SAINT ALPHONSUS MEDICAL CENTER NAMPA INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ALPHONSUS MEDICAL CENTER NAMPA INC (EIN 82-0200896)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-12
- IRS object ID
- 201531329349302578
- Schema version
- 2013v4.0
- 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 I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-12T12:29:56-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820200896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAIN | BusinessNameControlTxt |
| Phone | 2084635589 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 836866008 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BLAINE PETERSEN | PersonNm |
| Person Title | CFO SAINT ALPHONSUS HEALTH SYS | PersonTitleTxt |
| Phone | 2084635589 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARL KEELER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 836866008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $114,704,189 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SAINTALPHONSUS.ORG/NAMPA | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | HEALTHCARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 887 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $139,596 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $608,732 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,053,820 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $102,940,317 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $106,049,633 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,782,328 | PYInvestmentIncomeAmt |
| CY Investment Income | $956,017 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,979,094 | PYOtherRevenueAmt |
| CY Other Revenue | $5,890,367 | CYOtherRevenueAmt |
| PY Total Revenue | $107,310,471 | PYTotalRevenueAmt |
| CY Total Revenue | $113,949,837 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $31,662 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $130,856 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,002,965 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,621,175 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $40,693 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,229,004 | PYOtherExpensesAmt |
| CY Other Expenses | $65,282,134 | CYOtherExpensesAmt |
| PY Total Expenses | $105,263,631 | PYTotalExpensesAmt |
| CY Total Expenses | $107,034,165 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,046,840 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,915,672 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $112,907,986 | TotalAssetsBOYAmt |
| Total Assets EOY | $114,893,081 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,340,668 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,314,188 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $79,567,318 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $83,578,893 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $89,106,252 | ExpenseAmt |
| Grant | $130,856 | GrantAmt |
| Revenue | $110,861,098 | RevenueAmt |
| Desc | SINCE 1917 WHEN THE SISTERS OF MERCY BEGAN PROVIDING CARE TO THE NAMPA, IDAHO COMMUNITY, SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS BEEN COMMITTED TO THE PROVISION OF QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS THE ONLY CATHOLIC HOSPITAL TO SERVE THE NAMPA COMMUNITY. IT IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL.SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS A 152-BED ACUTE CARE HOSPITAL SERVING THE NEEDS OF THE GREATER NAMPA AREA. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM.SEE SCHEDULE H FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE MISSION STATEMENT FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA,INC. IS AS FOLLOWS:WE, SAMC- NAMPA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $89,106,252 | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 240 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 887 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENT CHERNE CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2083677192 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6301 EMERALD ST | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83706 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SALLY JEFFCOAT | ||||||||||
| TRUSTEE; PRES & CEO IDAHO OREGON REG | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $1,050,502 | $98,506 | |||
| RONALD GRAVES | ||||||||||
| TRUSTEE; CHAIR | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MIKE REULING | ||||||||||
| TRUSTEE; VICE CHAIR | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GEORGE JUETTEN | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| J RICHARD O'CONNELL | ||||||||||
| TRUSTEE; EVP & PRES WEST/MIDWEST GRP | 1.00 | 54.00 | Yes (X) | $0 | $1,673,574 | $145,485 | ||||
| KAYE O'RIORDAN | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| SR SHARLET WAGNER CSC | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| SR SHARON FORD RSM | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| VICTOR YAMAMOTO | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JON WAGNILD MD | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW SHIRTCLIFF | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DARREL ANDERSON | ||||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANDREW BENTZ | ||||||||||
| TRUSTEE THROUGH 12/13 | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DON ROUMAGOUX | ||||||||||
| TRUSTEE AS OF 1/14 | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHANIE WESTERMEIER | ||||||||||
| SECRETARY; VP & GENERAL COUNSEL | 2.00 | 48.00 | Yes (X) | $0 | $286,845 | $33,328 | ||||
| BLAINE PETERSEN | ||||||||||
| TREASURER AND SYSTEM CFO | 2.00 | 48.00 | Yes (X) | $0 | $473,321 | $35,641 | ||||
| JEAN BASOM | ||||||||||
| REGIONAL DIRECTOR SUPPLY CHAIN | 2.00 | 48.00 | $0 | $171,192 | $61,870 | Yes (X) | ||||
| RODNEY REIDER | ||||||||||
| SARMC PRESIDENT AND CEO | 2.00 | 48.00 | $0 | $599,714 | $73,507 | Yes (X) | ||||
| JAMES POLK | ||||||||||
| SAHS, CHIEF QUALITY OFFICER | 2.00 | 48.00 | $0 | $487,941 | $44,778 | Yes (X) | ||||
| KARL KEELER | ||||||||||
| SAMC NAMPA & SAMC ONTARIO CEO | 24.00 | 26.00 | $0 | $532,654 | $46,366 | Yes (X) | ||||
| B LANNIE CHECKETTS | ||||||||||
| SAMC NAMPA & SAMC ONTARIO CFO | 24.00 | 26.00 | $262,359 | $0 | $44,305 | Yes (X) | ||||
| CLINTON CHILD | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $259,275 | $0 | $39,196 | Yes (X) | ||||
| PETER ROAN MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $483,472 | $0 | $42,399 | Yes (X) | ||||
| RICHARD BALLANTYNE MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $384,219 | $0 | $37,216 | Yes (X) | ||||
| RANDOLPH BYRD MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $342,071 | $0 | $43,279 | Yes (X) | ||||
| BARRY MALLARD | ||||||||||
| DIRECTOR OF PHARMACY SERVICES | 50.00 | 0.00 | $160,427 | $0 | $28,381 | Yes (X) | ||||
| PHIL HARROP | ||||||||||
| EXECUTIVE DIRECTOR OPERATIONS | 50.00 | 0.00 | $157,055 | $0 | $27,673 | Yes (X) | ||||
| KEDRICK ADKINS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $1,808,589 | $1,739,236 | Yes (X) | ||||
| JOSEPH SWEDISH | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $1,463,995 | $28,888 | Yes (X) | ||||
| RICHARD CAFFREY | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $112,668 | $0 | $22,792 | Yes (X) | ||||
| DINA ELLWANGER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $179,973 | $0 | $30,522 | Yes (X) | ||||
| MICHAEL SLUBOWSKI | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $231,799 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,341,519 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,780,126 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,623,368 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BIG-D CONSTRUCTION CORP | |||||
| 404 W 400 S | SALT LAKE CITY | UT | 84010 | CONSTRUCTION SERVICES | $14,028,741 |
| STRATEGIC STAFFING SOLUTIONS | |||||
| 645 GRISWOLD ST | DETROIT | MI | 48226 | STAFFING SERVICES | $1,169,041 |
| SOUND PHYSICIANS OF IDAHO PLLC | |||||
| 1123 PACIFIC ANENUE | TACOMA | WA | 98402 | HOSPITALISTS | $1,095,465 |
| BAR S CONSTRUCTION LLC | |||||
| 2788 WEST USTICK ROAD | MERIDIAN | ID | 83646 | CONSTRUCTION SERVICES | $1,037,346 |
| ANESTHESIOLOGY CONSULTANTS ID | |||||
| 217 W GEORGIA 100 | NAMPA | ID | 83686 | ANESTHESIA COVERAGE | $800,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $644,360 | RelatedOrganizationsAmt |
| All Other Contributions | $409,460 | AllOtherContributionsAmt |
| Noncash Contributions | $409,460 | NoncashContributionsAmt |
| Total Contributions | $1,053,820 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SVC REV | 622110 | $105,972,696 | $105,972,696 | |
| LABORATORY REVENUE | 621500 | $76,937 | $76,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $106,049,633 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $261,793 | TotalRevenueColumnAmt |
| Exclusion | $261,793 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,188,737 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $754,352 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $434,385 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $434,385 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $54,831 | UnrelatedBusinessRevenueAmt |
| Exclusion | $379,554 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $601,567 | SecuritiesAmt |
| Other | $92,657 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $601,567 | SecuritiesAmt |
