GOTTLIEB MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: GOTTLIEB MEMORIAL HOSPITAL (EIN 36-2379649)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-11
IRS object ID: 201541319349302534
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-11T14:04:06-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362379649	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOTTLIEB MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	GOTT	BusinessNameControlTxt
Phone	7084504966	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 W NORTH AVE	AddressLine1
City	MELROSE PARK	City
State	IL	State
ZIP Code	60160	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AJAY SIAL	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	7084504966	PhoneNum
Signature	2015-05-11	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LARRY GOLDBERG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 W NORTH AVE	AddressLine1
City	MELROSE PARK	City
State	IL	State
ZIP Code	60160	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$156,372,517	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GOTTLIEBHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	HEALTH CARE SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	1377	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$229,060	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$157,915	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$393,764	PYContributionsGrantsAmt
CY Contributions Grants	$10,342,734	CYContributionsGrantsAmt
PY Program Service Revenue	$137,656,182	PYProgramServiceRevenueAmt
CY Program Service Revenue	$129,500,958	CYProgramServiceRevenueAmt
PY Investment Income	$87,240	PYInvestmentIncomeAmt
CY Investment Income	-$64,548	CYInvestmentIncomeAmt
PY Other Revenue	$4,078,632	PYOtherRevenueAmt
CY Other Revenue	$16,375,918	CYOtherRevenueAmt
PY Total Revenue	$142,215,818	PYTotalRevenueAmt
CY Total Revenue	$156,155,062	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,187	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	$69,239,429	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$67,994,118	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$67,399,230	PYOtherExpensesAmt
CY Other Expenses	$68,570,848	CYOtherExpensesAmt
PY Total Expenses	$136,660,846	PYTotalExpensesAmt
CY Total Expenses	$136,564,966	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,554,972	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$19,590,096	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,352,866	TotalAssetsBOYAmt
Total Assets EOY	$173,719,739	TotalAssetsEOYAmt
Total Liabilities BOY	$72,369,899	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$79,707,831	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$83,982,967	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$94,011,908	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$117,045,802	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$143,302,884	RevenueAmt
Desc	GOTTLIEB MEMORIAL HOSPITAL (GOTTLIEB) IS AN ACUTE CARE NOT-FOR-PROFIT HOSPITAL WITH 255 LICENSED BEDS. OPERATING IN THE WESTERN SUBURBS OF ILLINOIS, GOTTLIEB PROVIDES VITAL HEALTH CARE SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PATIENTS IN VARIOUS SETTINGS, INCLUDING CARDIOVASCULAR/THORACIC, OBSTETRICS, ORTHOPAEDICS, MEDICAL IMAGING, GASTROENTEROLOGY, UROLOGY, HOME CARE AND HOSPICE SERVICES, TRANSITIONAL CARE, AND ADULT DAY CARE SERVICES.DURING FISCAL YEAR 2014, GOTTLIEB PROVIDED OVER 44,000 DAYS OF HEALTHCARE SERVICES AND OVER 88,000 OUTPATIENT VISITS TO THE COMMUNITY. GOTTLIEB MEMORIAL HOSPITAL IS DEDICATED TO PROVIDING SUPERIOR HEALTHCARE TO IMPROVE THE OVERALL HEALTH OF ALL WE SERVE. INDIVIDUALS WITHIN OUR COMMUNITY ARE PROVIDED ACCESS TO MEDICALLY NECESSARY CARE REGARDLESS OF THEIR ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	THE MISSION STATEMENT OF GOTTLIEB MEMORIAL HOSPITAL IS AS FOLLOWS:WE, GOTTLIEB MEMORIAL HOSPITAL AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$117,045,802	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	58	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1377	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AJAY SIAL SR VP & CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	7082164252	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2160 SOUTH FIRST AVE	AddressLine1
City	MAYWOOD	City
State	IL	State
ZIP Code	60153	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD GAMELLI MD
DIRECTOR; LUMC PHYSICIAN	2.00	43.00	Yes (X)	$0	$385,367	$13,361
JACK WEINBERG
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
HENRY LANG
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
WILLIAM REICHERT
DIRECTOR THROUGH 12/13	2.00	3.00	Yes (X)	$0	$0	$0
ROBERT SULO MD
DIRECTOR; LUMC PHYSICIAN	2.00	43.00	Yes (X)	$0	$363,294	$33,388
DAVID WILBER MD
DIRECTOR; DIR CARDIOVASCULAR INST	2.00	43.00	Yes (X)	$0	$641,018	$14,993
ROBERT FLANIGAN MD
DIRECTOR; LUMC PHYSICIAN	2.00	43.00	Yes (X)	$0	$426,247	$19,436
LARRY GOLDBERG
DIRECTOR; CEO	10.00	45.00	Yes (X)	$0	$1,359,745	$127,409	Yes (X)
P TERRENCE O'ROURKE MD
DIRECTOR; TRINITY EVP CLINICAL TRANS	2.00	53.00	Yes (X)	$0	$1,427,440	$56,847
JOAN STEADMAN CSC
DIRECTOR; CHAIR THROUGH 3/14	2.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
MARC SCHWARTZ
DIRECTOR; CHAIR AS OF 4/14	2.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
NANCY KNOWLES
DIRECTOR THROUGH 12/13	2.00	3.00	Yes (X)	$0	$0	$0
ROBERT HOMBACH
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
STEPHEN RAY MITCHELL MD
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
JOY CUNNINGHAM
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
LORI HEALEY
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$0
JOHN J O'CALLAGHAN SJ
DIRECTOR	2.00	3.00	Yes (X)	$0	$0	$4,196
LORI PRICE
PRESIDENT	43.00	2.00		$0	$388,666	$46,902	Yes (X)
AJAY SIAL
TREASURER; LUMC SVP & CFO	10.00	35.00		$0	$622,917	$37,030	Yes (X)
DANIEL ISACKSEN
ASSISTANT TREASURER; LUMC VP FINANCE	10.00	35.00		$0	$273,306	$25,526	Yes (X)
JILL RAPPIS
SECRETARY; LUMC VP GEN CNSL	2.00	43.00		$0	$319,035	$37,294	Yes (X)
MARIA PEKAR
ASST SECRETARY; LUMC ASSOC. GEN CNSL	2.00	43.00		$0	$199,049	$41,819	Yes (X)
DAVID HECHT MD MS MBA
SVP, CLINICAL AFFAIRS	10.00	35.00		$0	$594,527	$14,923	Yes (X)
ALAN GOLDBERG
VP, ADMIN SERVICES	45.00	0.00		$178,224	$0	$43,946		Yes (X)
KENNETH FISHBAIN
COO	45.00	0.00		$323,159	$0	$30,174		Yes (X)
ELLYN CHIN
VP, PAYOR STRATEGIES & CONTRACTING	45.00	0.00		$292,178	$0	$50,349			Yes (X)
MARY MORROW
VP NURSING & COMMUNITY SVCS	40.00	0.00		$196,105	$0	$37,928			Yes (X)
SILIA MIGLIO
CORPORATE CONTROLLER	15.00	40.00		$180,420	$0	$15,177			Yes (X)
MAURITA ADLER
DIRECTOR INFO SERVICES SR.	40.00	0.00		$173,301	$0	$42,988			Yes (X)
JOHN ASTREIDES
DIRECTOR OF INFORMATION SERVICES	40.00	0.00		$165,301	$0	$23,994			Yes (X)
PAUL WHELTON MD
FORMER OFFICER	0.00	0.00		$0	$499,492	$8,143				Yes (X)
DANIEL HALE
FORMER OFFICER	0.00	55.00		$0	$1,302,863	$50,680				Yes (X)
BENJAMIN CARTER
FORMER OFFICER	0.00	55.00		$0	$1,250,126	$110,445				Yes (X)
JOSEPH SWEDISH
FORMER KEY EMPLOYEE	0.00	0.00		$0	$1,463,995	$28,888				Yes (X)
J RICHARD O'CONNELL
FORMER KEY EMPLOYEE	0.00	55.00		$0	$1,673,574	$145,485				Yes (X)
KEDRICK ADKINS
FORMER KEY EMPLOYEE	0.00	0.00		$0	$1,808,589	$1,739,236				Yes (X)
DONNA HALINSKI
FORMER OFFICER	0.00	45.00		$0	$290,204	$44,563				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,508,688	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$15,289,454	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,845,120	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	68	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	MANAGEMENT SERVICES	$1,408,893
WALSH CONSTRUCTION
929 W ADAMS STREET	CHICAGO	IL	60607	CONSTRUCTION SERVICES	$1,284,090
HEALTHCARE ASSOCIATES
1151 E WARRENVILLE RD	NAPERVILLE	IL	60563	BANKING SERVICES	$1,080,662
J & J HEALTH CARE SYSTEMS
