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SAINT ALPHONSUS MEDICAL CENTER ORTARIO INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SAINT ALPHONSUS MEDICAL CENTER ORTARIO INC (EIN 27-1789847)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-12
IRS object ID
201531329349302713
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-12T12:31:23-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271789847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS MEDICAL CENTER - ONTARIO INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone5418817295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 SW 9TH STREETAddressLine1
CityONTARIOCity
StateORState
ZIP Code979142639ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBLAINE PETERSENPersonNm
Person TitleCFO SAINT ALPHONSUS HEALTH SYSPersonTitleTxt
Phone5418817295PhoneNum
Signature2015-05-12SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerKARL KEELERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 SW 9TH STREETAddressLine1
CityONTARIOCity
StateORState
ZIP Code979142639ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$64,940,427GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAINTALPHONSUS.ORG/ONTARIOWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionHEALTHCARE SERVICESActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee678TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$82,121TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$138,848PYContributionsGrantsAmt
CY Contributions Grants$99,494CYContributionsGrantsAmt
PY Program Service Revenue$60,562,772PYProgramServiceRevenueAmt
CY Program Service Revenue$60,796,575CYProgramServiceRevenueAmt
PY Investment Income$868,301PYInvestmentIncomeAmt
CY Investment Income$757,274CYInvestmentIncomeAmt
PY Other Revenue$2,100,243PYOtherRevenueAmt
CY Other Revenue$3,241,988CYOtherRevenueAmt
PY Total Revenue$63,670,164PYTotalRevenueAmt
CY Total Revenue$64,895,331CYTotalRevenueAmt
PY Grants And Similar Paid$167,324PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$160,485CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,628,952PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,384,298CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$180,869CYTotalFundraisingExpenseAmt
PY Other Expenses$33,072,707PYOtherExpensesAmt
CY Other Expenses$35,259,318CYOtherExpensesAmt
PY Total Expenses$65,868,983PYTotalExpensesAmt
CY Total Expenses$65,804,101CYTotalExpensesAmt
PY Revenues Less Expenses-$2,198,819PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$908,770CYRevenuesLessExpensesAmt
Total Assets BOY$59,901,421TotalAssetsBOYAmt
Total Assets EOY$59,024,174TotalAssetsEOYAmt
Total Liabilities BOY$33,180,308TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,463,927TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,721,113NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,560,247NetAssetsOrFundBalancesEOYAmt
MissionHEALTHCARE SERVICES - SEE LINE 4 AND SCHEDULE H FOR ADDITIONAL INFORMATIONMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$55,102,266ExpenseAmt
Grant$160,485GrantAmt
Revenue$63,144,692RevenueAmt
DescSAINT ALPHONSUS MEDICAL CENTER - ONTARIO IS A 48-BED, ACUTE CARE HOSPITAL SERVING ONTARIO AND THE SURROUNDING COMMUNITIES IN EASTERN OREGON AND SOUTHWESTERN IDAHO. THE MISSION STATEMENT OF SAINT ALPHONSUS MEDICAL CENTER - ONTARIO IS AS FOLLOWS:WE, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.Desc
Total Program Service Expenses$55,102,266TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document168IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee678EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRENT CHERNE CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Phone2083677192PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16301 EMERALD STAddressLine1
CityBOISECity
StateIDState
ZIP Code83706ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SALLY JEFFCOAT
TRUSTEE; PRES & CEO IDAHO OREGON REG1.0054.00Yes (X)Yes (X)$0$1,050,502$98,506
RONALD GRAVES
TRUSTEE; CHAIR1.004.00Yes (X)Yes (X)$0$0$0
MIKE REULING
TRUSTEE; VICE CHAIR1.004.00Yes (X)Yes (X)$0$0$0
GEORGE JUETTEN
TRUSTEE1.004.00Yes (X)$0$0$0
J RICHARD O'CONNELL
TRUSTEE; EVP & PRES WEST/MIDWEST GRP1.0054.00Yes (X)$0$1,673,574$145,485
KAYE O'RIORDAN
TRUSTEE1.004.00Yes (X)$0$0$0
SR SHARLET WAGNER CSC
TRUSTEE1.004.00Yes (X)$0$0$0
SR SHARON FORD RSM
TRUSTEE1.004.00Yes (X)$0$0$0
VICTOR YAMAMOTO
TRUSTEE1.004.00Yes (X)$0$0$0
JON WAGNILD MD
TRUSTEE1.004.00Yes (X)$0$0$0
MATTHEW SHIRTCLIFF
TRUSTEE1.004.00Yes (X)$0$0$0
DARREL ANDERSON
TRUSTEE1.004.00Yes (X)$0$0$0
ANDREW BENTZ
TRUSTEE THROUGH 12/131.004.00Yes (X)$0$0$0
DON ROUMAGOUX
TRUSTEE AS OF 1/141.004.00Yes (X)$0$0$0
STEPHANIE WESTERMEIER
SECRETARY; VP & GENERAL COUNSEL1.0049.00Yes (X)$0$286,845$33,328
BLAINE PETERSEN
TREASURER AND SYSTEM CFO1.0049.00Yes (X)$0$473,321$35,641
KARL KEELER
SAMC NAMPA & ONTARIO CEO24.0026.00$0$532,654$46,366Yes (X)
B LANNIE CHECKETTS
SAMC NAMPA & ONTARIO CFO AT 9/1324.0026.00$0$262,359$44,305Yes (X)
JEAN BASOM
REGIONAL DIRECTOR SUPPLY CHAIN1.0049.00$0$171,192$61,870Yes (X)
RODNEY REIDER
SARMC PRESIDENT AND CEO1.0049.00$0$599,714$73,507Yes (X)
JAMES POLK
SAHS, CHIEF QUALITY OFFICER1.0049.00$0$487,941$44,778Yes (X)
PAUL VACHEK
CFO THROUGH 9/1348.002.00$185,409$0$29,936Yes (X)
RICHARD PALAGI
CEO THROUGH 1/1448.002.00$0$506,373$35,700Yes (X)
GUILLERMO GUZMAN TREVINO MD
PHYSICIAN50.000.00$447,300$0$27,411Yes (X)
PAMELA BRUCE MD
SURGEON50.000.00$360,716$0$35,740Yes (X)
FRANK SPOKAS MD
SURGEON50.000.00$323,299$0$31,820Yes (X)
MARK CHRISTENSON MD
PHYSICIAN50.000.00$244,439$0$28,042Yes (X)
JOHN HANSILL MD
SURGEON50.000.00$224,770$0$4,828Yes (X)
KEDRICK ADKINS
FORMER KEY EMPLOYEE0.000.00$0$1,808,589$1,739,236Yes (X)
JOSEPH SWEDISH
FORMER KEY EMPLOYEE0.000.00$0$1,463,995$28,888Yes (X)
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE0.000.00$0$231,799$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,785,933TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,548,858TotReportableCompRltdOrgAmt
Total Other Compensation$2,545,387TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ONTARIO EMERGENCY SPECIALISTS
351 SW 9THONTARIOOR97914EMERGENCY ROOM PHYSICIAN STAFFING$1,918,216
STRATEGIC STAFFING SOLUTIONS
645 GRISWOLD STE 2900DETROITMI78226STAFFING SERVICES$800,757
REHABILITATION MGMT ASSO
901 N CURTIS 204BOISEID83706REHAB STAFFING$546,840
APOGEE MEDICAL MANAGEMENT
2525 E CAMELBACK RD STE 1100PHOENIXAZ85016PHYSICIAN SERVICES$315,344
COMMERCIAL CONSTRUCTION
5030 FREEMONT RDNEW PLYMOUTHID83655CONSTRUCTION SERVICES$269,966
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$5,082RelatedOrganizationsAmt
All Other Contributions$94,412AllOtherContributionsAmt
Total Contributions$99,494TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business622110BusinessCd
Total Revenue Column$60,796,575TotalRevenueColumnAmt
Related Or Exempt Func Income$60,796,575RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$60,796,575TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$226,339TotalRevenueColumnAmt
Exclusion$226,339ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$328,210RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$31,786RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$296,424RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$296,424TotalRevenueColumnAmt
Exclusion$296,424ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$380,732SecuritiesAmt
Other$163,513OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$13,310OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$380,732SecuritiesAmt
Other$150,203OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$530,935TotalRevenueColumnAmt
Exclusion$530,935ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
GOV'T SUBSIDY-EHR622110$1,795,767$1,795,767
CAFETERIA REVENUE722514$289,395$289,395
PHARMACY REVENUE446110$225,931$225,931

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$634,471TotalRevenueColumnAmt
Related Or Exempt Func Income$552,350RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$82,121UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,945,564OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,895,331TotalRevenueColumnAmt
Related Or Exempt Func Income$63,144,692RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$82,121UnrelatedBusinessRevenueAmt
Exclusion$1,569,024ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$160,485TotalAmt
Program Services$160,485ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$757,419TotalAmt
Management And General$757,419ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$55,832TotalAmt
Program Services$55,832ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,890,470TotalAmt
Program Services$22,819,259ProgramServicesAmt
Management And General$938,490ManagementAndGeneralAmt
Fundraising$132,721FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,012,665TotalAmt
Program Services$959,986ProgramServicesAmt
Management And General$47,107ManagementAndGeneralAmt
