ST MARYS GOOD SAMARITAN HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS GOOD SAMARITAN HOSPITAL INC (EIN 26-1720984)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-13
- IRS object ID
- 201621349349305952
- Schema version
- 2014v6.0
- 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 B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T14:39:59-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261720984 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7063892615 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARTIN HUTSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7063892615 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | D MONTEZ CARTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,676,475 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYSGOODSAM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 325 | TotalEmployeeCnt |
| Total Volunteers | 126 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $382,765 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,963,867 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,062,176 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$39,817 | PYInvestmentIncomeAmt |
| CY Investment Income | -$144,936 | CYInvestmentIncomeAmt |
| PY Other Revenue | $512,308 | PYOtherRevenueAmt |
| CY Other Revenue | $198,570 | CYOtherRevenueAmt |
| PY Total Revenue | $19,436,358 | PYTotalRevenueAmt |
| CY Total Revenue | $27,498,575 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,005,130 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,136,539 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,764,677 | PYOtherExpensesAmt |
| CY Other Expenses | $14,911,104 | CYOtherExpensesAmt |
| PY Total Expenses | $18,769,807 | PYTotalExpensesAmt |
| CY Total Expenses | $24,047,643 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $666,551 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,450,932 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,968,024 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,067,029 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,656,723 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $41,304,796 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,311,301 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,762,233 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, ST. MARY'S HEALTH CARE SYSTEM, INC. AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL, INC. IS A MEMBER OF THE ST. MARY'S HEALTH CARE SYSTEM, INC. AND TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,366,355 | ExpenseAmt |
| Revenue | $27,108,325 | RevenueAmt |
| Desc | GOOD SAMARITAN HOSPITAL, INC. WAS ESTABLISHED TO SERVE THE HEALTHCARE NEEDS OF THE PEOPLE OF GREENSBORO AND THE GREATER GREENE COUNTY AREAS OF EAST GEORGIA. GOOD SAMARITAN HOSPITAL, INC. OPERATES A TWENTY-FIVE (25) BED CRITICAL ACCESS HOSPITAL FOR THE COMMUNITY, INCLUDING GENERAL SURGERY, A 24-HOUR EMERGENCY DEPARTMENT AND MOST ANCILLARY SERVICES ASSOCIATED WITH A MODERN HEALTHCARE FACILITY. GOOD SAMARITAN HOSPITAL, INC. PROVIDES THESE SERVICES ALONG WITH OTHER WELLNESS AND EDUCATIONAL PROGRAMS TO THE COMMUNITY AT REDUCED OR IN SOME CASES NO CHARGE BASED ON THE HOSPITAL'S CHARITY CARE POLICY.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT PROGRAMS AND SERVICES: WWW.STMARYSGOODSAM.ORG | Desc |
| Total Program Service Expenses | $22,366,355 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 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 | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 325 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN HUTSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7063893939 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1230 BAXTER STREET | AddressLine1Txt |
| City | ATHENS | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306063791 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DONALD MCKENNA | ||||||||
| DIRECTOR; CEO/ CORPORATE SECRETARY | 2.00 | 53.00 | Yes (X) | Yes (X) | $0 | $733,137 | $53,860 | |
| JANICE GALLIMORE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOE GORMAN | ||||||||
| CHAIR THR 12/14; DIRECTOR AT 1/15 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JODY HAAS | ||||||||
| VICE CHAIR THR 12/14; CHAIR AT 1/15 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LARRY KURLANDER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AVIS WILLIAMS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICK WOLFERT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DENE CHANNELL | ||||||||
| DIRECTOR AT 1/15 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK BROWN | ||||||||
| DIRECTOR AT 1/15 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE MARTIN | ||||||||
| DIRECTOR AT 1/15 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN HOFFNER | ||||||||
| DIRECTOR THROUGH 12/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FRED HUNTER | ||||||||
| DIRECTOR THROUGH 12/14 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARTIN HUTSON | ||||||||
| VICE PRESIDENT/CFO | 2.00 | 48.00 | Yes (X) | $0 | $301,202 | $25,317 | ||
| D MONTEZ CARTER | ||||||||
| PRESIDENT | 34.00 | 16.00 | Yes (X) | $0 | $310,754 | $36,690 | ||
| ROBERT DAVIS | ||||||||
| PHYSICIAN | 50.00 | 0.00 | $186,908 | $0 | $22,858 | Yes (X) | ||
| CELIA COVINGTON | ||||||||
| RN | 50.00 | 0.00 | $152,070 | $0 | $25,451 | Yes (X) | ||
| CHARLES MCLURE | ||||||||
| PHARMACIST | 50.00 | 0.00 | $114,006 | $0 | $20,582 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $452,984 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,345,093 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $184,758 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| BRASFIELD AND GORRIE LLC | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352460351 | CONSTRUCTION SERVICES | $1,892,048 |