1 CENTENNIAL AVE	PISCATAWAY	NJ	08854	CONSULTING SERVICES	$789,484
VITALIZE CONSULTING SOLUTIONS
248 MAIN ST SUITE 101	READING	MA	01867	CONSULTING SERVICES	$500,835

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	35	CntrctRcvdGreaterThan100KCnt
Fundraising	$8,835	FundraisingAmt
Government Grants	$270	GovernmentGrantsAmt
All Other Contributions	$10,333,629	AllOtherContributionsAmt
Total Contributions	$10,342,734	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	622110	$123,153,987	$123,153,987
LABORATORY REV	621500	$6,346,971	$6,117,911	$229,060

Field	Value	IRS element (for citing)
Total Program Service Revenue	$129,500,958	TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,923,635	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	$1,923,635	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,923,635	TotalRevenueColumnAmt
Exclusion	$1,923,635	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$350	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$47,131	SecuritiesAmt
Other	$17,767	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$47,131	SecuritiesAmt
Other	-$17,417	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$64,548	TotalRevenueColumnAmt
Exclusion	-$64,548	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$61,860	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$8,835	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$67,425	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$5,565	TotalRevenueColumnAmt
Exclusion	-$5,565	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$121,438	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$85,132	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,306	TotalRevenueColumnAmt
Exclusion	$36,306	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PENSION CURTAILMENT GAIN	622110	$11,795,123	$11,795,123
CAFETERIA REVENUE	722210	$390,556		$390,556
GOV'T SUBSIDY - EHR	622110	$189,115	$189,115

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,046,748	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,046,748	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,421,542	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,155,062	TotalRevenueColumnAmt
Related Or Exempt Func Income	$143,302,884	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$229,060	UnrelatedBusinessRevenueAmt
Exclusion	$2,280,384	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$574,492	TotalAmt
Management And General	$574,492	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,722,838	TotalAmt
Program Services	$49,651,023	ProgramServicesAmt
Management And General	$5,071,815	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,073,587	TotalAmt
Program Services	$996,706	ProgramServicesAmt
Management And General	$76,881	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,350,476	TotalAmt
Program Services	$6,642,936	ProgramServicesAmt
Management And General	$707,540	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,272,725	TotalAmt
Management And General	$4,272,725	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$55,320	TotalAmt
Management And General	$55,320	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,772,915	TotalAmt
Program Services	$5,867,912	ProgramServicesAmt
Management And General	$3,905,003	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$89,465	TotalAmt
Program Services	$761	ProgramServicesAmt
Management And General	$88,704	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,018,524	TotalAmt
Program Services	$2,139,937	ProgramServicesAmt
Management And General	$878,587	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$891,545	TotalAmt
Program Services	$167,744	ProgramServicesAmt
Management And General	$723,801	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,908,639	TotalAmt
Program Services	$2,875,569	ProgramServicesAmt
Management And General	$33,070	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$74,236	TotalAmt
Program Services	$62,185	ProgramServicesAmt
Management And General	$12,051	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$84,627	TotalAmt
Program Services	$46,263	ProgramServicesAmt
Management And General	$38,364	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,218	TotalAmt
Program Services	$11,218	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,565,201	TotalAmt
Program Services	$7,565,201	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,039,599	TotalAmt
Program Services	$2,039,599	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$20,078,042	$20,078,042
BAD DEBT	$9,151,640	$9,151,640
HOSPITAL PROVIDER TAX	$6,362,316	$6,362,316
EQUIPMENT MAINTENANCE	$1,917,880	$1,795,666	$122,214

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,549,681	TotalAmt
Program Services	$1,591,084	ProgramServicesAmt
Management And General	$2,958,597	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$136,564,966	TotalAmt
Program Services	$117,045,802	ProgramServicesAmt
Management And General	$19,519,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,637,966	BOYAmt
EOY	$13,682,933	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$163,113	BOYAmt
EOY	$2,034,452	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$7,000,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,321,574	BOYAmt
EOY	$29,969,060	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$292,258	BOYAmt
EOY	$257,554	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,939,000	BOYAmt
EOY	$3,111,212	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$154,452	BOYAmt
EOY	$497,735	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$98,017,547	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,278,743	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,315,606	BOYAmt
EOY	$75,738,804	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$764,791	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$734,800	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,029,306	BOYAmt
EOY	$41,427,989	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,352,866	BOYAmt
EOY	$173,719,739	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,107,675	BOYAmt
EOY	$22,187,645	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$48,778	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,213,446	BOYAmt
EOY	$57,520,186	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$72,369,899	BOYAmt
EOY	$79,707,831	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$83,882,967	BOYAmt
EOY	$83,847,742	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$10,164,166	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$83,982,967	BOYAmt
EOY	$94,011,908	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,352,866	BOYAmt
EOY	$173,719,739	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$19,590,096	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$117,926	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$9,443,229	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$38,980	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$38,980	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	GOTTLIEB MEMORIAL HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED GOTTLIEB MEMORIAL HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. GOTTLIEB MEMORIAL HOSPITAL MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,500,000	OtherCostOrOtherBasisAmt
Book Value	$12,500,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,268,059	OtherCostOrOtherBasisAmt
Depreciation	$10,549,929	DepreciationAmt
Book Value	$44,718,130	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,528,086	OtherCostOrOtherBasisAmt
Depreciation	$11,728,814	DepreciationAmt
Book Value	$17,799,272	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$721,402	OtherCostOrOtherBasisAmt
Book Value	$721,402	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,738,804	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
