ST JAMES HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES HOSPITAL (EIN 16-0743310)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-15
- IRS object ID
- 201533199349300013
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-15T08:04:47-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 Market Street 25th Floor | AddressLine1Txt |
| City | Philadelphia | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191033984 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 148432104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer L Sullivan | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 6073248000 | PhoneNum |
| Signature | 2015-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William J Homer | PreparerPersonNm |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | PhoneNum |
| Preparation | 2015-11-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jennifer L Sullivan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 148432104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,667,856 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stjamesmercy.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | St. James Mercy Hospital is a part of St. James Mercy Health System,Inc. ("SJMHS") a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. St. James Mercy Health System, Inc. is a member of Trinity Health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 811 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $218,306 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,641,382 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $45,239,151 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $38,201,913 | CYProgramServiceRevenueAmt |
| PY Investment Income | $56,021 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,755 | CYInvestmentIncomeAmt |
| PY Other Revenue | $297,405 | PYOtherRevenueAmt |
| CY Other Revenue | $797,806 | CYOtherRevenueAmt |
| PY Total Revenue | $45,810,883 | PYTotalRevenueAmt |
| CY Total Revenue | $42,667,856 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,592,892 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,892,751 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,067,617 | PYOtherExpensesAmt |
| CY Other Expenses | $20,921,806 | CYOtherExpensesAmt |
| PY Total Expenses | $52,660,509 | PYTotalExpensesAmt |
| CY Total Expenses | $47,814,557 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,849,626 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,146,701 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,152,440 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,883,237 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,101,537 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,073,281 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,050,903 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,190,044 | NetAssetsOrFundBalancesEOYAmt |
| Mission | St. James Mercy Health System, a member of Trinity Health, is a community of persons committed to being a transforming, healing presence within the rural communities we serve, particularly addressing the needs of the poor, underserved and disadvantaged. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,772,035 | ExpenseAmt |
| Revenue | $38,664,134 | RevenueAmt |
| Desc | St. James Mercy Hospital is an acute healthcare facility providing routine, ambulatory and ancillary services. Major services include medical, surgical, x-ray, laboratory and maternity. Total acute discharges for the Hospital were 1,153. Outpatient registrations for the Hospital were 111,749 and addiction days were 4,454. St. James Mercy Hospital operates a 120 bed long-term Care skilled nursing facility. The long-term care facility specializes in skilled nursing, assisted living and rehabilitation services. Total patient days for the long-term facility were 39,567. St. James Mercy Hospital operates several physician practices. Total office visits were 18,554. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $217,973 | ExpenseAmt |
| Revenue | $330,585 | RevenueAmt |
| Desc | Life Line Service - Revenue generated from rental of Life Line units to the elderly for medical alert. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $31,990,008 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 111 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 811 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stanley D Konopko CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073248707 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 148432104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Mary Fran Wegman RSM | ||||||||
| Chair | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| John Weyand DC | ||||||||
| Treasurer | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Philip Loree | ||||||||
| Secretary | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Rhonda Peterson MD | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Brenda Copeland | ||||||||
| Vice Chair | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Robert Donius | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Maninder Virdee | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Andres Rubert MD | ||||||||
| Board Member | 39.70 | 0.30 | Yes (X) | $187,615 | $0 | $23,225 | ||
| Mary Ann Schimscheiner RSM | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Eric Weyland | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Pat Prinzing RSM | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Susan Gray | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Peggy Gorman RSM | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer L Sullivan | ||||||||
| President/CEO | 64.00 | 6.00 | Yes (X) | $320,995 | $0 | $20,308 | Yes (X) | |
| John Capasso | ||||||||
| Board Member | 1.00 | 39.00 | Yes (X) | $0 | $1,087,292 | $48,986 | ||
| Adrian Ashdown MD | ||||||||
| Board Member | 1.00 | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| Sylvia Bryant | ||||||||
| VP Mission/Exec Dir Foun | 20.00 | 20.00 | $107,931 | $0 | $7,689 | Yes (X) | ||
| Patricia Dagon | ||||||||
| VP Continuing Care | 40.00 | $111,801 | $0 | $23,258 | Yes (X) | |||
| Kathleen J Brodbeck | ||||||||
| CNO | 40.00 | $167,299 | $0 | $8,139 | Yes (X) | |||
| John F Carroll MD | ||||||||
| CMO | 40.00 | $177,863 | $0 | $0 | Yes (X) | |||
| Stanley D Konopko | ||||||||
| CFO | 39.40 | 0.60 | $0 | $0 | $0 | Yes (X) | ||
| Ifran A Rizvi MD | ||||||||
| Physician | 40.00 | $422,149 | $0 | $24,530 | Yes (X) | |||
| Scott S Lee MD | ||||||||
| Physician | 40.00 | $402,800 | $0 | $22,826 | Yes (X) | |||
| Uzma Mehr MD | ||||||||
| Physician | 39.70 | 0.30 | $175,133 | $0 | $23,169 | Yes (X) | ||
| Gayle A Mosher MD | ||||||||
| Physician | 40.00 | $153,693 | $0 | $25,732 | Yes (X) | |||
| M Tariq Randhawa MD | ||||||||
| Physician | 40.00 | $156,758 | $0 | $25,436 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,384,037 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,087,292 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $253,298 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Exigence Medical of Hornell | |||||
| PO Box 634850 | Cincinnatti | OH | 452634850 | Hospitalists/ER Physicians | $1,683,118 |
| Cardinal Health - Pharmacy | |||||
| 6012 Molly Road | Syracuse | NY | 132114864 | Pharmaceutical Supllier | $1,164,757 |
| Sodexho Inc & Affiliates | |||||
| PO Box 905374 | Charlotte | NC | 282905374 | Food & Related Services | $1,023,647 |
| Cardinal Health | |||||
| Dept L850P | Pittsburg | PA | 15264 | Medical Products | $774,208 |
| Rochester General Hospital | |||||
| 1425 Portland Avenue | Rochester | NY | 14621 | Orthopedic Surgeons | $725,227 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,641,382 | GovernmentGrantsAmt |
| Total Contributions | $3,641,382 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 622110 | $37,871,328 | $37,871,328 |
| Life Line Services | 621610 | $330,585 | $330,585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $38,201,913 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,755 | TotalRevenueColumnAmt |
| Exclusion | $26,755 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,000 | TotalRevenueColumnAmt |
| Exclusion | $5,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Retail Pharmacy 340(b) | 900099 | $440,738 | $440,738 |
| Drugs Sold to Employees | 900099 | $18,713 | $18,713 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $333,355 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $333,355 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $792,806 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,667,856 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,994,719 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,755 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,728 | TotalAmt |
| Program Services | $734,068 | ProgramServicesAmt |
| Management And General | $365,660 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,718,723 | TotalAmt |
| Program Services | $13,830,471 | ProgramServicesAmt |
| Management And General | $6,888,252 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,400 | TotalAmt |
| Program Services | $154,467 | ProgramServicesAmt |
| Management And General | $76,933 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,443,363 | TotalAmt |
| Program Services | $2,298,559 | ProgramServicesAmt |
| Management And General | $1,144,804 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,399,537 | TotalAmt |
| Program Services | $934,237 | ProgramServicesAmt |
| Management And General | $465,300 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,842 | TotalAmt |
| Program Services | $112,935 | ProgramServicesAmt |
| Management And General | $82,907 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,750 | TotalAmt |
| Program Services | $81,742 | ProgramServicesAmt |
| Management And General | $60,008 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,865,654 | TotalAmt |