| Other | $92,657 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $694,224 | TotalRevenueColumnAmt |
| Exclusion | $694,224 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| GOV'T SUBSIDY - EHR | 622110 | $2,439,220 | $2,439,220 | |
| I/C LEASE REVENUE | 531120 | $780,286 | $780,286 | |
| CAFETERIA REVENUE | 722514 | $559,752 | $559,752 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,676,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,668,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,828 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,455,982 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,949,837 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $110,861,098 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $139,596 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,895,323 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,475 | TotalAmt |
| Program Services | $113,475 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,381 | TotalAmt |
| Program Services | $17,381 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,169,076 | TotalAmt |
| Management And General | $1,169,076 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,099 | TotalAmt |
| Program Services | $135,099 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,032,106 | TotalAmt |
| Program Services | $31,090,638 | ProgramServicesAmt |
| Management And General | $941,468 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,238,616 | TotalAmt |
| Program Services | $1,205,874 | ProgramServicesAmt |
| Management And General | $32,742 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,646,925 | TotalAmt |
| Program Services | $4,432,432 | ProgramServicesAmt |
| Management And General | $214,493 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,399,353 | TotalAmt |
| Program Services | $2,193,222 | ProgramServicesAmt |
| Management And General | $206,131 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,512 | TotalAmt |
| Management And General | $4,512 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,273 | TotalAmt |
| Management And General | $32,273 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,069 | TotalAmt |
| Management And General | $27,069 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,789,307 | TotalAmt |
| Program Services | $6,564,136 | ProgramServicesAmt |
| Management And General | $1,210,552 | ManagementAndGeneralAmt |
| Fundraising | $14,619 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,849 | TotalAmt |
| Program Services | $10,216 | ProgramServicesAmt |
| Management And General | $276,029 | ManagementAndGeneralAmt |
| Fundraising | $4,604 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,883 | TotalAmt |
| Program Services | $186,959 | ProgramServicesAmt |
| Management And General | $281,459 | ManagementAndGeneralAmt |
| Fundraising | $18,465 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,743,183 | TotalAmt |
| Program Services | $27,855 | ProgramServicesAmt |
| Management And General | $3,715,328 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $847,996 | TotalAmt |
| Program Services | $717,830 | ProgramServicesAmt |
| Management And General | $130,166 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,652 | TotalAmt |
| Program Services | $62,362 | ProgramServicesAmt |
| Management And General | $44,290 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,148 | TotalAmt |
| Program Services | $8,636 | ProgramServicesAmt |
| Management And General | $2,512 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,249 | TotalAmt |
| Program Services | $349,249 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,947,485 | TotalAmt |
| Program Services | $5,107,406 | ProgramServicesAmt |
| Management And General | $840,079 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,664,489 | TotalAmt |
| Management And General | $1,664,489 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $19,410,224 | $19,410,224 | |
| BAD DEBT | $14,071,044 | $14,071,044 | |
| INTERCO. PURCHASED SVCS | $6,589,373 | $134,693 | $6,454,680 |
| UBI TAXES | $10,515 | $10,515 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,899,883 | TotalAmt |
| Program Services | $3,267,521 | ProgramServicesAmt |
| Management And General | $629,357 | ManagementAndGeneralAmt |
| Fundraising | $3,005 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,034,165 | TotalAmt |
| Program Services | $89,106,252 | ProgramServicesAmt |
| Management And General | $17,887,220 | ManagementAndGeneralAmt |
| Fundraising | $40,693 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,600 | BOYAmt |
| EOY | $5,200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,691 | BOYAmt |
| EOY | $419,277 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,166,812 | BOYAmt |
| EOY | $18,236,176 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,125 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,892,538 | BOYAmt |
| EOY | $2,299,136 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,560 | BOYAmt |
| EOY | $142,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $93,039,357 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,808,104 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,595,611 | BOYAmt |
| EOY | $80,231,253 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,180,660 | BOYAmt |
| EOY | $6,429,986 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,585,340 | BOYAmt |
| EOY | $5,702,063 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,983,049 | BOYAmt |
| EOY | $1,427,445 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,907,986 | BOYAmt |
| EOY | $114,893,081 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,615,841 | BOYAmt |
| EOY | $15,667,146 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,697 | BOYAmt |
| EOY | $1,061,464 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,213,130 | BOYAmt |
| EOY | $14,585,578 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,340,668 | BOYAmt |
| EOY | $31,314,188 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,510,870 | BOYAmt |
| EOY | $83,572,354 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,051,448 | BOYAmt |
| EOY | $1,539 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,567,318 | BOYAmt |
| EOY | $83,578,893 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,907,986 | BOYAmt |
| EOY | $114,893,081 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,915,672 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $971,888 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,875,985 | 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 | $10,880 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $10,880 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,000 | BeginningYearBalanceAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,000 | BeginningYearBalanceAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,000 | BeginningYearBalanceAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,000 | BeginningYearBalanceAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $5,000 | ContributionsAmt |
| End Year Balance | $5,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,327,090 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,810,233 | OtherCostOrOtherBasisAmt |
| Book Value | $11,137,323 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,483,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,235,288 | DepreciationAmt |
| Book Value | $41,247,939 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,477,494 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,572,816 | DepreciationAmt |
| Book Value | $17,904,678 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,941,313 | OtherCostOrOtherBasisAmt |
| Book Value | $9,941,313 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $80,231,253 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY NOTES PAYABLE | $12,048,196 |
| INTERCOMPANY ACCOUNTS PAYABLE | $2,342,425 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $194,957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,585,578 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | ENDOWMENT FUNDS ARE FOR THE SUPPORT OF VARIOUS MEDICAL PROGRAMS CONDUCTED BY SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. ENDOWMENTS HELD BY SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION, INC. FOR THE BENEFIT OF SAINT ALPHONSUS MEDICAL CENTER-NAMPA, INC. ARE REPORTED ON THE FORM 990 OF SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION, INC. | ExplanationTxt |
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 |
| Percent300 | Yes (X) | Percent300Ind |
| 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) |
|---|---|---|
| Persons Served | 2191 | PersonsServedCnt |
| Total Community Benefit Expns | $3,202,057 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,202,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 11666 | PersonsServedCnt |
| Total Community Benefit Expns | $18,189,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,893,461 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$4,703,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 13857 | PersonsServedCnt |
| Total Community Benefit Expns | $21,391,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,893,461 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,501,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 3005 | PersonsServedCnt |
| Total Community Benefit Expns | $77,348 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $856 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 735 | PersonsServedCnt |