NET DEFERRED TAX ASSET	$64,000
INTERCOMPANY RECEIVABLES	$40,740,270
MISCELLANEOUS RECEIVABLES	$510,283
INVESTMENT IN UNCONSOLIDATED AFFILIATES	$90,000
OTHER CURRENT ASSETS	$23,436

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$41,427,989	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$37,857,570
LONG-TERM ASSET RETIREMENT OBLIGATION (FIN 47)	$452,234
OTHER CURRENT LIABILITIES	$812,385
OTHER LONG-TERM LIABILITIES	$15,714,152
INTERCOMPANY NOTES PAYABLE	$2,677,649
DEFERRED COMPENSATION LIABILITY	$6,196

Field	Value	IRS element (for citing)
Total Liability	$57,520,186	TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	EMERALD BALL	NameOfEvent1Amt
Gross Receipts Event1	$70,695	GrossReceiptsEvent1Amt
Charitable Contri Event1	$8,835	CharitableContriEvent1Amt
Gross Revenue Event1	$61,860	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$67,425	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$70,695	GrossReceiptsTotalAmt
Charitable Contributions Tot	$8,835	CharitableContributionsTotAmt
Gross Revenue Total Events	$61,860	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$67,425	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$67,425	DirectExpenseSummaryEventsAmt
Net Income Summary	-$5,565	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$2,552,548	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,552,548	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,873,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,893,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,980,229	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,426,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,893,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,532,777	NetCommunityBenefitExpnsAmt
Total Expense	0.03550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	4697	PersonsServedCnt
Total Community Benefit Expns	$178,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$3,526	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,526	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$22,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	523	PersonsServedCnt
Total Community Benefit Expns	$12,689	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,689	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	5272	PersonsServedCnt
Total Community Benefit Expns	$217,028	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$217,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	5272	PersonsServedCnt
Total Community Benefit Expns	$22,643,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,893,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,749,805	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,696,178	BadDebtExpenseAmt
Bad Debt Expense Attributable	$271,388	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,608,357	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,797,506	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,189,149	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	GOTTLIEB MEMORIAL HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 W NORTH AVE	AddressLine1
City	MELROSE PARK	City
State	IL	State
ZIP Code	60160	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.GOTTLIEBHOSPITAL.ORG	WebsiteAddressTxt
State License	0005793	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	INCLUDING OUTPATIENT SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GOTTLIEB MEMORIAL HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
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 Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
State Regulation	Yes (X)	StateRegulationInd
Residency	Yes (X)	ResidencyInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 3: GMH (A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM - LUHS) REACHED OUT TO ITS COMMUNITY THROUGH FOUR METHODS OF COLLECTING INPUT IN THE DEVELOPMENT OF ITS CHNA IN AN EFFORT TO BETTER UNDERSTAND HOW LUHS CAN IMPROVE THE WAYS IT SERVES ITS COMMUNITY. THESE INCLUDED 1) HEALTH SERVICES INVENTORY, 2) COMMUNITY SURVEY, 3) PROVIDER AND FAITH LEADER SURVEY AND PHYSICIAN FOCUS GROUPS AND 4) THREE COMMUNITY CONVERSATIONS REGARDING YOUTH NEEDS CONDUCTED BY UNITED WAY OF METROPOLITAN CHICAGO AND DUPAGE/WEST COOK. IN ADDITION, DATA WAS USED FROM THE NATIONAL RESEARCH CORPORATION CONSUMER HEALTH REPORT FOR THE MARKET AREA.A THIRTY-EIGHT QUESTION COMMUNITY SURVEY WAS DEVELOPED THROUGH THE INPUT OF THE LOYOLA UNIVERSITY HEALTH SYSTEM (LUHS), ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), ACTING AS CONSULTANT TO THE PROCESS, AND THE CHNA STEERING COMMITTEE, COMPOSED OF COMMUNITY ORGANIZATIONS AND LOCAL PUBLIC HEALTH DEPARTMENTS. THE SURVEY WAS ADMINISTERED IN BOTH ENGLISH AND SPANISH AT 10 SITES DURING A THREE WEEK PERIOD. THE SITES INCLUDED WEST COOK YMCA, CORAZON/CICERO YOUTH TASK FORCE, PCC COMMUNITY WELLNESS CENTER, INFANT WELFARE-OAK PARK, WEST SUBURBAN PADS, CATHOLIC CHARITIES, AGING CARE CONNECTIONS, GOTTLIEB ADULT DAY CARE AND PROVISO PANTRY. A NINE-QUESTION PROVIDER SURVEY WAS ALSO DEVELOPED BY LUHS, IPHI AND THE STEERING COMMITTEE THAT WAS SENT TO HEALTH CARE PROVIDERS, SOCIAL SERVICE PROVIDERS AND COMMUNITY BASED ORGANIZATIONS SERVING IN THE CHNA AREA.
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 4: OTHER HOSPITALS THAT PARTICIPATED IN THE CHNA INCLUDE LOYOLA UNIVERSITY MEDICAL CENTER, RML SPECIALTY HOSPITAL AND RIVEREDGE HOSPITAL.
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5D: COPIES OF THE CHNA WERE EMAILED TO ALL STEERING COMMITTEE MEMBERS AS WELL AS AREA SCHOOL PRINCIPALS, LOCAL ELECTED OFFICIALS AND LEADERS OF LOCAL COMMUNITY ORGANIZATIONS.
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7: FOLLOWING THE DATA COLLECTION AND PRESENTATION OF FINDINGS, LUHS AND THE STEERING COMMITTEE WORKED TO IDENTIFY PRIORITY HEALTH ISSUES FOR THE LOCAL COMMUNITY. THROUGH A PRIORITIZATION PROCESS, COMMITTEE MEMBERS DETERMINED THE TOP PRIORITIES BASED ON CRITERIA INCLUDING: SIZE OF THE ISSUE, SERIOUSNESS OF NOT ADDRESSING THE ISSUE, AVAILABLE RESOURCES TO ADDRESS THE ISSUE AND POTENTIAL TO IMPACT THE ISSUE. THE INITIAL PRIORITIZATION PROCESS YIELDED 10 TOP ISSUES INCLUDING ACCESS TO CARE, COORDINATION OF CARE, DENTAL HEALTH, DIABETES, HEART DISEASE, JOBS, LACK OF HEALTH EDUCATION, LOSS OF SERVICES, MENTAL HEALTH AND OBESITY. IT BECAME CLEAR THAT SEVERAL ISSUES WERE INTERRELATED OR COULD SERVE AS STRATEGIES TO ADDRESS OVERARCHING ISSUES. BASED ON THIS, THE STEERING COMMITTEE DECIDED TO COMBINE ISSUES AND TO FOCUS ON TWO PRIORITIES: OBESITY AND ACCESS TO CARE. THE SIZE AND NATURE OF THESE PRIORITIES REQUIRE THE ENGAGEMENT OF NOT JUST LUHS BUT MANY COMMUNITY AND GOVERNMENTAL RESOURCES TO WORK TOGETHER TO ADDRESS THESE SOCIETAL ISSUES.
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
GOTTLIEB MEMORIAL HOSPITAL	PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 600% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.
GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 5A:	HTTP://WWW.GOTTLIEBHOSPITAL.ORG/SITES/DEFAULT/FILES/CHNA-REPORT.PDF

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
GOTTLIEB HOME HEALTH & HOSPICE
905 W NORTH AVE	MELROSE PARK	IL	60160	HOME HEALTH AND HOSPICE PROGRAM
GOTTLIEB ADULT DAY CARE CENTER
555 W NORTH AVE	MELROSE PARK	IL	60160	ADULT DAY CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	GOTTLIEB MEMORIAL HOSPITAL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, GOTTLIEB MEMORIAL HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $9,151,640, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3:	THE AMOUNT ON LINE 3 WAS DERIVED FROM DATA PROVIDED BY OUR COLLECTION AGENCY, BASED ON THEIR ANALYSIS OF OUR HISTORICAL SELF PAY PLACEMENTS.
PART III, LINE 4:	GOTTLIEB MEMORIAL HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY REGIONAL HEALTH MINISTRY AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."