Fundraising$5,572FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,747,724TotalAmt
Program Services$2,591,562ProgramServicesAmt
Management And General$141,071ManagementAndGeneralAmt
Fundraising$15,091FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,920,188TotalAmt
Program Services$1,599,357ProgramServicesAmt
Management And General$311,339ManagementAndGeneralAmt
Fundraising$9,492FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$974TotalAmt
Management And General$974ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,449TotalAmt
Management And General$4,449ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$22,423TotalAmt
Management And General$22,423ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,998,646TotalAmt
Program Services$5,451,903ProgramServicesAmt
Management And General$542,640ManagementAndGeneralAmt
Fundraising$4,103FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$190,800TotalAmt
Program Services$3,317ProgramServicesAmt
Management And General$181,851ManagementAndGeneralAmt
Fundraising$5,632FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,260,032TotalAmt
Program Services$1,152,073ProgramServicesAmt
Management And General$103,380ManagementAndGeneralAmt
Fundraising$4,579FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,476,613TotalAmt
Program Services$49,732ProgramServicesAmt
Management And General$2,426,881ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,760,848TotalAmt
Program Services$1,534,091ProgramServicesAmt
Management And General$226,757ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$132,754TotalAmt
Program Services$117,529ProgramServicesAmt
Management And General$13,083ManagementAndGeneralAmt
Fundraising$2,142FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,072TotalAmt
Program Services$12,554ProgramServicesAmt
Management And General$6,222ManagementAndGeneralAmt
Fundraising$296FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$888,531TotalAmt
Program Services$888,531ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,463,758TotalAmt
Program Services$3,010,022ProgramServicesAmt
Management And General$453,736ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$413,714TotalAmt
Program Services$115,191ProgramServicesAmt
Management And General$298,523ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$7,340,696$7,340,696$0$0
INTERCO. PURCHASED SVCS$4,659,975$1,325,104$3,334,871$0
BAD DEBT$3,964,388$3,964,388$0$0
UBI TAXES$59,542$0$59,542$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,602,103TotalAmt
Program Services$1,950,654ProgramServicesAmt
Management And General$650,208ManagementAndGeneralAmt
Fundraising$1,241FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,804,101TotalAmt
Program Services$55,102,266ProgramServicesAmt
Management And General$10,520,966ManagementAndGeneralAmt
Fundraising$180,869FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$134,622BOYAmt
EOY$1,184,063EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$100,228BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,707,905BOYAmt
EOY$10,543,987EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$49,726BOYAmt
EOY$110,769EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$186,555BOYAmt
EOY$139,893EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,449,912BOYAmt
EOY$1,226,159EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$171,497BOYAmt
EOY$154,232EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,644,376LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,862,404LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,167,686BOYAmt
EOY$28,781,972EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,835,966BOYAmt
EOY$8,102,503EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,489,456BOYAmt
EOY$7,185,238EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$607,868BOYAmt
EOY$1,595,358EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,901,421BOYAmt
EOY$59,024,174EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,399,604BOYAmt
EOY$8,742,558EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,336BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$305,508BOYAmt
EOY$738,775EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,452,860BOYAmt
EOY$22,982,594EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,180,308BOYAmt
EOY$32,463,927EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,620,885BOYAmt
EOY$26,560,247EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$100,228BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,721,113BOYAmt
EOY$26,560,247EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,901,421BOYAmt
EOY$59,024,174EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$908,770ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$749,872NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,968OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$9,777GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$9,777TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationSAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC. (SAMC-ONTARIO) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAMC-ONTARIO WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAMC-ONTARIO MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,158,775OtherCostOrOtherBasisAmt
Book Value$1,158,775BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,537,923OtherCostOrOtherBasisAmt
Depreciation$3,662,212DepreciationAmt
Book Value$18,875,711BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,069,601OtherCostOrOtherBasisAmt
Depreciation$4,200,192DepreciationAmt
Book Value$7,869,409BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$878,077OtherCostOrOtherBasisAmt
Book Value$878,077BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,781,972TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES$1,528,774F
EQUITY METHOD INVESTMENTS$3,363,303C
HEDGE FUNDS$2,293,161F
FieldValueIRS element (for citing)
Total Book Value Securities$7,185,238TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY NOTES PAYABLE$21,916,488
INTERCOMPANY ACCOUNTS PAYABLE$692,552
ASSET RETIREMENT OBLIGATION(FIN 47)$373,554
FieldValueIRS element (for citing)
Total Liability$22,982,594TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1648PersonsServedCnt
Total Community Benefit Expns$2,348,672TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,348,672NetCommunityBenefitExpnsAmt
Total Expense0.03800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served9735PersonsServedCnt
Total Community Benefit Expns$12,858,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,589,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,268,755NetCommunityBenefitExpnsAmt
Total Expense0.03670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served11383PersonsServedCnt
Total Community Benefit Expns$15,206,750TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,589,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,617,427NetCommunityBenefitExpnsAmt
Total Expense0.07470TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served10487PersonsServedCnt
Total Community Benefit Expns$81,564TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$81,564NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served8PersonsServedCnt
Total Community Benefit Expns$3,526TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,526NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served110PersonsServedCnt
Total Community Benefit Expns$73,330TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$73,330NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served1853PersonsServedCnt
Total Community Benefit Expns$131,994TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,531DirectOffsettingRevenueAmt
Net Community Benefit Expns$128,463NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served12458PersonsServedCnt
Total Community Benefit Expns$290,414TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,531DirectOffsettingRevenueAmt
Net Community Benefit Expns$286,883NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served23841PersonsServedCnt
Total Community Benefit Expns$15,497,164TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,592,854DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,904,310NetCommunityBenefitExpnsAmt
Total Expense0.07940TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served381PersonsServedCnt
Total Community Benefit Expns$6,610TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,610NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served630PersonsServedCnt
Total Community Benefit Expns$13,943TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,943NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1011PersonsServedCnt
Total Community Benefit Expns$20,553TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,553NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,694,900BadDebtExpenseAmt