| Total Community Benefit Expns | $153,531 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $153,531 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 27000 | PersonsServedCnt |
| Total Community Benefit Expns | $168,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $134,993 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,819 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 380 | PersonsServedCnt |
| Total Community Benefit Expns | $21,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 31120 | PersonsServedCnt |
| Total Community Benefit Expns | $420,952 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $136,124 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $284,828 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Persons Served | 44977 | PersonsServedCnt |
| Total Community Benefit Expns | $21,812,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,029,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,216,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03750 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $988 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 16 | PersonsServedCnt |
| Total Community Benefit Expns | $250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 6743 | PersonsServedCnt |
| Total Community Benefit Expns | $355,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $287,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 6759 | PersonsServedCnt |
| Total Community Benefit Expns | $357,200 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $287,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,902,239 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $18,073,451 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,968,971 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$895,520 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 TREASURE VALLEY HEALTHNET | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CONTRACTING SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 83686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SAINTALPHONSUS.ORG/NAMPA | WebsiteAddressTxt |
| State License | LICENSE #10 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| 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 | Yes (1) | CHNAConductedWithOtherFcltsInd |
| 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 |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| State Regulation | Yes (X) | StateRegulationInd |
| Residency | Yes (X) | ResidencyInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 3: UNITED WAY ORGANIZED A COMMUNITY ASSESSMENT ADVISORY GROUP COMPRISED OF REPRESENTATIVES FROM CENTRAL DISTRICT HEALTH DEPARTMENT, DELTA DENTAL OF IDAHO, DEPARTMENT OF HEALTH AND WELFARE, ELKS REHABILITATION HOSPITAL, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, AND SAINT ALPHONSUS (BOISE AND NAMPA); AS WELL AS CONVENED THE UNITED WAY BOARD FOR COMMUNITY ASSESSMENT DISCUSSIONS, AND HELD FOCUS GROUPS WITH NONPROFIT ORGANIZATIONS AND SERVICE PROVIDERS. IN ADDITION, SAMC-NAMPA'S MISSION TASK FORCE AND EXTERNAL REVIEW COMMITTEE MET PERIODICALLY AND PROVIDED INPUT THROUGHOUT THE PROCESS. SAMC-NAMPA'S EXTERNAL REVIEW COMMITTEE IS COMPRISED OF COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY INCLUDING PUBLIC HEALTH, HOUSING, BANKING, EDUCATION, AND THE LOCAL CHAMBER OF COMMERCE. |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER (BOISE), ST. LUKE'S HEALTH SYSTEM AND WEST VALLEY MEDICAL CENTER. |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.SAINTALPHONSUS.ORG/COMMUNITY-NEEDS-ASSESSMENT |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 7: SAMC - NAMPA 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. SAMC-NAMPA WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEEDS:TOBACCO SAMC-NAMPA BELIEVES THAT THIS PRIORITY IS BEING ADDRESSED BY THE STATE OF IDAHO AND THE GOVERNOR'S COUNCIL. LIMITED RESOURCES AND FEASIBILITY OF REASONABLE IMPACT EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.PRENATAL CARE SAMC-NAMPA CURRENTLY PROVIDES CHILDBIRTH EDUCATION AND BREASTFEEDING CLASSES FOR NEW MOMS, BUT LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.MENTAL HEALTH SAMC-NAMPA BELIEVES THAT THIS PRIORITY IS BEING ADDRESSED BY WEST VALLEY MEDICAL CENTER AND SAINT ALPHONSUS REGIONAL MEDICAL CENTER. THERE IS ALSO ACTIVITY OCCURRING AT THE STATE LEVEL. LIMITED RESOURCES AND FEASIBILITY OF REASONABLE IMPACT EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 12I: 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. |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 14G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES OF THE FULL POLICY ARE ONLY PROVIDED ON REQUEST AND ON ADMISSION. BROCHURES ARE AVAILABLE AND/OR SIGNS POSTED AT ALL REGISTRATION AREAS, WAITING AREAS AND FINANCE OFFICE. POLICY AND FORMS ARE AVAILABLE FROM FINANCIAL ADVOCATE OFFICE, ALL REGISTRATION AREAS, AND THE REGIONAL SHARED SERVICES CENTER. INFORMATION ABOUT FINANCIAL ASSISTANCE IS PROVIDED DURING ENCOUNTERS WITH FINANCIAL ADVOCATES AND UPON REQUEST TO REGISTARS, CUSTOMER SERVICE REPRESENTATIVES AT THE REGIONAL SHARED SERVICES CENTER AND THE BILLING COMPANY. BILLING STATEMENTS REFERENCE THE AVAILABILITY OF THE POLICY FOR THOSE UNABLE TO PAY. SUMMARY INFORMATION AND APPLICATION AVAILABLE ON WEBSITE: HTTP://WWW.SAINTALPHONSUS.ORG/FINANCIAL-SERVICES-2133 |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | PART V, SECTION B, LINE 20D: 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. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS. |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | SAINT ALPHONSUS MEDICAL CENTER - NAMPA (SAMC - NAMPA) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF IDAHO. IN ADDITION, SAMC - NAMPA 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, SAMC - NAMPA 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, $14,071,044 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: | COMMUNITY BUILDING ACTIVITIES - SAMC- NAMPA STRIVES TO MAKE THE CITIZENS OF OUR COMMUNITY MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT AND OTHER COMMUNITY DATA, WE LEARNED THAT SEVERAL AREAS CAN BENEFIT FROM OUR HEALTH CARE EXPERTISE AND MONETARY SUPPORT. PARTICIPATION IN LOCAL BOARDS AND TASK FORCES: SAINT ALPHONSUS LEADERS AND ASSOCIATES PARTICIPATE IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITIES AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE. EXAMPLES OF PARTICIPATION INCLUDE:COUNTY FESTIVAL OF TREES: SAINT ALPHONSUS REPRESENTATIVES PARTICIPATE ON THE BOARD OF DIRECTORS TO BRING THE CANYON COUNTY FESTIVAL OF TREES FUNDRAISER TO NAMPA IN SUPPORT OF THE MEALS ON WHEELS PROGRAMS FOR NAMPA, CALDWELL, GREENLEAF, MIDDLETON AND SURROUNDING AREAS. SAMC-NAMPA IS A MAJOR SPONSOR OF THE FESTIVAL.NAMPA FAMILY JUSTICE CENTER PROVIDES COMPREHENSIVE SERVICES FOR INDIVIDUALS EXPERIENCING AND/OR ESCAPING SOME FORM OF VIOLENCE. SAINT ALPHONSUS PARTICIPATED WITH THE DEVELOPMENT OF AN EMERGENCY HOUSING PLAN FOR VICTIMS OF ABUSE AND NEGLECT. CANYON COUNTY AREA AGENCY ON AGING: SAINT ALPHONSUS REPRESENTATIVES PARTICIPATED IN THE DEVELOPMENT OF THE LIVING WELL IN IDAHO GRANT.STAMPEDE FOR THE CURE: SAINT ALPHONSUS REPRESENTATIVE SUPPORT STAMPEDE ACTIVITIES TO SPREAD BREAST CANCER AWARENESS AND RAISE FUNDS TO PAY FOR SCREENING MAMMOGRAMS FOR THOSE IN FINANCIAL NEED. BOYS & GIRLS CLUB OF CANYON COUNTY: ENHANCEMENT OF BEFORE AND AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH. SAINT ALPHONSUS REPRESENTATIVES SERVE ON THE BOARD OF DIRECTORS AND THE STEERING COMMITTEE. THE STEERING COMMITTEE MEMBER MANAGES THE DATABASE FOR THE ANNUAL FUNDRAISER AUCTION (FORMERLY COMMUNITY SALE), WHICH BRINGS IN THE BULK OF ANNUAL OPERATING FUNDS FOR THE CLUB. CANYON AREA IMMUNIZATION COALITION WORKS TO REDUCE VACCINE PREVENTABLE DISEASES THROUGH EDUCATION AND FREE IMMUNIZATION CLINICS. SAINT ALPHONSUS REPRESENTATIVES SERVE ON THE COALITION AND PROVIDE IMMUNIZATIONS TO CHILDREN. CHARITY CARE AND FINANCIAL ASSISTANCE: SAMC-NAMPA HAS ESTABLISHED A FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WHO DO NOT HAVE INSURANCE OR OTHER RESOURCES TO COVER THE FULL COST OF NECESSARY MEDICAL CARE.MISSION AND MINISTRY GRANT: SAINT ALPHONSUS HAS RECEIVED FUNDING FROM CATHOLIC HEALTH INITIATIVES THROUGH THEIR MISSION AND MINISTRY FUND FOR THREE INITIATIVES:1. TRANSITIONS OF CARE GRANT: THE PURPOSE OF THE TRANSITION SUPPORT PROGRAM IS TO IMPROVE PATIENT HEALTH, REDUCE FRAGMENTATION IN CARE AFTER HOSPITAL DISCHARGE, AND DECREASE SAMC-NAMPA'S INPATIENT READMISSION RATE AMONG PATIENTS AT HIGH RISK OF RETURNING DUE TO WORSENING SEVERITY OF SYMPTOMS. THE PROJECT PROVIDES PATIENT/CAREGIVER EDUCATION, WARM HAND-OFFS TO POST-DISCHARGE CARE PROVIDERS/FACILITIES, AND FOLLOW-UP CONTACTS WITH PATIENTS OVER THE RISKY 30-DAY PERIOD POST DISCHARGE WHEN READMISSION IS MOST LIKELY. INTEGRAL TO THE SUCCESS OF THE PROJECT IS A PATIENT ACCESS VAN, WHICH WILL ADDRESS SEVERE TRANSPORTATION BARRIERS IN SAMC-NAMPA'S SERVICE AREA BY TRANSPORTING PATIENTS TO FOLLOW-UP MEDICAL APPOINTMENTS NEEDED FOR GOOD HEALTH. 2. NEWBORN FAMILY SUPPORT GRANT: SAMC-NAMPA AIMS TO BUILD A HEALTHIER COMMUNITY THROUGH EDUCATION RELATED TO PREGNANCY, BIRTH, CHILD HEALTH, SAFETY AND PARENTING AND THROUGH SUPPORT FOR FRAGILE NEWBORNS WHO REQUIRE NICU CARE. FUNDING FROM CHI PROVIDES PARENT EDUCATION AND OUTREACH SUPPORT PROGRAMS ALONG WITH TWO NEONATAL NURSE PRACTITIONERS (NNP'S). 3. CANCER CARE INITIATIVE GRANT: THE PURPOSE IS TO INCREASE EARLY DETECTION OF BREAST CANCER. THIS INITIATIVE FOCUSES ON INCREASING ACCESS TO CANCER CARE SERVICES FOR LOW-INCOME, UNINSURED AND UNDERINSURED WOMEN AND MEN AND PROVIDES FREE SCREENING AND DIAGNOSTIC MAMMOGRAMS, SUPPORT SERVICES TO CANCER PATIENTS AND THEIR FAMILIES, AND PATIENT ASSISTANCE FUNDS. NAMPA MINISTERIAL ASSOCIATION: LOCAL PASTORS COME TOGETHER AT SAMC-NAMPA TO LEARN ABOUT COMMUNITY ACTIVITIES AND DISCUSS HOW THEY CAN HAVE AN IMPACT ON THE LOCAL ISSUES. THEY SPONSOR ECUMENICAL SERVICES FOR THANKSGIVING, LENTEN SERVICES AND BACCALAUREATE. SAMC-NAMPA'S CHAPLAINS PARTICIPATE WITH THIS GROUP.RETIRED & SENIOR VOLUNTEER PROGRAM (RSVP) IS AMERICA'S LARGEST VOLUNTEER NETWORK FOR PEOPLE AGE 55 AND OVER. RSVP VOLUNTEERS SERVE IN A VARIETY OF CAPACITIES, E.G., DELIVERING MEALS, MENTORING AND TUTORING STUDENTS, PROVIDING COMPANIONSHIP FOR HOMEBOUND INDIVIDUALS, AND BUILDING CAPACITY FOR NON-PROFITS. SAMC-NAMPA PROVIDES SUPPORT IN TERMS OF OFFICE SPACE, UTILITIES AND PHYSICAL MAINTENANCE FOR THE CANYON COUNTY OFFICE. |