PART III, LINE 8:	GOTTLIEB MEMORIAL HOSPITAL DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - GOTTLIEB MEMORIAL HOSPITAL, THROUGH LOYOLA UNIVERSITY HEALTH SYSTEM, PERFORMS AN ONGOING EVALUATION OF THE NEEDS OF THE MEDICALLY UNDERSERVED POPULATION WITHIN THE COMMUNITY THAT SURROUNDS THE MAIN CAMPUS. GMH SEEKS NEW OPPORTUNITIES TO BETTER SERVE THESE POPULATIONS AS THEIR NEEDS CHANGE AND AS ADVANCES ARE MADE IN MEDICAL CARE. THE NEEDS EVALUATION IS PERFORMED PERIODICALLY THROUGH VARIOUS METHODS, INCLUDING POPULATION PROJECTIONS BY ZIP CODE FOR GMH'S SERVICE AREAS, INVOLVING IDENTIFICATION OF THE NUMBER OF PATIENTS SERVED INCLUDING THEIR AGE, RACE AND GENDER. THE DATA IS USED TO DETERMINE THE COMMUNITY NEEDS AND TO EVALUATE BOTH EXISTING AND FUTURE PROGRAMS THAT WILL BEST SERVE THIS POPULATION AND ENABLE THEM TO RECEIVE THE HEALTH THEY NEED.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - GMH IS COMMITTED TO:PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES; - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES;- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE; AND - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.GMH HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSGMH PROVIDES EFFECTIVE COMMUNICATION WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.GMH OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH A NUMBER OF MEANS, INCLUDING THE HOSPITAL'S WEBSITE. GMH HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. GMH MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. GMH EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, AND BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
PART VI, LINE 4:	COMMUNITY INFORMATION - OPERATING IN THE WESTERN SUBURBS OF CHICAGO, GMH IS AN ACUTE CARE, 255-LICENSED BED, NOT-FOR-PROFIT HOSPITAL, WITH A PROFESSIONAL OFFICE BUILDING, ADULT DAY CARE, GOTTLIEB CENTER FOR FITNESS, MARJORIE G. WEINBERG CANCER CARE CENTER AND THE LOYOLA METABOLIC SURGERY AND BARIATRIC CARE CENTER ON ITS CAMPUS. GMH PROVIDES VITAL HEALTH CARE SERVICES TO PATIENTS IN VARIOUS CLINICAL AREAS, INCLUDING GENERAL MEDICINE, OBSTETRICS/GYNECOLOGY, CARDIOVASCULAR SERVICES, ORTHOPAEDICS, NEUROSCIENCES, SPINE CARE, ONCOLOGY, AND ADULT CARE SERVICE. THE AFFILIATION WITH LOYOLA UNIVERSITY HEALTH SYSTEM AND LOYOLA UNIVERSITY MEDICAL CENTER BRINGS A HIGH-QUALITY, FULL-SERVICE COMMUNITY-BASED INSTITUTION TOGETHER WITH A WORLD-CLASS TEACHING HOSPITAL AND MEDICAL SCHOOL. BOTH ORGANIZATIONS ARE NOT-FOR-PROFIT HEALTHCARE INSTITUTIONS AND BRING DIFFERENT STRENGTHS TO THIS RELATIONSHIP. THE COMMUNITIES SERVED BY THESE INSTITUTIONS BENEFIT FROM THE AFFILIATION BY ENHANCED HEALTHCARE PROVIDED LOCALLY AND THE IMPROVED FINANCIAL POSITIONS OF BOTH ORGANIZATIONS. GMH'S PRIMARY SERVICE AREA, WHICH ACCOUNTS FOR 72.9% OF PATIENTS SERVED AT GMH, HAS A POPULATION OF 389,000 AND IS MADE UP OF THE FOLLOWING CHARACTERISTICS:NEARLY 14% OF THE POPULATION IS AGE 65 OR OLDER. THE AVERAGE HOUSEHOLD INCOME IS $69,009 WITH 19% OF HOUSEHOLDS OVER $100,000 AND 23.4 PERCENT UNDER $25,000. HISPANICS ARE AMONG THE FASTEST-GROWING GROUP MAKING UP 31% OF THE POPULATION.
PART VI, LINE 5:	OTHER INFORMATION - IN FURTHERANCE OF LOYOLA UNIVERSITY HEALTH SYSTEM'S JESUIT TRADITION OF TEACHING, GMH SUPPORTS HOSPITAL-BASED EDUCATION AND TRAINING OF FUTURE PROFESSIONALS. GMH PROVIDED HOME AND HOSPICE CARE TRAINING FOR STUDENT NURSES, SUPPLIED PRECEPTORS FOR PHARMACY STUDENTS, PROVIDED CLINICAL SUPERVISION OF PHYSICAL AND SPEECH THERAPY STUDENTS.GMH PROVIDED SUBSIDIZED SUPPORT FOR ITS ADULT DAY CARE CENTER. WHILE OPERATING AT A LOSS, THE PROGRAM CONTINUES TO BE OFFERED BECAUSE OF A COMMUNITY NEED. GMH BEGAN RUNNING THE CENTER AFTER A LOCAL CHURCH COULD NO LONGER AFFORD TO PROVIDE THIS COMMUNITY SERVICE. THE CENTER PROVIDES CARE FOR PERSONS WITH DIABETES, DEMENTIA, DEPRESSION AND OTHER MENTAL AND MEDICAL DIAGNOSES. ENROLLMENT IN THE PROGRAM AVERAGES 18 ADULTS.GMH ALSO PROVIDED COMMUNITY HEALTH AND SCREENING SERVICES DURING ITS FISCAL YEAR. COMMUNITY MEMBERS WERE EDUCATED ABOUT THESE PROGRAMS AND EVENTS THROUGH LOYOLA LIVING/GOTTLIEB & YOU, A FREE PUBLICATION MAILED TO AREA HOUSEHOLDS. IN ADDITION, GMH PROVIDED SPACE TO A NOT-FOR-PROFIT ORGANIZATION FOR CONDUCTING A CHILDREN'S EXERCISE AND NUTRITION 8-WEEK PROGRAM OFFERED FREE TO THE COMMUNITY AS PART OF GMH'S INITIATIVE TO ADDRESS CHILDHOOD OBESITY. GMH ALSO WORKED WITH A COMMITTEE OF AREA PROVIDERS AND AGENCIES TO HELP CONNECT SENIORS AND OTHERS WITH HEALTHCARE RESOURCES. GMH OFFERED SUPPORT GROUPS AND FREE COMMUNITY PRESENTATIONS WITH EXPERT SPEAKERS ON CARING FOR AGING FAMILY MEMBERS. GMH AND ITS STAFF ALLERGIST JOSEPH LEIJA, MD, PROVIDED GMH'S DAILY ALLERGY COUNT (FROM APRIL THROUGH OCTOBER) FOR THE ENTIRE CHICAGOLAND. THE COUNT IS PROVIDED, AT NO COST, TO NEWS OUTLETS AND ALL CHICAGO METEOROLOGISTS. THE COUNT ALSO IS AVAILABLE ON GMH'S WEB SITE, VIA TWITTER AND BY A TELEPHONE HOTLINE EACH WEEKDAY MORNING DURING ALLERGY SEASON. IT IS A RELIED-UPON RESOURCE BY PEOPLE IN THE CHICAGO AREA WHO NEED TO DETERMINE WHETHER TO TAKE ALLERGY MEDICATION BEFORE STEPPING OUT THE DOOR IN THE MORNING.