| Program Services | $1,075,853 | ProgramServicesAmt |
| Management And General | $789,801 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,699 | TotalAmt |
| Program Services | $48,266 | ProgramServicesAmt |
| Management And General | $35,433 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,051 | TotalAmt |
| Program Services | $10,986 | ProgramServicesAmt |
| Management And General | $8,065 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,726 | TotalAmt |
| Program Services | $131,898 | ProgramServicesAmt |
| Management And General | $96,828 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167,903 | TotalAmt |
| Program Services | $1,250,149 | ProgramServicesAmt |
| Management And General | $917,754 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,411 | TotalAmt |
| Program Services | $267,808 | ProgramServicesAmt |
| Management And General | $196,603 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $4,770,809 | $2,751,147 | $2,019,662 | $0 |
| Physician Fees | $4,661,491 | $4,661,491 | $0 | $0 |
| Purchased Services | $2,828,181 | $1,630,906 | $1,197,275 | $0 |
| Property & Other Taxes | $573,039 | $330,450 | $242,589 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,250 | TotalAmt |
| Program Services | $1,684,575 | ProgramServicesAmt |
| Management And General | $1,236,675 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,814,557 | TotalAmt |
| Program Services | $31,990,008 | ProgramServicesAmt |
| Management And General | $15,824,549 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,071,632 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,063 | BOYAmt |
| EOY | $38,291 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,794,580 | BOYAmt |
| EOY | $4,026,659 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,432,987 | BOYAmt |
| EOY | $1,340,889 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,524 | BOYAmt |
| EOY | $128,994 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,853,925 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $65,190,422 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,467,350 | BOYAmt |
| EOY | $10,663,503 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,375,453 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,809,483 | BOYAmt |
| EOY | $4,613,269 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,152,440 | BOYAmt |
| EOY | $21,883,237 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,488,401 | BOYAmt |
| EOY | $5,466,361 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,613,136 | BOYAmt |
| EOY | $17,606,920 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,101,537 | BOYAmt |
| EOY | $23,073,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,323 | BOYAmt |
| EOY | -$1,468,270 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,580 | BOYAmt |
| EOY | $278,226 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050,903 | BOYAmt |
| EOY | -$1,190,044 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,152,440 | BOYAmt |
| EOY | $21,883,237 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,146,701 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,004 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,906,758 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,425 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,425 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | As part of our membership fees paid to the Health Care Association of New York State, a portion of the fee is allocated for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $407,943 | OtherCostOrOtherBasisAmt |
| Book Value | $407,943 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,838,612 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,225,292 | DepreciationAmt |
| Book Value | $6,613,320 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,589,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,260,928 | DepreciationAmt |
| Book Value | $328,209 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,539,731 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,514,848 | DepreciationAmt |
| Book Value | $3,024,883 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,478,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,189,354 | DepreciationAmt |
| Book Value | $289,148 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,663,503 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Est. Third-Party Payors, Net | $222,535 |
| Due From Related Parties | $580,941 |
| Other Long-term Assets | $3,809,793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,613,269 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Est. Third-Party Payors, Net | $2,966,944 |
| Other Liabilities | $1,011,468 |
| Insurance Liabilities | $6,612,795 |
| Note Payable | $7,015,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,606,920 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $34,671,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,856,110 | OtherRevenueAmt |
| Revenue Not Reported | $2,856,110 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,814,890 | RevenueSubtotalAmt |
| Other Revenues Not Included | $10,852,966 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,852,966 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $42,667,856 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $34,365,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,365,000 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $13,449,557 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $13,449,557 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,814,557 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Realized Loss on Investments -37,638. Grant Funded Capital 348,119. Transfers From Affiliates 2,517,224. Net Unrealized Loss on Investments -1,004. Traded Securities and Debt Swap ICLIP 29,409. |
| Part XI, Line 4b - Other Adjustments: | Discontinued Operations Revenue 10,854,000. Rounding -1,034. |
| Part XII, Line 4b - Other Adjustments: | Discontinued Operations Expenses 13,450,000. Other -443. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $996,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $460,759 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $535,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,846,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,318,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,528,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07380 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,842,977 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,779,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,063,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08500 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,491 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $219,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $158,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,914,945 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$158,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,073,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06430 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,317 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,206,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | -$688 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,207,296 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06710 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,049,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,778,441 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,271,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15210 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,699 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $621,937 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $50,932 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,121,333 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,815,946 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,305,387 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 Canisteo Street | AddressLine1Txt |
| City | Hornell | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjamesmercy.org | WebsiteAddressTxt |
| State License | 5002001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St James Mercy Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.stjamesmercy.org/pdf/2012/community-health-needs-assessment | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.stjamesmercy.org/pdf/SJMH-Community-Service-Plan-2012.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. James Mercy Hospital | Part V, Section B, Line 5: The community needs assessment survey was distributed to community stakeholders including SJMH board of directors, local government leaders, and social service agency directors. This input was used to identify health factors and disparities and also to further identify survey participants from across the community. |
| St. James Mercy Hospital | Part V, Section B, Line 6a: Ira Davenport Memorial Hospital, Arnot Health, Corning Hospital and Guthrie Health. |
| St. James Mercy Hospital | Part V, Section B, Line 22d: A patient whose household income is between 201% and 250% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient liability is 40% of the rate of reimbursement SJMH would have received from its "highest volume payor" (Excellus Blue Cross) for like services (Inpatient, Outpatient, ED). The patient is eligible for a charity care discount equal to the difference between charges and 40% of the Excellus Blue Cross rate. A patient whose household income is between 251% and 300% of the most recent Federal Poverty Level qualifies for a Partial Charity Care discount. The patient is responsible for paying the Excellus Blue Cross rate. The Charity Care discount would equal the difference between charges and the Excellus Blue Cross rate. SJMH determined that Excellus Blue Cross is the "highest volume" payor as referenced in the NYS statue 2807-K. Therefore, for uninsured patients with household incomes below 300% of the most recent Federal Poverty Level, the patient responsibility will not exceed the rate of reimbursement SJMH would have received from Excellus Blue Cross. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost-to-charge ratio is used for lines 7a and 7b computed by taking total expenses less bad debt divided by total gross patient revenue. |