| PART III, LINE 2: | METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. |
| PART III, LINE 3: | SAMC - NAMPA 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. FY13 WAS THE FIRST YEAR SAMC - NAMPA UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, SAMC - NAMPA IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAMC - NAMPA IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | SAMC - NAMPA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY REGIONAL HEALTH MINISTRY 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: | SAMC - NAMPA DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA 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: | SAMC-NAMPA ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC - NAMPA 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, SAMC - NAMPA 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 OBLIGATIONSSAMC - NAMPA 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. SAMC - NAMPA HAS SIGNS POSTED IN ALL REGISTRATION AREAS AND PLASTIC TABLE TOP CARDS IN THE REGISTRATION WAITING ROOMS, NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY PATIENTS ARE OFFERED FINANCIAL ASSISTANCE FORMS. EACH PATIENT RECEIVES A BILLING BROCHURE THAT LISTS PAYMENT OPTIONS AND HOW TO APPLY FOR CHARITY CARE. PATIENTS ALSO ARE SCREENED FOR MEDICAID ELIGIBILITY, UTILIZING FINANCIAL ASSISTANCE FORMS. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.SAMC - NAMPA 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 SIGNS POSTED IN REGISTRATION AREAS, PLASTIC TABLE TOP CARDS IN REGISTRATION WAITING ROOMS AND PATIENT BROCHURES. SELF-PAY INPATIENTS AND SURGERY PATIENTS RECEIVE A VISIT FROM A FINANCIAL ACCOUNT REPRESENTATIVE WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE. SAMC - NAMPA HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC - NAMPA 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. THE MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. |
| PART VI, LINE 4: | COMMUNITY INFORMATION SAMC-NAMPA PROVIDES SERVICES PRIMARILY TO RESIDENTS OF CANYON COUNTY (90%), BUT ALSO SERVES ADA, AND GEM COUNTIES. SAMC-NAMPA'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS ESTIMATED AT 198,871 PEOPLE.WITH MEDIAN HOUSEHOLD INCOMES OF $42,691 IN CANYON COUNTY AND $55,499 IN ADA COUNTY, AREA RESIDENTS ARE WITHIN RANGE OF THE STATE MEDIAN OF $47,015. THE POVERTY LEVEL STANDS AT 19.6% IN CANYON COUNTY AND 12.2% IN ADA, COMPARED TO A STATE AVERAGE OF 15.1% AND A NATIONAL AVERAGE OF 14.9%. AS OF JULY 2014, THE 5.4% UNEMPLOYMENT RATE WAS SLIGHTLY HIGHER THAN THE STATE RATE (4.4%), AND WAS SLIGHTLY LOWER THAN THE NATIONAL RATE OF 6.5% (BUREAU OF LABOR STATISTICS NON-SEASONALLY ADJUSTED). OTHER RELEVANT STATISTICS CHARACTERIZING SAMC-NAMPA'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (FROM CENSUS.GOV QUICK FACTS):TOTAL POPULATION (2013): ADA COUNTY 416,464CANYON COUNTY 198,871GEM COUNTY 16,686PERCENT WHITE PERSONS NOT HISPANIC:ADA COUNTY 85.8%CANYON COUNTY 71.6%GEM COUNTY 88.0%PERCENT HISPANIC/LATINO ORIGIN:ADA COUNTY - 7.5%CANYON COUNTY 24.4%GEM COUNTY 8.2%MEDIAN HOUSEHOLD INCOME (2008-2012):ADA COUNTY - $55,499CANYON COUNTY - $42,691GEM COUNTY - $41,976PERSONS BELOW POVERTY LEVEL (2008-2012):ADA COUNTY - 12.2%CANYON COUNTY 19.6%GEM COUNTY 17.8%THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES.ON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SAMC - NAMPA, WITH IMPLICATIONS FOR FUTURE PLANNING. POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. LANGUAGE OTHER THAN ENGLISH SPOKEN IN THE HOME IS ON THE RISE, REQUIRING GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL. |
| PART VI, LINE 5: | OTHER INFORMATION - SAINT ALPHONSUS STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS FOR AN ARRAY OF DIFFERENT CLINICAL STUDENTS. IN ADDITION, SAINT ALPHONSUS SERVES AS A KEY CLINICAL TRAINING SITE FOR STUDENTS ATTENDING BOISE STATE UNIVERSITY, IDAHO STATE UNIVERSITY, NORTHWEST NAZARENE UNIVERSITY, COLLEGE OF WESTERN IDAHO, COLLEGE OF SOUTHERN IDAHO, STEVENS-HENEGER COLLEGE, MILAN INSTITUTE, IDAHO CENTER FOR EMERGENCY TRAINING AND THE NAMPA SCHOOL DISTRICT.MERCY FITNESS PARK: SAMC-NAMPA MAINTAINS THE MERCY FITNESS PARK PROMOTING HEALTHY HABITS AND PROVIDING FREE ACCESS TO THE COMMUNITY. HANDS OF HOPE: A FAITH-BASED ORGANIZATION THAT SUPPLIES USED OR USEABLE MEDICAL EQUIPMENT FOR OVERSEAS MISSIONS, AND COOPERATES WITH LOCAL AGENCIES TO LOAN EQUIPMENT TO INDIVIDUALS IN NEED IN OUR COMMUNITY. |
| PART VI, LINE 6: | SAMC - NAMPA IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - 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. OVERALL, 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. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | ID |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| ELECTRICITY | 39 | $9,824 |
| HOUSING | 13 | $7,557 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE BY SAINT ALPHONSUS MEDICAL CENTER - NAMPA TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SALLY JEFFCOAT | ||||||||||||||
| TRUSTEE; PRES & CEO IDAHO OREGON REG | $0 | $509,104 | $0 | $449,308 | $0 | $92,090 | $0 | $74,144 | $0 | $24,362 | $0 | $1,149,008 | $0 | $0 |
| J RICHARD O'CONNELL | ||||||||||||||
| TRUSTEE; EVP & PRES WEST/MIDWEST GRP | $0 | $731,422 | $0 | $769,386 | $0 | $172,766 | $0 | $111,806 | $0 | $33,679 | $0 | $1,819,059 | $0 | $0 |
| STEPHANIE WESTERMEIER | ||||||||||||||
| SECRETARY; VP & GENERAL COUNSEL | $0 | $285,893 | $0 | $0 | $0 | $952 | $0 | $14,046 | $0 | $19,282 | $0 | $320,173 | $0 | $0 |
| BLAINE PETERSEN | ||||||||||||||
| TREASURER AND SYSTEM CFO | $0 | $364,830 | $0 | $104,896 | $0 | $3,595 | $0 | $12,866 | $0 | $22,775 | $0 | $508,962 | $0 | $0 |
| JEAN BASOM | ||||||||||||||
| REGIONAL DIRECTOR SUPPLY CHAIN | $0 | $141,258 | $0 | $26,218 | $0 | $3,716 | $0 | $46,999 | $0 | $14,871 | $0 | $233,062 | $0 | $0 |
| RODNEY REIDER | ||||||||||||||
| SARMC PRESIDENT AND CEO | $0 | $349,521 | $0 | $200,521 | $0 | $49,672 | $0 | $48,852 | $0 | $24,655 | $0 | $673,221 | $0 | $0 |
| JAMES POLK | ||||||||||||||
| SAHS, CHIEF QUALITY OFFICER | $0 | $322,843 | $0 | $160,311 | $0 | $4,787 | $0 | $28,596 | $0 | $16,182 | $0 | $532,719 | $0 | $0 |
| KARL KEELER | ||||||||||||||
| SAMC NAMPA & SAMC ONTARIO CEO | $0 | $284,082 | $0 | $208,162 | $0 | $40,410 | $0 | $24,279 | $0 | $22,087 | $0 | $579,020 | $0 | $0 |
| B LANNIE CHECKETTS | ||||||||||||||
| SAMC NAMPA & SAMC ONTARIO CFO | $222,400 | $0 | $30,054 | $0 | $9,905 | $0 | $20,336 | $0 | $23,969 | $0 | $306,664 | $0 | $0 | $0 |
| CLINTON CHILD | ||||||||||||||
| CHIEF NURSING OFFICER | $183,027 | $0 | $68,936 | $0 | $7,312 | $0 | $14,848 | $0 | $24,348 | $0 | $298,471 | $0 | $0 | $0 |
| PETER ROAN MD | ||||||||||||||
| PHYSICIAN | $448,226 | $0 | $25,000 | $0 | $10,246 | $0 | $17,850 | $0 | $24,549 | $0 | $525,871 | $0 | $0 | $0 |
| RICHARD BALLANTYNE MD | ||||||||||||||
| PHYSICIAN | $344,919 | $0 | $0 | $0 | $39,300 | $0 | $12,875 | $0 | $24,341 | $0 | $421,435 | $0 | $0 | $0 |
| RANDOLPH BYRD MD | ||||||||||||||
| PHYSICIAN | $333,010 | $0 | $0 | $0 | $9,061 | $0 | $18,206 | $0 | $25,073 | $0 | $385,350 | $0 | $0 | $0 |
| BARRY MALLARD | ||||||||||||||
| DIRECTOR OF PHARMACY SERVICES | $150,945 | $0 | $8,596 | $0 | $886 | $0 | $10,055 | $0 | $18,326 | $0 | $188,808 | $0 | $0 | $0 |
| PHIL HARROP | ||||||||||||||
| EXECUTIVE DIRECTOR OPERATIONS | $140,150 | $0 | $16,801 | $0 | $104 | $0 | $6,003 | $0 | $21,670 | $0 | $184,728 | $0 | $0 | $0 |
| KEDRICK ADKINS | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $504,488 | $0 | $873,685 | $0 | $430,416 | $0 | $1,730,702 | $0 | $8,534 | $0 | $3,547,825 | $0 | $45,090 |
| JOSEPH SWEDISH | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $344,758 | $0 | $0 | $0 | $1,119,237 | $0 | $21,706 | $0 | $7,182 | $0 | $1,492,883 | $0 | $0 |
| RICHARD CAFFREY | ||||||||||||||
| FORMER KEY EMPLOYEE | $107,032 | $0 | $0 | $0 | $5,636 | $0 | $6,629 | $0 | $16,163 | $0 | $135,460 | $0 | $0 | $0 |
| DINA ELLWANGER | ||||||||||||||
| FORMER KEY EMPLOYEE | $133,482 | $0 | $46,384 | $0 | $107 | $0 | $9,762 | $0 | $20,760 | $0 | $210,495 | $0 | $0 | $0 |