PART VI, LINE 6:	GOTTLIEB MEMORIAL HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 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
RICHARD GAMELLI MD
DIRECTOR; LUMC PHYSICIAN	$0	$375,389	$0	$0	$0	$9,978	$0	$12,750	$0	$611	$0	$398,728	$0	$0
ROBERT SULO MD
DIRECTOR; LUMC PHYSICIAN	$0	$350,273	$0	$0	$0	$13,021	$0	$12,750	$0	$20,638	$0	$396,682	$0	$0
DAVID WILBER MD
DIRECTOR; DIR CARDIOVASCULAR INST	$0	$569,039	$0	$54,375	$0	$17,604	$0	$12,750	$0	$2,243	$0	$656,011	$0	$0
ROBERT FLANIGAN MD
DIRECTOR; LUMC PHYSICIAN	$0	$371,589	$0	$42,465	$0	$12,193	$0	$17,850	$0	$1,586	$0	$445,683	$0	$0
LARRY GOLDBERG
DIRECTOR; CEO	$0	$752,289	$0	$489,944	$0	$117,512	$0	$109,903	$0	$17,506	$0	$1,487,154	$0	$0
P TERRENCE O'ROURKE MD
DIRECTOR; TRINITY EVP CLINICAL TRANS	$0	$597,332	$0	$639,605	$0	$190,503	$0	$21,052	$0	$35,795	$0	$1,484,287	$0	$0
LORI PRICE
PRESIDENT	$0	$299,792	$0	$37,005	$0	$51,869	$0	$26,640	$0	$20,262	$0	$435,568	$0	$0
AJAY SIAL
TREASURER; LUMC SVP & CFO	$0	$477,332	$0	$131,948	$0	$13,637	$0	$14,399	$0	$22,631	$0	$659,947	$0	$0
DANIEL ISACKSEN
ASSISTANT TREASURER; LUMC VP FINANCE	$0	$236,658	$0	$36,336	$0	$312	$0	$7,650	$0	$17,876	$0	$298,832	$0	$0
JILL RAPPIS
SECRETARY; LUMC VP GEN CNSL	$0	$316,754	$0	$0	$0	$2,281	$0	$28,458	$0	$8,836	$0	$356,329	$0	$0
MARIA PEKAR
ASST SECRETARY; LUMC ASSOC. GEN CNSL	$0	$196,261	$0	$0	$0	$2,788	$0	$20,563	$0	$21,256	$0	$240,868	$0	$0
DAVID HECHT MD MS MBA
SVP, CLINICAL AFFAIRS	$0	$513,691	$0	$61,350	$0	$19,486	$0	$12,750	$0	$2,173	$0	$609,450	$0	$0
ALAN GOLDBERG
VP, ADMIN SERVICES	$159,811	$0	$16,165	$0	$2,248	$0	$14,597	$0	$29,349	$0	$222,170	$0	$0	$0
KENNETH FISHBAIN
COO	$292,639	$0	$27,727	$0	$2,793	$0	$20,400	$0	$9,774	$0	$353,333	$0	$0	$0
ELLYN CHIN
VP, PAYOR STRATEGIES & CONTRACTING	$255,241	$0	$36,107	$0	$830	$0	$20,400	$0	$29,949	$0	$342,527	$0	$0	$0
MARY MORROW
VP NURSING & COMMUNITY SVCS	$174,251	$0	$20,262	$0	$1,592	$0	$15,937	$0	$21,991	$0	$234,033	$0	$0	$0
SILIA MIGLIO
CORPORATE CONTROLLER	$180,052	$0	$0	$0	$368	$0	$10,994	$0	$4,183	$0	$195,597	$0	$0	$0
MAURITA ADLER
DIRECTOR INFO SERVICES SR.	$171,717	$0	$0	$0	$1,584	$0	$14,209	$0	$28,779	$0	$216,289	$0	$0	$0
JOHN ASTREIDES
DIRECTOR OF INFORMATION SERVICES	$163,842	$0	$0	$0	$1,459	$0	$13,246	$0	$10,748	$0	$189,295	$0	$0	$0
PAUL WHELTON MD
FORMER OFFICER	$0	$0	$0	$0	$0	$499,492	$0	$0	$0	$8,143	$0	$507,635	$0	$497,209
DANIEL HALE
FORMER OFFICER	$0	$515,065	$0	$692,503	$0	$95,295	$0	$29,355	$0	$21,325	$0	$1,353,543	$0	$0
BENJAMIN CARTER
FORMER OFFICER	$0	$581,124	$0	$586,500	$0	$82,502	$0	$84,996	$0	$25,449	$0	$1,360,571	$0	$0
JOSEPH SWEDISH
FORMER KEY EMPLOYEE	$0	$344,758	$0	$0	$0	$1,119,237	$0	$21,706	$0	$7,182	$0	$1,492,883	$0	$0
J RICHARD O'CONNELL
FORMER KEY EMPLOYEE	$0	$731,422	$0	$769,386	$0	$172,766	$0	$111,806	$0	$33,679	$0	$1,819,059	$0	$0
KEDRICK ADKINS
FORMER KEY EMPLOYEE	$0	$504,488	$0	$873,685	$0	$430,416	$0	$1,730,702	$0	$8,534	$0	$3,547,825	$0	$45,090
DONNA HALINSKI
FORMER OFFICER	$0	$252,339	$0	$36,623	$0	$1,242	$0	$30,967	$0	$13,596	$0	$334,767	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

GOTTLIEB MEMORIAL HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOTTLIEB MEMORIAL HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF GOTTLIEB MEMORIAL HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2013. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $ 310,298 PAUL WHELTON - $500,763 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 BENJAMIN CARTER - $72,246 LARRY GOLDBERG - $89,653 J. RICHARD O'CONNELL - $99,056 THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $258,812 PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEOS AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 BENJAMIN CARTER - $253,562 LARRY GOLDBERG - $198,755 DANIEL HALE - $242,723 J. RICHARD O'CONNELL - $294,870 TERRENCE O'ROURKE - $258,184 PART II: THE FOLLOWING INDIVIDUAL WAS VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SWEDISH - $543,977

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF GOTTLIEB MEMORIAL HOSPITAL IS LOYOLA UNIVERSITY HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	LOYOLA UNIVERSITY HEALTH SYSTEM IS THE SOLE MEMBER OF GOTTLIEB MEMORIAL HOSPITAL. LOYOLA UNIVERSITY HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GOTTLIEB MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, LOYOLA UNIVERSITY HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. LOYOLA UNIVERSITY HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY THE TRINITY HEALTH SYSTEM OFFICE TAX DEPARTMENT, BASED ON INFORMATION PROVIDED BY A MULTI-DISCIPLINARY TEAM OF LOYOLA AND GOTTLIEB STAFF. A DETAILED SUMMARY OF THE DRAFT FORM 990 IS PRESENTED TO THE ORGANIZATION'S BOARD FINANCE & PLANNING COMMITTEE AND THE ORGANIZATION'S OFFICERS ARE PROVIDED A COPY OF THE ORGANIZATION'S DRAFT FORM 990 (INCLUDING ALL KEY REQUIRED SCHEDULES). THE COMPLETE FORM 990 IS PROVIDED TO THE GOTTLIEB MEMORIAL HOSPITAL BOARD IN ELECTRONIC FORM, PRIOR TO FINALIZING AND FILING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12C	GOTTLIEB MEMORIAL HOSPITAL HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF GOTTLIEB MEMORIAL HOSPITAL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH GOTTLIEB MEMORIAL HOSPITAL'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GOTTLIEB MEMORIAL HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF GOTTLIEB MEMORIAL HOSPITAL IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO GOTTLIEB MEMORIAL HOSPITAL. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF GOTTLIEB MEMORIAL HOSPITAL ON A YEARLY BASIS.
FORM 990, PART VI, SECTION B, LINE 15	QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR GOTTLIEB MEMORIAL HOSPITAL'S CEO AND CERTAIN OFFICERS IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF GOTTLIEB MEMORIAL HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	GOTTLIEB MEMORIAL HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, GOTTLIEB MEMORIAL HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. GOTTLIEB MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1:	THE REV. JOHN J. O'CALLAGHAN IS A MEMBER OF THE SOCIETY OF JESUS. HAVING TAKEN A VOW OF POVERTY, REV. O'CALLAGHAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES HE PROVIDED TO LOYOLA UNIVERSITY MEDICAL CENTER EXCEPT FOR INSURANCE BENEFITS ($4,196). INSTEAD, A TOTAL OF $76,604 WAS PAID BY LOYOLA UNIVERSITY MEDICAL CENTER DIRECTLY TO THE SOCIETY OF JESUS FOR REV. O'CALLAGHAN'S SERVICES.