| Part II, Community Building Activities: | St. James Mercy Hospital actively recruits physicians and other health professionals to provide services in areas with a medical shortage or are underserved. |
| Part III, Line 8: | To determine Medicare allowable costs reportable in the Medicare cost report, the cost-to-charge ratio is applied to gross patient revenue associated with services performed for patients who are eligible for Medicare. |
| Part III, Line 9b: | A bad debt results from a patient account balance from which payment was anticipated from the patient, credit extended and the account later deemed to be uncollectible. A bad debt does not meet the criteria for Charity Care, that is, bad debt patients are considered to have the financial capacity and ability to pay, but are unwilling to pay. Collection activities are only pursued with respect to amounts that patients are able to pay as determined by the organization's charity care policy. No collection activities take place with respect to amounts that patients are not expected to pay under this policy.A separate Charity Care Policy is in place and would be exhausted before a patient balance would be deemed self pay. Under the Charity Care policy, Charity Care/Financial Assistance is provided to a patient with a demonstrated inability to pay. A patient is eligible for Charity Care/Financial Assistance consideration based upon meeting certain income eligibility criteria as established by the Federal Poverty Income Guideline Sliding Scale. Per NYS PHL 2807-K, this considers patients whose household income is up to 300% of the most recent Federal Poverty Guidelines.All uninsured, low-income patients within St. James Mercy Hospital's primary service area who can demonstrate an inability to pay charges may apply for Charity Care/Financial Assistance for adjustments to their balances for all medically necessary healthcare services, provided that a member, in good standing, of St. James Mercy Hospital's medical staff determines the need for such medical care treatment. |
| Part III, Lines 2-4: | Line 2: The Hospital provides an allowance for uncollectibles for estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectibles when management determines that recovery is unlikely and the Hospital ceases collection efforts. Line 3: The amount reported in Part III, Section A, Line 3 is determined by estimating the amount of bad debt expense that would be attributed to patients who would likely qualify for financial assistance but for whom sufficient information was not obtained to make that determination.Line 4: Accounts receivable are reduced by an allowance for doubtful accounts. To evaluate the collectability of the accounts receivable, the Hospital analyzes its historical data and trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue to evaluate the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, the Hospital records a significant provision for bad debts in the period of service on the basis of historical data, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| Part VI, Line 2: | St. James Mercy Hospital conducts a community needs assessment every three years in conjunction with Steuben County Public Health. Based on residents' feedback, the county's health care priorities, strategies, and programs are determined. St. James Mercy Hospital creates an annual plan based on this assessment, and the progress of these initiatives is reported annually to NYS Department of Health. Local health care priorities are also identified through surveying participants at public health education programs. |
| Part VI, Line 3: | At the time of registration, all self-pay individuals receive an information sheet describing the types of Federal, state and local government programs available, including St. James Mercy Hospital's Charity Care Policy. The eligibility process is coordinated by a Financial Counselor, who contacts the patient or patient family member by phone and/or letter. Patients who qualify for Medicaid are also directed to an in-house facilitated enroller, who coordinates the Medicaid application process on behalf of the patient. |
| Part VI, Line 4: | The primary service area for St. James Mercy Hospital (SJMH) is the 15-mile radius extending from Hornell (Steuben County), New York, and includes the towns of Wayland to the northeast and Troupsburg to the southeast (just outside of the 15-mile radius). The secondary service area is the 30-mile radius extending from Hornell. Per the 2010 Census, the population for the primary service area (Steuben County) remained relatively flat, increasing 0.3% from 2000 to 2010 to 98,990 and is projected to remain flat through 2014. The population aged 65 and over comprises 16% of the primary service area compared to 13% for New York State population. The population is racially and ethnically homogenous with 95.3% White, 1.6% Black, 1.4% Hispanic/Latino, and 1.2% Asian. Persons over the age of 65 represent 15.6% of the county, a two percentage points higher than the state. Median household income is $42,764 compared to $54,554 for the state. Approximately 20% of the county population have a bachelor's degree or higher compared to 32% of state residents. |
| Part VI, Line 5: | St. James Mercy Hospital (SJMH) is the lead agency for the Cancer Services Program (CSP) of Steuben County. A community-based, grant-funded program of New York State Department of Health, the CSP serves uninsured men and women with comprehensive, age-appropriate, no-cost screenings for breast, cervical and colorectal cancer. St. James Mercy Hospital participates in coordinating the Pediatric Health Fair. This event is directed to parents and community youth and is held in conjunction with a longstanding community kids "fun run" to promote exercise and healthy lifestyles. SJMH staff members throughout the organization participate in community initiatives and hold seats on boards including the Steuben Rural Health Network, Catholic Charities, YMCA, United Way of the Southern Tier, Steuben Co. Health Priorities Team, and other non-profit organizations whose primary mission is to assess and address community needs. SJMH has also collaborated in a pilot program in collaboration with the Hornell City School District and is designed to address the issue of students without health insurance in pre-K through grade 6, through educational materials to parents and Medicaid enrollment assistance. |
| Part VI, Line 6: | St. James Mercy Hospital furthers its exempt status through participation of its senior leadership team on various community boards including United Way; BOCES Nursing Advisory Committee; Faith in Action; Allegany Western Steuben Rural Health Network; and Catholic Charities. In addition, St. James Mercy Hospital recruits community members to serve on its own Board of Directors, Foundation Board, and Properties Board. St. James Mercy Hospital physicians and providers enhance community building through participation through educational programs such as "Sharing the Health" and "Working with Wegmans." The Hospital furthers its community reach through holiday sponsorships of needy families, and corporate sponsorships such as the local "Relay for Life" event. In addition, St. James Mercy Hospital's Emergency Department is open 24 hours a day and all persons needing care are treated, regardless of ability to pay. |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andres Rubert MD | ||||||||||||||
| Board Member | $179,935 | $0 | $5,000 | $0 | $2,680 | $0 | $7,281 | $0 | $15,944 | $0 | $210,840 | $0 | $0 | $0 |
| Jennifer L Sullivan | ||||||||||||||
| President/CEO | $221,841 | $0 | $98,517 | $0 | $637 | $0 | $8,615 | $0 | $11,693 | $0 | $341,303 | $0 | $0 | $0 |
| John Capasso | ||||||||||||||
| Board Member | $0 | $453,632 | $0 | $401,742 | $0 | $231,918 | $0 | $19,350 | $0 | $29,636 | $0 | $1,136,278 | $0 | $0 |
| Kathleen J Brodbeck | ||||||||||||||
| CNO | $165,866 | $0 | $0 | $0 | $1,433 | $0 | $3,094 | $0 | $5,045 | $0 | $175,438 | $0 | $0 | $0 |
| John F Carroll MD | ||||||||||||||
| CMO | $177,863 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $177,863 | $0 | $0 | $0 |
| Ifran A Rizvi MD | ||||||||||||||
| Physician | $416,279 | $0 | $5,000 | $0 | $870 | $0 | $7,552 | $0 | $16,978 | $0 | $446,679 | $0 | $0 | $0 |
| Scott S Lee MD | ||||||||||||||
| Physician | $396,852 | $0 | $0 | $0 | $5,948 | $0 | $7,100 | $0 | $15,726 | $0 | $425,626 | $0 | $0 | $0 |
| Uzma Mehr MD | ||||||||||||||
| Physician | $151,221 | $0 | $23,618 | $0 | $294 | $0 | $5,983 | $0 | $17,186 | $0 | $198,302 | $0 | $0 | $0 |
| Gayle A Mosher MD | ||||||||||||||
| Physician | $134,260 | $0 | $18,256 | $0 | $1,177 | $0 | $8,662 | $0 | $17,070 | $0 | $179,425 | $0 | $0 | $0 |
| M Tariq Randhawa MD | ||||||||||||||
| Physician | $150,568 | $0 | $0 | $0 | $6,190 | $0 | $8,574 | $0 | $16,862 | $0 | $182,194 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | A Supplemental Executive Retirement Plan is provided to certain key executive employees employeed through Trinity Health Corporation. Contributions made to the plan on their behalf are vested and reflected in their compensation at the time of the contribution. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bonadio & Co LLP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Stanley Konopko, CFO is a partner in Bonadio & Co. LLP | RelationshipDescriptionTxt |
| Transaction | $306,000 | TransactionAmt |