| SHARED IMAGING LLC | |||||
| PO BOX 88544 | MILWAUKEE | WI | 532880544 | MOBILE MRI SERVICES | $355,660 |
| CLASSIC CITY ANESTHESIA ASSOC | |||||
| 2061 EXPERIMENTAL STATION RD | WATKINSVILLE | GA | 30677 | CRNA SERVICES AND COVERAGE | $345,875 |
| ATHENS CLARKE EMERGENCY SPEC | |||||
| 298 SOUTH YONGE STREET | ORMOND BEACH | FL | 32174 | PHYSICIAN SERVICES | $180,000 |
| SODEXO INC | |||||
| PO BOX 536922 | ATLANTA | GA | 303536922 | CONTRACTED DIETARY SERVICES | $157,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $382,765 | GovernmentGrantsAmt |
| Total Contributions | $382,765 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $27,062,176 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,062,176 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,062,176 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $144,936 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$144,936 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$144,936 | TotalRevenueColumnAmt |
| Exclusion | -$144,936 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $52,752 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $32,964 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,788 | TotalRevenueColumnAmt |
| Exclusion | $19,788 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $132,633 | $132,633 | |
| OTHER REVENUE | 900099 | $46,149 | $46,149 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $178,782 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,498,575 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,108,325 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,485 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,444 | TotalAmt |
| Management And General | $347,444 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,499,862 | TotalAmt |
| Program Services | $6,902,173 | ProgramServicesAmt |
| Management And General | $597,689 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,598 | TotalAmt |
| Program Services | $88,156 | ProgramServicesAmt |
| Management And General | $1,442 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,713 | TotalAmt |
| Program Services | $609,385 | ProgramServicesAmt |
| Management And General | $55,328 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,922 | TotalAmt |
| Program Services | $478,657 | ProgramServicesAmt |
| Management And General | $56,265 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,159 | TotalAmt |
| Management And General | $14,159 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,441 | TotalAmt |
| Program Services | $2,219,458 | ProgramServicesAmt |
| Management And General | $177,983 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,344 | TotalAmt |
| Program Services | $81,736 | ProgramServicesAmt |
| Management And General | $9,608 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,130 | TotalAmt |
| Program Services | $353,571 | ProgramServicesAmt |
| Management And General | $41,559 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,586 | TotalAmt |
| Program Services | $94,480 | ProgramServicesAmt |
| Management And General | $11,106 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,271 | TotalAmt |
| Program Services | $498,656 | ProgramServicesAmt |
| Management And General | $58,615 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,970 | TotalAmt |
| Program Services | $20,554 | ProgramServicesAmt |
| Management And General | $2,416 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675 | TotalAmt |
| Program Services | $604 | ProgramServicesAmt |
| Management And General | $71 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,318,659 | TotalAmt |
| Program Services | $1,318,659 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,460,399 | TotalAmt |
| Program Services | $2,201,606 | ProgramServicesAmt |
| Management And General | $258,793 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $4,687,376 | $4,687,376 | |
| MEDICAL SUPPLIES EXPENS | $2,396,024 | $2,396,024 | |
| EQUIPMENT MAINTENANCE | $69,177 | $61,901 | $7,276 |
| CONTRACT LABOR EXPENSE | $47,672 | $42,658 | $5,014 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,221 | TotalAmt |
| Program Services | $310,701 | ProgramServicesAmt |
| Management And General | $36,520 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,047,643 | TotalAmt |
| Program Services | $22,366,355 | ProgramServicesAmt |
| Management And General | $1,681,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,353 | BOYAmt |
| EOY | $44,768 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,103,635 | BOYAmt |
| EOY | $2,988,554 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,361 | BOYAmt |
| EOY | $370,872 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,992 | BOYAmt |
| EOY | $76,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $43,233,306 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,809,992 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,879,340 | BOYAmt |
| EOY | $37,423,314 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,457,343 | BOYAmt |
| EOY | $8,163,021 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,968,024 | BOYAmt |
| EOY | $49,067,029 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,650 | BOYAmt |
| EOY | $2,808,624 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,187,073 | BOYAmt |
| EOY | $38,496,172 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,656,723 | BOYAmt |
| EOY | $41,304,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,311,301 | BOYAmt |
| EOY | $7,762,233 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,311,301 | BOYAmt |
| EOY | $7,762,233 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,968,024 | BOYAmt |
