | $134,663 | $0 | $13,038 | Yes (X) | ||||
| LYNN MULHOLLAND | ||||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $133,234 | $0 | $14,533 | Yes (X) | ||||
| JOSEPH BRADLEY | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $427,764 | $231,563 | Yes (X) | ||||
| H RAY WELCH | ||||||||||
| FORMER OFFICER & TRINITY SVP | 0.00 | 0.00 | $0 | $973,323 | $23,854 | Yes (X) | ||||
| CAROL FLUEGGE | ||||||||||
| FORMER KEY EMP; MHS VP ONC/ORTHO | 0.00 | 0.00 | $0 | $210,627 | $26,432 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,745,876 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,170,578 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $881,603 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO INC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | FOOD/CATERING SERVICES | $1,003,524 |
| RESTORIXHEALTH INC | |||||
| 445 HAMILTON AVENUE STE 800 | WHITE PLAINS | NY | 10601 | WOUNDCARE TREATMENT SERVICES | $749,410 |
| PREMIER ANESTHESIA OF PA PC | |||||
| 2655 NORTHWINDS PKWY | ALPHARETTA | GA | 30009 | PHYSICIAN SERVICES | $583,278 |
| STEVENS AND LEE | |||||
| PO BOX 679 | READING | PA | 19603 | LEGAL SERVICES | $580,743 |
| INHOSPITAL PHYSICIANS CORP | |||||
| 10 WILLOWBROOK LANE | SWEDESBORO | NJ | 08085 | PHYSICIAN SERVICES | $566,548 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $102,504 | GovernmentGrantsAmt |
| All Other Contributions | $4,192 | AllOtherContributionsAmt |
| Total Contributions | $106,696 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SVC REV | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $49,094,460 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,094,460 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,094,460 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $256,056 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $256,056 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $256,056 | TotalRevenueColumnAmt |
| Exclusion | $256,056 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25,000,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $259,412 | SecuritiesAmt |
| Other | $22,937,233 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$259,412 | SecuritiesAmt |
| Other | $2,062,767 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,803,355 | TotalRevenueColumnAmt |
| Exclusion | $1,803,355 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| GOV'T SUBSIDY-EHR | 622110 | $358,797 | $358,797 | |
| TELEPHONE & TELEVISION REV | 900099 | $6,713 | $6,713 | |
| CAFETERIA REVENUE | 722514 | $5,177 | $5,177 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $152,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,134 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $522,821 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,783,388 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,605,391 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,071,301 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,565 | TotalAmt |
| Program Services | $1,565 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,121 | TotalAmt |
| Management And General | $1,167,121 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,175,886 | TotalAmt |
| Program Services | $15,819,463 | ProgramServicesAmt |
| Management And General | $4,356,423 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,529,632 | TotalAmt |
| Program Services | $1,186,474 | ProgramServicesAmt |
| Management And General | $343,158 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,446,126 | TotalAmt |
| Program Services | $2,604,174 | ProgramServicesAmt |
| Management And General | $841,952 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,550 | TotalAmt |
| Program Services | $1,156,060 | ProgramServicesAmt |
| Management And General | $395,490 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,669,178 | TotalAmt |
| Program Services | $13,630,740 | ProgramServicesAmt |
| Management And General | $3,038,438 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,115 | TotalAmt |
| Program Services | $9,027 | ProgramServicesAmt |
| Management And General | $3,088 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,577,569 | TotalAmt |
| Program Services | $1,175,447 | ProgramServicesAmt |
| Management And General | $402,122 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,718 | TotalAmt |
| Program Services | $43,751 | ProgramServicesAmt |
| Management And General | $14,967 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,146 | TotalAmt |
| Program Services | $687,836 | ProgramServicesAmt |
| Management And General | $235,310 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,219 | TotalAmt |
| Program Services | $35,928 | ProgramServicesAmt |
| Management And General | $12,291 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490 | TotalAmt |
| Program Services | $365 | ProgramServicesAmt |
| Management And General | $125 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,269 | TotalAmt |
| Program Services | $682,269 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198,110 | TotalAmt |
| Program Services | $892,712 | ProgramServicesAmt |
| Management And General | $305,398 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES EXP. | $6,025,866 | $6,025,866 | |
| EQUIPMENT MAINTENANCE | $1,813,608 | $1,351,319 | $462,289 |
| BAD DEBT EXPENSE | $1,511,162 | $1,511,162 | |
| HOSPITAL PROVIDER TAX | $1,296,873 | $1,296,873 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,507,885 | TotalAmt |
| Program Services | $1,868,625 | ProgramServicesAmt |
| Management And General | $639,260 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,197,088 | TotalAmt |
| Program Services | $49,979,656 | ProgramServicesAmt |
| Management And General | $12,217,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,238 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,088,231 | BOYAmt |
| EOY | $551,044 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,423 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,640,514 | BOYAmt |
| EOY | $6,029,175 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,226,406 | BOYAmt |
| EOY | $6,580,219 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,656,707 | BOYAmt |
| EOY | $10,602,085 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,854,105 | BOYAmt |
| EOY | $43,910,702 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,510,812 | BOYAmt |
| EOY | $54,512,787 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$35,284,406 | BOYAmt |
| EOY | -$47,932,568 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$35,284,406 | BOYAmt |
| EOY | -$47,932,568 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,226,406 | BOYAmt |
| EOY | $6,580,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$10,413,700 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,234,462 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $11,231 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $11,231 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MERCY SUBURBAN HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCY SUBURBAN HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $287,879 |
| OTHER CURRENT ASSETS | $5,732,674 |
| OTHER LT ASSETS | $8,622 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,029,175 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $42,003 |
| INTERCOMPANY OTHER LIABILITIES | $43,722,593 |
| OTHER LT LIABILITIES | $146,106 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,910,702 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $812,697 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $812,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,384,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,918,622 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,466,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05710 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,197,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,918,622 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,278,757 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07050 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $121,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $66,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $358,816 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $358,816 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00590 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,985 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $484,155 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $428,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,681,534 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,973,926 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,707,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07760 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,511,162 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,387,695 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $13,470,521 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,082,826 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY SUBURBAN HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2701 DEKALB PIKE | AddressLine1Txt |