| Transaction | Bonadio & Co. LLP is paid for services performed by Mr. Konopko. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | Stanley D. Konopko, served as the organization's CFO after August 16, 2013. Mr. Konopko is a partner in the Bonadio & Co. LLP, an accounting firm, which was paid $306,000 for Mr. Konopko's services in 2014. |
| Form 990, Part VI, Section A, line 4 | The governing documents were changed to comply with New York's Non-Profit Revitalization Act of 2013. |
| Form 990, Part VI, Section A, line 6 | Yes, St. James Mercy Health System is the sole member. |
| Form 990, Part VI, Section A, line 7a | Yes, governance decisions are made by the board of St. James Mercy Hospital and then forwarded for final approval to St. James Mercy Health System Board. |
| Form 990, Part VI, Section A, line 7b | St. James Mercy Health System and Trinity Health Corporation have limited reserve powers. |
| Form 990, Part VI, Section B, line 11 | A copy of the Form 990 was made available to each board member before it was filed. St. James Mercy Health System Board has designated the Audit and Compliance Committee as the group to be educated and to review each entity return. The Audit and Compliance committee reviewed the 2014 Forms 990's for St. James Heath System, St. James Foundation and St. James Hospital on October 28, 2015. |
| Form 990, Part VI, Section B, line 12c | St. James Mercy Hospital has adopted Trinity Health's Governance Policy No. 1, which sets forth the organization's conflict-of-interest policy and processes. It applies to all "interested persons" of St. James Mercy Hospital, which includes directors, principal officers, key employees, and members of committees with Board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of St. James Mercy Hospital and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict-of-interest disclosure statement and to affirm their receipt of the conflict-of-interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to internal Legal Counsel and the Integrity and Compliance Officer, from which Legal Counsel prepares a report for the Board Chair and CEO. A summary of potential conflicts is reviewed with the Board of directors of St. James Mercy Hospital (or a delegated committee of the Board) on a yearly basis. Interested persons are required to make full disclosure to St. James Mercy Hospital of any financial or business interests that might result in or have the appearance of a conflict of interest. The Board of directors of St. James Mercy Hospital (or a delegated committee of the Board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the Board (or a delegated committee of the Board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of St. James Mercy Hospital. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request. |
| Form 990, Part VI, Section B, line 15 | The organization has adopted Trinity Health's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants and guidance to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, audited financial statements; annual community benefit report and IRS Form 990 are available to the public upon request. |
| Form 990, Part XI, line 9: | Contribution and Investment Income Allocation 49,645. Grant Funded Capital Additions 348,119. Realized Gains (Losses) -37,638. Intercompany Transactions 13,169. Transfers From Affiliates 2,504,055. Transfers Traded Securities 45,115. Intercompany Debt-Swap ICLIP -15,706. Rounding -1. |
| Disclosure Statement Related to Form 5471 | Disclosure Statement Related to Form 5471 Filed by Saint Michael's Medical Center and Trinity Health - Michigan Under the constructive ownership rules of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Chestnut Risk Services, LTD and Venzke Insurance Company, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Venzke Insurance Company, LTD U.S. Organization: Trinity Health - Michigan Address: 20555 Victor Parkway, Livonia, MI 48152 Identifying Number of U.S. Tax Return with which Form 5471 was filed: 38-2113393 IRS Service Center Where U.S. Return Was Filed: Ogden, UT |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (234 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St James Mercy Foundation Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161486437 | FOUNDATION | NY | 501(C)(3) | Line 7 | St James Mercy Health System Inc | Yes (1) | |
| St James Mercy Health System Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 223127184 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| Albany Memorial Hospital | |||||||||||
| 600 Northern Blvd | Albany | NY | 12204 | 141338457 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | TITLE HOLDING COMPANY | NY | 501(C)(2) | N/A | LTC (Eddy) Inc | Yes (1) | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 042182395 | HEALTHCARE SERVICES | MA | 501(C)(3) | Line 9 | Sisters of Providence Health System Inc | Yes (1) | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | LONG TERM CARE | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | HOME HEALTH SERVICES | NY | 501(C)(3) | Line 3 | LTC (Eddy) Inc | Yes (1) | |
| Empire Home Infusion Service Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | HOME HEALTH SERVICES | NY | 501(C)(3) | Line 9 | Home Aide Service of Eastern New York Inc | Yes (1) | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Hawthorne Ridge Inc | |||||||||||
| 30 Community Way | East Greenbush | NY | 12061 | 800102840 | SENIOR LIVING COMMUNITY | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | LONG TERM CARE | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Home Aide Service of Eastern New York Inc | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | HOME HEALTH SERVICES | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | LONG TERM CARE | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | MANAGEMENT SERVICES FOR LONG TERM CARE | NY | 501(C)(3) | Line 11b, II | Northeast Health Inc | Yes (1) | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | HEALTHCARE SYSTEM SUPPORT | NY | 501(C)(3) | Line 11b, II | St Peter's Health Partners | Yes (1) | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | CHILD CARE | NY | 501(C)(3) | Line 9 | Northeast Health Inc | Yes (1) | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | Line 9 | Seton Health System Inc | Yes (1) | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | LONG TERM CARE | NY | 501(C)(3) | Line 9 | Seton Health System Inc | Yes (1) | |
| Seton Health Foundation Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | FOUNDATION | NY | 501(C)(3) | Line 11a, I | Seton Health System Inc | Yes (1) | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | Line 3 | St Peter's Health Partners | Yes (1) | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222843206 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | Line 11a, I | St Peter's Health Care Services | Yes (1) | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | Line 9 | St Peter's Health Partners | Yes (1) | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| St Peter's Health Partners Medical Associates PC | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 461177336 | HEALTHCARE SERVICES | NY | 501(C)(3) | Line 3 | St Peter's Health Partners | Yes (1) | |
| St Peter's Hospital | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 141348692 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | Line 3 | St Peter's Health Care Services | Yes (1) | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd | Albany | NY | 12208 | 222262982 | FOUNDATION | NY | 501(C)(3) | Line 7 | St Peter's Health Care Services | Yes (1) | |
| Sunnyview Hospital & Rehabilitation Center | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | FOUNDATION | NY | 501(C)(3) | Line 3 | Northeast Health Inc | Yes (1) | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | Line 11a, I | Yes (1) | N/A | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | FOUNDATION | NY | 501(C)(3) | Line 7 | The Community Hospice Inc | Yes (1) | |
| The Community Hospice Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 141608921 | HOSPICE SERVICES | NY | 501(C)(3) | Line 3 | St Peter's Health Care Services | Yes (1) | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | LONG TERM CARE | NY | 501(C)(3) | Line 9 | LTC (Eddy) Inc | Yes (1) | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | FOUNDATION | NY | 501(C)(3) | Line 7 | Northeast Health Inc | Yes (1) | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | LONG TERM CARE | NY | 501(C)(3) | Line 3 | St Peter's Hospital | Yes (1) | |
| Advantage HealthSaint Mary's Medical Group | |||||||||||
| 245 State St SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Allegany Franciscan Ministries Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 581492325 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| AMICARE HOSPICE SERVICES INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382949053 | HOSPICE SERVICES | MI | 501(C)(3) | Line 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | VOLUNTEER SERVICE AUXILIARY | OR | 501(C)(3) | Line 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | |
| BAUM HARMON MERCY HOSPITAL | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | HEALTHCARE AND HOSPITAL SERVICES | IA | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | FOUNDATION | IA | 501(C)(3) | Line 11a, I | Baum Harmon Mercy Hospital | Yes (1) | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | |||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | Line 11b, II | Trinity Health-Michigan | Yes (1) | |
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(C)(3) | Line 11c, III-FI | CHE Trinity Inc | Yes (1) | |
| CHE TRINITY INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 900931907 | Healthcare system management and support | IN | 501(C)(3) | Line 11b, II | 0 | N/A | |
| Columbus Acquisition Corp | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | Line 9 | Saint Michael's Medical Center | Yes (1) | |