| EOY | $49,067,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,450,932 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $1,029 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,029 | 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 | GOOD SAMARITAN HOSPITAL, INC. 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 GOOD SAMARITAN HOSPITAL, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. GOOD SAMARITAN HOSPITAL, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,922,549 | OtherCostOrOtherBasisAmt |
| Book Value | $2,922,549 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,610,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,233,216 | DepreciationAmt |
| Book Value | $26,377,000 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,616,106 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,576,776 | DepreciationAmt |
| Book Value | $8,039,330 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,435 | OtherCostOrOtherBasisAmt |
| Book Value | $84,435 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $37,423,314 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY ACCOUNTS RECEIVABLE | $7,602,155 |
| MISCELLANEOUS RECEIVABLES | $560,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,163,021 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY NOTES PAYABLE | $38,259,334 |
| INTERCOMPANY ACCOUNTS PAYABLE | $236,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,496,172 | 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $947,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $360,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $587,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03040 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,344,693 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,412,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$68,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,292,390 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,772,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $519,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 1612 | PersonsServedCnt |
| Total Community Benefit Expns | $21,117 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,117 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2 | PersonsServedCnt |
| Total Community Benefit Expns | $10,931 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1278 | PersonsServedCnt |
| Total Community Benefit Expns | $9,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2892 | PersonsServedCnt |
| Total Community Benefit Expns | $42,026 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $42,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 2892 | PersonsServedCnt |
| Total Community Benefit Expns | $2,334,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,772,717 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $561,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03260 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $396 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $396 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 65 | PersonsServedCnt |
| Total Community Benefit Expns | $882 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $882 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $502 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 422 | PersonsServedCnt |
| Total Community Benefit Expns | $1,395 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 487 | PersonsServedCnt |
| Total Community Benefit Expns | $3,175 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,687,376 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,020,067 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,882,675 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $137,392 | 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 | GOOD SAMARITAN HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5401 LAKE OCONEE PARKWAY | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 306424232 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | PERMIT #066-638 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.STMARYSGOODSAM.ORG/ABOUT-US/COMMUNITY-BENEFIT | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE | 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GOOD SAMARITAN HOSPITAL, INC. | PART V, SECTION B, LINE 5: GOOD SAMARITAN HOSPITAL, INC. CONDUCTED FOCUSED INTERVIEWS WITH KEY INFORMANTS FROM THE CHNA SERVICE AREA REGARDING THE HEALTH NEEDS OF THE COMMUNITY. GOOD SAMARITAN HOSPITAL, INC. RECEIVED INPUT FROM A DIVERSE GROUP OF LEADERS THAT REPRESENT THE BROAD INTERESTS OF OUR COMMUNITY, INCLUDING: DIRECTORS AND STAFF FROM COMMUNITY HEALTH CENTERS, AND EDUCATIONAL LEADERS AND REPRESENTATIVES FROM THE FAITH COMMUNITY. KEY INFORMANTS WERE IDENTIFIED AND RECRUITED BY THE ASSESSMENT TEAM WORKING IN COLLABORATION WITH GOOD SAMARITAN HOSPITAL, INC.'S LEADERSHIP COMMITTEE. KEY INFORMANTS PROVIDED KNOWLEDGE ABOUT THE COMMUNITY'S HEALTH STATUS, RISK FACTORS, SERVICE UTILIZATION, AND COMMUNITY RESOURCE NEEDS, AS WELL AS GAPS AND SERVICE SUGGESTIONS.IN TOTAL, 10 INTERVIEWS WERE CONDUCTED OVER A THREE MONTH PERIOD BETWEEN FEBRUARY AND MAY 2013. ALL OF THE STAKEHOLDERS INTERVIEWED WORK OR SERVE IN GREENE COUNTY AND MOST WORK CLOSELY WITH THE POOR AND UNDERSERVED. THE FOLLOWING ORGANIZATIONS WERE CONSULTED BY GOOD SAMARITAN HOSPITAL, INC.:-GREENE COUNTY HEALTH DEPARTMENT-TENDERCARE CLINIC (FQHC) -GOOD SAMARITAN HOSPITAL, INC. -GREENE COUNTY FAMILY CONNECTION COMMISSION -GREENE COUNTY HIGH SCHOOL -FIRST UNITED METHODIST CHURCH |