Reimbursed By Medicare$15,220,569ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,832,372CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,611,803MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ALPHONSUS MEDICAL CENTER - ONTARIOBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 SW 9TH STAddressLine1
CityONTARIOCity
StateORState
ZIP Code97914ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.SAINTALPHONSUS.ORG/ONTARIOWebsiteAddressTxt
State LicenseLICENSE 14-StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST ALPHONSUS MEDICAL CENTER - ONTARIOBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART V, SECTION B, LINE 3: IN 2014, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO DETERMINE THE STATE OF THE COMMUNITY IT SERVES. THIS SURVEY WAS CONDUCTED DURING THE PERIOD FROM FEBRUARY OF 2014 THROUGH MAY OF 2014 AND USED A WIDE VARIETY OF PRIMARY AND SECONDARY SOURCES TO OBTAIN A BROAD OVERVIEW OF INFORMATION. PRIMARY SOURCES: DATA WAS OBTAINED THROUGH COMMUNITY SURVEYS IN OREGON AND IDAHO. IN ORDER TO PROVIDE CONTINUITY OF INFORMATION THROUGHOUT THE SAINT ALPHONSUS HEALTH SYSTEM, ONE COMMUNITY SURVEY WAS UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) CONDUCTED IN ADA, CANYON AND GEM COUNTIES BY UNITED WAY OF TREASURE VALLEY AND THE UTAH FOUNDATION, AS WELL AS THE NEEDS ASSESSMENT CONDUCTED IN MALHEUR, PAYETTE AND WASHINGTON COUNTIES FOR SAINT ALPHONSUS MEDICAL CENTER - ONTARIO. THE SURVEY WAS DEVELOPED BY THE UNITED WAY OF TREASURE VALLEY WITH COMMUNITY ADVICE ON A NUMBER OF INDICATORS TO BEST DESCRIBE THE OVERALL HEALTH OF THE COMMUNITIES BEING SURVEYED. THE INDICATORS ARE GROUPED INTO FOUR CATEGORIES: FINANCIAL STABILITY AND INDEPENDENCE, SUCCESS IN EDUCATION, LIVING HEALTHY LIVES, AND ACCESS TO BASIC SERVICES.WHILE THE INDICATORS ARE GROUPED INTO CATEGORIES, MANY OF THE INDICATORS AND BARRIERS IDENTIFIED HAVE IMPLICATIONS IN OTHER CATEGORIES. THESE OVER-ARCHING BARRIERS TEND TO BE SOCIAL DETERMINANTS OF POPULATION HEALTH SUCH AS WAGE AND JOB OPPORTUNITIES, POVERTY, EDUCATIONAL ATTAINMENT, AVAILABILITY OF HEALTHY FOODS AND EXERCISE OPPORTUNITIES, AND ACCESS TO BASIC SERVICES. PAYING INCREASED ATTENTION TO THESE SOCIAL DETERMINANTS OF HEALTH REPRESENTS A FUNDAMENTAL SHIFT IN APPROACHING IMPROVEMENTS IN THE OVERALL HEALTH OF COMMUNITIES. ADMINISTERING THE SURVEY WAS ACCOMPLISHED THROUGH A VARIETY OF METHODS AIMED AT GETTING THE MOST DIVERSE CROSS-SECTION OF RESPONDENTS WITH RESPECT TO THOSE TYPICALLY AT RISK IN OUR COMMUNITIES INCLUDING PEOPLE WHO ARE POOR, SINGLE PARENTS, THE ELDERLY, LIMITED ENGLISH PROFICIENT PEOPLE, PEOPLE WITH LOW LEVELS OF LITERACY AND EDUCATION, RACIAL MINORITIES AND PEOPLE WITH UNDOCUMENTED RESIDENCY STATUS. SURVEYS WERE ADMINISTERED THROUGH PARTNERSHIPS WITH SERVICE AGENCIES AND COMMUNITY EXPERTS SUCH AS WICAP (WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP, INC.), SENIOR CENTERS, SCHOOL DISTRICTS, FOOD PANTRIES, AND HEALTH CARE PROVIDERS. THE SURVEY WAS ADMINISTERED IN ENGLISH AND SPANISH, AS WELL AS ORALLY. THE SURVEY WAS ADMINISTERED IN A VARIETY OF SETTINGS, INCLUDING HEALTH CARE WAITING ROOMS, COMMUNITY EVENTS, SCHOOL FAIRS, CLIENT-BASED SERVICE SETTINGS, AND AREAS WHERE PEOPLE FROM UNDER-SERVED POPULATIONS TEND TO VISIT SUCH AS LAUNDROMATS, SENIOR CENTERS, SERVICE AGENCIES, LIBRARIES AND FOOD KITCHENS. COMMUNITY EXPERTS AND SERVICE AGENCIES PROVIDED MUCH INPUT THROUGH SURVEY WORK, DISCUSSIONS AND REVIEW OF THE NEEDS ASSESSMENT AND FINDINGS. THIS WORK OCCURRED DURING THE TIME PERIOD OF MARCH THROUGH MAY DURING THE SURVEY PERIOD AS WELL AS IN JUNE DURING DEVELOPMENT OF THE FINAL COMMUNITY HEALTH NEEDS ASSESSMENT.
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART V, SECTION B, LINE 5D: LINE 5A: HTTP://WWW.SAINTALPHONSUS.ORG/COMMUNITY-NEEDS-ASSESSMENT
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART V, SECTION B, LINE 7: SAINT ALPHONSUS MEDICAL CENTER - ONTARIO (SAMC - ONTARIO) 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 - ONTARIO WILL NOT TAKE ACTION ON INJURY AND VIOLENCE PREVENTION, DUE TO LIMITED RESOURCES AND LOWER PRIORITY. FURTHERMORE, THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY ORGANIZATIONS ARE ADDRESSING THIS SPECIFIC NEED.SAMC - ONTARIO WILL ALSO NOT TAKE ACTION ON FINANCIAL STABILITY BECAUSE SAMC - ONTARIO BELIEVES THAT WHILE WE CANNOT DIRECTLY IMPACT THE FINANCIAL STABILITY OF THE COMMUNITY, WE CAN FOCUS EFFORTS ON ASSISTING THE COMMUNITY WITH ACCESS TO AFFORDABLE HEALTH CARE, ASSISTANCE WITH OBTAINING INSURANCE, DEVELOPMENT OF CAREER ADVANCEMENT PROGRAMS AND TUITION ASSISTANCE.
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART 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.
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART 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 AT ALL REGISTRATION AREAS, WAITING ROOMS, CUSTOMER SERVICE AND FINANCIAL COUNSELING. 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 REGISTRARS, 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
ST. ALPHONSUS MEDICAL CENTER - ONTARIOPART 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.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
FRUITLAND HEALTH PLAZA
910 NW 16TH STREETFRUITLANDID83619FAMILY MEDICINE
NEW PLYMOUTH CLINIC
213 N PLYMOUTH AVENEW PLYMOUTHID83655FAMILY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF OREGON. IN ADDITION, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDTIED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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, $3,964,388, 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 AS AN AREA OF DECREASED EDUCATIONAL OPPORTUNITIES, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO HAS BEEN WORKING WITH OTHER EDUCATIONAL INSTITUTIONS TO INCREASE COMMUNITY HEALTH EDUCATION, SUCCESS IN EDUCATION, AND CONTINUE WITH PHYSICIAN RECRUITING IN OUR AREA.
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:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 - ONTARIO 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. WE ALSO UTILIZE THE EXPERTISE OF OUR PUBLIC HEALTH PARTNERS AND THEIR ANALYSIS OF COMMUNITY NEEDS. SAMC ONTARIO EXAMINED SEVERAL OTHER LOCAL NEEDS ASSESSMENTS AND OBTAINED INPUT FROM ORGANIZATIONS INVOLVED IN THOSE ASSESSMENTS, INCLUDING OUR EXTERNAL REVIEW COMMITTEE (FOUR RIVERS HEALTHY COMMUNITIES OREGON), THE MALHEUR COUNTY HEALTH DEPARTMENT AND THE EASTERN OREGON COORDINATED CARE ORGANIZATION TO IDENTIFY NEEDS BEING ADDRESSED BY OTHER AGENCIES.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 AHA RECOMMENDATIONS, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 OBLIGATIONSSAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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. ALL SELF-PAY PATIENTS ARE OFFERED FINANCIAL ASSISTANCE FORMS. EACH PATIENT RECEIVES INFORMATION ABOUT 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.SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 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. SELF-PAY INPATIENTS AND SURGERY PATIENTS ARE VISITED BY AN ASSOCIATE FROM PATIENT FINANCIAL SERVICES WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE. SAINT ALPHONSUS MEDICAL CENTER - ONTARIO HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 - SAINT ALPHONSUS MEDICAL CENTER ONTARIO IS SITUATED IN MALHEUR COUNTY, OREGON, THE SECOND LARGEST COUNTY IN THE STATE; 9,926 SQUARE MILES IN THE SOUTHEASTERN-MOST CORNER OF THE STATE. BY DEFINITION, MALHEUR COUNTY IS CONSIDERED "FRONTIER" WITH A MERE 3.2 PERSONS PER SQUARE MILE ALTHOUGH THE POPULATION IS FAIRLY CLUSTERED TOGETHER IN SMALL COMMUNITIES. GEOGRAPHIC ISOLATION RESULTS IN CHALLENGES ACCESSING OREGON SERVICES. WHILE IDAHO IS IN CLOSE PROXIMITY, RESIDENTS OF MALHEUR COUNTY ARE OFTEN UNABLE TO UTILIZE GOVERNMENT SERVICES ACROSS STATE LINES. THE COUNTY HAS A TOTAL OF 31,313 RESIDENTS, OVER HALF OF WHICH LIVE IN THE CITY OF ONTARIO. THE LOCAL ECONOMY IS LARGELY BASED ON AGRICULTURE AND FARMING, AND THE COUNTY IS 94% RANGELAND.MALHEUR COUNTY IS NOTABLE FOR A HIGHER THAN AVERAGE HISPANIC/LATINO POPULATION, MANY OF WHOM ARE SEASONAL, OR MIGRANT, AGRICULTURE WORKERS. THIS IS ALSO EVIDENCED BY A HIGHER THAN AVERAGE PERCENTAGE OF LANGUAGES OTHER THAN ENGLISH SPOKEN AT HOME. MALHEUR COUNTY IS ALSO NOTABLE FOR A POPULATION DENSITY OF 3.2 PERSONS PER SQUARE MILE, WHERE RESIDENTS MUST TRAVEL LONG DISTANCES FOR SERVICES. MALHEUR COUNTY HAS THE LOWEST MEDIAN HOUSEHOLD INCOME AT $35,788, COMPARED TO $50,036 AT A STATE LEVEL AND $53,046 AT THE U.S. LEVEL. THE POVERTY LEVEL, AT 22.7%, IS THE HIGHEST OF THE THREE COUNTIES, AND IS SIGNIFICANTLY ABOVE STATE AND U.S. LEVELS.THE ABILITY TO EARN A LIVABLE WAGE WAS THE HIGHEST RATED BARRIER TO FINANCIAL STABILITY WITH ALMOST EVERY SURVEY RESPONDENT LISTING THIS AS THEIR PRIMARY NEED FOR ACHIEVING FINANCIAL STABILITY. LOW WAGES ALSO CONTRIBUTE TO THE OTHER MOST FREQUENTLY IDENTIFIED BARRIERS AS WELL, WITH INABILITY TO AFFORD TRAINING AND EDUCATION, INCLUDING COLLEGE AND TECHNICAL EDUCATION, AS A KEY THEME. HIGH HOUSING COST BURDENS FURTHER EXACERBATE THE DIFFICULTIES OF THOSE WITH LOW INCOME LEVELS.