| MICHAEL SLUBOWSKI | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $231,799 | $0 | $0 | $0 | $0 | $0 | $231,799 | $0 | $231,799 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT ALPHONSUS MEDICAL CENTER-NAMPA'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT ALPHONSUS MEDICAL CENTER-NAMPA'S CEO: - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2013. THIS AMOUNT IS INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $310,298 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $258,812 THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 SALLY JEFFCOAT - $61,394 KARL KEELER - $15,079 J. RICHARD O'CONNELL - $99,056 RODNEY REIDER - $35,704 PART II: THE FOLLOWING INDIVIDUALS WERE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SWEDISH - $543,977 MICHAEL SLUBOWSKI - $231,799 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEO'S AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 SALLY JEFFCOAT - $236,045 KARL KEELER - $117,253 J. RICHARD O'CONNELL - $294,870 JAMES POLK - $68,349 RODNEY REIDER - $56,041 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MEDNOW INC | |||
| B. LANNIE CHECKETTS, SAMC-NAMPA CFO, IS AN OFFICER OF MEDNOW, INC. | $320,793 | VARIOUS TRANSACTIONS BETWEEN SAMC - NAMPA AND MEDNOW. MEDNOW IS OWNED 100% BY SAMC - NAMPA. SEE SCHEDULE R PART V FOR MORE INFORMATION. | 0 |
| DIANE BJORALT | |||
| FAMILY MEMBER OF DINA ELLWANGER, FORMER KEY EMPLOYEE | $135,099 | EMPLOYMENT ARRANGEMENT | 0 |
| GIVENS PURSLEY LLP | |||
| A FAMILY MEMBER OF STEPHANIE WESTERMEIER IS A PARTNER AT GIVENS PURSLEY | $105,878 | SAMC - NAMPA PAID GIVENS PURSLEY LLP FOR LEGAL SERVICES | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $385,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | EQUIPMENT | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $24,460 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OF ITEMS | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS SAINT ALPHONSUS HEALTH SYSTEM, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | SAINT ALPHONSUS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. SAINT ALPHONSUS HEALTH SYSTEM, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE OF SAINT ALPHONSUS HEALTH SYSTEM. (SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION.) 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 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. (SAMC - NAMPA) HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAMC - NAMPA, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAMC - NAMPA'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC - NAMPA OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF SAMC - NAMPA IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAMC - NAMPA. 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 REVIEWED WITH THE BOARD OF TRUSTEES OF SAMC - NAMPA ON A YEARLY BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR SAMC - NAMPA'S CEO, OFFICERS, AND KEY MANAGEMENT OFFICIALS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAMC - NAMPA 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | SAMC - NAMPA IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAMC - NAMPA INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAMC - NAMPA'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFERS TO/FROM AFFILIATES -3,493,490. OTHER TRANSACTIONS: -382,495. |
| FORM 990, PART XII, LINE 2: | SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
| FORM 990, PAGE 1, DOING BUSINESS AS: | SAINT ALPHONSUS MEDICAL CENTER - NAMPA MERCY MEDICAL CENTER, NAMPA MERCY MEDICAL CENTER TRINITY MERCY MEDICAL CENTER |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (239 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | 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) | |
| ALLEGANY FRANCISCAN MINISTRIES INC | |||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 581492325 | MANAGEMENT & SUPPORT SERVICES | FL | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| AMICARE HOSPICE SERVICES INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382949053 | PROVIDE 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 | SUPPORTS SERVICES OF RELATED HOSPITAL | 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 | ACUTE/AMBULATORY HEALTHCARE SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11A, I | BAUM HARMON MERCY HOSPITAL | Yes (1) | |
| BEECHWOOD INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 141651563 | REAL ESTATE HOLDING | NY | 501(C)(2) | N/A | LTC (EDDY) INC | Yes (1) | |
| BEVERWYCK INC | |||||||||||
| 40 AUTUMN DRIVE | SLINGERLANDS | NY | 12159 | 141717028 | INDEPENDENT/ASSISTED LIVING RETIREMENT 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 | BEHAVIORAL CARE | 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 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | |||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES | MI | 501(C)(3) | LINE 11B, II | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| CATHOLIC HEALTH EAST | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232929748 | MANAGEMENT SERVICES | PA | 501(C)(3) | LINE 11C, III-FI | CHE TRINITY INC | Yes (1) | |
| CHE TRINITY INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 900931907 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| COLUMBUS ACQUISITION CORP | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAELS 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) | |
| CONTINUING CARE MANAGEMENT SERVICES NETWORK | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 352336834 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| CRANBROOK HOSPICE CARE | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| DILEY RIDGE MEDICAL CENTER | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| DUBUQUE MERCY HEALTH FOUNDATION INC | |||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | SUPPORT THE SERVICES OF RELATED HOSPITAL | 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 | SUPPORT THE SERVICES OF RELATED HOSPITAL | 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 | PHYSICIAN SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| EDDY LICENSED HOME CARE AGENCY | |||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH | NY | 501(C)(3) | LINE 3 | LTC(EDDY) INC | Yes (1) | |
| EMPIRE HOME INFUSION SERVICES INC | |||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME CARE | 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 | ELDERCARE | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | |
| GLEN EDDY INC | |||||||||||
| ONE GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | INDEPENDENT/ASSISTED 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 | HEALTH CARE | PA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH EAST | Yes (1) | |
| GOOD SAMARITAN HOSPITAL INC | |||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HOSPITAL | GA | 501(C)(3) | LINE 3 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IL | 501(C)(3) | LINE 9 | GOTTLIEB MEMORIAL HOSPITAL | Yes (1) | |
| GOTTLIEB MEMORIAL FOUNDATION | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 743260011 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| GOTTLIEB MEMORIAL HOSPITAL | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTHCARE 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 | |||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 49443 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | |
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | |||||||||||
| PO BOX 3302 | MUSKEGON | MI | 49443 | 382299878 | SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY | MI | 501(C)(3) | LINE 11C, III-FI | MERCY HEALTH PARTNERS | Yes (1) | |
| HACKLEY LIFE COUNSELING | |||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 49442 | 381386362 | COUNSELING, EDUCATION, AND SUPPORT | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | |
| HAWTHORNE RIDGE INC | |||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| HERITAGE HOUSE NURSING CENTER INC | |||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| HOLY CROSS CARENET INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY | MD | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| HOLY CROSS HEALTH FOUNDATION INC | |||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | CHARITABLE FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | HOLY CROSS HEALTH INC | Yes (1) | |
| HOLY CROSS HEALTH INC | |||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 520738041 | HEALTHCARE 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 | HOSPITAL-HEALTHCARE PROVIDER | FL | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| HOLY CROSS LONG TERM CARE INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650787320 | MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | HOLY CROSS HOSPITAL INC | Yes (1) | |
| HOLY CROSS MEDICAL CENTER | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| HOLY CROSS MEDICAL PROPERTIES INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650666283 | MEDICAL BUILDING REAL ESTATE MANAGEMENT | FL | 501(C)(2) | N/A | HOLY CROSS HOSPITAL INC | Yes (1) | |
| HOME AIDE SERVICE OF EASTERN NEW YORK | |||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141514867 | HOME CARE | 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 HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 7 | 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 HEALTH CARE 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 | PROVIDES OFFICE-BASED MEDICAL CARE | 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 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | |||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| LAKESHORE COMMUNITY HOSPITAL INC | |||||||||||
| 72 S STATE STREET | SHELBY | MI | 49455 | 382549295 | ACUTE HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | |
| LANGHORNE MRI INC | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | INACTIVE ENTITY | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LANGHORNE PHYSICIAN SERVICES INC | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | PHYSICIAN SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LIFE AT LOURDES INC | |||||||||||
| 2475 MCCLELLAN AVENUE | PENNSAUKEN | NJ | 08109 | 261854750 | ELDERLY CARE | 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 | ELDERLY CARE | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | |
| LIFE ST FRANCIS CORPORATION | |||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 222797282 | HEALTH SERVICES | 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 SUITE B | SOUTHERN PINES | NC | 28387 | 272159847 | HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | ST JOSEPH'S OF THE PINES INC | Yes (1) | |
| LIFE ST MARY | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 262976184 | ELDERLY CARE | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LOURDES ANCILLARY SERVICES | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568525 | SUPPORTING ORGANIZATION | 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 | CARDIOLOGY 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 | HOSPITAL | 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 | HOSPITAL | 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 SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | |
| LTC (EDDY) INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | ELDERLY HEALTH/HOUSING SUPPORTING ORG | 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 | HOSPITAL | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | |
| MARIAN COMMUNITY HOSPITAL AUXILIARY | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 251874733 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MAXIS FOUNDATION | Yes (1) | |
| MARIAN HOME HEALTHCARE | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | PROVIDE HOME HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| MARYCREST HEIGHTS | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 270291722 | PROVIDES HOUSING FOR ELDERLY INDIVIDUALS | MI | 501(C)(3) | LINE 11A, I | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| MAXIS FOUNDATION | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 232330090 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MAXIS HEALTH SYSTEM | Yes (1) | |
| MAXIS HEALTH SYSTEM | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 911940902 | HEALTH CARE SYSTEM | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MAXIS MEDICAL SERVICES | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 232577185 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | |
| MCAULEY CENTER INC | |||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | INDEPENDENT LIVING | 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 (FORMERLY) | MI | 501(C)(3) | LINE 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | Yes (1) | |
| MCAULEY MINISTRIES | |||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11A, I | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MEMORIAL HOSPITAL ALBANY NY | |||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | GENERAL HOSPITAL | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | |
| MERCY AMICARE HOME HEALTHCARE OAKLAND | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320698 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY AMICARE HOME HEALTHCARE PORT HURON | |||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY CARE FOUNDATION | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FUNDRAISING | 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 | ACUTE CARE HOSPITAL | 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 | MANAGEMENT & SUPPORT SERVICES | CT | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY COMMUNITY HOMECARE SERVICES | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061488137 | IN HOME HEALTH CARE | 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 | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY FOUNDATION INC | |||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227350 | SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM | IL | 501(C)(3) | LINE 11A, I | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | |||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232829864 | FUNDRAISING | 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 MANAGEMENT | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MERCY HEALTH PARTNERS | |||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE SYSTEM SUPPORT | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MERCY HEALTH PLAN | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 222483605 | HEALTH PLANS | 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 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 CHICAGO LIABILITY SELF INSURANCE TRUST | |||||||||||
| BK OF AMERICA 231 S LASALLE | CHICAGO | IL | 60697 | 912092113 | SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY | IL | 501(C)(3) | LINE 11C, III-FI | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY HEALTH SYSTEM OF MAINE | |||||||||||
| 144 STATE STREET | PORTLAND | ME | 04101 | 010484074 | MANAGEMENT & SUPPORT SERVICES | ME | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232212638 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTHCARE CENTER | |||||||||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 150532211 | IN DISSOLUTION | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTHCARE FOUNDATION-CLINTON | |||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES | IA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| MERCY HOME HEALTH | |||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 231352099 | HOME HEALTH | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HOME HEALTH SERVICES | |||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325058 | HOME HEALTH | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HOSPITAL | |||||||||||
| 144 STATE STREET | PORTLAND | ME | 04101 | 010211534 | HOSPITAL | ME | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF MAINE | Yes (1) | |
| MERCY HOSPITAL AND MEDICAL CENTER | |||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 362170152 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY HOSPITAL CADILLAC FOUNDATION | |||||||||||
| 400 HOBART | CADILLAC | MI | 49601 | 203357131 | SUPPORT THE SERVICES OF RELATED HOSPITAL | 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 | ACUTE CARE | 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 | HOSPITAL | FL | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY JEANNETTE HOSPITAL | |||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 251310602 | INACTIVE ENTITY | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MERCY LIFE CENTER CORPORATION | |||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY TREATMENT | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MERCY LIFE OF ALABAMA | |||||||||||
| PO BOX 1090 101 VILLA DRIVE | DAPHNE | AL | 36526 | 273163002 | HOSPITAL | 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 | ACUTE CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232627944 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY MEDICAL CENTER - CLINTON INC | |||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | TO PROVIDE QUALITY HEALTH CARE | 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 | SUPPORT THE SERVICES OF RELATED HOSPITAL | 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 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| MERCY MEDICAL CORPORATION | |||||||||||
| PO BOX 1090 101 VILLA DRIVE | DAPHNE | AL | 36526 | 636002215 | HOSPITAL | AL | 501(C)(3) | LINE 9 | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY MEDICAL DEVELOPMENT INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 592789194 | OUTPATIENT SERVICES | FL | 501(C)(3) | LINE 9 | MERCY HOSPITAL INC | Yes (1) | |
| MERCY MISSION SERVICES INC | |||||||||||
| 3661 SOUTH MIAMI AVENUE | MIAMI | FL | 33133 | 650435764 | HEALTH CARE | FL | 501(C)(3) | LINE 3 | MERCY HOSPITAL INC | Yes (1) | |
| MERCY NORTH HOMECARE AND HOSPICE | |||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOME HEALTH AND HOSPICE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY ONCOLOGY SERVICES INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454884805 | ONCOLOGY MEDICAL SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 510461511 | HOSPITAL | FL | 501(C)(3) | LINE 9 | MERCY HOSPITAL INC | 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 | SUPPORT SERVICES | CT | 501(C)(3) | LINE 1 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MERCY SERVICES DOWNTOWN INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | REAL ESTATE 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 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | 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 | NEUROSURGERY MEDICAL 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 | ACUTE CARE HOSPITAL | 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 | MGT. & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11B, II | MERCY HEALTHCARE CENTER | Yes (1) | |
| MERCYKNOLL INC | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060757380 | SKILLED NURSING | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MIDWEST MEDFLIGHT | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | AEROMEDICAL TRANSPORT | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MISSION HEALTH CORPORATION | |||||||||||