| City | EAST NORRITON | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 194011820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYHEALTH.ORG | WebsiteAddressTxt |
| State License | 197201 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY SUBURBAN HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCY SUBURBAN HOSPITAL | PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE 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. |
| MERCY SUBURBAN HOSPITAL | PART V, SECTION B, LINE 22D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. ACUTE CARE PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE ACUTE CARE CONTRACTUAL ADJUSTMENT FOR MEDICARE. AMBULATORY PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG RECEIVE A DISCOUNT OFF TOTAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE PHYSICIAN CONTRACTUAL ADJUSTMENT FOR MEDICARE. THE ACUTE AND PHYSICIAN AVERAGE CONTRACTUAL ADJUSTMENT AMOUNTS FOR MEDICARE ARE CALCULATED UTILIZING THE LOOK BACK METHODOLOGY OF CALCULATING THE SUM OF PAID CLAIMS DIVIDED BY THE TOTAL GROSS CHARGES FOR THOSE CLAIMS ANNUALLY USING TWELVE MONTHS OF PAID CLAIMS WITH A 30 DAY LAG FROM REPORT DATE TO THE MOST RECENT DISCHARGE DATE. |
| PART V, SECTION B, LINE 3: (ALSO APPLIES TO PART V, SECTION B, LINE 12A): | EFFECTIVE FEBRUARY 1, 2016, MERCY SUBURBAN HOSPITAL SOLD ITS HOSPITAL FACILITY TO PRIME HEALTHCARE SERVICES - SUBURBAN HOSPITAL, LLC.ACCORDING TO REGULATIONS SECTION 1.501(R)-3(D)(4), A HOSPITAL ORGANIZATION IS NOT REQUIRED TO MEET THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REQUIREMENTS OF SECTION 501(R)(3) WITH RESPECT TO A HOSPITAL FACILITY IN A TAXABLE YEAR, IF BEFORE THE END OF THAT TAXABLE YEAR, THE HOSPITAL TRANSFERS ALL OWNERSHIP OF THE HOSPITAL FACILITY TO ANOTHER ORGANIZATION OR OTHERWISE CEASES ITS OPERATION OF THE HOSPITAL. THEREFORE, SINCE MERCY SUBURBAN HOSPITAL SOLD ITS HOSPITAL FACILITY BEFORE JUNE 30, 2016, IT WAS NOT REQUIRED TO CONDUCT A CHNA FOR THE TAXABLE YEAR. |
| MERCY SUBURBAN HOSPITAL PART V, SECTION B, LINE 16A: | HTTP://WWW.MERCYHEALTH.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-POLICY/ |
| MERCY SUBURBAN HOSPITAL PART V, SECTION B, LINE 16B: | HTTP://WWW.MERCYHEALTH.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-APPLICATION/ |
| MERCY SUBURBAN HOSPITAL PART V, SECTION B, LINE 16C: | HTTP://WWW.MERCYHEALTH.ORG/PATIENTS-VISITORS/EPAY/FINANCIAL-ASSISTANCE/ |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | MERCY SUBURBAN HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF PENNSYLVANIA. IN ADDITION, MERCY SUBURBAN HOSPITAL 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, MERCY SUBURBAN HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON 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, $1,511,162, 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: | MERCY SUBURBAN HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (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, MERCY SUBURBAN HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCY SUBURBAN HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | MERCY SUBURBAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 15 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 AND 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: | MERCY SUBURBAN HOSPITAL 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 HEALTHCARE 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 -MERCY SUBURBAN HOSPITAL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY SUBURBAN HOSPITAL IS COMMITTED TO:-PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES-CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES-ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE-BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, MERCY SUBURBAN HOSPITAL HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: -PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS-MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS-OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS-IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER-IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMERCY SUBURBAN HOSPITAL 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 AND EXTERNAL 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 HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT. MERCY SUBURBAN HOSPITAL 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 SPANISH, REFLECTING OTHER LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. MERCY SUBURBAN HOSPITAL HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY SUBURBAN HOSPITAL 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 - MERCY SUBURBAN HOSPITAL IS LOCATED IN MO WEST (19403), MONTGOMERY COUNTY. THE COMMUNITY SERVED, WHICH IS DEFINED AS MERCY SUBURBAN HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS, IS COMPRISED OF 9 ZIP CODES ACROSS CENTRAL MONTGOMERY COUNTY. THE SERVICE AREA IS PRIMARILY AFFLUENT, WITH THE EXCEPTION OF NORRISTOWN (19401), WHICH IS A DIVERSE COMMUNITY THAT HAS BEEN DESIGNATED BY THE STATE AND FEDERAL GOVERNMENT AS A MEDICALLY UNDERSERVED POPULATION. THE TOTAL SERVICE AREA POPULATION IS PROJECTED TO INCREASE BY 2.2%, WHILE THE POPULATION OF FEMALES AT CHILD-BEARING AGE IS PROJECTED TO DECREASE BY 1.2% BETWEEN 2014 AND 2019. THE MINORITY POPULATION REPRESENTS 28% OF THE TOTAL POPULATION AND IS PROJECTED TO INCREASE BY 10%. THE OVERALL SERVICE AREA IS AFFLUENT WITH AN AVERAGE HOUSEHOLD INCOME OF $99,909 AND UNEMPLOYMENT AT 5.3%. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH - OUR COMMUNITY BENEFIT ACTIVITIES INCLUDE GOING DIRECTLY INTO UNDERSERVED COMMUNITIES/POPULATIONS AND PROVIDING HEALTH SCREENINGS, IMMUNIZATIONS AND HEALTH CARE EDUCATION. OUR COMMUNITY BENEFIT PROGRAMS ALSO ENSURE ACCESS TO PRIMARY CARE PHYSICIAN OFFICES IN A MEDICALLY UNDERSERVED AREA. IN ADDITION, WE MAINTAIN A 24-HOUR EMERGENCY ROOM, AN OPEN MEDICAL STAFF, AND A BOARD COMPRISED LARGELY OF INDEPENDENT MEMBERS OF THE COMMUNITY. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM - MERCY SUBURBAN HOSPITAL 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 ORGANIZATIONS DEFINE -- AND ACHIEVE -- SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2016, GOALS INCLUDED 1) PARTNERING WITH COMMUNITY ORGANIZATIONS IN INSURANCE ENROLLMENT ACTIVITIES TARGETED AT UNINSURED INDIVIDUALS TO IMPROVE ACCESS TO HEALTHCARE, 2) PARTICIPATING IN LOCAL ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, AND 3) DEVELOPING A STRATEGY WITH MULTI-DISCIPLINARY TEAMS TO OPTIMIZE CARE FOR VULNERABLE PERSONS, WITH PARTICULAR FOCUS ON THOSE WHO ARE DUALLY ENROLLED IN MEDICAID AND MEDICARE. TRINITY HEALTH APPRECIATES 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), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED PROGRAMS FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED AREAS OF NEED AND THAT WILL REDUCE OBESITY AND TOBACCO USE.AS A SYSTEM, TRINITY HEALTH SUPPORTED PROGRAMS AND ORGANIZATIONS WHO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. PROGRAMS INCLUDE GRANTING SEVEN DACA "DREAMERS" LOW INTEREST LOANS, ENABLING RECIPIENTS TO ATTEND MEDICAL SCHOOL AT STRITCH SCHOOL OF MEDICINE, AND PROVIDING A GRANT TO THE U.S. SOCCER FOUNDATION TO FUND ITS SOCCER FOR SUCCESS PROGRAM IN NINE COMMUNITIES, OFFERING STUDENTS IN UNDERSERVED AREAS THE OPPORTUNITY TO SAFELY AND COST-EFFECTIVELY ENGAGE IN A HEALTHY AND ACTIVE LIFESTYLE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS NEARLY $1 BILLION IN SUCH COMMUNITY BENEFITS AND 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.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | PA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN CROUSHORE | ||||||||||||||
| DIRECTOR; MHS PRESIDENT AND CEO | $0 | $509,603 | $0 | $40,660 | $0 | $38,601 | $0 | $98,696 | $0 | $23,914 | $0 | $711,474 | $0 | $0 |
| KATHRYN CONNELLY-CONALLEN | ||||||||||||||
| DIR&MHS SVP ACUTE CARE SVCS THR 4/16 | $0 | $388,082 | $0 | $0 | $0 | $13,256 | $0 | $23,870 | $0 | $1,155 | $0 | $426,363 | $0 | $0 |
