2014-05-12T11:03:05-05:00 2013-06-30 990 2012-07-01 363332852 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION GOTT 7084504966 701 W NORTH AVE MELROSE PARK IL 60160 AJAY SIAL 7084504966 2014-05-12 2012 2015-11-30 17:44:51Z LARRY GOLDBERG 701 W NORTH AVE MELROSE PARK IL 60160 7349873 0 X N/A X 1984 IL TO OWN AND EQUIP HEALTH CARE AND COMMUNITY-BASED SOCIAL SERVICE FACILITIES 3 0 163 0 0 0 0 0 5734887 6497623 43062 24514 766289 814894 6544238 7337031 83680 104171 0 0 5044685 4881223 0 0 0 3184599 3554789 8312964 8540183 -1768726 -1203152 12001021 16050670 23053022 28305823 -11052001 -12255153 X TO OWN AND EQUIP HEALTH CARE AND COMMUNITY-BASED SOCIAL SERVICE FACILITIES. 0 0 7652619 104171 7192491 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION (GCHS) IS A WHOLLY OWNED SUBSIDIARY OF GOTTLIEB MEMORIAL HOSPITAL (GMH). THE PURPOSES FOR WHICH GCHS IS ORGANIZED INCLUDE OWNING AND EQUIPPING HEALTH CARE FACILITIES AND COMMUNITY-BASED SOCIAL SERVICE FACILITIES. GCHS IS NOT SUBJECT TO THE ILLINOIS COMMUNITY BENEFITS ACT AND IS, THEREFORE, NOT REQUIRED TO SUBMIT A COMMUNITY BENEFIT REPORT. HOWEVER, BECAUSE IT IS A WHOLLY-OWNED SUBSIDIARY OF GMH, GCHS' COMMUNITY OUTREACH WORK IS A FURTHER DEMONSTRATION OF GMH'S MISSION OF CARE. THE AMOUNTS DESCRIBED IN THE FOLLOWING GCHS LIST OF COMMUNITY SERVICES ARE NOT QUANTIFIED IN THE GMH COMMUNITY BENEFIT CALCULATED TOTALS. FY2013 GCHS COMMUNITY ACTIVITIES, SERVICES AND PROGRAMS:- SUPPORTING OTHER NOT-FOR-PROFITS - GOTTLIEB CENTER FOR FITNESS DONATED NEARLY 80 MEMBERSHIPS TO NOT-FOR-PROFIT ORGANIZATIONS. IN ADDITION, THE FITNESS CENTER'S STAFF COORDINATED THE COLLECTION OF FOOD FOR LOCAL SHELTERS AND EMPLOYEE PARTICIPATION IN NOT-FOR-PROFIT ORGANIZATIONS' FUND-RAISING WALKS. - PEDIATRIC OBESITY PILOT PROGRAM - A TEAM OF CLINICIANS OFFERED A COMPLIMENTARY PEDIATRIC OBESITY PILOT PROGRAM TO A GROUP OF AREA CHILDREN AND PARENTS TO ADDRESS NEEDS OF FAMILIES STRUGGLING WITH OBESITY. THE PROGRAM CONCEPTS BECAME PART OF A LARGER LOYOLA UNIVERSITY HEALTH SYSTEM PROGRAM. - SUPPORT ACTIVE KIDS - GCHS PROVIDED A GRANT TO PROJECT FIT AMERICA (A NOT FOR PROFIT HEALTH-RELATED ORGANIZATION) TO SUPPORT BUILDING A PARK IN A LOW-INCOME AREA TO PROMOTE HEALTHY LIFESTYLES FOR DISADVANTAGED CHILDREN AND FAMILIES. - CHARITABLE HEALTH CLUB MEMBERSHIP PROGRAM - NEARLY 2,000 COMMUNITY RESIDENTS WHO COULD NOT AFFORD A HEALTH CLUB MEMBERSHIP, OR WHO WERE DETERMINED IN NEED OF SERVICES TO MAINTAIN OR IMPROVE THEIR HEALTH, WERE PROVIDED WITH A COMPLIMENTARY GOTTLIEB CENTER FOR FITNESS MEMBERSHIP FOR A TOTAL AMOUNT OF MORE THAN $120,000 IN FREE MEMBERSHIPS. - SUPPORTING VETERANS - GOTTLIEB CENTER FOR FITNESS PROVIDED THE USE OF ITS FACILITIES FOR THE UNITED STATES MILITARY RECRUITING OFFICE TO CONDUCT PHYSICAL ASSESSMENTS OF POTENTIAL RECRUITS. IT ALSO HOSTED AN EVENT TO RAISE FUNDS TOWARD THE PURCHASE OF ADAPTIVE EXERCISE EQUIPMENT FOR WOUNDED VETERANS. THE MISSION STATEMENT FOR GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION IS AS FOLLOWS:WE, CHE TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. 7652619 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 11 0 1 163 1 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X AJAY SIAL 7082164252 2160 S FIRST AVENUE MAYWOOD IL 60153 LARRY GOLDBERG 2.00 43.00 X X 0 1106137 103495 LORI PRICE 2.00 43.00 X X 0 276673 53524 AJAY SIAL 10.00 35.00 X X 0 455517 28604 ELLYN CHIN 10.00 35.00 X X 0 268412 84389 KENNETH FISHBAIN 10.00 35.00 X 0 357533 90727 JILL RAPPIS 2.00 43.00 X 0 327754 69848 DULCES LEON-JAUREGUI MD 40.00 0.00 X 229435 0 65254 NATHANIEL JONES MD 40.00 0.00 X 174962 0 18490 ANAND LAL MD 40.00 0.00 X 162022 0 19986 MICHAEL HUGAR MD 40.00 0.00 X 153248 0 23148 LISA LIU MD 40.00 0.00 X 143788 0 14411 PAUL WHELTON 0.00 0.00 X 0 928851 15049 PATRICIA CASSIDY 0.00 0.00 X 0 416736 51223 863455 4137613 638148 12 1 1 0 WALSH CONSTRUCTION 929 W ADAMS CHICAGO IL 60607 CONSTRUCTION SERVICES 1364031 PCC COMMUNITY WELLNESS CENTER 14 WEST LAKE ST CHICAGO IL 60302 MEDICAL SERVICES 155767 EVOLUTION INTERIORS 905 S MENARD AVE CHICAGO IL 60644 DESIGN SERVICES 105526 3 NET HEALTH PROGRAM SVC 900099 4399652 4399652 HFC MEMBERSHIP FEES 900099 2097971 2097971 6497623 617 617 115546 0 115546 115546 115546 36739 0 12842 36739 -12842 23897 23897 MEDICARE/MEDICAID HIT 900099 117002 117002 582346 577866 4480 699348 7337031 7192491 0 144540 104171 104171 