PART VI, LINE 5:OTHER INFORMATION - SAINT ALPHONSUS MEDICAL CENTER-ONTARIO STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING ANNUAL FINANCIAL SUPPORT TO THE TREASURE VALLEY COMMUNITY COLLEGE NURSING PROGRAM. IN ADDITION, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO SERVES AS A KEY CLINICAL TRAINING SITE FOR NURSES AND OTHER ALLIED HEALTH PROFESSIONALS.WE PROVIDE THE MAJORITY OF THE FUNDING, SPACE AND SUPPLIES TO STAFF A MATERNITY CARE CLINIC TO SERVE LOW-INCOME WOMEN WHO OTHERWISE COULD NOT AFFORD PRE-NATAL CARE.WE OFFER A VARIETY OF HEALTH EDUCATION AND SCREENING OPPORTUNITIES FREE OF CHARGE INCLUDING CARDIAC & STROKE SCREENINGS, FREE LIPID PROFILES, MAMMOGRAMS, AND MORE. WE USE THESE SCREENINGS AS AN OPPORTUNITY TO CONNECT PARTICIPANTS WITH A PRIMARY CARE PROVIDER FOR FURTHER HEALTH GUIDANCE.
PART VI, LINE 6:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO 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 STATESOR

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
TREASURE VALLEY COMMUNITY COLLEGE FOUNDATION
650 COLLEGE BLVDONTARIOOR97914237052989501(C)3$50,000$243FMVKINDLESCIENCE CENTER FUND
TREASURE VALLEY WOMENS CLINIC
1219 SW 4TH AVE STE 2ONTARIOOR97914931161658$80,000MATERNAL CARE FOR THOSE UNABLE TO PAY
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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
KARL KEELER
SAMC NAMPA & 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 & ONTARIO CFO AT 9/13$0$222,400$0$30,054$0$9,905$0$20,336$0$23,969$0$306,664$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
PAUL VACHEK
CFO THROUGH 9/13$93,985$0$30,294$0$61,130$0$6,564$0$23,372$0$215,345$0$0$0
RICHARD PALAGI
CEO THROUGH 1/14$0$249,870$0$214,405$0$42,098$0$14,771$0$20,929$0$542,073$0$0
GUILLERMO GUZMAN TREVINO MD
PHYSICIAN$424,200$0$0$0$23,100$0$7,650$0$19,761$0$474,711$0$0$0
PAMELA BRUCE MD
SURGEON$337,232$0$0$0$23,484$0$13,673$0$22,067$0$396,456$0$0$0
FRANK SPOKAS MD
SURGEON$305,505$0$15,000$0$2,794$0$28,719$0$3,101$0$355,119$0$0$0
MARK CHRISTENSON MD
PHYSICIAN$211,905$0$30,000$0$2,534$0$8,200$0$19,842$0$272,481$0$0$0
JOHN HANSILL MD
SURGEON$182,041$0$0$0$42,729$0$0$0$4,828$0$229,598$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
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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SAINT ALPHONSUS MEDICAL CENTER - ONTARIO IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT ALPHONSUS MEDICAL CENTER - ONTARIO'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 FOR SAINT ALPHONSUS MEDICAL CENTER - ONTARIO'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, AND - WRITTEN EMPLOYMENT CONTRACT
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2013. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $310,298 PAUL VACHEK - $33,660 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS 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 THE FOLLOWING INDIVIDUAL IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F). THE FOLLOWING DEFERRAL FOR CALENDAR YEAR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: FRANK SPOKAS - $10,000 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 RICHARD PALAGI - $103,434 JAMES POLK - $68,349 RODNEY REIDER - $56,041

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
FRANK SPOKAS
EMPLOYEEPHYSICIAN LOANYes (X)$90,000$32,06300Yes (1)
DAVID HANSILL
EMPLOYEEPHYSICIAN LOANYes (X)$122,050$78,70600Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$110,769TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLEANNA BENTZPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF ANDREW BENTZ, TRUSTEERelationshipDescriptionTxt
Transaction$55,832TransactionAmt
TransactionEMPLOYMENT ARRANGEMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. IS SAINT ALPHONSUS HEALTH SYSTEM, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ASAINT ALPHONSUS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. SAINT ALPHONSUS HEALTH SYSTEM, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC.
FORM 990, PART VI, SECTION A, LINE 7BAS 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 11PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, 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 12CSAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. 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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC., 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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. 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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. 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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC.'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 SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:OTHER TRANSACTIONS: -1,968.