| CHRISTINA FITZ-PATRICK | ||||||||||||||
| DIR & EXEC DIR MERCY SUB THR 1/16 | $263,197 | $0 | $0 | $0 | $17,191 | $0 | $23,818 | $0 | $7,577 | $0 | $311,783 | $0 | $0 | $0 |
| BENJAMIN CARTER | ||||||||||||||
| DIR AS OF 2/16; TRINITY CFO | $0 | $798,221 | $0 | $356,711 | $0 | $355,398 | $0 | $11,925 | $0 | $35,541 | $0 | $1,557,796 | $0 | $129,972 |
| ANTHONY FANELLI | ||||||||||||||
| TREAS AS OF 5/16; MHS VP FIN SVCS | $0 | $201,835 | $0 | $0 | $0 | $817 | $0 | $18,661 | $0 | $6,669 | $0 | $227,982 | $0 | $0 |
| MARK BULLOCK | ||||||||||||||
| SEC & MHS SVP LEGAL THROUGH 4/16 | $0 | $357,388 | $0 | $0 | $0 | $28,393 | $0 | $22,475 | $0 | $21,636 | $0 | $429,892 | $0 | $0 |
| MICHAEL HEMSLEY | ||||||||||||||
| SEC AS OF 5/16; TRIN DEP GENL CNSL | $0 | $462,042 | $0 | $178,508 | $0 | $319,112 | $0 | $26,350 | $0 | $21,370 | $0 | $1,007,382 | $0 | $0 |
| CATHERINE MIKUS | ||||||||||||||
| ASST SEC AS OF 5/16; MHS GENL CNSL | $0 | $180,956 | $0 | $0 | $0 | $6,450 | $0 | $15,439 | $0 | $19,688 | $0 | $222,533 | $0 | $0 |
| DAVID WAJDA | ||||||||||||||
| MHS VP FINANCE - ACUTE CARE | $0 | $224,363 | $0 | $0 | $0 | $7,996 | $0 | $21,566 | $0 | $255 | $0 | $254,180 | $0 | $0 |
| MICHAEL MAGRO | ||||||||||||||
| CMO ACUTE CARE | $169,849 | $90,385 | $0 | $0 | $176 | $87 | $8,727 | $4,643 | $11,785 | $5,253 | $190,537 | $100,368 | $0 | $0 |
| LESLIE TUPCHONG | ||||||||||||||
| CHAIR DEPT OF RAD THER | $432,608 | $0 | $0 | $0 | $9,712 | $0 | $23,775 | $0 | $21,748 | $0 | $487,843 | $0 | $0 | $0 |
| MARY ELLEN RAUNER | ||||||||||||||
| CHIEF NURSING OFFICER | $160,949 | $0 | $0 | $0 | $1,760 | $0 | $6,417 | $0 | $7,831 | $0 | $176,957 | $0 | $0 | $0 |
| MARGARET MCCLEAN-WEBSTER | ||||||||||||||
| REGISTERED NURSE | $147,114 | $0 | $0 | $0 | $165 | $0 | $5,106 | $0 | $23,349 | $0 | $175,734 | $0 | $0 | $0 |
| FLORDELIZA LOPEZ | ||||||||||||||
| REGISTERED NURSE | $138,407 | $0 | $0 | $0 | $154 | $0 | $4,509 | $0 | $21,248 | $0 | $164,318 | $0 | $0 | $0 |
| EDWARD YULICH | ||||||||||||||
| DIRECTOR INFO TECHNOLOGY | $135,835 | $0 | $0 | $0 | $862 | $0 | $6,286 | $0 | $20,901 | $0 | $163,884 | $0 | $0 | $0 |
| JOSEPH BRADLEY | ||||||||||||||
| FORMER OFFICER | $0 | $184,589 | $0 | $0 | $0 | $243,175 | $0 | $213,258 | $0 | $18,305 | $0 | $659,327 | $0 | $0 |
| H RAY WELCH | ||||||||||||||
| FORMER OFFICER & TRINITY SVP | $0 | $0 | $0 | $99,044 | $0 | $874,279 | $0 | $7,800 | $0 | $16,054 | $0 | $997,177 | $0 | $658,555 |
| CAROL FLUEGGE | ||||||||||||||
| FORMER KEY EMP; MHS VP ONC/ORTHO | $0 | $209,758 | $0 | $0 | $0 | $869 | $0 | $18,600 | $0 | $7,832 | $0 | $237,059 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MERCY SUBURBAN HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY SUBURBAN HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY SUBURBAN HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2015. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH BRADLEY - $172,013 H RAY WELCH - $658,555 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/15: JOSEPH BRADLEY - $191,592 (PAID IN 2016) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2015. 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 2015, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2015. THE FOLLOWING PAYOUTS FOR 2015 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $194,694 MICHAEL HEMSLEY - $243,271 H RAY WELCH - $181,474 THE FOLLOWING ACCRUALS FOR 2015 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: SUSAN CROUSHORE - $86,771 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN 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 ($265,000 FOR 2015). THE FOLLOWING PAYOUTS FOR 2015 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $135,796 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | HOSPITAL FACILITY, INCLUDING REAL ESTATE, INVENTORY AND EQUIPMENT | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2016-02-01 | DistributionDt |
| Fair Market Value Of Asset | $25,000,000 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | FMV | MethodOfFMVDeterminationTxt |
| EIN | 208065139 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME HEALTHCARE SERVICES - SUBURBAN HOSPITAL LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 EAST GUASTI ROAD | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91761 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | LIMITED LIABILITY COMPANY | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION OF INVOLVEMENT: THE FOLLOWING KEY EMPLOYEES OF MERCY SUBURBAN HOSPITAL BECAME EMPLOYEES OF PRIME HEALTHCARE SERVICES - SUBURBAN HOSPITAL, LLC AFTER THE SALE OF THE HOSPITAL FACILITY:LESLIE TUPCHONGMARY ELLEN RAUNER | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 3 | MERCY SUBURBAN HOSPITAL CEASED HOSPITAL OPERATIONS UPON SALE OF THE HOSPITAL TO PRIME HEALTHCARE SERVICES - SUBURBAN HOSPITAL, LLC ON FEBRUARY 1, 2016. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF MERCY SUBURBAN HOSPITAL IS MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA (MERCY HEALTH SYSTEM). SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY HEALTH SYSTEM IS THE SOLE MEMBER OF MERCY SUBURBAN HOSPITAL. MERCY HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCY SUBURBAN HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, MERCY HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, THE FORM 990 FOR MERCY SUBURBAN HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY SUBURBAN HOSPITAL 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 MERCY SUBURBAN HOSPITAL, 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 MERCY SUBURBAN HOSPITAL 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 MERCY SUBURBAN HOSPITAL (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY SUBURBAN HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCY SUBURBAN HOSPITAL (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 MERCY SUBURBAN HOSPITAL. 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 15B | QUESTION 15A IS ANSWERED "NO" BECAUSE THE CEO'S COMPENSATION IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO 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 OF MERCY SUBURBAN HOSPITAL 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 HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, MERCY SUBURBAN HOSPITAL HAS A PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDES THE FOLLOWING: THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE ENGAGES WITH EXTERNAL CONSULTANTS TO PROVIDE MARKET DATA COMPARING THE ORGANIZATION'S ROLES TO SIMILARLY SIZED HEALTH SYSTEMS UTILIZING BOTH TITLE AND JOB CONTENT COMPARISONS. THE COMMITTEE REVIEWS THE MARKET ANALYSIS, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS WHICH ARE INCORPORATED INTO THE INCENTIVE PLAN. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | MERCY SUBURBAN HOSPITAL 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, MERCY SUBURBAN HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MERCY SUBURBAN HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 4,017,920. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,017,920. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 47,011. MANAGEMENT AND GENERAL EXPENSES 16,083. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,094. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,830,878. MANAGEMENT AND GENERAL EXPENSES 3,021,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,852,701. REFERENCE LAB: PROGRAM SERVICE EXPENSES 637,061. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 637,061. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 96,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,316. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 1,554. MANAGEMENT AND GENERAL EXPENSES 532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,086. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS TO AFFILIATES -896,522. CHANGE IN DEFERRED RETIREMENT COSTS -1,337,940. |
| FORM 990, PART XII, LINE 2A | MERCY SUBURBAN HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY16 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (240 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | ||||||||||||
| 245 STATE ST SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ALBANY MEMORIAL HOSPITAL | ||||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ALLEGANY FRANCISCAN MINISTRIES INC | ||||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 581492325 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| AMICARE HOSPICE SERVICES INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382949053 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| ASYLUM HILL FAMILY MEDICINE CENTER INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450170 | HEALTHCARE SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | HEALTHCARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION | ||||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | BAUM HARMON MERCY HOSPITAL | Yes (1) | ||