| GOOD SAMARITAN HOSPITAL, INC. | PART V, SECTION B, LINE 7D: LINE 7A: WWW.STMARYSGOODSAM.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| GOOD SAMARITAN HOSPITAL, INC. | PART V, SECTION B, LINE 11: GOOD SAMARITAN HOSPITAL, INC. HAS CONTINUED TO ENGAGE OUR COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES TO IMPROVE THE HEALTH OF THE COMMUNITY WE SERVE, WITH A SPECIAL COMMITMENT TO THE POOR AND UNDERSERVED.THE OVERALL STRATEGIES TO ADDRESS THE THREE PRIORITY HEALTH AREAS ARE AS FOLLOWS:IMPROVE ACCESS TO CARE - GOOD SAMARITAN HOSPITAL, INC. PLANS TOINCREASE ACCESS TO CLINICAL PREVENTIVE SERVICES BY PARTICIPATING IN HEALTH AND WELLNESS FAIRS AT WORKSITES, FAITH-BASED INSTITUTIONS, CIVIC ORGANIZATIONS AND SENIOR CENTERS THROUGHOUT THE COMMUNITY. AS WELL AS INCREASE ACCESS TO RECOMMENDED CLINICAL PREVENTIVE SERVICES FOR THE POOR AND UNINSURED BY PROVIDING MAMMOGRAMS FOR LOW-INCOME POPULATION.PREVENT CHRONIC DISEASES AND INCREASE WELLNESS - GOOD SAMARITAN HOSPITAL, INC. PLANS TO ENHANCE COMMUNITY EXERCISE PROGRAM TO ENCOURAGE HEALTHY FITNESS HABITS AND TO ASSIST COMMUNITY MEMBERS IN INTEGRATING A REGULAR EXERCISE PROGRAM INTO THEIR HEALTH ROUTINE.HEART DISEASE AND STROKE - GOOD SAMARITAN HOSPITAL, INC. PLANS TO EXPAND COMMUNITY EDUCATION PROGRAMS AIMED AT INCREASING KNOWLEDGE OF STROKE RISK FACTORS, STROKE WARNING SIGNS, AND ACTION NEEDED WHEN STROKE WARNING SIGNS OCCUR. THE HOSPITAL WILL ALSO IDENTIFY AND SCREEN HIGH-RISK INDIVIDUALS FOR CORONARY HEART DISEASE THROUGH COMMUNITY OUTREACH INTERVENTIONS.AN IMPLEMENTATION PLAN HAS BEEN DEVELOPED TO RESPOND TO EACH OF THE PRIORITIZED NEEDS WITHIN THE SCOPE OF OUR SERVICES AND PARTNERSHIPS.GOOD SAMARITAN HOSPITAL, INC. ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. GOOD SAMARITAN HOSPITAL, INC. WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS:TEENAGE PREGNANCY - GOOD SAMARITAN HOSPITAL, INC. BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS. THE GREENE COUNTY TEEN PREGNANCY PREVENTION TASK FORCE, ORGANIZED BY TEEN MATTERS IN ATHENS, IS WORKING TO REDUCE THE RATE OF TEEN PREGNANCY IN THE COMMUNITY. A HEALTH HOTLINE CALLED RESOURCES FOR INDIVIDUAL STUDENT EMPOWERMENT IS ALSO AVAILABLE. TEENAGERS CAN CALL THIS HOTLINE TO GET ANSWERS TO QUESTIONS ABOUT A WIDE RANGE OF SEXUAL HEALTH ISSUES. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.ORAL HEALTH - GOOD SAMARITAN HOSPITAL, INC. BELIEVES THAT THIS PRIORITY AREA FALLS OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. GOOD SAMARITAN HOSPITAL, INC. DOES NOT HAVE THE CAPACITY OR EXPERTISE TO PROVIDE DENTAL CARE SERVICES AT THIS TIME.MENTAL HEALTH - GOOD SAMARITAN HOSPITAL, INC. BELIEVES THAT THIS PRIORITY AREA FALLS OUT OF THE SCOPE OF EXPERTISE AND RESOURCES OF THE HOSPITAL. GOOD SAMARITAN HOSPITAL, INC. WILL CONTINUE TO WORK WITH EXISTING COMMUNITY HEALTH PARTNERS AND SEEK OUT INNOVATIVE METHODS TO ADDRESS THIS NEED IN THE FUTURE AS RESOURCES BECOME AVAILABLE. |
| GOOD SAMARITAN HOSPITAL, INC. | 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. |
| GOOD SAMARITAN HOSPITAL, INC. | 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 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| GOOD SAMARITAN HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| GOOD SAMARITAN HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE: | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE |
| GOOD SAMARITAN HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE: | WWW.STMARYSGOODSAM.ORG/PATIENTS-VISITORS/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: | GOOD SAMARITAN HOSPITAL, INC. 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, GOOD SAMARITAN HOSPITAL, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. |
| PART I, LINE 7: | THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(F): | THE FOLLOWING NUMBER, $4,687,376, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | GOOD SAMARITAN HOSPITAL, INC. PARTICIPATES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT STRENGTHEN THE COMMUNITY'S CAPACITY TO PROMOTE HEALTH AND WELL-BEING OF ITS RESIDENTS. IN FISCAL YEAR 2015, GOOD SAMARITAN HOSPITAL, INC. ESTABLISHED THE HOUR OF POWER. THE HOUR OF POWER MEMBERS MEET ONCE A MONTH DURING LUNCHTIME AT THE HOSPITAL. MEMBERS PROVIDE SUPPORT AND GUIDANCE TO THOSE OF THE GROUP WHO WISH TO OBTAIN THEIR GED, MENTOR THOSE WITH ANY SPECIFIC NEEDS, AND ENJOY BEING SURROGATE GRANDPARENTS TO THE CHILDREN OF PARTICIPANTS.SEVERAL DEPARTMENTS WITHIN THE HOSPITAL ARE INVOLVED IN MENTORING STUDENTS INTERESTED IN HEALTHCARE CAREERS. IN FISCAL YEAR 2015, GOOD SAMARITAN HOSPITAL INC.'S DIRECTOR OF COMMUNITY OUTREACH AND ADMINISTRATIVE SERVICES ESTABLISHED A PARTNERSHIP WITH THE GREENSBORO EXPLORER'S PROGRAM. THE GREENSBORO EXPLORER'S PROGRAM IS A PARTNERSHIP WITH LOCAL HIGH SCHOOLS TO PROVIDE SHADOWING OPPORTUNITIES AND CAREER DEVELOPMENT IN THE MEDICAL FIELD. THE OBJECTIVE OF THIS PROGRAM IS TO PROVIDE INSIGHT TO STUDENTS INTERESTED IN GOING INTO THE MEDICAL FIELD. THE PROGRAM IS A PARTNERSHIP BETWEEN THE BOY SCOUTS AND AREA HIGH SCHOOLS.GOOD SAMARITAN HOSPITAL INC.'S DIRECTOR OF NURSING AND DIRECTOR OF COMMUNITY SERVICE AND OUTREACH SERVE ON THE GREENE COUNTY CHAMBER OF COMMERCE TO HELP PROMOTE ECONOMIC DEVELOPMENT IN THE COUNTY. |