FORM 990, PART XII, LINE 2:SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, 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 I, DOING BUSINESS AS NAMES:HOLY ROSARY, TRINITY HOLY ROSARY, SAINT ALPHONSUS, SAINT ALPHONSUS - ONTARIO, SAMG-ONTARIO

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PATHWAY HOSPICE LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11050 SW 3RD AVE SUITE 1600AddressLine1
CityONTARIOCity
StateORState
ZIP Code97914ZIPCode
FieldValueIRS element (for citing)
EIN931310235EIN
Primary ActivitiesHOSPICE CAREPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS MEDICAL CENTER-ONTARIOBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (239 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTHCARE SERVICESMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684581492325MANAGEMENT & SUPPORT SERVICESFL501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAYLIVONIAMI48152382949053PROVIDE HOSPICE SERVICESMI501(C)(3)LINE 9TRINITY HOME HEALTH SERVICES INCYes (1)
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREETONTARIOOR97914943059469SUPPORTS SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 9SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277ACUTE/AMBULATORY HEALTHCARE SERVICESIA501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IBAUM HARMON MERCY HOSPITALYes (1)
BEECHWOOD INC
2212 BURDETT AVETROYNY12180141651563REAL ESTATE HOLDINGNY501(C)(2)N/ALTC (EDDY) INCYes (1)
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040042182395BEHAVIORAL CAREMA501(C)(3)LINE 9SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141701597NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICESMI501(C)(3)LINE 11B, IITRINITY HEALTH-MICHIGANYes (1)
CATHOLIC HEALTH EAST
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073232929748MANAGEMENT SERVICESPA501(C)(3)LINE 11C, III-FICHE TRINITY INCYes (1)
CHE TRINITY INC
20555 VICTOR PARKWAYLIVONIAMI48152900931907HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11B, II0N/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUENEWARKNJ07102262616342INACTIVE ENTITYNJ501(C)(3)LINE 9SAINT MICHAELS MEDICAL CENTERYes (1)
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998SOUTH BENDIN46619263051440HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
CONTINUING CARE MANAGEMENT SERVICES NETWORK
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073352336834MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102TROYMI48098383320699PROVIDE HOSPICE HEALTH SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIOOH501(C)(3)LINE 3MOUNT CARMEL HEALTH SYSTEMYes (1)
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVEDUBUQUEIA52001262227941SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428232515999PHYSICIAN SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000TROYNY12180141818568HOME HEALTHNY501(C)(3)LINE 3LTC(EDDY) INCYes (1)
EMPIRE HOME INFUSION SERVICES INC
10 BLACKSMITH DRIVEMALTANY12020141795732HOME CARENY501(C)(3)LINE 9HOME AIDE SERVICE OF EASTERN NEW YORK INCYes (1)
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040042501711LONG TERM CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500WILMINGTONDE19805223008680ELDERCAREDE501(C)(3)LINE 9ST FRANCIS HOSPITALYes (1)
GLEN EDDY INC
ONE GLEN EDDY DRIVENISKAYUNANY12309141794150INDEPENDENT/ASSISTED LIVING COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073233068656HEALTH CAREPA501(C)(3)LINE 7CATHOLIC HEALTH EASTYes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAYGREENSBOROGA30642261720984HOSPITALGA501(C)(3)LINE 3SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)LINE 9GOTTLIEB MEMORIAL HOSPITALYes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVEMELROSE PARKIL60160743260011SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)LINE 11C, III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTHCARE SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
1000 MONROE AVENUE NWGRAND RAPIDSMI49503237270669MEDICAL EDUCATION TRAINING PROGRAMSMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302MUSKEGONMI49443381358196HEALTHCARE SERVICESMI501(C)(3)LINE 3MERCY HEALTH PARTNERSYes (1)
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302MUSKEGONMI49443382299878SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITYMI501(C)(3)LINE 11C, III-FIMERCY HEALTH PARTNERSYes (1)
HACKLEY LIFE COUNSELING
1352 TERRACE STMUSKEGONMI49442381386362COUNSELING, EDUCATION, AND SUPPORTMI501(C)(3)LINE 9MERCY HEALTH PARTNERSYes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITYNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVETROYNY12180141725101NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48333521945054LONG-TERM CARE AND REHABILITATION FOR THE ELDERLYMD501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICESYes (1)
HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROADSILVER SPRINGMD20904208428450CHARITABLE FUNDRAISINGMD501(C)(3)LINE 11A, IHOLY CROSS HEALTH INCYes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN RDSILVER SPRINGMD20910520738041HEALTHCARE SERVICESMD501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791028HOSPITAL-HEALTHCARE PROVIDERFL501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
HOLY CROSS LONG TERM CARE INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308650787320MEDICAL SERVICESFL501(C)(3)LINE 3HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAYLIVONIAMI48152951985442HEALTHCARE SERVICES (FORMERLY)CA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308650666283MEDICAL BUILDING REAL ESTATE MANAGEMENTFL501(C)(2)N/AHOLY CROSS HOSPITAL INCYes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK
433 RIVER ST SUITE 3000TROYNY12180141514867HOME CARENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA50401421173708HOSPICE HEALTH CARE SERVICESIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVDSIOUX CITYIA51104383320710HOSPICE SERVICESIA501(C)(3)LINE 11A, I0N/A
HOSPICE OF WASHTENAW II
806 AIRPORT BLVDANN ARBORMI48108383320707HOSPICE HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559PROVIDES OFFICE-BASED MEDICAL CAREMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
INTRACOASTAL HEALTH SYSTEMS INC
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073650556413MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVETROYNY12180222570478NURSING HOMENY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREETSHELBYMI49455382549295ACUTE HEALTHCARE SERVICESMI501(C)(3)LINE 3MERCY HEALTH PARTNERSYes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232519529INACTIVE ENTITYPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232571699PHYSICIAN SERVICESPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUEPENNSAUKENNJ08109261854750ELDERLY CARENJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETSWILMINGTONDE19805452569214ELDERLY CAREDE501(C)(3)LINE 9ST FRANCIS HOSPITALYes (1)
LIFE ST FRANCIS CORPORATION
601 HAMILTON AVENUETRENTONNJ08629222797282HEALTH SERVICESNJ501(C)(3)LINE 11A, IST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE BSOUTHERN PINESNC28387272159847HEALTHCARE SERVICESNC501(C)(3)LINE 3ST JOSEPH'S OF THE PINES INCYes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047262976184ELDERLY CAREPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUECAMDENNJ08103222568525SUPPORTING ORGANIZATIONNJ501(C)(3)LINE 11B, IIOUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUECAMDENNJ08103274357794CARDIOLOGY SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES DIALYSIS AT INNOVA INC
3716 CHURCH ROADMT LAURELNJ08054263237625HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROADWILLINGBORONJ08046223612265HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 11B, IITRINITY HEALTH CORPORATIONYes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTHCARE SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
LTC (EDDY) INC
2212 BURDETT AVETROYNY12180222564710ELDERLY HEALTH/HOUSING SUPPORTING ORGNY501(C)(3)LINE 11B, IINORTHEAST HEALTH INCYes (1)
MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073240711230HOSPITALPA501(C)(3)LINE 9MAXIS HEALTH SYSTEMYes (1)
MARIAN COMMUNITY HOSPITAL AUXILIARY
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073251874733FUNDRAISINGPA501(C)(3)LINE 11B, IIMAXIS FOUNDATIONYes (1)
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705PROVIDE HOME HEALTH CARE SERVICESIA501(C)(3)LINE 11A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
MARYCREST HEIGHTS
PO BOX 9184FARMINGTON HILLSMI48333270291722PROVIDES HOUSING FOR ELDERLY INDIVIDUALSMI501(C)(3)LINE 11A, ITRINITY CONTINUING CARE SERVICESYes (1)
MAXIS FOUNDATION
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073232330090FUNDRAISINGPA501(C)(3)LINE 11B, IIMAXIS HEALTH SYSTEMYes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073911940902HEALTH CARE SYSTEMPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MAXIS MEDICAL SERVICES
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073232577185PHYSICIAN PRACTICESPA501(C)(3)LINE 9MAXIS HEALTH SYSTEMYes (1)
MCAULEY CENTER INC
275 STEELE ROADWEST HARTFORDCT06117061058086INDEPENDENT LIVINGCT501(C)(3)LINE 9MERCY COMMUNITY HEALTH INCYes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTHCARE SERVICES (FORMERLY)MI501(C)(3)LINE 3CATHERINE MCAULEY HEALTH SERVICES CORPYes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUEPITTSBURGHPA15213943436142MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11A, IPITTSBURGH MERCY HEALTH SYSTEMYes (1)
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVDALBANYNY12204141338457GENERAL HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102TROYMI48098383320698PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUEPORT HURONMI48060383320701PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY CARE FOUNDATION