| BEECHWOOD INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 141651563 | TITLE HOLDING COMPANY | NY | 501(C)(2) | N/A | LTC (EDDY) INC | Yes (1) | ||
| BEVERWYCK INC | ||||||||||||
| 40 AUTUMN DRIVE | SLINGERLANDS | NY | 12159 | 141717028 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| BRIGHTSIDE INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042182395 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 9 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| CAPITAL REGION GERIATRIC CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141701597 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| CATHOLIC HEALTH MINISTRIES | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM | 501(C)(3) | LINE 1 | 0 | VT | N/A | |||
| COLUMBUS ACQUISITION CORP | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| COMMUNITY HEALTH PARTNERS OF SOUTH BEND | ||||||||||||
| PO BOX 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| CRANBROOK HOSPICE CARE | ||||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| DUBUQUE MERCY HEALTH FOUNDATION INC | ||||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| DYERSVILLE HEALTH FOUNDATION INC | ||||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | FOUNDATION | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| EAST NORRITON PHYSICIANS SERVICES | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232515999 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| EDDY LICENSED HOME CARE AGENCY INC | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| EMBRACING AGE INC | ||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 461051881 | PACE PROGRAM | NY | 501(C)(3) | LINE 9 | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| EMPIRE HOME INFUSION SERVICE INC | ||||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| FARREN CARE CENTER INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| FRANCISCAN ELDERCARE CORPORATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 223008680 | LONG TERM CARE (INACTIVE) | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | ||
| GLEN EDDY INC | ||||||||||||
| ONE GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| GLOBAL HEALTH MINISTRY | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GOOD SAMARITAN HOSPITAL INC | ||||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | COMMUNITY OUTREACH | IL | 501(C)(3) | LINE 9 | GOTTLIEB MEMORIAL HOSPITAL | Yes (1) | ||
| GOTTLIEB MEMORIAL FOUNDATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | ||
| GOTTLIEB MEMORIAL HOSPITAL | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC | ||||||||||||
| 945 OTTAWA AVE NW | GRAND RAPIDS | MI | 49503 | 237270669 | MEDICAL EDUCATION TRAINING PROGRAMS | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | ||||||||||||
| PO BOX 3302 | MUSKEGON | MI | 49443 | 382299878 | SELF INSURANCE | MI | 501(C)(3) | LINE 11B, II | MERCY HEALTH PARTNERS | Yes (1) | ||
| HACKLEY LIFE COUNSELING | ||||||||||||
| 125 E SOUTHERN AVENUE | MUSKEGON | MI | 49442 | 381386362 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | ||
| HAWTHORNE RIDGE INC | ||||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| HERITAGE HOUSE NURSING CENTER INC | ||||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| HOLY CROSS CARENET INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48152 | 521945054 | LONG TERM CARE | MD | 501(C)(3) | LINE 9 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH FOUNDATION INC | ||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | FOUNDATION | MD | 501(C)(3) | LINE 7 | HOLY CROSS HEALTH INC | Yes (1) | ||
| HOLY CROSS HEALTH INC | ||||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 520738041 | HEALTHCARE AND HOSPITAL SERVICES | MD | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791028 | HEALTHCARE AND HOSPITAL SERVICES | FL | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| HOLY CROSS MEDICAL PROPERTIES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650666283 | BUILDING MANAGEMENT SERVICES | FL | 501(C)(2) | N/A | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS OUTPATIENT SERVICES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 465421068 | HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 9 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOLY CROSS PRIMARY CARE INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 812531495 | HEALTHCARE SERVICES | FL | 501(C)(3) | LINE 9 | HOLY CROSS HOSPITAL INC | Yes (1) | ||
| HOME & COMMUNITY HEALTH SERVICES INC | ||||||||||||
| 201 CHESTNUT HILL ROAD | STAFFORD SPRINGS | CT | 06076 | 810723591 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 9 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| HOME AIDE SERVICE OF EASTERN NEW YORK INC | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141514867 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| HOSPICE OF NORTH IOWA | ||||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 9 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| HOSPICE OF SIOUXLAND | ||||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| HOSPICE OF WASHTENAW II | ||||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| JOHNSON HEALTH CARE INC | ||||||||||||
| 201 CHESTNUT HILL ROAD | STAFFORD SPRINGS | CT | 06076 | 810709903 | HEALTHCARE SERVICES | CT | 501(C)(3) | LINE 9 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| JOHNSON MEMORIAL HOSPITAL INC | ||||||||||||
| 201 CHESTNUT HILL ROAD | STAFFORD SPRINGS | CT | 06076 | 475676956 | HEALTHCARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| JOHNSON MEMORIAL MEDICAL CENTER INC | ||||||||||||
| 201 CHESTNUT HILL ROAD | STAFFORD SPRINGS | CT | 06076 | 810696923 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 11B, II | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| LANGHORNE MRI INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LANGHORNE PHYSICIAN SERVICES INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LIFE AT LOURDES INC | ||||||||||||
| 2475 MCCLELLAN AVENUE | PENNSAUKEN | NJ | 08109 | 261854750 | PACE PROGRAM | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LIFE AT ST FRANCIS HEALTHCARE INC | ||||||||||||
| 7TH CLAYTON STREETS | WILMINGTON | DE | 19805 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | ||
| LIFE ST FRANCIS CORPORATION | ||||||||||||
| 1435 LIBERTY STREET | HAMILTON | NJ | 08629 | 222797282 | PACE PROGRAM | NJ | 501(C)(3) | LINE 9 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| LIFE ST JOSEPH OF THE PINES INC | ||||||||||||
| 100 GOSSMAN DRIVE | SOUTHERN PINES | NC | 28387 | 272159847 | PACE PROGRAM | NC | 501(C)(3) | LINE 3 | ST JOSEPH OF THE PINES INC | Yes (1) | ||
| LIFE ST MARY | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LOURDES ANCILLARY SERVICES | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568525 | VOLUNTEER SERVICE AUXILIARY | NJ | 501(C)(3) | LINE 11B, II | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES CARDIOLOGY SERVICES PC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 274357794 | HEALTHCARE SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES MEDICAL CENTER OF BURLINGTON COUNTY | ||||||||||||
| 218 SUNSET ROAD | WILLINGBORO | NJ | 08046 | 223612265 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOYOLA MEDICINE TRANSPORT LLC | ||||||||||||
| 905 W NORTH AVE | MELROSE PARK | IL | 60160 | 474147171 | TRANSPORATION SERVICES | IL | 501(C)(3) | LINE 9 | LOYOLA UNIVERSITY MEDICAL CENTER | Yes (1) | ||
| LOYOLA UNIVERSITY HEALTH SYSTEM | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363342448 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| LOYOLA UNIVERSITY MEDICAL CENTER | ||||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364015560 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | ||