| Community Health Partners of South Bend | |||||||||||
| PO Box 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Continuing Care Management Services Network | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 352336834 | Management & Support Services | PA | 501(C)(3) | Line 11b, II | Catholic Health East | Yes (1) | |
| Cranbrook Hospice Care | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | HOSPICE SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Diley Ridge Medical Center | |||||||||||
| 7911 Diley Road | Canal Winchester | OH | 43110 | 342032340 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | Line 3 | Mount Carmel Health System | Yes (1) | |
| Dubuque Mercy Health Foundation Inc | |||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | FOUNDATION | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| Dyersville Health Foundation Inc | |||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | FOUNDATION | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| East Norriton Physician Services | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232515999 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 3 | Mercy Physician Network | Yes (1) | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | LONG TERM CARE | DE | 501(C)(3) | Line 9 | St Francis Hospital | Yes (1) | |
| Global Health Ministry | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 233068656 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 7 | Trinity Health Corporation | Yes (1) | |
| Global Health Ministry (FKA Trinity Health International) | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Good Samaritan Hospital Inc | |||||||||||
| 5401 Lake Oconee Parkway | Greensboro | GA | 30642 | 261720984 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | Line 3 | St Mary's Health Care System Inc | Yes (1) | |
| Gottlieb Community Health Services Corporation | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 363332852 | COMMUNITY OUTREACH | IL | 501(C)(3) | Line 9 | Gottlieb Memorial Hospital | Yes (1) | |
| Gottlieb Memorial Foundation | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| Gottlieb Memorial Hospital | |||||||||||
| 701 W North Ave | Melrose Park | IL | 60160 | 362379649 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | Line 3 | Loyola University Health System | Yes (1) | |
| Grand Rapids Medical Education Partners Inc | |||||||||||
| 1000 Monroe Avenue NW | Grand Rapids | MI | 49503 | 237270669 | MEDICAL EDUCATION TRAINING PROGRAMS | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Hackley Hospital Self Insurance Professional Liability Trust | |||||||||||
| PO BOX 3302 | MUSKEGON | MI | 49443 | 382299878 | SELF INSURANCE | MI | 501(C)(3) | Line 11c, III-FI | Mercy Health Partners | Yes (1) | |
| Hackley Life Counseling | |||||||||||
| 125 E Southern Avenue | MUSKEGON | MI | 49442 | 381386362 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 9 | Mercy Health Partners | Yes (1) | |
| Holy Cross Carenet Inc | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48152 | 521945054 | LONG TERM CARE | MD | 501(C)(3) | Line 9 | Holy Cross Health Inc | Yes (1) | |
| Holy Cross Health Foundation Inc | |||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | FOUNDATION | MD | 501(C)(3) | Line 11a, I | Holy Cross Health Inc | Yes (1) | |
| Holy Cross Health Inc | |||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 520738041 | HEALTHCARE AND HOSPITAL SERVICES | MD | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | HEALTHCARE AND HOSPITAL SERVICES | FL | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Holy Cross Long Term Care Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(C)(3) | Line 3 | Holy Cross Hospital Inc | Yes (1) | |
| Holy Cross Medical Center | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Holy Cross Medical Properties Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650666283 | BUILDING MANAGEMENT SERVICES | FL | 501(C)(2) | N/A | Holy Cross Hospital Inc | Yes (1) | |
| Holy Cross Outpatient Services Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 465421068 | HEALTHCARE SERVICES | FL | 501(C)(3) | Line 9 | Holy Cross Hospital Inc | Yes (1) | |
| Hospice of North Iowa | |||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE SERVICES | IA | 501(C)(3) | Line 7 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Hospice of Siouxland | |||||||||||
| 4300 Hamilton Blvd | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Hospice of Washtenaw II | |||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| IHA Health Services Corporation | |||||||||||
| 24 Frank Lloyd Wright Dr Lobby J | Ann Arbor | MI | 48106 | 383316559 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Intracoastal Health Systems Inc | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | FL | 501(C)(3) | Line 9 | Trinity Health Corporation | Yes (1) | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| Life at Lourdes Inc | |||||||||||
| 2475 McClellan Avenue | Pennsauken | NJ | 08109 | 261854750 | PACE PROGRAM | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | Line 9 | St Francis Hospital | Yes (1) | |
| Life St Francis Corporation | |||||||||||
| 1435 Liberty Street | Hamilton | NJ | 08629 | 222797282 | PACE program | NJ | 501(C)(3) | Line 11a, I | St Francis Medical Center Trenton NJ | Yes (1) | |
| Life St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive | Southern Pines | NC | 28387 | 272159847 | PACE PROGRAM | NC | 501(C)(3) | Line 3 | St Joseph of the Pines Inc | Yes (1) | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| Lourdes Ancillary Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568525 | VOLUNTEER SERVICE AUXILIARY | NJ | 501(C)(3) | Line 11b, II | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Lourdes Cardiology Services PC | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 274357794 | HEALTHCARE SERVICES | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Lourdes Dialysis at Innova Inc | |||||||||||
| 3716 Church Road | Mt Laurel | NJ | 08054 | 263237625 | HEALTHCARE SERVICES (INACTIVE) | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Lourdes Medical Center of Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Loyola University Health System | |||||||||||
| 2160 South First Avenue | Maywood | IL | 60153 | 363342448 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| Loyola University Medical Center | |||||||||||
| 2160 South First Avenue | Maywood | IL | 60153 | 364015560 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | Line 3 | Loyola University Health System | Yes (1) | |
| Marian Community Hospital | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 240711230 | HEALTHCARE SERVICES (INACTIVE) | PA | 501(C)(3) | Line 9 | Maxis Health System | Yes (1) | |
| Marian Community Hospital Auxiliary | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 251874733 | Fundraising | PA | 501(C)(3) | Line 11a, I | Maxis Foundation | Yes (1) | |
| Marian Home Healthcare | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | HOME HEALTH SERVICES (INACTIVE) | IA | 501(C)(3) | Line 11a, I | Mercy Health Services-Iowa Corp | Yes (1) | |
| MARYCREST HEIGHTS | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 270291722 | SENIOR LIVING COMMUNITY | MI | 501(C)(3) | Line 11a, I | Trinity Continuing Care Services | Yes (1) | |
| Maxis Foundation | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 232330090 | Fundraising | PA | 501(C)(3) | Line 11a, I | Maxis Health System | Yes (1) | |
| Maxis Health System | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 911940902 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | PA | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Maxis Medical Services | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 232577185 | Physician Practices | PA | 501(C)(3) | Line 9 | Maxis Health System | Yes (1) | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | SENIOR LIVING COMMUNITY | CT | 501(C)(3) | Line 9 | Mercy Community Health Inc | Yes (1) | |
| McAuley Clinic Corporation | |||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | Line 3 | Catherine McAuley Health Services Corp | Yes (1) | |
| McAuley Ministries | |||||||||||
| 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | GRANT MAKING | PA | 501(C)(3) | Line 11a, I | Pittsburgh Mercy Health System | Yes (1) | |
| Mercy Amicare Home Healthcare Oakland | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320698 | HOME HEALTH SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Amicare Home Healthcare Port Huron | |||||||||||
| 505 Huron Avenue | PORT HURON | MI | 48060 | 383320701 | HOME HEALTH SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Care Foundation | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581448522 | FOUNDATION | GA | 501(C)(3) | Line 7 | Saint Joseph's Health System Inc | Yes (1) | |
| Mercy Catholic Medical Center of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231352191 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Community Health Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061492707 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | Line 11b, II | Trinity Continuing Care Services | Yes (1) | |
| Mercy Community HomeCare Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061488137 | HOME HEALTH SERVICES | CT | 501(C)(3) | Line 9 | Mercy Community Health Inc | Yes (1) | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | Line 9 | Mercy Home Health Services | Yes (1) | |
| Mercy Foundation Inc | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 363227350 | FOUNDATION | IL | 501(C)(3) | Line 7 | Mercy Health System of Chicago | Yes (1) | |
| Mercy General Health Partners Amicare Homecare | |||||||||||