| 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: | GOOD SAMARITAN HOSPITAL, INC. 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, GOOD SAMARITAN HOSPITAL, INC. IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, GOOD SAMARITAN HOSPITAL, INC. IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | GOOD SAMARITAN HOSPITAL, INC. 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 8: | GOOD SAMARITAN HOSPITAL, INC. 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 - IN ADDITION TO CONDUCTING A COMPREHENSIVE NEEDS ASSESSMENT EVERY THREE YEARS, GOOD SAMARITAN HOSPITAL,INC. CONTINUOUSLY GATHERS AND REVIEWS DATA RELATED TO COMMUNITY HEALTH NEEDS. THE HOSPITAL UTILIZES FOCUS AND ADVISORY GROUPS AND COMMUNITY STUDIES, AS WELL AS SERVES ON LOCAL BOARDS AND SUBCOMMITTEES TO ENSURE THAT THE COMMUNITY HEALTH NEEDS ARE APPROPRIATELY IDENTIFIED AND ADDRESSED. GOOD SAMARITAN HOSPITAL, INC. ALSO COLLABORATES WITH COMMUNITY ORGANIZATIONS, CHURCHES, BUSINESSES, AGENCIES, LOCAL COLLEGES AND UNIVERSITIES, AND STATE INDIGENT PROGRAMS TO DETERMINE HEALTH NEEDS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE -GOOD SAMARITAN HOSPITAL, INC. 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, GOOD SAMARITAN HOSPITAL, INC. 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 OBLIGATIONSGOOD SAMARITAN HOSPITAL, INC. 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. GOOD SAMARITAN HOSPITAL, INC. 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 PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. GOOD SAMARITAN HOSPITAL, INC. HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. GOOD SAMARITAN HOSPITAL, INC. 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 -GOOD SAMARITAN HOSPITAL, INC. IS LOCATED IN GREENE COUNTY, GEORGIA. ALTHOUGH IT IS THE 56TH LARGEST COUNTY IN THE STATE IN LAND AREA, GREENE COUNTY HAS A SPARSE POPULATION OF 16,321. IT IS COMPOSED OF FIVE CITIES WITH ITS POPULATION CENTERS IN GREENSBORO AND UNION POINT. THE AREA IS KNOWN FOR ITS LUSH GREEN BEAUTY. GREENSBORO OFFERS FISHING, SWIMMING, BOATING, BEAUTIFUL GOLF COURSES AND IS HOME TO ONE OF AMERICA'S 20 HOTTEST BASS LAKES, LAKE OCONEE.APPROXIMATELY 55% OF THE POPULATION IN GREENE COUNTY IS BETWEEN 18 AND 64 YEARS OF AGE, AND 25.4% OF THE POPULATION IS AGE 65 AND OVER. THE MAJORITY RACES ARE WHITE AND AFRICAN AMERICAN, AND 6.3% OF THE POPULATION IS HISPANIC OR LATINO. MALES MAKE UP 48.6% OF RESIDENTS. THE MAJORITY OF HOUSEHOLDS IN GREENE COUNTY ARE FAMILY HOUSEHOLDS. THE AVERAGE HOUSEHOLD SIZE IS 2.43 AND THE AVERAGE FAMILY SIZE IS 2.85 PEOPLE. FORTY-NINE PERCENT OF CHILDREN IN GREENE COUNTY LIVE IN SINGLE PARENT HOMES, 13% MORE THAN THE STATE AVERAGE AND 29% GREATER THAN THE NATIONAL BENCHMARK. OF CHILDREN ENROLLED IN SCHOOL, 71% ARE ELIGIBLE FOR FREE OR REDUCED LUNCH.AMONG RESIDENTS AGE 25 AND OVER IN GREENE COUNTY, 76.2% HAVE GRADUATED FROM HIGH SCHOOL AND 18.4% HAVE A BACHELOR'S DEGREE OR HIGHER. OF THOSE RESIDENTS 16 YEARS AND OLDER IN THE CIVILIAN LABOR FORCE, 9.6% ARE UNEMPLOYED IN GREENE COUNTY. THIS IS SLIGHTLY HIGHER THAN THE PERCENTAGE IN GEORGIA (9.0%). THE MEDIAN HOUSEHOLD INCOME IN GREENE COUNTY IS $40,728. THIS IS APPROXIMATELY $9,000 LESS THAN THE STATE MEDIAN ($49,604). GREENE COUNTY ALSO HAS A SIGNIFICANTLY HIGHER PERCENTAGE OF FAMILIES AND INDIVIDUALS LIVING BELOW THE POVERTY LEVEL THAN THE STATE OF GEORGIA. IN GREENE COUNTY THE PERCENT OF PERSONS LIVING BELOW THE POVERTY LEVEL IS 22.5%. |
| PART VI, LINE 5: | PROMOTION OF COMMUNITY HEALTH -GOOD SAMARITAN HOSPITAL, INC. IS GUIDED BY THE ST. MARY'S HEALTH CARE SYSTEM MISSION OF IMPROVING THE HEALTH OF THE PEOPLE OF OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS. THE HOSPITAL OFFERS A WIDE RANGE OF SERVICES INCLUDING GENERAL SURGERY AND A 24-HOUR EMERGENCY DEPARTMENT THAT IS OPEN TO SERVE ALL THOSE IN NEED OF EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS A ST. MARY'S HEALTH CARE SYSTEM HOSPITAL, WE ARE ABLE TO BRING COMMUNITY MEMBERS SPECIALTY SERVICES CLOSE TO HOME, PROVIDED BY A NETWORK OF PHYSICIANS. WE ALSO CAN PROVIDE COMMUNITY MEMBERS WITH ACCESS TO THE EXPERTISE AND SPECIALTY SERVICES AT ST. MARY'S HOSPITAL IN ATHENS WHEN THEY REQUIRE CARE NOT AVAILABLE LOCALLY.COMMUNITY BENEFIT IS THE WAY IN WHICH GOOD SAMARITAN HOSPITAL, INC. CARRIES OUT ITS MISSION. IT IS HOW WE DEMONSTRATE A COMMITMENT TO OUR CORE VALUES AND A REFLECTION OF HOW WE SERVE OUR COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION. GOOD SAMARITAN HOSPITAL, INC. OFFERS MANY PROGRAMS AND SERVICES TO ENSURE THE BEST QUALITY OF CARE IS GIVEN TO OUR PATIENTS AND TO HELP THOSE IN NEED WHO MAY NEVER ENTER OUR FACILITIES. THROUGH OUR HEALTH EDUCATION PROGRAMS, HEALTH CARE SUPPORT SERVICES, VALUED COMMUNITY PARTNERSHIPS, AND CHARITY CARE PROVISIONS, GOOD SAMARITAN HOSPITAL, INC. IS IMPROVING THE HEALTH AND WELLBEING OF INDIVIDUALS AND FAMILIES THAT MAKE UP OUR COMMUNITY. EACH YEAR GOOD SAMARITAN HOSPITAL, INC. WELCOMES STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES WHO ARE STUDYING TO BECOME THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS. THE STAFF OF GOOD SAMARITAN HOSPITAL, INC. SPENDS COUNTLESS HOURS MENTORING AND EDUCATING THESE STUDENTS IN THE UNIQUE SETTINGS OF A HEALTH CARE FACILITY. THE EXPERIENCE AND KNOWLEDGE GAINED THROUGH THESE PROGRAMS IS INVALUABLE TO THEIR FUTURE CAREERS AS WELL AS THE HEALTH CARE FIELD. GOOD SAMARITAN HOSPITAL, INC. COLLABORATES WITH COMMUNITIES, CHURCHES, BUSINESSES, AND OTHER HEALTH CARE ORGANIZATIONS TO FACILITATE AND STRENGTHEN ACCESSIBILITY OF QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR ALL, PARTICULARLY THE VULNERABLE AND UNDERSERVED POPULATIONS. IN FISCAL YEAR 2015 GOOD SAMARITAN HOSPITAL, INC.'S EMPLOYEES DONATED THEIR TIME AND EXPERTISE TO ORGANIZATIONS THAT STRIVE TO IMPROVE COMMUNITY HEALTH. THE EMPLOYEES PROVIDED BLOOD PRESSURE SCREENING FOR COMMUNITY MEMBERS FREE OF CHARGE AND GAVE PRESENTATIONS ON THE SIGNS AND SYMPTOMS OF STROKE TO COMMUNITY MEMBERS. GOOD SAMARITAN HOSPITAL, INC. ALSO PROVIDED CASH AND IN-KIND DONATIONS TO NUMEROUS ORGANIZATIONS AND COMMUNITY EVENTS INCLUDING THE GREENE COUNTY HABITAT FOR HUMANITY AND THE KNIGHTS OF COLUMBUS. IN FISCAL YEAR 2015 GOOD SAMARITAN HOSPITAL, INC. AND TENDER CARE CLINIC, A FEDERALLY QUALIFIED HEALTH CLINIC (FQHC), CONTINUE THEIR JOINT COMMUNITY BREAST CANCER AWARENESS PROGRAM TO INCREASE EARLY DIAGNOSIS AND DETECTION OF BREAST CANCER IN GREENE COUNTY. IN FISCAL YEAR 2015 THIS PROGRAM REACHED 300 POTENTIALLY AT-RISK PERSONS FOR BREAST CANCER IN GREENE COUNTY. GOOD SAMARITAN HOSPITAL, INC. IS GOVERNED BY A BOARD OF DIRECTORS COMMITTED TO THE VALUES OF THE SYSTEM AND TO ENSURING THAT GOOD SAMARITAN HOSPITAL, INC. CONTINUES ITS MISSION OF BEING A COMPASSIONATE, HEALING PRESENCE IN OUR COMMUNITY. GOOD SAMARITAN HOSPITAL, INC. HAS A 10-MEMBER BOARD COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS. |