| LTC (EDDY) INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | MANAGEMENT SERVICES FOR LONG TERM CARE | NY | 501(C)(3) | LINE 11B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| MARIAN COMMUNITY HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 240711230 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| MARIAN HOME HEALTHCARE | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | HOME HEALTH SERVICES (INACTIVE) | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MARYCREST HEIGHTS | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 270291722 | SENIOR LIVING COMMUNITY | MI | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 3805 WEST CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 911940902 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | PA | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MCAULEY CENTER INC | ||||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | SENIOR LIVING COMMUNITY | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MCAULEY CLINIC CORPORATION | ||||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | Yes (1) | ||
| MCAULEY MINISTRIES | ||||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | GRANT MAKING | PA | 501(C)(3) | LINE 11B, II | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE OAKLAND | ||||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320698 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE PORT HURON | ||||||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 383320701 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY CARE FOUNDATION | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FOUNDATION | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 231352191 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY COMMUNITY HEALTH INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061492707 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 11B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY FAMILY SUPPORT | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 9 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY FOUNDATION INC | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227350 | FOUNDATION | IL | 501(C)(3) | LINE 7 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | ||||||||||||
| 888 TERRACE STREET | MUSKEGON | MI | 49440 | 383321856 | HOSPICE & HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232829864 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH NETWORK INC | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421478417 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 11B, II | 0 | N/A | ||
| MERCY HEALTH PARTNERS | ||||||||||||
| 1500 E SHERMAN BLVD | MUSKEGON | MI | 49444 | 382589966 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HEALTH PLAN | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH SERVICES - IOWA CORP | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF CHICAGO | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363163327 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232212638 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 11C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE CENTER | ||||||||||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 150532211 | HEALTHCARE AND HOSPITAL SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE FOUNDATION-CLINTON | ||||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | LINE 7 | 0 | N/A | ||
| MERCY HOME HEALTH | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 9 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HOME HEALTH SERVICES | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325058 | MANAGEMENT SERVICES FOR HOME HEALTH | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 362170152 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY HOSPITAL CADILLAC FOUNDATION | ||||||||||||
| 1820 44TH ST SE | KENTWOOD | MI | 49508 | 203357131 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL GIFT SHOP | ||||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398280 | HEALTHCARE AND HOSPITAL SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791034 | HEALTHCARE SERVICES (INACTIVE) | FL | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY LIFE CENTER CORPORATION | ||||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY OUTREACH | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | ||
| MERCY LIFE OF ALABAMA | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | LINE 3 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE CARE CENTERS INC | Yes (1) | ||
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232627944 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| MERCY MEDICAL CENTER - CLINTON INC | ||||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | ||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | FOUNDATION | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MERCY MEDICAL CORPORATION | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 636002215 | HOSPICE & HOME HEALTH SERVICES | AL | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY MEDICAL GROUP | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454884805 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY PHYSICIAN NETWORK | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 461187365 | MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY SENIOR CARE INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581366508 | COMMUNITY OUTREACH | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES DOWNTOWN INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | TITLE HOLDING COMPANY | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382719605 | LONG TERM CARE | MI | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MERCY SPECIALIST PHYSICIANS INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 264033168 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| MERCY SUBURBAN HOSPITAL | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 231396763 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | 0 | ||
| MERCY UIHLEIN HEALTH CORPORATION | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | NY | 19073 | 161535133 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MISSION HEALTH CORPORATION | ||||||||||||
| 37595 SEVEN MILE ROAD | LIVONIA | MI | 48152 | 383181557 | BUILDING MANAGEMENT SERVICES | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| MOUNT CARMEL COLLEGE OF NURSING | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | LINE 2 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH INSURANCE COMPANY | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | FOUNDATION | OH | 501(C)(3) | LINE 11A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HOME CARE LLC | ||||||||||||
| 501 WEST SCHROCK ROAD | WESTERVILLE | OH | 43081 | 262729300 | HOME HEALTH SERVICES | OH | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MOUNT SINAI HOSPITAL FOUNDATION INC | ||||||||||||
| 500 BLUE HILLS AVENUE | HARTFORD | CT | 06112 | 222584082 | FOUNDATION | CT | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | ||
| MOUNT SINAI REHABILITATION HOSPITAL INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061422973 | HEALTHCARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| MRI MOBILE SERVICES OF WEST MICHIGAN | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | ||
| NAZARETH HEALTH CARE FOUNDATION | ||||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FOUNDATION | PA | 501(C)(3) | LINE 11A, I | NAZARETH HOSPITAL | Yes (1) | ||
| NAZARETH HOSPITAL | ||||||||||||
| 2601 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232794121 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| NAZARETH PHYSICIAN SERVICES INC | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 203261266 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NE PHYSICIAN SERVICES INC | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232497355 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NORTHEAST HEALTH INC | ||||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 042450756 | HEALTHCARE SYSTEM SUPPORT | NY | 501(C)(3) | LINE 11B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | FOUNDATION | NE | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | ||
| ONE THOUSAND CORPORATION | ||||||||||||
| 1000 ASYLUM AVENUE | HARTFORD | CT | 06105 | 060922325 | BUILDING MANAGEMENT SERVICES | CT | 501(C)(2) | N/A | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | Yes (1) | ||
| OSUMOUNT CARMEL HEALTH ALLIANCE | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311654603 | COOPERATIVE HEALTHCARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| OUR LADY OF LOURDES HEALTH CARE SERVICES | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568528 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NJ | 501(C)(3) | LINE 11B, II | MAXIS HEALTH SYSTEM | Yes (1) | ||
| OUR LADY OF LOURDES HEALTH FOUNDATION INC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222351960 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| OUR LADY OF LOURDES MEDICAL CENTER | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 210635001 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| OUR LADY OF MERCY LIFE CENTER | ||||||||||||