424 DECATUR STREETATLANTAGA30312581448522FUNDRAISINGGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428231352191ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061492707MANAGEMENT & SUPPORT SERVICESCT501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUEWEST HARTFORDCT06117061488137IN HOME HEALTH CARECT501(C)(3)LINE 9MERCY COMMUNITY HEALTH INCYes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325059HOME HEALTHPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEMIL501(C)(3)LINE 11A, IMERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREETMUSKEGONMI49442383321856PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428232829864FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH NETWORK
1111 6TH AVENUEDES MOINESIA50314421478417HEALTHCARE MANAGEMENTDE501(C)(3)LINE 11A, I0N/A
MERCY HEALTH PARTNERS
1415 LEAHY STREETMUSKEGONMI49442382589966HEALTHCARE SYSTEM SUPPORTMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
MERCY HEALTH PLAN
C/O ONE WEST ELM STREETCONSHOHOCKENPA19428222483605HEALTH PLANSPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTHCARE SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLECHICAGOIL60697912092113SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITYIL501(C)(3)LINE 11C, III-FIMERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HEALTH SYSTEM OF MAINE
144 STATE STREETPORTLANDME04101010484074MANAGEMENT & SUPPORT SERVICESME501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428232212638MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUETUPPER LAKENY12986150532211IN DISSOLUTIONNY501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
MERCY HEALTHCARE FOUNDATION-CLINTON
1410 N 4TH STCLINTONIA52732421316126FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICESIA501(C)(3)LINE 11C, III-FI0N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064231352099HOME HEALTHPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325058HOME HEALTHPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOSPITAL
144 STATE STREETPORTLANDME04101010211534HOSPITALME501(C)(3)LINE 3MERCY HEALTH SYSTEM OF MAINEYes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTHCARE SERVICESIL501(C)(3)LINE 3MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBARTCADILLACMI49601203357131SUPPORT THE SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVEPORT HURONMI48060381630480VOLUNTEER SERVICE AUXILIARYMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040043398280ACUTE CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791034HOSPITALFL501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
MERCY JEANNETTE HOSPITAL
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073251310602INACTIVE ENTITYPA501(C)(3)LINE 9PITTSBURGH MERCY HEALTH SYSTEMYes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREETPITTSBURGHPA15233251604115COMMUNITY TREATMENTPA501(C)(3)LINE 9PITTSBURGH MERCY HEALTH SYSTEMYes (1)
MERCY LIFE OF ALABAMA
PO BOX 1090 101 VILLA DRIVEDAPHNEAL36526273163002HOSPITALAL501(C)(3)LINE 3MERCY MEDICAL CORPORATIONYes (1)
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040453086711ACUTE CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREETCONSHOHOCKENPA19428232627944PHYSICIAN PRACTICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA52732421336618TO PROVIDE QUALITY HEALTH CAREDE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA50401421229151SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)LINE 11C, III-FI0N/A
MERCY MEDICAL CORPORATION
PO BOX 1090 101 VILLA DRIVEDAPHNEAL36526636002215HOSPITALAL501(C)(3)LINE 9CATHOLIC HEALTH EASTYes (1)
MERCY MEDICAL DEVELOPMENT INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308592789194OUTPATIENT SERVICESFL501(C)(3)LINE 9MERCY HOSPITAL INCYes (1)
MERCY MISSION SERVICES INC
3661 SOUTH MIAMI AVENUEMIAMIFL33133650435764HEALTH CAREFL501(C)(3)LINE 3MERCY HOSPITAL INCYes (1)
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAILCADILLACMI49601383313897HOME HEALTH AND HOSPICE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
MERCY ONCOLOGY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040454884805ONCOLOGY MEDICAL SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308510461511HOSPITALFL501(C)(3)LINE 9MERCY HOSPITAL INCYes (1)
MERCY SENIOR CARE INC
424 DECATUR STREETATLANTAGA30312581366508COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES CORPORATION
2021 ALBANY AVENUEWEST HARTFORDCT06117061453323SUPPORT SERVICESCT501(C)(3)LINE 1MERCY COMMUNITY HEALTH INCYes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREETATLANTAGA30312272046353REAL ESTATE HOLDING COMPANYGA501(C)(3)LINE 11B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI48333382719605PROVIDES LONG-TERM CARE FOR THE ELDERLYMI501(C)(3)LINE 11B, IITRINITY CONTINUING CARE SERVICESYes (1)
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040264033168NEUROSURGERY MEDICAL SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREETCONSHOHOCKENPA19428231396763ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY UIHLEIN HEALTH CORPORATION
185 OLD MILITARY ROADLAKE PLACIDNY12946161535133MGT. & SUPPORT SERVICESNY501(C)(3)LINE 11B, IIMERCY HEALTHCARE CENTERYes (1)
MERCYKNOLL INC
2021 ALBANY AVENUEWEST HARTFORDCT06117060757380SKILLED NURSINGCT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
MIDWEST MEDFLIGHT
1300 VICTORS WAYANN ARBORMI48108382684671AEROMEDICAL TRANSPORTMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROADLIVONIAMI48152383181557FACILITY USED FOR AMBULATORY CAREDE501(C)(3)LINE 11A, I0N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)LINE 2MOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMO FOR SENIORSOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTOH501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966SUPPORT THE SERVICES OF RELATED HOSPITALOH501(C)(3)LINE 11A, IMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE BCOLUMBUSOH43215262729300PROVIDE HOME HEALTH CARE SERVICESOH501(C)(3)LINE 9TRINITY HOME HEALTH SERVICES INCYes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREETKENTWOODMI49508383073745OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)MI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICESMI501(C)(3)LINE 7MERCY HEALTH PARTNERSYes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUEPHILADELPHIAPA19152232300951FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUEPHILADELPHIAPA19152232794121ACUTE CARE HOSPITALPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREETCONSHOHOCKENPA19428203261266PHYSICIAN PRACTICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NE PHYSICIAN SERVICES
ONE WEST ELM STREETCONSHOHOCKENPA19428232497355PHYSICIAN PRACTICESPA501(C)(3)LINE 9MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NORTHEAST HEALTH INC
2212 BURDETT AVETROYNY12180042450756SUPPORTING ORGANIZATIONNY501(C)(3)LINE 11B, IIST PETER'S HEALTH PARTNERSYes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTHCARE SERVICESNE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345SUPPORTS SERVICES OF RELATED HOSPITALNE501(C)(3)LINE 11C, III-FI0N/A
OSUMOUNT CARMEL HEALTH ALLIANCE
793 WEST STATE STREETCOLUMBUSOH43222311654603COOPERATIVE HEALTH CARE DELIVERY SYSTEMOH501(C)(3)LINE 11A, I0N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUECAMDENNJ08103222568528MANAGEMENT & SUPPORT SERVICESNJ501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUECAMDENNJ08103222351960FOUNDATIONNJ501(C)(3)LINE 7OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUECAMDENNJ08103210635001HOSPITALNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANEGUILDERLANDNY12084141743506NURSING HOME FACILITYNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040454208896CARDIOLOGY SERVICESMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUEPITTSBURGHPA15213251464211MANAGEMENT & SUPPORT SERVICESPA501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVEPORT HURONMI48060201855647HEALTHCARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI49442382638284MEDICAL CARE, TRANSPORTATION AND EDUCATIONMI501(C)(3)LINE 9TRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTHCARE SERVICESCA501(C)(3)LINE 11A, ISAINT AGNES MEDICAL CENTERYes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTHCARE SERVICESCA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)LINE 11A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)LINE 11A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 11A, ISAINT ALPHONSUS MEDICAL CENTER - BAKER CITYYes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)LINE 11A, ISAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814271790052TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256SUPPORT THE SERVICES OF RELATED HOSPITALID501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-NAMPAYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROADNAMPAID83686820200896TO PROVIDE QUALITY HEALTH CAREID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914271789847TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTHCARE SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUENEWARKNJ07102262616230INACTIVE ENTITYNJ501(C)(3)LINE 9SAINT MICHAELS MEDICAL CENTERYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670PLYMOUTHIN46563351142669HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935SOUTH BENDIN46634350868157HEALTHCARE SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545356033285HOSPITAL SERVICE AUXILIARYIN501(C)(4)N/ASAINT JOSEPH REGIONAL MEDICAL CENTER-S BENDYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563HOSPITAL SERVICE AUXILIARYIN501(C)(3)LINE 11B, IISAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTHYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVESOUTH BENDIN46617351568821HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREETATLANTAGA30312581744848MANAGEMENT & SUPPORT SERVICESGA501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREETATLANTAGA30312581752700COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI48333311040468PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALSIN501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICES-INDIANAYes (1)