| PART VI, LINE 6: | GOOD SAMARITAN HOSPITAL, INC. IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL REGIONAL HEALTH MINISTRIES DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY 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 MORE THAN $800 MILLION 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 EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONALD MCKENNA | ||||||||||||||
| DIRECTOR; CEO/ CORPORATE SECRETARY | $0 | $364,398 | $0 | $247,275 | $0 | $121,464 | $0 | $19,350 | $0 | $34,510 | $0 | $786,997 | $0 | $0 |
| MARTIN HUTSON | ||||||||||||||
| VICE PRESIDENT/CFO | $0 | $222,341 | $0 | $71,512 | $0 | $7,349 | $0 | $15,543 | $0 | $9,774 | $0 | $326,519 | $0 | $0 |
| D MONTEZ CARTER | ||||||||||||||
| PRESIDENT | $0 | $217,179 | $0 | $80,910 | $0 | $12,665 | $0 | $12,975 | $0 | $23,715 | $0 | $347,444 | $0 | $0 |
| ROBERT DAVIS | ||||||||||||||
| PHYSICIAN | $185,752 | $0 | $0 | $0 | $1,156 | $0 | $978 | $0 | $21,880 | $0 | $209,766 | $0 | $0 | $0 |
| CELIA COVINGTON | ||||||||||||||
| RN | $121,638 | $0 | $28,665 | $0 | $1,767 | $0 | $8,024 | $0 | $17,427 | $0 | $177,521 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | GOOD SAMARITAN HOSPITAL, INC. IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOOD SAMARITAN HOSPITAL, INC.'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 GOOD SAMARITAN HOSPITAL, INC.'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, LINE 4B | THE FOLLOWING INDIVIDUAL IS VESTED IN THE CATHOLIC HEALTH EAST SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), A NONQUALIFED PLAN. THE PLAN WAS FROZEN DECEMBER 31, 2013. THE FOLLOWING VESTED SERP AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DONALD MCKENNA - $80,015 THE FOLLOWING INDIVIDUAL IS A PARTICIPANT IN THE NEW TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) EFFECTIVE JANUARY 1, 2014. THE PLAN WILL PROVIDE RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. THERE WERE NO PAYOUTS IN 2014. DONALD MCKENNA |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF GOOD SAMARITAN HOSPITAL, INC. IS ST MARY'S HEALTH CARE SYSTEM, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ST MARY'S HEALTH CARE SYSTEM, INC. IS THE SOLE MEMBER OF GOOD SAMARITAN HOSPITAL, INC. ST MARY'S HEALTH CARE SYSTEM, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, ST MARY'S HEALTH CARE SYSTEM, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. ST MARY'S HEALTH CARE SYSTEM, INC. 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 GOOD SAMARITAN HOSPITAL, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. 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 | GOOD SAMARITAN HOSPITAL, INC. 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 GOOD SAMARITAN HOSPITAL, INC., 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 GOOD SAMARITAN HOSPITAL, INC. 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 GOOD SAMARITAN HOSPITAL, INC. (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GOOD SAMARITAN HOSPITAL, INC. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL, INC. (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 GOOD SAMARITAN HOSPITAL, INC. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 15 | QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR GOOD SAMARITAN HOSPITAL, INC.'S CEO IS ESTABLISHED AND PAID 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 GOOD SAMARITAN HOSPITAL, INC. 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 EMPLOYEES, GOOD SAMARITAN HOSPITAL, INC. 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 | GOOD SAMARITAN HOSPITAL, INC. 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, GOOD SAMARITAN HOSPITAL, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. GOOD SAMARITAN HOSPITAL INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2: | GOOD SAMARITAN HOSPITAL, INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY15 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (223 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 | NORTHEAST HEALTH INC | 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 INC | Yes (1) | ||
| AUXILIARY OF HOLY ROSARY HOSPITAL | ||||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | VOLUNTEER SERVICE AUXILIARY | OR | 501(C)(3) | LINE 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | 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 INC | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 7911 DILEY ROAD | CANAL WINCHESTER | OH | 43110 | 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 PHYSICIAN SERVICES | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232515999 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| EDDY LICENSED HOME CARE AGENCY | ||||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 3 | LTC (EDDY) INC | Yes (1) | ||
| EMPIRE HOME INFUSION SERVICE INC | ||||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | LINE 9 | HOME AIDE SERVICE OF EASTERN NEW YORK 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 | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 233068656 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 7 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| GLOBAL HEALTH MINISTRY (FKA TRINITY HEALTH INTERNATIONAL) | ||||||||||||
| 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 | 0 | ||
| 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 | ||||||||||||
| 1000 MONROE AVENUE 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) | ||