| 2 MERCYCARE LANE | GUILDERLAND | NY | 12084 | 141743506 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454208896 | HEALTHCARE SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| PITTSBURGH MERCY HEALTH SYSTEM | ||||||||||||
| 3333 5TH AVENUE | PITTSBURGH | PA | 15213 | 251464211 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| PORT HURON MERCY FAMILY CARE INC | ||||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROBILITY THERAPY SERVICES | ||||||||||||
| 2058 S STATE STREET | ANN ARBOR | MI | 48104 | 202020239 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| PROFESSIONAL MED TEAM | ||||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | ||
| SAINT AGNES MEDICAL CENTER | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE AND HOSPITAL SERVICES | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT AGNES MEDICAL FOUNDATION (FKA PROFESSIONAL OFFICE CORPORATION) | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 11A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | ||
| SAINT ALPHONSUS BUILDING COMPANY INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | BUILDING MANAGEMENT SERVICES | ID | 501(C)(3) | LINE 9 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT ALPHONSUS DIVERSIFIED CARE INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | HEALTHCARE SYSTEM SUPPORT | ID | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT ALPHONSUS FOUNDATION-BAKER CITY INC | ||||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | FOUNDATION | OR | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | Yes (1) | ||
| SAINT ALPHONSUS FOUNDATION-ONTARIO INC | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | FOUNDATION | OR | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | ||
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | VOLUNTEER SERVICE AUXILIARY | OR | 501(C)(3) | LINE 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC | ||||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | FOUNDATION | ID | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | ||
| SAINT FRANCIS EMERGENCY MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 451994612 | HEALTHCARE SERVICES | CT | 501(C)(3) | LINE 11B, II | SAINT FRANCIS MEDICAL GROUP INC | Yes (1) | ||
| SAINT FRANCIS FOUNDATION INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061008255 | FOUNDATION | CT | 501(C)(3) | LINE 11B, II | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060646813 | HEALTHCARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| SAINT FRANCIS MEDICAL GROUP INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061450168 | HEALTHCARE SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH - NEW ENGLAND INC | Yes (1) | ||
| SAINT JAMES CARE INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616230 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| SAINT JOSEPH PACE INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473129127 | PACE PROGRAM | IN | 501(C)(3) | LINE 7 | TRINITY HEALTH PACE | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | ||||||||||||
| PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 350868157 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 356033285 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC | ||||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(3) | LINE 11B, II | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | Yes (1) | ||
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | ||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S HEALTH SYSTEM INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581744848 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | LINE 11C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAINT JOSEPH'S MERCY CARE SERVICES INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581752700 | HEALTHCARE SERVICES | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| SAINT JOSEPH'S TOWER INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 311040468 | SENIOR LIVING COMMUNITY | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES - INDIANA INC | Yes (1) | ||
| SAINT MARY'S AMICARE HOME HEALTHCARE | ||||||||||||
| 1430 MONROE NW STE 120 | GRAND RAPIDS | MI | 49505 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| SAINT MARY'S FOUNDATION | ||||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | FOUNDATION | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| SAINT MICHAEL'S MEDICAL CENTER | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616046 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| SAMARITAN CHILD CARE CENTER INC | ||||||||||||
| 2213 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD CARE | NY | 501(C)(3) | LINE 9 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SAMARITAN HOSPITAL | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SENIOR CARE CONNECTION INC | ||||||||||||
| 504 STATE ST | SCHENECTADY | NY | 12305 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| SETON AUXILIARY INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141505031 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE | ||||||||||||
| 1 ABELE BLVD | CLIFTON PARK | NY | 12065 | 141756230 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH FOUNDATION INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 222345416 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH SYSTEM INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141776186 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SISTERS OF PROVIDENCE CARE CENTERS INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | ||
| SISTERS OF PROVIDENCE HEALTH SYSTEM INC | ||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398374 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | MA | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SJ MANAGEMENT COMPANY OF SYRACUSE INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 271763712 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11C, III-FI | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| SJHSJOC HOLDINGS INC | ||||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | HEALTHCARE SYSTEM SUPPORT | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | ||
| ST AGNES CONTINUING CARE CENTER | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| ST AGNES CONTINUING CARE CENTER FOUNDATION | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232415137 | FOUNDATION | PA | 501(C)(3) | LINE 11A, I | ST AGNES CONTINUING CARE CENTER | Yes (1) | ||
| ST FRANCIS FOUNDATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 11A, I | ST FRANCIS HOSPITAL | Yes (1) | ||
| ST FRANCIS HOSPITAL INC | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER TRENTON NJ | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 223127184 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JAMES MERCY HOSPITAL | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 160743310 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | ||
| ST JOSEPH MERCY OAKLAND FOUNDATION | ||||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| ST JOSEPH OF THE PINES INC | ||||||||||||
| 100 GOSSMAN DRIVE | SOUTHERN PINES | NC | 28387 | 560694200 | LONG TERM CARE | NC | 501(C)(3) | LINE 3 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 206 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 202497520 | COLLEGE OF NURSING | NY | 501(C)(3) | LINE 2 | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S HEALTH CENTER PROPERTIES INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 237219294 | BUILDING MANAGEMENT SERVICES | NY | 501(C)(3) | LINE 11B, II | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S HEALTH INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 474754987 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 150532254 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 222149775 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | ST JOSEPH'S HEALTH INC | Yes (1) | ||
| ST JOSEPH'S MEDICAL PC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 273899821 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 11A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST JOSEPH'S PHYSICIAN HEALTH PC | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 161516863 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 11A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | Yes (1) | ||