SAINT MARY HOME II INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061164104ELDERLY CARECT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NWGRAND RAPIDSMI49505383320700PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)LINE 11A, ITRINITY HOME HEALTH SERVICES INCYes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 7TRINITY HEALTH-MICHIGANYes (1)
SAINT MICHAELS MEDICAL CENTER
111 CENTRAL AVENUENEWARKNJ07102262616046HOSPITALNJ501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVETROYNY12180141710225CHILD DAY CARENY501(C)(3)LINE 9NORTHEAST HEALTH INCYes (1)
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVETROYNY12180141338544GENERAL HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
SENIOR CARE CONNECTION INC
504 STATE STSCHENECTADYNY12305141708754PACE PROGRAMNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUETROYNY12180141505031SUPPORTING ORGANIZATIONNY501(C)(3)LINE 9SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVDCLIFTON PARKNY12065141756230SKILLED NURSINGNY501(C)(3)LINE 9SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUETROYNY12180222345416SUPPORTING ORGANIZATIONNY501(C)(3)LINE 11A, ISETON HEALTH SYSTEM INCYes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUETROYNY12180141776186HOSPITALNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040222541103LONG TERM CAREMA501(C)(3)LINE 3SISTERS OF PROVIDENCE HEALTH SYSTEM INCYes (1)
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 213HOLYOKEMA01040043398374MANAGEMENT & SUPPORT SERVICESMA501(C)(3)LINE 11A, ICATHOLIC HEALTH EASTYes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREETATLANTAGA30312472299757REAL ESTATE HOLDING COMPANYGA501(C)(3)LINE 11B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SSJ HEALTH FOUNDATION INC
3661 SOUTH MIAMI AVENUEMIAMIFL33133591709438FUNDRAISINGFL501(C)(3)LINE 7MERCY HOSPITAL INCYes (1)
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVEPONTIACMI48341352356789SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)LINE 11A, ITRINITY HEALTH-MICHIGANYes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREETCONSHOHOCKENPA19428232840137CONTINUING CARE SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREETCONSHOHOCKENPA19428232415137FUNDRAISINGPA501(C)(3)LINE 11B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST FRANCIS FOUNDATION
PO BOX 2500WILMINGTONDE19805510374158FOUNDATIONDE501(C)(3)LINE 11B, IIST FRANCIS HOSPITALYes (1)
ST FRANCIS HOSPITAL
PO BOX 2500WILMINGTONDE19805510064326HOSPITALDE501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST FRANCIS HOSPITAL INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684590624442GRANT-MAKING ORGANIZATIONFL501(C)(3)LINE 11A, IALLEGANY FRANCISCAN MINISTRIES INCYes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUETRENTONNJ08629521025476FOUNDATIONNJ501(C)(3)LINE 11A, IST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUETRENTONNJ08629223431049HOSPITALNJ501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST JAMES MERCY FOUNDATION INC
411 CANISTEO STREETHORNELLNY14843161486437FOUNDATIONNY501(C)(3)LINE 7ST JAMES MERCY HEALTH SYSTEM INCYes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREETHORNELLNY14843223127184MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 11C, III-FICATHOLIC HEALTH EASTYes (1)
ST JAMES MERCY HOSPITAL
411 CANISTEO STREETHORNELLNY14843160743310HOSPITALNY501(C)(3)LINE 3ST JAMES MERCY HEALTH SYSTEM INCYes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE BSOUTHERN PINESNC28387560694200HOSPITALNC501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST MARY BUILDING AND DEVELOPMENT COMPANY
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502BUILDING DEVELOPMENT COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047465354512EMERGENCY MEDICAL SERVICESPA501(C)(3)LINE 9ST MARY MEDICAL CENTERYes (1)
ST MARY HOME INCORPORATED
2021 ALBANY AVENUEWEST HARTFORDCT06117060646843SKILLED NURSINGCT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047231913910HOSPITALPA501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232567468FOUNDATIONPA501(C)(3)LINE 7ST MARY MEDICAL CENTERYes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREETATHENSGA30606582544232FUNDRAISINGGA501(C)(3)LINE 11A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREETATHENSGA30606580566223HOSPITALGA501(C)(3)LINE 3CATHOLIC HEALTH EASTYes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREETATHENSGA30606020576648ASSISTED LIVING & RETIREMENT COMMUNITYGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREETATHENSGA30606261858563HOSPITAL / PHYSICIAN SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUENEWARKNJ07102223311976FOUNDATIONNJ501(C)(3)LINE 11A, ISAINT MICHAELS MEDICAL CENTERYes (1)
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVDALBANYNY12208222843206AUXILIARYNY501(C)(3)LINE 11A, IST PETER'S HEALTH CARE SERVICESYes (1)
ST PETER'S HEALTH CARE SERVICES
315 SOUTH MANNING BLVDALBANYNY12208222702507MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 9ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVDALBANYNY12208453570715MANAGEMENT & SUPPORT SERVICESNY501(C)(3)LINE 11B, IICATHOLIC HEALTH EASTYes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVDALBANYNY12208461177336PHYSICIANS PRACTICENY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVDALBANYNY12208141348692HOSPITALNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD SUITE 114ALBANYNY12208222262982FUNDRAISING & PUBLIC RELATIONSNY501(C)(3)LINE 7ST PETER'S HEALTH CARE SERVICESYes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION
1270 BELMONT AVESCHENECTADYNY12308222505127SUPPORTING FOUNDATIONNY501(C)(3)LINE 11A, ISUNNYVIEW HOSPITAL & REHABILITATION CTRYes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CTR
1270 BELMONT AVESCHENECTADYNY12308141338386REHABILITATION HOSPITALNY501(C)(3)LINE 3NORTHEAST HEALTH INCYes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVDRENSSELAERNY12144222692940FUNDRAISING & PUBLIC RELATIONSNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVDRENSSELAERNY12144141608921SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIESNY501(C)(3)LINE 3ST PETER'S HEALTH CARE SERVICESYes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAYMISHAWAKAIN46545351654543SUPPORTS SERVICES OF RELATED HOSPITALIN501(C)(3)LINE 11A, ISAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141793885ADULT HOME/ALZHEIMERSNY501(C)(3)LINE 9LTC (EDDY) INCYes (1)
THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVETROYNY12180222743478SUPPORTING FOUNDATIONNY501(C)(3)LINE 7NORTHEAST HEALTH INCYes (1)
TRI-COUNTY HUMAN SERVICES CENTER INC
3805 WEST CHESTER PIKE NO 100NEWTOWN SQUAREPA19073231938528BEHAVIORAL HEALTH ORGANIZATIONPA501(C)(3)LINE 7MAXIS HEALTH SYSTEMYes (1)
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVERPORT HURONMI48060382485700PROVIDE EMERGENCY AMBULANCE SERVICESMI501(C)(3)LINE 11D, III-O0N/A
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUEFORT GRATIOTMI48054382884297MRI SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI48333382559656MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIESMI501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184FARMINGTON HILLSMI48333930907047PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSINGIN501(C)(3)LINE 9TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTHCARE SERVICESMI501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 11B, IICHE TRINITY INCYes (1)
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTHCARE TRAINING AND SUPPORT SERVICESMI501(C)(3)LINE 11A, ITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGEMI501(C)(9)N/ATRINITY HEALTH CORPORATIONYes (1)
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAYLIVONIAMI48152382621935HOME HEALTH CARE SYSTEM MANAGEMENT SERVICESMI501(C)(3)LINE 9TRINITY HEALTH CORPORATIONYes (1)
UIHLEIN MERCY CENTER
185 OLD MILITARY ROADTUPPER LAKENY12986150532190IN DISSOLUTIONNY501(C)(3)LINE 3MERCY HEALTHCARE CENTERYes (1)
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUENEWARKNJ07102223100162MEDICAL PROPERTY HOLDING COMPANYNJ501(C)(2)N/ASAINT MICHAELS MEDICAL CENTERYes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVDALBANYNY12208141438749NURSING HOME & PHYSICAL REHABNY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
VNA HOME HEALTH & HOSPICE
50 FODEN ROADSOUTH PORTLANDME04106010246804HOME HEALTH & HOSPICEME501(C)(3)LINE 11A, IMERCY HEALTH SYSTEM OF MAINEYes (1)
WESTSHORE HEALTH NETWORK
1820 44TH STREETKENTWOODMI49508383280200SUPPORT SERVICESMI501(C)(4)N/AMERCY HEALTH PARTNERSYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311608125MEDICAL OFFICE BUILDING RENTALOHN/A
CATHERINE HORAN BUILDING LIMITED PARTNERSHIP
1221 MAIN STREET ROOM 108HOLYOKEMA01040042723429PROPERTY MANAGEMENTMAN/A
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1VOORHEESNJ08043223580847HEALTHCARE SERVICESNJN/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/A
CENTRAL NEW JERSEY HEART SERVICES LLC
PO BOX 148BAYONNENJ07002208525458CARDIAC PROGRAMNJN/A
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREETCOLUMBUSOH43213311701029SLEEP MEDICINE SERVICESOHN/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202MOLINEIL61265412044739MRI DIAGNOSTIC SERVICESIAN/A