FORM 990, PART XI, LINE 9:	CHANGE IN DEFERRED RETIREMENT COSTS -9,443,229.
FORM 990, PART XII, LINE 2	GOTTLIEB MEMORIAL HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (239 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SE	GRAND RAPIDS	MI	49503	272491974	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes (1)
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382949053	PROVIDE HOSPICE SERVICES	MI	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	SUPPORTS SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	ACUTE/AMBULATORY HEALTHCARE SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	042182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995	ANN ARBOR	MI	48106	382507173	FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES	MI	501(C)(3)	LINE 11B, II	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH EAST
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232929748	MANAGEMENT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CHE TRINITY INC	Yes (1)
CHE TRINITY INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	900931907	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II		0	N/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	Yes (1)
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998	SOUTH BEND	IN	46619	263051440	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
CONTINUING CARE MANAGEMENT SERVICES NETWORK
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	352336834	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320699	PROVIDE HOSPICE HEALTH SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET	COLUMBUS	OH	43213	342032340	HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232515999	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH	NY	501(C)(3)	LINE 3	LTC(EDDY) INC	Yes (1)
EMPIRE HOME INFUSION SERVICES INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes (1)
GLEN EDDY INC
ONE GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	233068656	HEALTH CARE	PA	501(C)(3)	LINE 7	CATHOLIC HEALTH EAST	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 9	GOTTLIEB MEMORIAL HOSPITAL	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE	MELROSE PARK	IL	60160	743260011	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	LINE 11C, III-FI		0	N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	0
GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
1000 MONROE AVENUE NW	GRAND RAPIDS	MI	49503	237270669	MEDICAL EDUCATION TRAINING PROGRAMS	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302	MUSKEGON	MI	49443	381358196	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302	MUSKEGON	MI	49443	382299878	SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY	MI	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH PARTNERS	Yes (1)
HACKLEY LIFE COUNSELING
1352 TERRACE ST	MUSKEGON	MI	49442	381386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	LINE 9	MERCY HEALTH PARTNERS	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	521945054	LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY	MD	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROAD	SILVER SPRING	MD	20904	208428450	CHARITABLE FUNDRAISING	MD	501(C)(3)	LINE 11A, I	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	520738041	HEALTHCARE SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HOSPITAL-HEALTHCARE PROVIDER	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
HOLY CROSS LONG TERM CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAY	LIVONIA	MI	48152	951985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650666283	MEDICAL BUILDING REAL ESTATE MANAGEMENT	FL	501(C)(2)	N/A	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD	SIOUX CITY	IA	51104	383320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 11A, I		0	N/A
HOSPICE OF WASHTENAW II
806 AIRPORT BLVD	ANN ARBOR	MI	48108	383320707	HOSPICE HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383316559	PROVIDES OFFICE-BASED MEDICAL CARE	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
INTRACOASTAL HEALTH SYSTEMS INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	650556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes (1)
JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREET	SHELBY	MI	49455	382549295	ACUTE HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETS	WILMINGTON	DE	19805	452569214	ELDERLY CARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	Yes (1)
LIFE ST FRANCIS CORPORATION
601 HAMILTON AVENUE	TRENTON	NJ	08629	222797282	HEALTH SERVICES	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE B	SOUTHERN PINES	NC	28387	272159847	HEALTHCARE SERVICES	NC	501(C)(3)	LINE 3	ST JOSEPH'S OF THE PINES INC	Yes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	262976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568525	SUPPORTING ORGANIZATION	NJ	501(C)(3)	LINE 11B, II	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08103	274357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES DIALYSIS AT INNOVA INC
3716 CHURCH ROAD	MT LAUREL	NJ	08054	263237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROAD	WILLINGBORO	NJ	08046	223612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11B, II	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11B, II	NORTHEAST HEALTH INC	Yes (1)
MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	240711230	HOSPITAL	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes (1)
MARIAN COMMUNITY HOSPITAL AUXILIARY
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	251874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS FOUNDATION	Yes (1)
MARIAN HOME HEALTHCARE
801 5TH STREET	SIOUX CITY	IA	51101	383320705	PROVIDE HOME HEALTH CARE SERVICES	IA	501(C)(3)	LINE 11A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MARYCREST HEIGHTS
PO BOX 9184	FARMINGTON HILLS	MI	48333	270291722	PROVIDES HOUSING FOR ELDERLY INDIVIDUALS	MI	501(C)(3)	LINE 11A, I	TRINITY CONTINUING CARE SERVICES	Yes (1)
MAXIS FOUNDATION
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	232330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	Yes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	911940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
MAXIS MEDICAL SERVICES
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	232577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 9	MAXIS HEALTH SYSTEM	Yes (1)
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	LINE 3	CATHERINE MCAULEY HEALTH SERVICES CORP	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	PITTSBURGH MERCY HEALTH SYSTEM	Yes (1)
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVD	ALBANY	NY	12204	141338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102	TROY	MI	48098	383320698	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUE	PORT HURON	MI	48060	383320701	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY CARE FOUNDATION
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FUNDRAISING	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231352191	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061488137	IN HOME HEALTH CARE	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	Yes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	232325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227350	SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM	IL	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREET	MUSKEGON	MI	49442	383321856	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232829864	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HEALTH NETWORK
1111 6TH AVENUE	DES MOINES	IA	50314	421478417	HEALTHCARE MANAGEMENT	DE	501(C)(3)	LINE 11A, I		0	N/A
MERCY HEALTH PARTNERS
1415 LEAHY STREET	MUSKEGON	MI	49442	382589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH PLAN
C/O ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	222483605	HEALTH PLANS	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLE	CHICAGO	IL	60697	912092113	SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY	IL	501(C)(3)	LINE 11C, III-FI	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HEALTH SYSTEM OF MAINE
144 STATE STREET	PORTLAND	ME	04101	010484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232212638	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE	TUPPER LAKE	NY	12986	150532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
MERCY HEALTHCARE FOUNDATION-CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES	IA	501(C)(3)	LINE 11C, III-FI		0	N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	231352099	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310	SPRINGFIELD	PA	19064	232325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY HOSPITAL
144 STATE STREET	PORTLAND	ME	04101	010211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	362170152	HEALTHCARE SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	49601	203357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVE	PORT HURON	MI	48060	381630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	043398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791034	HOSPITAL	FL	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes (1)
MERCY JEANNETTE HOSPITAL
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	273163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION	Yes (1)
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	453086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11C, III-FI		0	N/A