| ST MARY BUILDING AND DEVELOPMENT COMPANY | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | TITLE HOLDING COMPANY | PA | 501(C)(2) | N/A | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY EMERGENCY MEDICAL SERVICES | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 465354512 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY HOME INCORPORATED | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060646843 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| ST MARY MEDICAL CENTER | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST MARY MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232567468 | FOUNDATION | PA | 501(C)(3) | LINE 7 | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY'S FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | LINE 11A, I | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S HEALTH CARE SYSTEM INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 580566223 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST MARY'S HIGHLAND HILLS INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | SENIOR LIVING COMMUNITY | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S MEDICAL GROUP INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 261858563 | HEALTHCARE SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S SACRED HEART HOSPITAL INC | ||||||||||||
| 367 CLEAR CREEK PARKWAY | LAVONIA | GA | 30553 | 473752176 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MICHAEL'S FOUNDATION INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223311976 | FOUNDATION | NJ | 501(C)(3) | LINE 11A, I | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| ST PETER'S HEALTH CARE SERVICES | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222702507 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 9 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 453570715 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 141348692 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| ST PETER'S HOSPITAL FOUNDATION INC | ||||||||||||
| 319 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222262982 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 141338386 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION INC | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SUNNYVIEW HOSPITAL & REHABILITATION CENTER | Yes (1) | ||
| THE COMMUNITY HOSPICE FOUNDATION INC | ||||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 222692940 | FOUNDATION | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | ||
| THE COMMUNITY HOSPICE INC | ||||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 141608921 | HOSPICE SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | ||||||||||||
| 707 EAST CEDAR STREET | SOUTH BEND | IN | 46617 | 351654543 | FOUNDATION | IN | 501(C)(3) | LINE 7 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | ||
| THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | ||||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| THE MARJORIE DOYLE ROCKWELL CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141793885 | LONG TERM CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | ||
| THE NORTHEAST HEALTH FOUNDATION INC | ||||||||||||
| 2224 BURDETT AVE | TROY | NY | 12180 | 222743478 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060660403 | VOLUNTEER SERVICE AUXILIARY | CT | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | ||||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11D, III-O | 0 | N/A | ||
| TRI-HOSPITAL MRI CENTER | ||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | LONG TERM CARE | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY CONTINUING CARE SERVICES - INDIANA INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | LONG TERM CARE | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| TRINITY HEALTH - MICHIGAN | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH - NEW ENGLAND INC (FKA SAINT FRANCIS CARE INC) | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061491191 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH CORPORATION | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH MINISTRIES | Yes (1) | ||
| TRINITY HEALTH LIFE PENNSYLVANIA INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 475244984 | PACE PROGRAM | PA | 501(C)(3) | LINE 9 | TRINITY HEALTH PACE | Yes (1) | ||
| TRINITY HEALTH PACE | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HEALTH WELFARE BENEFIT TRUST | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | Yes (1) | ||
| TRINITY HOME HEALTH SERVICES | ||||||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| UIHLEIN MERCY CENTER | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 150532190 | HEALTHCARE SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (1) | ||
| UNIVERSITY HEIGHTS PROPERTY COMPANY INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223100162 | TITLE HOLDING COMPANY | NJ | 501(C)(2) | N/A | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| VILLA MARY IMMACULATE | ||||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| WESTSHORE HEALTH NETWORK | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | HEALTH NETWORK | MI | 501(C)(4) | N/A | MERCY HEALTH PARTNERS | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | |||||||
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| CATHERINE HORAN BUILDING ASSOCIATES LP | ||||||||||||||
| 1221 MAIN STREET SUITE 105 | HOLYOKE | MA | 01040 | 042723429 | PROPERTY MANAGEMENT | MA | N/A | |||||||
| CENTENNIAL SURGUNIT LLC | ||||||||||||||
| 502 CENTENNIAL BLVD SUITE 1 | VOORHEES | NJ | 08043 | 223580847 | HEALTHCARE SERVICES | NJ | N/A | |||||||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | |||||||
| CENTRAL NEW JERSEY HEART SERVICES LLC | ||||||||||||||
| PO BOX 148 | BAYONNE | NJ | 07002 | 208525458 | CARDIAC PROGRAM | NJ | N/A | |||||||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | |||||||
| EAST NORRITON MEDICAL ASSOCIATES | ||||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232319531 | MEDICAL OFFICE BUILDING | PA | MERCY SUBURBAN HOSPITAL | OTHER | $51,137 | $15,026 | 0 | Yes (1) | 0.57010 | |
| FOREST PARK IMAGING LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | |||||||
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | |||||||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | FORMERLY DIAGNOSTIC IMAGING, IN DISSOLUTION | CA | N/A | |||||||
| GATEWAY HEALTH PLAN LP | ||||||||||||||
| 444 LIBERTY AVE | PITTSBURGH | PA | 15222 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A | |||||||
| GREATER HARTFORD LITHOTRIPSY LLC | ||||||||||||||
| 144 WOODLAND ST | HARTFORD | CT | 06105 | 061578891 | LITHOTRIPSY SERVICES | CT | N/A | |||||||
| HAWARDEN REGIONAL HEALTH CLINICS LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | |||||||
| IDAHO ASC HOLDINGS LLC | ||||||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 364729605 | HOLDING COMPANY FOR AMBULATORY SURGERY | ID | N/A | |||||||
| INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC | ||||||||||||||
| 14 COLUMBIA CIRCLE DRIVE | ALBANY | NY | 12203 | 465676066 | ACCOUNTABLE CARE ORGANIZATION | NY | N/A | |||||||
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | ||||||||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 364119522 | SURGICAL SERVICES | IL | N/A | |||||||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | |||||||
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | |||||||
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MDRMRI TECHNICAL SERVICES LLC | ||||||||||||||
| 5640 EAST TAFT ROAD 3770 | SYRACUSE | NY | 13220 | 161590982 | MRI SERVICES | NY | N/A | |||||||
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MEDWORKS LLC | ||||||||||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A | |||||||
| MERCY ADVANCED MRI LLC | ||||||||||||||
| 2525 SOUTH MICHIGAN AVE | CHICAGO | IL | 60616 | 262116721 | SUBLEASE MRI EQUIPMENT | IL | N/A | |||||||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | |||||||
| MERCYMANOR PARTNERSHIP | ||||||||||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A | |||||||
| MERCYUSP HEALTH VENTURES LLC | ||||||||||||||
| 15305 DALLAS PARKWAY STE 1600 LB 28 | ADDISON | TX | 75001 | 471290300 | OUTPATIENT SURGERY | IA | N/A | |||||||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | ||||||||||||||
| C/O NAZARETH HOSP 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | |||||||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | |||||||
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A | |||||||
| RADISSON SJH PROPERTIES LLC | ||||||||||||||
| 5000 CAMPUSWOOD DRIVE SUITE 100 | EAST SYRACUSE | NY | 13057 | 461892799 | MEDICAL OFFICE BUILDING | NY | N/A | |||||||
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | |||||||
| SIXTY FOURTH STREET LLC | ||||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | |||||||
| SJLS LLC | ||||||||||||||