| 888 Terrace Street | MUSKEGON | MI | 49440 | 383321856 | HOME HEALTH SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232829864 | FOUNDATION | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Health Network | |||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421478417 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Mercy Health Partners | |||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | Line 3 | Trinity Health-Michigan | Yes (1) | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Health Services - Iowa Corp | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Mercy Health System of Chicago | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 363163327 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | HEALTHCARE AND HOSPITAL SERVICES (INACTIVE) | NY | 501(C)(3) | Line 3 | Mercy Uihlein Health Corporation | Yes (1) | |
| Mercy Healthcare Foundation-Clinton | |||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | Line 9 | Mercy Home Health Services | Yes (1) | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 232325058 | HOME HEALTH SERVICES | PA | 501(C)(3) | Line 11b, II | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Hospital and Medical Center | |||||||||||
| 2525 South Michigan Avenue | Chicago | IL | 60616 | 362170152 | HEALTHCARE AND HOSPITAL SERVICES | IL | 501(C)(3) | Line 3 | Mercy Health System of Chicago | Yes (1) | |
| Mercy Hospital Cadillac Foundation | |||||||||||
| 400 HOBART | CADILLAC | MI | 49601 | 203357131 | FOUNDATION | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Mercy Hospital Gift Shop | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Mercy Hospital Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 043398280 | HEALTHCARE AND HOSPITAL SERVICES | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Mercy Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791034 | HEALTHCARE SERVICES (INACTIVE) | FL | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(C)(3) | Line 9 | Pittsburgh Mercy Health System | Yes (1) | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | COMMUNITY OUTREACH | PA | 501(C)(3) | Line 9 | Pittsburgh Mercy Health System | Yes (1) | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 | Daphne | AL | 36526 | 273163002 | PACE PROGRAM | AL | 501(C)(3) | Line 3 | Mercy Medical Corporation | Yes (1) | |
| Mercy LIFE Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | Line 3 | Sisters of Providence Care Centers Inc | Yes (1) | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 3 | Mercy Physician Network | Yes (1) | |
| Mercy Medical Center - Clinton Inc | |||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Mercy Medical Center - Sioux City Foundation | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | FOUNDATION | IA | 501(C)(3) | Line 7 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Mercy Medical Center Foundation - North Iowa | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | FOUNDATION | IA | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 | Daphne | AL | 36526 | 636002215 | HOSPICE & HOME HEALTH SERVICES | AL | 501(C)(3) | Line 9 | Trinity Health Corporation | Yes (1) | |
| Mercy Medical Development Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 592789194 | Outpatient Services | FL | 501(C)(3) | Line 9 | Mercy Hospital Inc | Yes (1) | |
| Mercy Mission Services Inc | |||||||||||
| 3661 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(C)(3) | Line 3 | Mercy Hospital Inc | Yes (1) | |
| Mercy North Homecare and Hospice | |||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOSPICE & HOME HEALTH SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Mercy Oncology Services Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454884805 | HEALTHCARE SERVICES | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Mercy Outpatient Services Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 510461511 | Hospital | FL | 501(C)(3) | Line 9 | Mercy Hospital Inc | Yes (1) | |
| MERCY PHYSICIAN NETWORK | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 461187365 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | Line 11b, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| Mercy Senior Care Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581366508 | COMMUNITY OUTREACH | GA | 501(C)(3) | Line 7 | Saint Joseph's Health System Inc | Yes (1) | |
| Mercy Services Corporation | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | HEALTHCARE SYSTEM SUPPORT (INACTIVE) | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| Mercy Services Downtown Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 272046353 | TITLE HOLDING COMPANY | GA | 501(C)(3) | Line 11b, II | Saint Joseph's Health System Inc | Yes (1) | |
| Mercy Services for Aging Non-profit Housing Corporation | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382719605 | LONG TERM CARE | MI | 501(C)(3) | Line 11b, II | Trinity Continuing Care Services | Yes (1) | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 264033168 | HEALTHCARE SERVICES | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | LONG TERM CARE | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| Midwest Medflight | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | Aeromedical transport | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| Mission Health Corporation | |||||||||||
| 37595 Seven Mile Road | LIVONIA | MI | 48152 | 383181557 | BUILDING MANAGEMENT SERVICES | DE | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Mount Carmel College of Nursing | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | Line 2 | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health Insurance Company | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health Plan Inc | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO | OH | 501(C)(4) | N/A | Mount Carmel Health System | Yes (1) | |
| Mount Carmel Health System | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE AND HOSPITAL SERVICES | OH | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | FOUNDATION | OH | 501(C)(3) | Line 11a, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| Mount Carmel Home Care LLC | |||||||||||
| 501 West Schrock Road | Westerville | OH | 43081 | 262729300 | HOME HEALTH SERVICES | OH | 501(C)(3) | Line 9 | Trinity Home Health Services Inc | Yes (1) | |
| MRI Mobile Services of West Michigan | |||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | HEALTHCARE SERVICES (INACTIVE) | MI | 501(C)(3) | Line 9 | Trinity Health-Michigan | Yes (1) | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | Line 7 | MERCY HEALTH PARTNERS | Yes (1) | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | FOUNDATION | PA | 501(C)(3) | Line 11b, II | Nazareth Hospital | Yes (1) | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| Nazareth Physician Services Inc | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 203261266 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 3 | Mercy Physician Network | Yes (1) | |
| NE Physician Services | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232497355 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 9 | Mercy Physician Network | Yes (1) | |
| Oakland Mercy Hospital | |||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE AND HOSPITAL SERVICES | NE | 501(C)(3) | Line 3 | Mercy Health Services-Iowa Corp | Yes (1) | |
| Oakland Mercy Hospital Foundation | |||||||||||
| 601 E 2nd Street | OAKLAND | NE | 68045 | 311678345 | FOUNDATION | NE | 501(C)(3) | Line 11c, III-FI | 0 | N/A | |
| OSUMOUNT CARMEL HEALTH ALLIANCE | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311654603 | COOPERATIVE HEALTHCARE DELIVERY SYSTEM | OH | 501(C)(3) | Line 11a, I | 0 | N/A | |
| Our Lady of Lourdes Health Care Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568528 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NJ | 501(C)(3) | Line 11b, II | Maxis Health System | Yes (1) | |
| Our Lady of Lourdes Health Foundation Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222351960 | FOUNDATION | NJ | 501(C)(3) | Line 7 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Our Lady of Lourdes Medical Center | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 210635001 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | Line 3 | Our Lady of Lourdes Health Care Services | Yes (1) | |
| Our Lady of Mercy Life Center | |||||||||||
| 2 Mercycare Lane | Guilderland | NY | 12084 | 141743506 | LONG TERM CARE | NY | 501(C)(3) | Line 3 | St Peter's Health Care Services | Yes (1) | |
| Pioneer Valley Cardiology Associates Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454208896 | HEALTHCARE SERVICES | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | Line 11c, III-FI | Trinity Health Corporation | Yes (1) | |
| Port Huron Mercy Family Care Inc | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| Professional Med Team | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 9 | Mercy Health Partners | Yes (1) | |
| Professional Office Corporation | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | MEDICAL OFFICE BUILDING RENTAL | CA | 501(C)(3) | Line 11a, I | Saint Agnes Medical Center | Yes (1) | |
| Saint Agnes Medical Center | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE AND HOSPITAL SERVICES | CA | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Saint Alphonsus Building Company Inc | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | BUILDING MANAGEMENT SERVICES | ID | 501(C)(3) | Line 11a, I | Saint Alphonsus Regional Medical Center Inc | Yes (1) | |
| Saint Alphonsus Diversified Care Inc | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | HEALTHCARE SYSTEM SUPPORT | ID | 501(C)(3) | Line 11a, I | Saint Alphonsus Regional Medical Center Inc | Yes (1) | |
| Saint Alphonsus Foundation-Baker City Inc | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | FOUNDATION | OR | 501(C)(3) | Line 11a, I | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | Yes (1) | |