MERCY MEDICAL CORPORATION
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	636002215	HOSPITAL	AL	501(C)(3)	LINE 9	CATHOLIC HEALTH EAST	Yes (1)
MERCY MEDICAL DEVELOPMENT INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	592789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	Yes (1)
MERCY MISSION SERVICES INC
3661 SOUTH MIAMI AVENUE	MIAMI	FL	33133	650435764	HEALTH CARE	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC	Yes (1)
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAIL	CADILLAC	MI	49601	383313897	HOME HEALTH AND HOSPICE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MERCY ONCOLOGY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	510461511	HOSPITAL	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES CORPORATION
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	48333	382719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	264033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	231396763	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
MERCY UIHLEIN HEALTH CORPORATION
185 OLD MILITARY ROAD	LAKE PLACID	NY	12946	161535133	MGT. & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	MERCY HEALTHCARE CENTER	Yes (1)
MERCYKNOLL INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MIDWEST MEDFLIGHT
1300 VICTORS WAY	ANN ARBOR	MI	48108	382684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD	LIVONIA	MI	48152	383181557	FACILITY USED FOR AMBULATORY CARE	DE	501(C)(3)	LINE 11A, I		0	N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET	COLUMBUS	OH	43213	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO FOR SENIORS	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311113966	SUPPORT THE SERVICES OF RELATED HOSPITAL	OH	501(C)(3)	LINE 11A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE B	COLUMBUS	OH	43215	262729300	PROVIDE HOME HEALTH CARE SERVICES	OH	501(C)(3)	LINE 9	TRINITY HOME HEALTH SERVICES INC	Yes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREET	KENTWOOD	MI	49508	383073745	OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE	MUSKEGON	MI	49440	911932918	FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUE	PHILADELPHIA	PA	19152	232300951	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	203261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
NE PHYSICIAN SERVICES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
NORTHEAST HEALTH INC
2212 BURDETT AVE	TROY	NY	12180	042450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET	OAKLAND	NE	68045	311678345	SUPPORTS SERVICES OF RELATED HOSPITAL	NE	501(C)(3)	LINE 11C, III-FI		0	N/A
OSUMOUNT CARMEL HEALTH ALLIANCE
793 WEST STATE STREET	COLUMBUS	OH	43222	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 11A, I		0	N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUE	CAMDEN	NJ	08103	222351960	FOUNDATION	NJ	501(C)(3)	LINE 7	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE	CAMDEN	NJ	08103	210635001	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	Yes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	NURSING HOME FACILITY	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454208896	CARDIOLOGY SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes (1)
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVE	PORT HURON	MI	48060	201855647	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820401011	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	LINE 11A, I	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	261737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTHCARE SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935	SOUTH BEND	IN	46634	350868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	356033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE	PLYMOUTH	IN	46563	356043563	HOSPITAL SERVICE AUXILIARY	IN	501(C)(3)	LINE 11B, II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVE	SOUTH BEND	IN	46617	351568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	MANAGEMENT & SUPPORT SERVICES	GA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	311040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA	Yes (1)
SAINT MARY HOME II INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061164104	ELDERLY CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW	GRAND RAPIDS	MI	49505	383320700	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HOME HEALTH SERVICES INC	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
SAINT MICHAELS MEDICAL CENTER
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVE	TROY	NY	12180	141710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC	Yes (1)
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVE	TROY	NY	12180	141338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
SENIOR CARE CONNECTION INC
504 STATE ST	SCHENECTADY	NY	12305	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVD	CLIFTON PARK	NY	12065	141756230	SKILLED NURSING	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	222345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	Yes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	Yes (1)
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	043398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	REAL ESTATE HOLDING COMPANY	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SSJ HEALTH FOUNDATION INC
3661 SOUTH MIAMI AVENUE	MIAMI	FL	33133	591709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC	Yes (1)
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE	PONTIAC	MI	48341	352356789	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	Yes (1)
ST FRANCIS FOUNDATION
PO BOX 2500	WILMINGTON	DE	19805	510374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL	Yes (1)
ST FRANCIS HOSPITAL
PO BOX 2500	WILMINGTON	DE	19805	510064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
ST FRANCIS HOSPITAL INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	590624442	GRANT-MAKING ORGANIZATION	FL	501(C)(3)	LINE 11A, I	ALLEGANY FRANCISCAN MINISTRIES INC	Yes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	Yes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
ST JAMES MERCY FOUNDATION INC
411 CANISTEO STREET	HORNELL	NY	14843	161486437	FOUNDATION	NY	501(C)(3)	LINE 7	ST JAMES MERCY HEALTH SYSTEM INC	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREET	HORNELL	NY	14843	223127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	Yes (1)
ST JAMES MERCY HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14843	160743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	Yes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE SUITE B	SOUTHERN PINES	NC	28387	560694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
ST MARY BUILDING AND DEVELOPMENT COMPANY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	BUILDING DEVELOPMENT COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	EMERGENCY MEDICAL SERVICES	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	Yes (1)
ST MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232567468	FOUNDATION	PA	501(C)(3)	LINE 7	ST MARY MEDICAL CENTER	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FUNDRAISING	GA	501(C)(3)	LINE 11A, I	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	ASSISTED LIVING & RETIREMENT COMMUNITY	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HOSPITAL / PHYSICIAN SERVICES	GA	501(C)(3)	LINE 3	ST MARY'S HEALTH CARE SYSTEM INC	Yes (1)
ST MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	223311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER	Yes (1)
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVD	ALBANY	NY	12208	222843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES	Yes (1)
ST PETER'S HEALTH CARE SERVICES
315 SOUTH MANNING BLVD	ALBANY	NY	12208	222702507	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	PHYSICIANS PRACTICE	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD SUITE 114	ALBANY	NY	12208	222262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES	Yes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 11A, I	SUNNYVIEW HOSPITAL & REHABILITATION CTR	Yes (1)
SUNNYVIEW HOSPITAL & REHABILITATION CTR
1270 BELMONT AVE	SCHENECTADY	NY	12308	141338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	222692940	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVD	RENSSELAER	NY	12144	141608921	SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH CARE SERVICES	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAY	MISHAWAKA	IN	46545	351654543	SUPPORTS SERVICES OF RELATED HOSPITAL	IN	501(C)(3)	LINE 11A, I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	ADULT HOME/ALZHEIMERS	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	Yes (1)
THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVE	TROY	NY	12180	222743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC	Yes (1)
TRI-COUNTY HUMAN SERVICES CENTER INC
3805 WEST CHESTER PIKE NO 100	NEWTOWN SQUARE	PA	19073	231938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM	Yes (1)
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	PROVIDE EMERGENCY AMBULANCE SERVICES	MI	501(C)(3)	LINE 11D, III-O		0	N/A
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUE	FORT GRATIOT	MI	48054	382884297	MRI SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	930907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 11B, II	CHE TRINITY INC	Yes (1)