EAST NORRITON MEDICAL ASSOCIATES
ONE WEST ELM STREETCONSHOHOCKENPA19428232319531MEDICAL OFFICE BUILDINGPAN/A
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/A
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/A
FRESNO IMAGING CENTER
1303 E HERNDON AVEFRESNOCA93720770363563DIAGNOSTIC IMAGINGCAN/A
GATEWAY HEALTH PLAN
300 GRANT STREETPITTSBURGHPA15219251691945MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATIONPAN/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/A
IDAHO ASC HOLDINGS LLC
4400 E FLAMINGO AVENAMPAID83687364729605HOLDING COMPANY FOR AMBULATORY SURGERYIDN/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244364119522SURGICAL SERVICESILN/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/A
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222421544707MEDICAL OFFICE BUILDING RENTALOHN/A
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311392994MEDICAL OFFICE BUILDING RENTALOHN/A
MEDILUCENT MOB I
793 W STATE STREETCOLUMBUSOH43222204911370MEDICAL OFFICE BUILDING RENTALOHN/A
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616262116721SUBLEASE MRI EQUIPMENTILN/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/A
MERCYMANOR PARTNERSHIP
PO BOX 10086TOLEDOOH43699521931012NURSING HOMEPAN/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311369473MEDICAL OFFICE BUILDING RENTALOHN/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
C/O NAZARETH HOSP 2601 HOLME AVEPHILADELPHIAPA19152232388040MEDICAL OFFICE BUILDINGPAN/A
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUEFORT GRATIOTMI48059300136708OUTPATIENT SURGERY CENTERMIN/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREETOAKLAND PARKFL33334352325646AMBULATORY SURGERY CENTERFLN/A
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/A
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200EMOUNT LAURELNJ08054202273476RADIOLOGYNJN/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047364559869INVESTMENT AND OPERATION OF A MEDICAL BUILDINGPAN/A
ST AGNES LONG-TERM INTENSIVE CARE LLP
C/O MHS ONE WEST ELM ST STE 100CONSHOHOCKENPA19428200984882LONG TERM INTENSIVE CAREPAN/A
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DRCALDWELLID83605820526861RADIATION ONCOLOGYIDN/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311603660MEDICAL OFFICE BUILDING RENTALOHN/A
ST MARY REHABILITATION HOSPITAL LLP
113 SEABOARD LANE SUITE B201FRANKLINTN37067273938747MEDICAL SERVICESDEN/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201ALBANYNY12206460463892OUTPATIENT SURGERYNYN/A
TAMARACK MEDICAL CLINIC LLC
402 OLD STATE HWYCASCADEID83611201637921OUTPATIENT MEDICAL SERVICESIDN/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232871206OUTPATIENT SURGERYPAN/A
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311784409MEDICAL OFFICE BUILDING RENTALOHN/A
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/IMAGINGMIN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCdProvince Or StateForeignAddress/ProvinceOrStatePostal CodeForeignAddress/PostalCode
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUETROYNY12180141668024REAL ESTATENYN/ACYes (1)
CARBONDALE AREA PHYSICIANS' ASSOCIATION PC
100 LINCOLN AVECARBONDALEPA18407232801677MEDICAL INSURANCE CONTRACTINGPAN/ACYes (1)
CARBONDALE AREA PHYSICIANS' PHO INC
100 LINCOLN AVECARBONDALEPA18407232801676INACTIVEPAN/ACYes (1)
CARBONDALE PHYSICIANS' SERVICES INC
100 LINCOLN AVECARBONDALEPA18407232365077PHARMACYPAN/ACYes (1)
GEORGIA HEALTH ENTERPRISES LLC
1230 BAXTER STREETATHENSGA30606541806329HEALTHCAREGAN/ACYes (1)
CATHOLIC HEALTH EAST SENIOR SERVICES
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073371572595SENIOR SERVICESPAN/ACYes (1)
CHESTNUT RISK SERVICES LTD
INSURANCEN/ACYes (1)11 VICTORIA STREETHAMILTONBDBD
GHE PHYSICIANS PC
3500 PIEDMONT ROADATLANTAGA30305582277939PRACTICE MANAGEMENTGAN/ACYes (1)
GATEWAY HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219251505506HEALTH CAREPAN/ACYes (1)
GATEWAY HEALTH PLAN INC OF OHIO
600 GRANT STREETPITTSBURGHPA15219300282076HEALTH CAREPAN/ACYes (1)
ST MARY'S HIGHLAND HILLS VILLAGE INC
1230 BAXTER STREETATHENSGA30606582276801ASSISTED LIVINGGAN/ACYes (1)
CATHERINE HORAN BUILDING INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040042938160BUILDING MANAGEMENTMAN/ACYes (1)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVEMELROSE PARKIL60160363330529MANAGEMENT SERVICESILN/ACYes (1)
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY STMUSKEGONMI49442382961814WEIGHT MANAGEMENTMIN/ACYes (1)
HACKLEY HEALTH VENTURES INC
1415 LEAHY STMUSKEGONMI49442382589959OTHER MEDICAL SERVICESMIN/ACYes (1)
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY STMUSKEGONMI49442382578569HOME MEDICAL EQUIPMENTMIN/ACYes (1)
HACKLEY PROFESSIONAL CENTER
1415 LEAHY STMUSKEGONMI49442383024797REAL ESTATE RENTALMIN/ACYes (1)
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY STMUSKEGONMI49442382447870PHARMACYMIN/ACYes (1)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223366580HEALTH CARE BILLINGNJN/ACYes (1)
HEF INC
1415 LEAHY STMUSKEGONMI49442383086401OFFICE STAFFINGMIN/ACYes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROADSILVER SPRINGMD20904521986562HOME CARE SERVICESMDN/ACYes (1)
HPC CO-OWNERS ASSOCIATION
1700 CLINTONMUSKEGONMI49442270734448CONDOMINIUM ASSOCIATIONMIN/ACYes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992ANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/ACYes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/ACYes (1)
DIVERSIFIED COMMUNITY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043128890MEDICAL SERVICESMAN/ACYes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043029929MEDICAL SERVICESMAN/ACYes (1)
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET ROOM 108HOLYOKEMA01040046608649PROPERTY MANAGEMENTMAN/ACYes (1)
PROVIDENCE HOME CARE INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040043317426HEALTH CARE SERVICESMAN/ACYes (1)
SYSTEM COORDINATED SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108HOLYOKEMA01040042938181LAB SERVICESMAN/ACYes (1)
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUETRENTONNJ08629261649038HEALTH CARE SERVICESNJN/ACYes (1)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223361862MEDICAL SERVICESNJN/ACYes (1)
MARYLAND CARE GROUP INC
11801 TECH ROADSILVER SPRINGMD20904521815313HEALTHCARE HOLDINGMDN/ACYes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100CONSHOHOCKENPA19428232184261MEDICAL OFFICE BUILDINGSPAN/ACYes (1)
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927OUTPATIENT PHARMACYIDN/ACYes (1)
JEANNETTE MEDICAL PROVIDERS
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073251787334HOLDING COMPANYPAN/ACYes (1)
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/ACYes (1)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227348DORMANTILN/ACYes (1)
MICHIGAN ATHLETIC CLUB
2500 BURTONGRAND RAPIDSMI49546382647304ATHLETIC CLUBMIN/ACYes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHN/ACYes (1)
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SWMASON CITYIA50401421382308MEDICAL SERVICESIAN/ACYes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAYFORT LAUDERDALEFL33308591145192MEDICAL SERVICESFLN/ACYes (1)
JEANNETTE OBGYN GROUP 1 INC
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073232890748HOLDING COMPANYPAN/ACYes (1)
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230FRESNOCA93729770395267FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONSCAN/ACYes (1)
JEANNETTE PRIMARY CARE GROUP 1 INC
3805 WEST CHESTER PIKENEWTOWN SQUAREPA19073232890743HOLDING COMPANYPAN/ACYes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROADBOISEID83706820524649ACCOUNTABLE CARE ORGANIZATIONIDN/ACYes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID83706331078261PHYSICIANSIDN/ACYes (1)
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SEGRAND RAPIDSMI49546383450733ATHLETIC CLUBMIN/ACYes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUETROYNY12180141607244REAL ESTATENYN/ACYes (1)
SJM PROPERTIES INC
411 CANISTEO STREETHORNELLNY14843161294991PROPERTY HOLDINGSNYN/ACYes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047253795549GENERAL PARTNER OF LMOB PARTNERS, IIPAN/ACYes (1)
STELLA MARIS INSURANCE COMPANY LIMITED
980632008INSURANCEN/ACYes (1)PO BOX 69GRAND CAYMANCJCJCAYMAN ISLANDSKY1-1102
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREETCOLUMBUSOH43213311531102FINANCE, INSURANCE AND REAL ESTATEOHN/ACYes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232625981GENERAL PARTNER OF LMOB PARTNERS,PAN/ACYes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/ACYes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/ATYes (1)
VENZKE INSURANCE COMPANY LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACYes (1)PO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM
1820 44TH STREET SEKENTWOODMI49508382700166CONDOMINIUM ASSOCIATIONMIN/ACYes (1)
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY STMUSKEGONMI49442383112035OCCUPATIONAL HEALTHMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
M$366,469PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
P$143,468PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
L$353,199PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
L$106,457PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
M$2,438,300PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
P$3,778,777PER BOOKS
TRINITY HEALTH CORPORATION
M$1,622,301PER BOOKS
TRINITY HEALTH CORPORATION
P$2,260,036PER BOOKS
TRINITY HEALTH CORPORATION
Q$140,636PER BOOKS
TRINITY HEALTH CORPORATION
R$953,240PER BOOKS