| 37595 SEVEN MILE ROAD | LIVONIA | MI | 48152 | 383181557 | FACILITY USED FOR AMBULATORY CARE | 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 FOR SENIORS | 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 SYSTEM MANAGEMENT AND SUPPORT | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | LINE 11A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| MOUNT CARMEL HOME CARE LLC | |||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | PROVIDE HOME HEALTH CARE 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 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | |
| NAZARETH HEALTH CARE FOUNDATION | |||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NAZARETH HOSPITAL | |||||||||||
| 2601 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232794121 | ACUTE CARE HOSPITAL | 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 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NE PHYSICIAN SERVICES | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232497355 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NORTHEAST HEALTH INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 042450756 | SUPPORTING ORGANIZATION | 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 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 | SUPPORTS SERVICES OF RELATED HOSPITAL | NE | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| OSUMOUNT CARMEL HEALTH ALLIANCE | |||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311654603 | COOPERATIVE HEALTH CARE 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 | MANAGEMENT & SUPPORT SERVICES | NJ | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | 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 | HOSPITAL | 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 | NURSING HOME FACILITY | 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 | CARDIOLOGY 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 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | 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) | |
| PROFESSIONAL MED TEAM | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | MEDICAL CARE, TRANSPORTATION AND EDUCATION | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| PROFESSIONAL OFFICE CORPORATION | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 11A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | |
| SAINT AGNES MEDICAL CENTER | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE 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 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT ALPHONSUS DIVERSIFIED CARE INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | SUPPORTS SERVICES OF RELATED HOSPITAL | 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 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | Yes (1) | |
| SAINT ALPHONSUS FOUNDATION-ONTARIO INC | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | LINE 11A, I | 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 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | 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 | SUPPORT THE SERVICES OF RELATED HOSPITAL | 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 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | 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 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 MICHAELS MEDICAL CENTER | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | |||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | |||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 46634 | 350868157 | HEALTHCARE 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 | HOSPITAL 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 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(3) | LINE 11B, II | SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | |||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 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 | MANAGEMENT & SUPPORT SERVICES | GA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| SAINT JOSEPH'S MERCY CARE SERVICES INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581752700 | COMMUNITY OUTREACH | 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 | PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS | 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 | ELDERLY 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 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| SAINT MARY'S FOUNDATION | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| SAINT MICHAELS MEDICAL CENTER | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616046 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| SAMARITAN CHILD CARE CENTER INC | |||||||||||
| 2213 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD DAY 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 | GENERAL HOSPITAL | 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 | SUPPORTING ORGANIZATION | 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 | SKILLED NURSING | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | |
| SETON HEALTH FOUNDATION INC | |||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 222345416 | SUPPORTING ORGANIZATION | NY | 501(C)(3) | LINE 11A, I | SETON HEALTH SYSTEM INC | Yes (1) | |
| SETON HEALTH SYSTEM INC | |||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141776186 | HOSPITAL | 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 | MANAGEMENT & SUPPORT SERVICES | MA | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| SJHSJOC HOLDINGS INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | REAL ESTATE HOLDING COMPANY | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| SSJ HEALTH FOUNDATION INC | |||||||||||
| 3661 SOUTH MIAMI AVENUE | MIAMI | FL | 33133 | 591709438 | FUNDRAISING | FL | 501(C)(3) | LINE 7 | MERCY HOSPITAL INC | Yes (1) | |
| ST JOSEPH MERCY OAKLAND FOUNDATION | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| ST AGNES CONTINUING CARE CENTER | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232840137 | CONTINUING CARE SERVICES | 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 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| ST FRANCIS FOUNDATION | |||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 11B, II | ST FRANCIS HOSPITAL | Yes (1) | |
| ST FRANCIS HOSPITAL | |||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HOSPITAL | DE | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST FRANCIS HOSPITAL INC | |||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 590624442 | GRANT-MAKING ORGANIZATION | FL | 501(C)(3) | LINE 11A, I | ALLEGANY FRANCISCAN MINISTRIES INC | 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 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | 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 | MANAGEMENT & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| ST JAMES MERCY HOSPITAL | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 160743310 | HOSPITAL | NY | 501(C)(3) | LINE 3 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | |
| ST JOSEPH OF THE PINES INC | |||||||||||
| 100 GOSSMAN DRIVE SUITE B | SOUTHERN PINES | NC | 28387 | 560694200 | HOSPITAL | NC | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST MARY BUILDING AND DEVELOPMENT COMPANY | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | BUILDING DEVELOPMENT 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 | EMERGENCY MEDICAL 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 | SKILLED NURSING | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HOSPITAL | PA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | 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 | FUNDRAISING | 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 | HOSPITAL | GA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST MARY'S HIGHLAND HILLS INC | |||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | ASSISTED LIVING & RETIREMENT 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 | HOSPITAL / PHYSICIAN 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 MICHAELS MEDICAL CENTER | Yes (1) | |
| ST PETER'S AUXILIARY | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222843206 | 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 | MANAGEMENT & SUPPORT SERVICES | 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 | MANAGEMENT & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | PHYSICIANS PRACTICE | 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 | HOSPITAL | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| ST PETER'S HOSPITAL FOUNDATION INC | |||||||||||
| 319 SOUTH MANNING BLVD SUITE 114 | ALBANY | NY | 12208 | 222262982 | FUNDRAISING & PUBLIC RELATIONS | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION | |||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | SUPPORTING FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SUNNYVIEW HOSPITAL & REHABILITATION CTR | Yes (1) | |
| SUNNYVIEW HOSPITAL & REHABILITATION CTR | |||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 141338386 | REHABILITATION HOSPITAL | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | |
| THE COMMUNITY HOSPICE FOUNDATION INC | |||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 222692940 | FUNDRAISING & PUBLIC RELATIONS | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | |
| THE COMMUNITY HOSPICE INC | |||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 141608921 | SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | |||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | SUPPORTS SERVICES OF RELATED HOSPITAL | 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 | ADULT HOME/ALZHEIMERS | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| THE NORTHEAST HEALTH FOUNDATION INC | |||||||||||
| 2224 BURDETT AVE | TROY | NY | 12180 | 222743478 | SUPPORTING FOUNDATION | NY | 501(C)(3) | LINE 7 | NORTHEAST HEALTH INC | Yes (1) | |
| TRI-COUNTY HUMAN SERVICES CENTER INC | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 231938528 | BEHAVIORAL HEALTH ORGANIZATION | PA | 501(C)(3) | LINE 7 | MAXIS HEALTH SYSTEM | Yes (1) | |
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | |||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | PROVIDE EMERGENCY AMBULANCE SERVICES | MI | 501(C)(3) | LINE 11D, III-O | 0 | N/A | |
| TRI-HOSPITAL MRI CENTER | |||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | MRI SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| TRINITY CONTINUING CARE SERVICES | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES | 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 | PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| TRINITY HEALTH - MICHIGAN | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTHCARE 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 | CHE TRINITY INC | Yes (1) | |
| TRINITY HEALTH INTERNATIONAL | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTHCARE TRAINING AND SUPPORT SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY HEALTH WELFARE BENEFIT TRUST | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY HOME HEALTH SERVICES INC | |||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | |
| UIHLEIN MERCY CENTER | |||||||||||
| 185 OLD MILITARY ROAD | TUPPER LAKE | NY | 12986 | 150532190 | IN DISSOLUTION | NY | 501(C)(3) | LINE 3 | MERCY HEALTHCARE CENTER | Yes (1) | |
| UNIVERSITY HEIGHTS PROPERTY COMPANY INC | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223100162 | MEDICAL PROPERTY HOLDING COMPANY | NJ | 501(C)(2) | N/A | SAINT MICHAELS MEDICAL CENTER | Yes (1) | |
| VILLA MARY IMMACULATE | |||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | NURSING HOME & PHYSICAL REHAB | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | |
| VNA HOME HEALTH & HOSPICE | |||||||||||
| 50 FODEN ROAD | SOUTH PORTLAND | ME | 04106 | 010246804 | HOME HEALTH & HOSPICE | ME | 501(C)(3) | LINE 11A, I | MERCY HEALTH SYSTEM OF MAINE | Yes (1) | |
| WESTSHORE HEALTH NETWORK | |||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | SUPPORT SERVICES | MI | 501(C)(4) | N/A | MERCY HEALTH PARTNERS | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 LIMITED PARTNERSHIP | |||||||
| 1221 MAIN STREET ROOM 108 | 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 |
| CENTRAL OHIO SLEEP MEDICINE LTD | |||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | 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 | DIAGNOSTIC IMAGING | CA | N/A |
| GATEWAY HEALTH PLAN | |||||||
| 300 GRANT STREET | PITTSBURGH | PA | 15219 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A |
| HAWARDEN REGIONAL HEALTH CLINICS LLC | |||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A |
| IDAHO ASC HOLDINGS LLC | |||||||
| 4400 E FLAMINGO AVE | NAMPA | ID | 83687 | 364729605 | HOLDING COMPANY FOR AMBULATORY SURGERY | ID | N/A |
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | |||||||
| 3000 RIVERCHASE GALLERIA STE 500 | 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 |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | |||||||
| C/O NAZARETH HOSP 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A |
| NEWCO AMBULATORY SURGERY CTR LLP | |||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A |
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | |||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A |
| 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 | |||||||
| 113 SEABOARD LANE SUITE B201 | FRANKLIN | TN | 37067 | 273938747 | MEDICAL SERVICES | DE | N/A |
| ST PETER'S AMBULATORY SURGERY CENTER LLC | |||||||
| 1375 WASHINGTON AVENUE STE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A |
| TAMARACK MEDICAL CLINIC LLC | |||||||
| 402 OLD STATE HWY | 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 |
| 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 (58 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Province Or StateForeignAddress/ProvinceOrState | Postal CodeForeignAddress/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MANAGEMENT SERVICES CORPORATION INC | |||||||||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141668024 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||||||||
| CARBONDALE AREA PHYSICIANS' ASSOCIATION PC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232801677 | MEDICAL INSURANCE CONTRACTING | PA | N/A | C | Yes (1) | ||||||||||
| CARBONDALE AREA PHYSICIANS' PHO INC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232801676 | INACTIVE | PA | N/A | C | Yes (1) | ||||||||||
| CARBONDALE PHYSICIANS' SERVICES INC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232365077 | PHARMACY | PA | N/A | C | Yes (1) | ||||||||||
| GEORGIA HEALTH ENTERPRISES LLC | |||||||||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 541806329 | HEALTHCARE | GA | 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 | ||||||||||||
| GHE PHYSICIANS PC | |||||||||||||||||||
| 3500 PIEDMONT ROAD | ATLANTA | GA | 30305 | 582277939 | PRACTICE MANAGEMENT | GA | N/A | C | Yes (1) | ||||||||||
| GATEWAY HEALTH PLAN INC | |||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251505506 | HEALTH CARE | PA | N/A | C | Yes (1) | ||||||||||
| GATEWAY HEALTH PLAN INC OF OHIO | |||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 300282076 | HEALTH CARE | PA | 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) | ||||||||||
| CATHERINE HORAN BUILDING INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 042938160 | BUILDING MANAGEMENT | 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 | |||||||||||||||||||
| 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 | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY PROFESSIONAL CENTER | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY PROFESSIONAL PHARMACY | |||||||||||||||||||
| 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 | HEALTH CARE BILLING | 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) | ||||||||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043128890 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST | |||||||||||||||||||
| 1221 MAIN STREET ROOM 108 | HOLYOKE | MA | 01040 | 046608649 | PROPERTY MANAGEMENT | MA | N/A | C | Yes (1) | ||||||||||
| PROVIDENCE HOME CARE INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043317426 | HEALTH CARE SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 042938181 | LAB SERVICES | MA | 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) | ||||||||||
| 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 | OUTPATIENT PHARMACY | ID | C | Yes (1) | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | $108,072 | $2,312,053 | 1.00000 | |||||||
| JEANNETTE MEDICAL PROVIDERS | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 251787334 | HOLDING COMPANY | PA | 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 | 49546 | 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) | ||||||||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | |||||||||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | 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) | ||||||||||
| JEANNETTE OBGYN GROUP 1 INC | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 232890748 | HOLDING COMPANY | PA | 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) | ||||||||||
| JEANNETTE PRIMARY CARE GROUP 1 INC | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 232890743 | HOLDING COMPANY | PA | 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 | |||||||||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 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) | ||||||||||
| LANGHORNE SERVICES II INC | |||||||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 253795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||||||||
| STELLA MARIS INSURANCE COMPANY LIMITED | |||||||||||||||||||
| 980632008 | INSURANCE | N/A | C | Yes (1) | PO BOX 69 | GRAND CAYMAN | CJ | CJ | CAYMAN ISLANDS | KY1-1102 | |||||||||
| SURGERY CENTER FINANCING CORPORATION | |||||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | 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) | ||||||||||
| THRE SERVICES LLC | |||||||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | 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 | |||||||||||||||||||
| 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| L | $1,900,830 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| M | $276,081 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| P | $156,038 | PER BOOKS |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||
| M | $345,490 | PER BOOKS |
| MEDNOW INC | ||
| L | $301,653 | PER BOOKS |
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||
| M | $3,716,574 | PER BOOKS |
| SAINT ALPHONSUS HEALTH SYSTEM INC | ||
| P | $5,749,964 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $2,549,648 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $4,564,227 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $524,025 | PER BOOKS |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC | ||
| C | $641,642 | PER BOOKS |