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTHCARE TRAINING AND SUPPORT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAY	LIVONIA	MI	48152	382621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 9	TRINITY HEALTH CORPORATION	Yes (1)
UIHLEIN MERCY CENTER
185 OLD MILITARY ROAD	TUPPER LAKE	NY	12986	150532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER	Yes (1)
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUE	NEWARK	NJ	07102	223100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
VNA HOME HEALTH & HOSPICE
50 FODEN ROAD	SOUTH PORTLAND	ME	04106	010246804	HOME HEALTH & HOSPICE	ME	501(C)(3)	LINE 11A, I	MERCY HEALTH SYSTEM OF MAINE	Yes (1)
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	SUPPORT SERVICES	MI	501(C)(4)	N/A	MERCY HEALTH PARTNERS	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300	GRAND RAPIDS	MI	49504	383306673	REHABILITATION THERAPY SERVICES	MI	N/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
CATHERINE HORAN BUILDING LIMITED PARTNERSHIP
1221 MAIN STREET ROOM 108	HOLYOKE	MA	01040	042723429	PROPERTY MANAGEMENT	MA	N/A
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1	VOORHEES	NJ	08043	223580847	HEALTHCARE SERVICES	NJ	N/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A
CENTRAL NEW JERSEY HEART SERVICES LLC
PO BOX 148	BAYONNE	NJ	07002	208525458	CARDIAC PROGRAM	NJ	N/A
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311701029	SLEEP MEDICINE SERVICES	OH	N/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202	MOLINE	IL	61265	412044739	MRI DIAGNOSTIC SERVICES	IA	N/A
EAST NORRITON MEDICAL ASSOCIATES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232319531	MEDICAL OFFICE BUILDING	PA	N/A
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROAD	ANN ARBOR	MI	48104	382648446	LABORATORY	MI	N/A
FRESNO IMAGING CENTER
1303 E HERNDON AVE	FRESNO	CA	93720	770363563	DIAGNOSTIC IMAGING	CA	N/A
GATEWAY HEALTH PLAN
300 GRANT STREET	PITTSBURGH	PA	15219	251691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A
IDAHO ASC HOLDINGS LLC
4400 E FLAMINGO AVE	NAMPA	ID	83687	364729605	HOLDING COMPANY FOR AMBULATORY SURGERY	ID	N/A
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
3000 RIVERCHASE GALLERIA STE 500	BIRMINGHAM	AL	35244	364119522	SURGICAL SERVICES	IL	N/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
MEDILUCENT MOB I
793 W STATE STREET	COLUMBUS	OH	43222	204911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	262116721	SUBLEASE MRI EQUIPMENT	IL	N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA	N/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
C/O NAZARETH HOSP 2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA	N/A
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUE	FORT GRATIOT	MI	48059	300136708	OUTPATIENT SURGERY CENTER	MI	N/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL	N/A
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102	BOISE	ID	83706	510483218	PHARMACY	ID	N/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200E	MOUNT LAUREL	NJ	08054	202273476	RADIOLOGY	NJ	N/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A
ST AGNES LONG-TERM INTENSIVE CARE LLP
C/O MHS ONE WEST ELM ST STE 100	CONSHOHOCKEN	PA	19428	200984882	LONG TERM INTENSIVE CARE	PA	N/A
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	RADIATION ONCOLOGY	ID	N/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
ST MARY REHABILITATION HOSPITAL LLP
113 SEABOARD LANE SUITE B201	FRANKLIN	TN	37067	273938747	MEDICAL SERVICES	DE	N/A
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY	N/A
TAMARACK MEDICAL CLINIC LLC
402 OLD STATE HWY	CASCADE	ID	83611	201637921	OUTPATIENT MEDICAL SERVICES	ID	N/A
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232871206	OUTPATIENT SURGERY	PA	N/A
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311784409	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/IMAGING	MI	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Province Or StateForeignAddress/ProvinceOrState	Postal CodeForeignAddress/PostalCode
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141668024	REAL ESTATE	NY	N/A	C	Yes (1)
CARBONDALE AREA PHYSICIANS' ASSOCIATION PC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C	Yes (1)
CARBONDALE AREA PHYSICIANS' PHO INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801676	INACTIVE	PA	N/A	C	Yes (1)
CARBONDALE PHYSICIANS' SERVICES INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232365077	PHARMACY	PA	N/A	C	Yes (1)
GEORGIA HEALTH ENTERPRISES LLC
1230 BAXTER STREET	ATHENS	GA	30606	541806329	HEALTHCARE	GA	N/A	C	Yes (1)
CATHOLIC HEALTH EAST SENIOR SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)
CHESTNUT RISK SERVICES LTD
					INSURANCE		N/A	C	Yes (1)	11 VICTORIA STREET	HAMILTON	BD	BD
GHE PHYSICIANS PC
3500 PIEDMONT ROAD	ATLANTA	GA	30305	582277939	PRACTICE MANAGEMENT	GA	N/A	C	Yes (1)
GATEWAY HEALTH PLAN INC
600 GRANT STREET	PITTSBURGH	PA	15219	251505506	HEALTH CARE	PA	N/A	C	Yes (1)
GATEWAY HEALTH PLAN INC OF OHIO
600 GRANT STREET	PITTSBURGH	PA	15219	300282076	HEALTH CARE	PA	N/A	C	Yes (1)
ST MARY'S HIGHLAND HILLS VILLAGE INC
1230 BAXTER STREET	ATHENS	GA	30606	582276801	ASSISTED LIVING	GA	N/A	C	Yes (1)
CATHERINE HORAN BUILDING INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042938160	BUILDING MANAGEMENT	MA	N/A	C	Yes (1)
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C	Yes (1)
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	382961814	WEIGHT MANAGEMENT	MI	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
1415 LEAHY ST	MUSKEGON	MI	49442	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY ST	MUSKEGON	MI	49442	382578569	HOME MEDICAL EQUIPMENT	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	383024797	REAL ESTATE RENTAL	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY ST	MUSKEGON	MI	49442	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223366580	HEALTH CARE BILLING	NJ	N/A	C	Yes (1)
HEF INC
1415 LEAHY ST	MUSKEGON	MI	49442	383086401	OFFICE STAFFING	MI	N/A	C	Yes (1)
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD	SILVER SPRING	MD	20904	521986562	HOME CARE SERVICES	MD	N/A	C	Yes (1)
HPC CO-OWNERS ASSOCIATION
1700 CLINTON	MUSKEGON	MI	49442	270734448	CONDOMINIUM ASSOCIATION	MI	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C	Yes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
DIVERSIFIED COMMUNITY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043128890	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET ROOM 108	HOLYOKE	MA	01040	046608649	PROPERTY MANAGEMENT	MA	N/A	C	Yes (1)
PROVIDENCE HOME CARE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043317426	HEALTH CARE SERVICES	MA	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042938181	LAB SERVICES	MA	N/A	C	Yes (1)
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUE	TRENTON	NJ	08629	261649038	HEALTH CARE SERVICES	NJ	N/A	C	Yes (1)
LOURDES MEDICAL ASSOCIATES PA
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223361862	MEDICAL SERVICES	NJ	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
11801 TECH ROAD	SILVER SPRING	MD	20904	521815313	HEALTHCARE HOLDING	MD	N/A	C	Yes (1)
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET STE 100	CONSHOHOCKEN	PA	19428	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MEDNOW INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820389927	OUTPATIENT PHARMACY	ID	N/A	C	Yes (1)
JEANNETTE MEDICAL PROVIDERS
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251787334	HOLDING COMPANY	PA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C	Yes (1)
MICHIGAN ATHLETIC CLUB
2500 BURTON	GRAND RAPIDS	MI	49546	382647304	ATHLETIC CLUB	MI	N/A	C	Yes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SW	MASON CITY	IA	50401	421382308	MEDICAL SERVICES	IA	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
JEANNETTE OBGYN GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890748	HOLDING COMPANY	PA	N/A	C	Yes (1)
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230	FRESNO	CA	93729	770395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C	Yes (1)
JEANNETTE PRIMARY CARE GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890743	HOLDING COMPANY	PA	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	83706	331078261	PHYSICIANS	ID	N/A	C	Yes (1)
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SE	GRAND RAPIDS	MI	49546	383450733	ATHLETIC CLUB	MI	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SJM PROPERTIES INC
411 CANISTEO STREET	HORNELL	NY	14843	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	253795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
STELLA MARIS INSURANCE COMPANY LIMITED
				980632008	INSURANCE		N/A	C	Yes (1)	PO BOX 69	GRAND CAYMAN	CJ	CJ	CAYMAN ISLANDS	KY1-1102
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE		N/A	C	Yes (1)	PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM
1820 44TH STREET SE	KENTWOOD	MI	49508	382700166	CONDOMINIUM ASSOCIATION	MI	N/A	C	Yes (1)
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	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	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TRINITY HEALTH CORPORATION
M	$1,229,825	PER BOOKS
TRINITY HEALTH CORPORATION
P	$8,660,322	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$66,391	PER BOOKS
LOYOLA UNIVERSITY MEDICAL CENTER
L	$353,715	PER BOOKS
LOYOLA UNIVERSITY MEDICAL CENTER
M	$207,447	PER BOOKS