| 7650 SE 27TH ST STE 200 | MERCER ISLAND | WA | 98040 | 201796650 | DIALYSIS SERVICES | NY | N/A | |||||||
| SJV MANAGEMENT LLC | ||||||||||||||
| 200 CENTURY PKWY STE 200E | MOUNT LAUREL | NJ | 08054 | 202273476 | RADIOLOGY | NJ | N/A | |||||||
| SMMC MOB II LP | ||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 364559869 | INVESTMENT AND OPERATION OF A MEDICAL BUILDING | PA | N/A | |||||||
| ST AGNES LONG-TERM INTENSIVE CARE LLP | ||||||||||||||
| C/O MHS ONE WEST ELM ST STE 100 | CONSHOHOCKEN | PA | 19428 | 200984882 | LONG TERM INTENSIVE CARE | PA | N/A | |||||||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | HEALTH CARE SERVICES | ID | N/A | |||||||
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| ST JOSEPH'S IMAGING ASSOCIATES PLLC | ||||||||||||||
| 104 UNION AVE SUITE 905 | SYRACUSE | NY | 13203 | 161104293 | RADIOLOGY SERVICES | NY | N/A | |||||||
| ST MARY REHABILITATION HOSPITAL LLP | ||||||||||||||
| 680 SOUTH FORTH STREET | LOUISVILLE | KY | 40202 | 273938747 | HEALTHCARE SERVICES | DE | N/A | |||||||
| ST PETER'S AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 1375 WASHINGTON AVENUE STE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A | |||||||
| TAMARACK MEDICAL CLINIC LLC | ||||||||||||||
| 402 LAKE CASCADE PARKWAY | CASCADE | ID | 83611 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | |||||||
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | ||||||||||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232871206 | OUTPATIENT SURGERY | PA | N/A | |||||||
| TOTAL LAUNDRY COLLABORATIVE LLC | ||||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 208335788 | LAUNDRY SERVICES | CT | N/A | |||||||
| TRINITY HEALTH PARTNERS LLC | ||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 472798085 | POPULATION HEALTH MANAGEMENT | DE | N/A | |||||||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (56 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MANAGEMENT SERVICES CORPORATION INC | |||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141668024 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| CARBONDALE PHYSICIANS' SERVICES INC | |||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232365077 | PHARMACY | PA | N/A | C | Yes (1) | ||||
| CATHERINE HORAN BUILDING CORP | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||
| CHESTNUT RISK SERVICES LTD | |||||||||||||
| INSURANCE | N/A | C | Yes (1) | 11 VICTORIA STREET | HAMILTON | BD | BD | ||||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043128890 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||
| FHS SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 272995699 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN ASSOCIATES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 202991688 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN HEALTH SUPPORT INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161236354 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| FRANCISCAN MANAGEMENT SERVICES INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161351193 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||
| HEF INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383086401 | OFFICE STAFFING | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH MANAGEMENT INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTHCARE EQUIPMENT CORP | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL CENTER INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||
| HEALTH CARE MANAGEMENT ADMINISTRATORS INC | |||||||||||||
| 333 BUTTERNUT DRIVE SUITE 100 | DEWITT | NY | 13214 | 161450960 | HEALTHCARE MANAGEMENT | NY | N/A | C | Yes (1) | ||||
| HEALTH MANAGEMENT SERVICES ORG INC | |||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223366580 | MEDICAL ADMINISTRATION | NJ | N/A | C | Yes (1) | ||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | |||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | Yes (1) | ||||
| HPC CO-OWNERS ASSOCIATION | |||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||
| HURON ARBOR CORPORATION | |||||||||||||
| 5301 EAST HURON RIVER DR | YPSILANTI | MI | 48197 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | Yes (1) | ||||
| IHA AFFILIATION CORPORATION | |||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES II INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 253795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232625981 | GENERAL PARTNER OF LMOB PARTNERS | PA | N/A | C | Yes (1) | ||||
| LIFECARE PHYSICIANS PC | |||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 261649038 | HEALTH CARE SERVICES | NJ | N/A | C | Yes (1) | ||||
| LOURDES MEDICAL ASSOCIATES PA | |||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223361862 | MEDICAL SERVICES | NJ | N/A | C | Yes (1) | ||||
| LOURDES URGENT CARE SERVICES PC | |||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 464188202 | URGENT CARE CENTER | NJ | N/A | C | Yes (1) | ||||
| MARYLAND CARE GROUP INC | |||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | Yes (1) | ||||
| MCMC EASTWICK INC | |||||||||||||
| C/O MHS ONE WEST ELM STREET STE 100 | CONSHOHOCKEN | PA | 19428 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||
| MEDNOW INC | |||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||
| MERCY MEDICAL SERVICES | |||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | Yes (1) | ||||
| MERCY SERVICES CORPORATION | |||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227348 | DORMANT | IL | N/A | C | Yes (1) | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | Yes (1) | ||||
| NURSING NETWORK INC | |||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | 591145192 | MEDICAL SERVICES | FL | N/A | C | Yes (1) | ||||
| PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST | |||||||||||||
| 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 046608649 | PROPERTY MANAGEMENT | MA | N/A | C | Yes (1) | ||||
| PRIORITY PLUS OF CALIFORNIA | |||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS | CA | N/A | C | Yes (1) | ||||
| PROVIDENCE HOME CARE INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043317426 | HEALTH CARE SERVICES | MA | N/A | C | Yes (1) | ||||
| SAINT ALPHONSUS HEALTH ALLIANCE INC | |||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820524649 | ACCOUNTABLE CARE ORGANIZATION | ID | N/A | C | Yes (1) | ||||
| SAINT ALPHONSUS PHYSICIANS PA | |||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | HEALTH CARE SERVICES (INACTIVE) | ID | N/A | C | Yes (1) | ||||
| SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061384686 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAINT FRANCIS CARE MEDICAL GROUP PC | |||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 061432373 | MEDICAL SERVICES | CT | N/A | C | Yes (1) | ||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| SJM PROPERTIES INC | |||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161294991 | PROPERTY HOLDINGS | NY | N/A | C | Yes (1) | ||||
| SJPE PRACTICE MANAGEMENT SERVICES INC | |||||||||||||
| 301 PROSPECT AVE | SYRACUSE | NY | 13203 | 454164964 | MANAGEMENT SERVICES | NY | N/A | C | Yes (1) | ||||
| SJRMC HOLDINGS INC | |||||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 474763735 | PROPERTY HOLDINGS | IN | N/A | C | Yes (1) | ||||
| ST ELIZABETH HEALTH SUPPORT SERVICES INC | |||||||||||||
| 2209 GENESEE STREET | UTICA | NY | 13501 | 161540486 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| ST MARY'S HIGHLAND HILLS VILLAGE INC | |||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582276801 | ASSISTED LIVING | GA | N/A | C | Yes (1) | ||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938161 | LAB SERVICES | MA | N/A | C | Yes (1) | ||||
| THRE SERVICES LLC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||
| TRINITY ASSURANCE LTD | |||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| TRINITY HEALTH ACO INC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473794666 | ACCOUNTABLE CARE ORGANIZATION | DE | N/A | C | Yes (1) | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383410377 | GRANTOR TRUST | MI | N/A | T | Yes (1) | ||||
| TRINITY SENIOR SERVICES MANAGEMENT INC | |||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 371572595 | SENIOR SERVICES | PA | N/A | C | Yes (1) | ||||
| WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382700166 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||
| WORKPLACE HEALTH OF GRAND HAVEN INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EAST NORRITON PHYSICIANS SERVICES | ||
| R | $2,157,822 | PER BOOKS |
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | ||
| M | $10,094,215 | PER BOOKS |