| Saint Alphonsus Foundation-Ontario Inc | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | FOUNDATION | OR | 501(C)(3) | Line 11a, I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | |||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY Inc | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | Line 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| Saint Alphonsus Medical Center-Nampa Health Foundation Inc | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | FOUNDATION | ID | 501(C)(3) | Line 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA Inc | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | Line 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO Inc | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | HEALTHCARE AND HOSPITAL SERVICES | OR | 501(C)(3) | Line 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| Saint Alphonsus Regional Medical Center | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE AND HOSPITAL SERVICES | ID | 501(C)(3) | Line 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| Saint James Care Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616230 | INACTIVE ENTITY | NJ | 501(C)(3) | Line 9 | Saint Michael's Medical Center | Yes (1) | |
| Saint Joseph Regional Medical Center - Plymouth Campus Inc | |||||||||||
| PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Saint Joseph Regional Medical Center - South Bend Campus Inc | |||||||||||
| 5215 Holy Cross Parkway | MISHAWAKA | IN | 46545 | 350868157 | HEALTHCARE AND HOSPITAL SERVICES | IN | 501(C)(3) | Line 3 | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Saint Joseph Regional Medical Center Mishawaka Auxiliary Inc | |||||||||||
| 5215 Holy Cross Parkway | MISHAWAKA | IN | 46545 | 356033285 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(4) | N/A | Saint Joseph Regional Medical Center-S Bend | Yes (1) | |
| Saint Joseph Regional Medical Center Plymouth Auxiliary Inc | |||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(3) | Line 11b, II | Saint Joseph Regional Medical Center-Plymouth | Yes (1) | |
| Saint Joseph Regional Medical Center Inc | |||||||||||
| 5215 Holy Cross Parkway | MISHAWAKA | IN | 46545 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Saint Joseph's Health System Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581744848 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | GA | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581752700 | COMMUNITY OUTREACH | GA | 501(C)(3) | Line 7 | Saint Joseph's Health System Inc | Yes (1) | |
| Saint Joseph's Tower Inc | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 311040468 | SENIOR LIVING COMMUNITY | IN | 501(C)(3) | Line 9 | Trinity Continuing Care Services-Indiana | Yes (1) | |
| Saint Mary Home II Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061164104 | LONG TERM CARE | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| Saint Mary's Amicare Home Healthcare | |||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | HOME HEALTH SERVICES | MI | 501(C)(3) | Line 11a, I | Trinity Home Health Services Inc | Yes (1) | |
| Saint Mary's Foundation | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | FOUNDATION | MI | 501(C)(3) | Line 7 | Trinity Health-Michigan | Yes (1) | |
| Saint Michael's Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | Line 3 | Sisters of Providence Health System Inc | Yes (1) | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 043398374 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | MA | 501(C)(3) | Line 11b, II | Trinity Health Corporation | Yes (1) | |
| SJHSJOC Holdings Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 472299757 | HEALTHCARE SYSTEM SUPPORT | GA | 501(C)(3) | Line 11a, I | Saint Joseph's Health System Inc | Yes (1) | |
| SSJ Health Foundation Inc | |||||||||||
| 3661 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(C)(3) | Line 7 | Mercy Hospital Inc | Yes (1) | |
| St Agnes Continuing Care Center | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | Line 3 | Mercy Health System of Southeastern Pennsylvania | Yes (1) | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232415137 | FOUNDATION | PA | 501(C)(3) | Line 11b, II | St Agnes Continuing Care Center | Yes (1) | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | Line 11a, I | St Francis Hospital | Yes (1) | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | HEALTHCARE AND HOSPITAL SERVICES | DE | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| St Francis Hospital Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 590624442 | Grant-making Organization | FL | 501(C)(3) | Line 11a, I | Allegany Franciscan Ministries Inc | Yes (1) | |
| St Francis Medical Center Foundation Inc | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | Line 11a, I | St Francis Medical Center Trenton NJ | Yes (1) | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | HEALTHCARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | Line 3 | Maxis Health System | Yes (1) | |
| St Joseph Mercy Oakland Foundation | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | FOUNDATION | MI | 501(C)(3) | Line 11a, I | Trinity Health-Michigan | Yes (1) | |
| St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive | Southern Pines | NC | 28387 | 560694200 | LONG TERM CARE | NC | 501(C)(3) | Line 3 | Trinity Continuing Care Services | Yes (1) | |
| St Mary Building and Development Company | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 461827502 | TITLE HOLDING COMPANY | PA | 501(C)(2) | N/A | St Mary Medical Center | Yes (1) | |
| St Mary Emergency Medical Services | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 465354512 | HEALTHCARE SERVICES | PA | 501(C)(3) | Line 9 | St Mary Medical Center | Yes (1) | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | LONG TERM CARE | CT | 501(C)(3) | Line 3 | Mercy Community Health Inc | Yes (1) | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | HEALTHCARE AND HOSPITAL SERVICES | PA | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| St Mary Medical Center Foundation Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232567468 | FOUNDATION | PA | 501(C)(3) | Line 7 | St Mary Medical Center | Yes (1) | |
| St Mary's Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | Line 11a, I | St Mary's Health Care System Inc | Yes (1) | |
| St Mary's Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | HEALTHCARE AND HOSPITAL SERVICES | GA | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| St Mary's Highland Hills Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 020576648 | SENIOR LIVING COMMUNITY | GA | 501(C)(3) | Line 3 | St Mary's Health Care System Inc | Yes (1) | |
| St Mary's Medical Group Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 261858563 | HEALTHCARE SERVICES | GA | 501(C)(3) | Line 3 | St Mary's Health Care System Inc | Yes (1) | |
| St Michael's Foundation Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 223311976 | FOUNDATION | NJ | 501(C)(3) | Line 11a, I | Saint Michael's Medical Center | Yes (1) | |
| The Foundation of Saint Joseph Regional Medical Center | |||||||||||
| 707 East Cedar Street | South Bend | IN | 46617 | 351654543 | FOUNDATION | IN | 501(C)(3) | Line 11a, I | Saint Joseph Regional Medical Center Inc | Yes (1) | |
| Tri-County Human Services Center Inc | |||||||||||
| 3805 West Chester Pike No 100 | Newtown Square | PA | 19073 | 231938528 | Behavioral Health Organization | PA | 501(C)(3) | Line 7 | Maxis Health System | Yes (1) | |
| Tri-Hospital Emergency Medical Services | |||||||||||
| 309 Grand River | PORT HURON | MI | 48060 | 382485700 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 11d, III-O | 0 | N/A | |
| Tri-Hospital MRI Center | |||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | HEALTHCARE SERVICES | MI | 501(C)(3) | Line 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| Trinity Continuing Care Services | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | LONG TERM CARE | MI | 501(C)(3) | Line 11a, I | Trinity Health Corporation | Yes (1) | |
| Trinity Continuing Care Services - Indiana Inc | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | LONG TERM CARE | IN | 501(C)(3) | Line 9 | Trinity Continuing Care Services | Yes (1) | |
| Trinity Health - Michigan | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTHCARE AND HOSPITAL SERVICES | MI | 501(C)(3) | Line 3 | Trinity Health Corporation | Yes (1) | |
| Trinity Health Corporation | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | Line 11b, II | Yes (1) | N/A | |
| Trinity Health Welfare Benefit Trust | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE | MI | 501(C)(9) | N/A | Trinity Health Corporation | Yes (1) | |
| Trinity Home Health Services Inc | |||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | Line 9 | Trinity Health Corporation | Yes (1) | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 150532190 | HEALTHCARE SERVICES (INACTIVE) | NY | 501(C)(3) | Line 3 | Mercy Uihlein Health Corporation | Yes (1) | |
| University Heights Property Company Inc | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 223100162 | TITLE HOLDING COMPANY | NJ | 501(C)(2) | N/A | Saint Michael's Medical Center | Yes (1) | |
| WESTSHORE HEALTH NETWORK | |||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | HEALTH NETWORK | MI | 501(C)(4) | N/A | Mercy Health Partners | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| St Peter's Ambulatory Surgery Center LLC | |||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Outpatient Surgery | NY | N/A |
| ADVENT REHABILITATION LLC | |||||||
| 607 Dewey Avenue Suite 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| Catherine Horan Building Associates LP | |||||||
| 1221 Main Street Suite 105 | Holyoke | MA | 01040 | 042723429 | Property Management | MA | N/A |
| Centennial Surgunit LLC | |||||||
| 502 Centennial Blvd Suite 1 | Voorhees | NJ | 08043 | 223580847 | Healthcare Services | NJ | N/A |
| Center for Digestive Care LLC | |||||||
| 5300 Elliott Drive | Ypsilanti | MI | 48197 | 030447062 | Provide Gastrointestinal Services | MI | N/A |