4323021 4128799 194222 264138 252278 11860 294064 280861 13203 278591 278591 3805 3805 251429 231856 19573 70038 40363 29675 1170628 928974 241654 7329 7329 12608 12608 560589 318474 242115 11691 11691 BAD DEBT 663907 663907 MEDICAL SUPPLIES 291242 291242 EQUIPMENT MAINTENANCE 64263 60320 3943 UBI TAXES 1215 1215 167454 37350 130104 8540183 7652619 887564 0 564922 3173010 366976 559670 722740 570845 25877 13001 10010705 1078130 8988926 8932575 7500 1324080 2801569 12001021 16050670 1921205 2014705 26723 28379 21105094 26262739 23053022 28305823 X -11052001 -12255153 -11052001 -12255153 12001021 16050670 -1203152 0 X X 0 1 X 1 0 X 2176241 2093195 2118286 2201295 2097971 10686988 4941217 4546564 4551150 4145652 5099000 23283583 7117458 6639759 6669436 6346947 7196971 33970571 0 0 0 33970571 138720 4177 48268 187180 116163 494508 138720 4177 48268 187180 116163 494508 20901 18132 19596 58629 7277079 6662068 6737300 6534127 7313134 34523708 0.98400 0.97990 0.01430 0.01770 X 9205808 896605 8309203 593661 181525 412136 211236 211236 8932575 MISCELLANEOUS RECEIVABLES 25294 INTERCOMPANY ACCOUNTS RECEIVABLE 2769775 INVESTMENT IN UNCONSOL. AFFILIATES 6500 2801569 OTHER CURRENT LIABILITIES 233478 INTERCOMPANY ACCOUNTS PAYABLE 26029261 26262739 1 PROJECT FIT AMERICA PO BOX 308 BOYES HOT SPRINGS CA 95416 363730823 501(C)(3) 14500 PROVIDE CARDIOVASCULAR HEALTH AND FITNESS TO SCHOOLS 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: A FORMAL GRANT AGREEMENT IS SIGNED BY AN OFFICER OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION AND AN OFFICER OF THE RECEIVING ORGANIZATION. ALL GRANT AGREEMENTS CLEARLY DEFINE THE USE AND LEVEL OF SUPPORT PROVIDED BY THE ORGANIZATION. GRANTS ARE INCLUDED IN THE ANNUAL BUDGET PROCESS. GRANTS ARE IDENTIFIED SEPARATELY IN THE FINANCIAL RECORDS OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION. A RESPONSIBLE PERSON AT MANAGER LEVEL OR ABOVE APPROVES REQUESTS FOR REIMBURSEMENT. THE FINANCE DEPARTMENT ALSO REVIEWS THE REIMBURSEMENTS TO ENSURE THEY ARE IN ACCORDANCE WITH THE GRANT AGREEMENT. 1 1 0 0 0 0 0 0 0 LARRY GOLDBERG 0 733169 0 204410 0 168558 0 89568 0 13927 0 1209632 0 0 LORI PRICE 0 247226 0 29094 0 353 0 34259 0 19265 0 330197 0 0 AJAY SIAL 0 345749 0 65000 0 44768 0 15341 0 13263 0 484121 0 0 ELLYN CHIN 0 242562 0 25000 0 850 0 53775 0 30614 0 352801 0 0 KENNETH FISHBAIN 0 321823 0 32500 0 3210 0 79558 0 11169 0 448260 0 0 JILL RAPPIS 0 311012 0 15500 0 1242 0 61134 0 8714 0 397602 0 0 DULCES LEON-JAUREGUI MD 220011 0 8326 0 1098 0 35480 0 29774 0 294689 0 0 0 NATHANIEL JONES MD 174662 0 0 0 300 0 0 0 18490 0 193452 0 0 0 ANAND LAL MD 157755 0 0 0 4267 0 0 0 19986 0 182008 0 0 0 MICHAEL HUGAR MD 152514 0 0 0 734 0 13307 0 9841 0 176396 0 0 0 LISA LIU MD 133158 0 10403 0 227 0 4570 0 9841 0 158199 0 0 0 PAUL WHELTON 0 0 0 0 0 928851 0 0 0 15049 0 943900 0 929989 PATRICIA CASSIDY 0 146895 0 0 0 269841 0 46283 0 4940 0 467959 0 60502 PART I, LINE 3 AS OF JULY 1, 2011, GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION'S PRESIDENT 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 COMMUNITY HEALTH SERVICES CORPORATION'S PRESIDENT: - 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 PART I, LINES 4A-B: THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2012. THESE AMOUNTS WERE INCLUDED IN COLUMN B(III): PATRICIA CASSIDY - $60,502 PAUL WHELTON - $929,989 PART I, LINE 4B: THE FOLLOWING IS A PARTICIPANT IN THE LOYOLA UNIVERSITY MEDICAL CENTER RETIREMENT RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($250,000 FOR 2012). THE FOLLOWING TAXABLE AMOUNT FOR 2012 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: PATRICIA CASSIDY - $205,638 THE FOLLOWING IS A PARTICIPANT 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 ($250,000 FOR 2012). THE FOLLOWING ACCRUAL FOR 2012 FOR THIS PLAN IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LARRY GOLDBERG - $77,068 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION WERE AMENDED AND RESTATED EFFECTIVE JUNE 7, 2013. REVISIONS INCLUDED THE FOLLOWING: - INCORPORATED THE CHE TRINITY HEALTH GOVERNANCE/MANAGEMENT MATRIX INTO THE BYLAWS - CLARIFIED THE ROLES OF THE PRESIDENT AND THE CHAIR OF THE BOARD - REVISED THE REQUIRED NUMBER OF MEETINGS FROM FOUR TO ONE PER YEAR FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION IS GOTTLIEB MEMORIAL HOSPITAL. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A GOTTLIEB MEMORIAL HOSPITAL IS THE SOLE MEMBER OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION. GOTTLIEB MEMORIAL HOSPITAL HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, GOTTLIEB MEMORIAL HOSPITAL MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. GOTTLIEB MEMORIAL HOSPITAL 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 CHE TRINITY 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 COMMUNITY HEALTH SERVICES CORPORATION BOARD IN ELECTRONIC FORM, PRIOR TO FINALIZING AND FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 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 COMMUNITY HEALTH SERVICES CORPORATION, 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 COMMUNITY HEALTH SERVICES CORPORATION'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 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 COMMUNITY HEALTH SERVICES CORPORATION IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION. 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 COMMUNITY HEALTH SERVICES CORPORATION ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 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 COMMUNITY HEALTH SERVICES CORPORATION 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 COMMUNITY HEALTH SERVICES CORPORATION 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 ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. FORM 990, PART XII, LINE 2: GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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 0 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 0 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 0 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 0 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 0 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 0 CHE TRINITY INC 20555 VICTOR PARKWAY LIVONIA MI 48152 900931907 HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II N/A 0 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 0 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 0 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 0 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 0 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 0 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 0 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 N/A 0 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 HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON MI 494433302 381358196 HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 0 HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST PO BOX 3302 MUSKEGON MI 494433302 382299878 SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) LINE 11C, III-FI MERCY HEALTH PARTNERS 0 HACKLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON MI 494423545 381386362 COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS 0 HACKLEY VISITING NURSE SERVICES AND HOSPICE INC 888 TERRACE ST MUSKEGON MI 49440 381359598 PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 0 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 0 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 0 HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING MD 209101484 520738041 HEALTHCARE SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA MI 48152 951985442 HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 0 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 504016208 421173708 HOSPICE HEALTH CARE SERVICES IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 0 HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY IA 51104 383320710 HOSPICE SERVICES IA 501(C)(3) LINE 11A, I N/A 0 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 0 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 0 LAKESHORE COMMUNITY HOSPITAL INC 72 S STATE STREET SHELBY MI 494551228 382549295 ACUTE HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 0 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 0 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 0 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 0 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 0 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 0 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 0 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 0 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 0 MERCY 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