| 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 | 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) | ||
| INTRACOASTAL HEALTH SYSTEMS INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 650556413 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| 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) | ||
| 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 11A, I | 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 DIALYSIS AT INNOVA INC | ||||||||||||
| 3716 CHURCH ROAD | MT LAUREL | NJ | 08054 | 263237625 | HEALTHCARE SERVICES (INACTIVE) | 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 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 | NORTHEAST HEALTH INC | Yes (1) | ||
| MARIAN COMMUNITY HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE NO 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 11A, I | TRINITY CONTINUING CARE SERVICES | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 3805 WEST CHESTER PIKE NO 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 11A, I | 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 INC | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE PORT HURON | ||||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | 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 | 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 COMMUNITY HOMECARE SERVICES | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061488137 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | 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 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232829864 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH NETWORK | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421478417 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | ||
| MERCY HEALTH PARTNERS | ||||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HEALTH PLAN | ||||||||||||
| C/O ONE WEST ELM STREET | 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 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232212638 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 11B, II | 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 | ||||||||||||
| 400 HOBART | CADILLAC | MI | 49601 | 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 11A, I | 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 11A, I | 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 1090 | DAPHNE | AL | 36526 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | LINE 3 | MERCY MEDICAL CORPORATION | 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 | 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 | 0 | N/A | ||
| MERCY MEDICAL CORPORATION | ||||||||||||
| PO BOX 1090 | DAPHNE | AL | 36526 | 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 NORTH HOMECARE AND HOSPICE | ||||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOSPICE & HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | ||
| MERCY PHYSICIAN NETWORK | ||||||||||||
| C/O ONE WEST ELM STREET | 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 CORPORATION | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061453323 | HEALTHCARE SYSTEM SUPPORT (INACTIVE) | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH 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 11B, II | 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 | CONSHOHOCKEN | PA | 19428 | 231396763 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY UIHLEIN HEALTH CORPORATION | ||||||||||||
| 185 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | 161535133 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCYKNOLL INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060757380 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | 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 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 11B, II | 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 | CONSHOHOCKEN | PA | 19428 | 203261266 | HEALTHCARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NE PHYSICIAN SERVICES | ||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232497355 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 9 | 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 | ||
| 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 HEALTH CARE SERVICES | 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) | ||
| PROFESSIONAL OFFICE CORPORATION | ||||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | BUILDING MANAGEMENT SERVICES | CA | 501(C)(3) | LINE 11A, I | SAINT AGNES MEDICAL CENTER | 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 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-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 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 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-S BEND | 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 | 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 11A, I | 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 | Yes (1) | ||
| SAINT MARY HOME II INC | ||||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061164104 | LONG TERM CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| SAINT MARY'S AMICARE HOME HEALTHCARE | ||||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | 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 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| SAMARITAN CHILD CARE CENTER INC | ||||||||||||
| 2213 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD CARE | NY | 501(C)(3) | LINE 9 | NORTHEAST HEALTH INC | Yes (1) | ||
| SAMARITAN HOSPITAL OF TROY NEW YORK | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | 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) | ||