| Central New Jersey Heart Services LLC | |||||||
| PO Box 148 | Bayonne | NJ | 07002 | 208525458 | Cardiac Program | NJ | N/A |
| CENTRAL OHIO SLEEP MEDICINE LTD | |||||||
| 6150 East Broad Street | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A |
| CLINTON IMAGING SERVICES LLC | |||||||
| 615 Valley View Dr Ste 202 | Moline | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| FOREST PARK IMAGING LLC | |||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A |
| FRANCES WARDE MEDICAL LABORATORY | |||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A |
| FRESNO IMAGING CENTER | |||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A |
| Gateway Health Plan LP | |||||||
| 444 Liberty Ave | Pittsburgh | PA | 15222 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A |
| HAWARDEN Regional Health CLINICS LLC | |||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A |
| Idaho ASC Holdings LLC | |||||||
| 4400 E Flamingo Ave | Nampa | ID | 83687 | 364729605 | Holding company for ambulatory surgery | ID | N/A |
| Innovative Health Alliance of New York LLC | |||||||
| 14 Columbia Circle Drive | Albany | NY | 12203 | 465676066 | Accountable Care Organization | NY | N/A |
| Loyola Ambulatory Surgery Center at Oakbrook LP | |||||||
| 3000 Riverchase Galleria ste 500 | Birmingham | AL | 35244 | 364119522 | Surgical Services | IL | N/A |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | |||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A |
| MASON CITY AMBULATORY SURGERY CENTER LLC | |||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A |
| MCE MOB IV LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| MCMC POB III LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| MEDILUCENT MOB I | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| Mercy Advanced MRI LLC | |||||||
| 2525 SOUTH MICHIGAN AVE | CHICAGO | IL | 60616 | 262116721 | Sublease MRI Equipment | IL | N/A |
| MERCY HEART CTR OP SERVICES LLC | |||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A |
| MercyManor Partnership | |||||||
| PO Box 10086 | Toledo | OH | 43699 | 521931012 | Nursing Home | PA | N/A |
| MercyUSP Health Ventures LLC | |||||||
| 15305 Dallas Parkway Ste 1600 LB 28 | Addison | TX | 75001 | 471290300 | Outpatient Surgery | IA | N/A |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hosp 2601 Holme Ave | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| NEWCO AMBULATORY SURGERY CTR LLP | |||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A |
| Physicians Outpatient Surgery Center LLC | |||||||
| 1000 NE 56th Street | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A |
| SARMED OUTPATIENT PHARMACY LLC | |||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A |
| SIXTY FOURTH STREET LLC | |||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A |
| SJV Management LLC | |||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Radiology | NJ | N/A |
| SMMC MOB II LP | |||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 364559869 | Investment and operation of a medical building | PA | N/A |
| St Agnes Long-Term Intensive Care LLP | |||||||
| c/o MHS One West Elm St Ste 100 | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| ST ALPHONSUS CALDWELL CANCER CTR LLC | |||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| St Mary Rehabilitation Hospital LLP | |||||||
| 113 Seaboard Lane Suite B201 | Franklin | TN | 37067 | 273938747 | Medical Services | DE | N/A |
| TAMARACK MEDICAL CLINIC LLC | |||||||
| 402 Lake Cascade Parkway | Cascade | ID | 83611 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A |
| The Ambulatory Surgery Center at St Mary LLC | |||||||
| 1203 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232871206 | Outpatient Surgery | PA | N/A |
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| WOODLAND IMAGING CENTER LLC | |||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SJM Properties Inc | |||||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161294991 | Property Holdings | NY | N/A | C | Yes (1) | ||||
| Affiliated Management Services Corporation Inc | |||||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141668024 | Real Estate | NY | N/A | C | Yes (1) | ||||
| Carbondale Physicians' Services Inc | |||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232365077 | Pharmacy | PA | N/A | C | Yes (1) | ||||
| Catherine Horan Building Corp | |||||||||||||
| 1233 Main Street | Holyoke | MA | 01040 | 042938160 | Building Management | MA | N/A | C | Yes (1) | ||||
| Catholic Health East Senior Services | |||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | Yes (1) | ||||
| Chestnut Risk Services Ltd | |||||||||||||
| Insurance | N/A | C | Yes (1) | 11 Victoria Street | Hamilton | BD | BD | ||||||
| Diversified Community Services Inc | |||||||||||||
| 1233 Main Street | Holyoke | MA | 01040 | 043128890 | Medical Services | MA | N/A | C | Yes (1) | ||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH MANAGEMENT CENTER | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTHCARE EQUIPMENT | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL CENTER | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||
| Health Management Services Org Inc | |||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | Yes (1) | ||||
| HEF INC | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | Yes (1) | ||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | |||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | Yes (1) | ||||
| HPC CO-OWNERS ASSOCIATION | |||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||
| HURON ARBOR CORPORATION | |||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | Yes (1) | ||||
| IHA Affiliation Corporation | |||||||||||||
| 24 Frank Lloyd Wright Dr Lobby J | ANN ARBOR | MI | 48106 | 383188895 | Medical Management | MI | N/A | C | Yes (1) | ||||
| Langhorne Services II Inc | |||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | Yes (1) | ||||
| Langhorne Services Inc | |||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232625981 | General Partner of LMOB Partners, | PA | N/A | C | Yes (1) | ||||
| LifeCare Physicians PC | |||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 261649038 | Health Care Services | NJ | N/A | C | Yes (1) | ||||
| Lourdes Medical Associates PA | |||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223361862 | Medical Services | NJ | N/A | C | Yes (1) | ||||
| Lourdes Urgent Care Services PC | |||||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 464188202 | Urgent Care Center | NJ | N/A | C | Yes (1) | ||||
| MARYLAND CARE GROUP INC | |||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | Yes (1) | ||||
| MCMC Eastwick Inc | |||||||||||||
| c/o MHS One West Elm Street ste 100 | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | Yes (1) | ||||
| MEDNOW INC | |||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | Yes (1) | ||||
| Mercy Inpatient Medical Associates Inc | |||||||||||||
| 1233 Main Street | Holyoke | MA | 01040 | 043029929 | Medical Services | MA | N/A | C | Yes (1) | ||||
| MERCY MEDICAL SERVICES | |||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | Yes (1) | ||||
| MERCY SERVICES CORPORATION | |||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227348 | Dormant | IL | N/A | C | Yes (1) | ||||
| MICHIGAN ATHLETIC CLUB | |||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49506 | 382647304 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | Yes (1) | ||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | |||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | N/A | C | Yes (1) | ||||
| Nursing Network Inc | |||||||||||||
| 4725 North Federal Highway | Fort Lauderdale | FL | 33308 | 591145192 | Medical Services | FL | N/A | C | Yes (1) | ||||
| Physicians Medical Office Building Condominium Trust | |||||||||||||
| 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 046608649 | Property Management | MA | N/A | C | Yes (1) | ||||
| PRIORITY PLUS OF CALIFORNIA | |||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS | CA | N/A | C | Yes (1) | ||||
| Providence Home Care Inc | |||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043317426 | Health Care Services | MA | N/A | C | Yes (1) | ||||
| Saint Alphonsus Health Alliance Inc | |||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820524649 | Accountable Care Organization | ID | N/A | C | Yes (1) | ||||
| SAINT ALPHONSUS PHYSICIANS PA | |||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | PHYSICIANS | ID | N/A | C | Yes (1) | ||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | |||||||||||||
| 200 Jefferson Avenue SE | GRAND RAPIDS | MI | 49503 | 383450733 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||
| Samaritan Medical Office Building Inc | |||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | Yes (1) | ||||
| St Mary's Highland Hills Village Inc | |||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582276801 | Assisted Living | GA | N/A | C | Yes (1) | ||||
| SURGERY CENTER FINANCING CORPORATION | |||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | Yes (1) | ||||
| System Coordinated Services Inc | |||||||||||||
| 1233 Main Street | Holyoke | MA | 01040 | 042938181 | Lab Services | MA | N/A | C | Yes (1) | ||||
| THRE SERVICES LLC | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | |||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383410377 | GRANTOR TRUST | MI | N/A | T | Yes (1) | ||||
| VENZKE INSURANCE COMPANY LTD | |||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||
| WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382700166 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||
| WORKPLACE HEALTH OF GRAND HAVEN | |||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Trinity Health Corporation | ||
| S | $190,537 | FMV |
| St James Mercy Foundation Inc | ||
| S | $2,054,055 | FMV |
| SJM Properties | ||
| S | $450,000 | FMV |