| 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 | 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 | CONSHOHOCKEN | PA | 19428 | 232415137 | FOUNDATION | PA | 501(C)(3) | LINE 11B, II | 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 | ||||||||||||
| 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 11A, I | 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 FOUNDATION INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161486437 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST JAMES MERCY HEALTH SYSTEM INC | 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 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 AUXILIARY | ||||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222843206 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 11A, I | ST PETER'S HEALTH CARE SERVICES | 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 11A, I | 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 CARE SERVICES | 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 CARE SERVICES | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER | ||||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 141338386 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | ||
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION | ||||||||||||
| 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 CARE SERVICES | 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 11A, I | SAINT JOSEPH REGIONAL MEDICAL CENTER 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) | ||
| 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 11A, I | 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 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 PACE | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473073124 | PACE PROGRAM | MI | 501(C)(3) | LINE 9 | 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 INC | ||||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| UIHLEIN MERCY CENTER | ||||||||||||
| 185 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | 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 (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | |||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A |
| 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 | N/A |
| FOREST PARK IMAGING LLC | |||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A |
| FRANCES WARDE MEDICAL LABORATORY | |||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A |
| 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 | PA | 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 | |||||||
| 3000 RIVERCHASE GALLERIA | BIRMINGHAM | AL | 35244 | 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 |
| MEDILUCENT MOB I | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | 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 | |||||||
| 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 |
| 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 |
| 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 | RADIATION ONCOLOGY | 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 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 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 |
| TRINITY HEALTH PARTNERS LLC | |||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 472798085 | POPULATION HEALTH MANAGEMENT | DE | N/A |
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | 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 (50 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | ||||
| CATHOLIC HEALTH EAST SENIOR SERVICES | |||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 371572595 | SENIOR SERVICES | PA | 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) | ||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH MANAGEMENT CENTER INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTHCARE EQUIPMENT CORP | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL CENTER INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | 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) | ||||
| HEF INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | 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 PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | Yes (1) | ||||
| IHA AFFILIATION CORPORATION | |||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| LANGHORNE SERVICES II INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 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 | MEDICAL SERVICES | NJ | N/A | C | Yes (1) | ||||
| MANNING MEDICAL PLLC | |||||||||||||
| 315 S MANNING BLVD | ALBANY | NY | 12208 | 464331512 | MEDICAL SERVICES | NY | 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) | ||||
| MICHIGAN ATHLETIC CLUB | |||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49506 | 382647304 | ATHLETIC CLUB | MI | 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 | PHYSICIANS | ID | N/A | C | Yes (1) | ||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | |||||||||||||
| 200 JEFFERSON AVENUE SE | GRAND RAPIDS | MI | 49503 | 383450733 | ATHLETIC CLUB | MI | 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) | ||||
| ST MARY'S HIGHLAND HILLS VILLAGE INC | |||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582276801 | ASSISTED LIVING | GA | N/A | C | Yes (1) | ||||
| SURGERY CENTER FINANCING CORPORATION | |||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | Yes (1) | ||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938181 | 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 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) | ||||
| VENZKE INSURANCE COMPANY LTD | |||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| 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 | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST MARY'S HEALTH CARE SYSTEM INC | ||
| P | $661,127 | PER BOOKS |
| ST MARY'S HEALTH CARE SYSTEM INC | ||
| M | $159,256 | PER BOOKS |