SAINT AGNES MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SAINT AGNES MEDICAL CENTER (EIN 94-1437713)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201431349349304063
Schema version: 2012v2.1
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 I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-14T12:27:53-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	941437713	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT AGNES MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	5594503559	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1303 EAST HERNDON AVENUE	AddressLine1
City	FRESNO	City
State	CA	State
ZIP Code	93720	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CHRISTINE SARRICO	Name
Title	INTERIM CFO	Title
Phone	5594503559	Phone
Date Signed	2014-05-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NANCY HOLLINGSWORTH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1303 EAST HERNDON AVENUE	AddressLine1
City	FRESNO	City
State	CA	State
ZIP Code	93720	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	504818629	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SAMC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1958	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	HEALTH CARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	3152	TotalNbrEmployees
Total Nbr Volunteers	730	TotalNbrVolunteers
Total Gross UBI	307564	TotalGrossUBI
Net Unrelated Business Txbl Income	105856	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1591907	ContributionsGrantsPriorYear
Contributions Grants Current Year	1685757	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	425832685	ProgramServiceRevenuePriorYear
Program Service Revenue CY	478881589	ProgramServiceRevenueCY
Investment Income Prior Year	8158357	InvestmentIncomePriorYear
Investment Income Current Year	14372014	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6526536	OtherRevenuePriorYear
Other Revenue Current Year	8779231	OtherRevenueCurrentYear
Total Revenue Prior Year	442109485	TotalRevenuePriorYear
Total Revenue Current Year	503718591	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	188333	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	171004	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	206610616	SalariesEtcPriorYear
Salaries Etc Current Year	203458729	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	939047	TotalFundrsngExpCurrentYear
Other Expense Prior Year	217723022	OtherExpensePriorYear
Other Expenses Current Year	281061192	OtherExpensesCurrentYear
Total Expenses Prior Year	424521971	TotalExpensesPriorYear
Total Expenses Current Year	484690925	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	17587514	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19027666	RevenuesLessExpensesCY
Total Assets BOY	616991699	TotalAssetsBOY
Total Assets EOY	632110844	TotalAssetsEOY
Total Liabilities BOY	153298785	TotalLiabilitiesBOY
Total Liabilities EOY	145081948	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	463692914	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	487028896	NetAssetsOrFundBalancesEOY
Mission Description	HEALTH CARE SERVICES	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	403238392	Expense
Grants	171004	Grants
Revenue	485061183	Revenue
Description	SAINT AGNES MEDICAL CENTER (THE HOSPITAL), A CALIFORNIA NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES AN ACUTE-CARE HOSPITAL IN FRESNO, CALIFORNIA. THE HOSPITAL PROVIDES HEALTH SERVICES TO INDIVIDUALS WHO RESIDE PRIMARILY IN THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL IS A MEMBER OF TRINITY HEALTH, AN INDIANA NOT-FOR-PROFIT CORPORATION, SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH. FOR MORE INFORMATION ABOUT SERVICES PROVIDED,SEE SAINT AGNES MEDICAL CENTER'S WEBSITE AT WWW.SAMC.COM	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	MISSIONTHE MISSION STATEMENT OF THE HOSPITAL 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	403238392	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	575	NumberFormsTransmittedWith1096
Number W2 G Included	1	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3152	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	STEPHEN KALOMIRIS CONTROLLER & CAO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5594503559	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1111 E SPRUCE AVENUE	AddressLine1
City	FRESNO	City
State	CA	State
ZIP Code	93720	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
MICHAEL MARTINEZ
CHAIR	2.00	X	X	0	0	0
A THOMAS FERDINANDI JR
VICE CHAIR; TRUSTEE THR 12/12	2.00	X	X	0	0	0
PHILLIP SANCHEZ
VICE CHAIR THR 12/12	2.00	X	X	0	0	0
NANCY HOLLINGSWORTH
PRESIDENT & CEO	50.00	X	X	0	620246	119950
DEBRA CANALES
TRUSTEE; TRINITY EVP, CAO	2.00	X		0	852044	102033
SR MARY CORITA HEID RSM
TRUSTEE	2.00	X		0	0	0
CAROLYN DRAKE MD
TRUSTEE AS OF 1/13	2.00	X		0	0	0
LEE JAY KOLLIGIAN ESQ
TRUSTEE	2.00	X		0	0	0
DIANNE NURY
TRUSTEE	2.00	X		0	0	0
WILLIAM OWEN MD
TRUSTEE	2.00	X		0	0	0
WILLIAM HADCOCK MD
TRUSTEE; PHYSICIAN	2.00	X		46849	0	0
DEBORAH IKEDA
TRUSTEE	2.00	X		0	0	0
NEIL KOENIG PHD
TRUSTEE	2.00	X		0	0	0
SR KATHLEEN MORONEY CSC
TRUSTEE	2.00	X		0	0	0
CRAIG SALADINO
TRUSTEE	2.00	X		0	0	0
MIKE TOLLADAY
TRUSTEE AS OF 1/13	2.00	X		0	0	0
CHRISTINE SARRICO
CFO & TREASURER THR 9/12	50.00		X	0	368287	61516
VREELAND JONES ESQ
SECRETARY; GENERAL COUNSEL	50.00		X	0	227738	31942
MARK BATEMAN
COO	50.00		X	54000	310387	27365
PHILLIP ROBINSON TATUM LLC
INTERIM CFO & TREAS. AS OF 10/12	50.00		X	89005	0	0
JOSEPH SWEDISH
TRINITY HEALTH PRES & CEO THR 2/13	2.00			0	3233500	601476	53.00	X
KEDRICK ADKINS
TRINITY PRES INTEGR SYS THR 6/13	2.00			0	1821619	126167	53.00	X
J RICHARD O'CONNELL
EVP & PRES TRIN HLTH DIV	2.00			0	1036410	130423	53.00	X
STEPHEN SOLDO MD
CMO	50.00			0	492301	39900		X
STACY VAILLANCOURT
CAO	50.00			0	301449	31573		X
DEBBIE CHAPPELL
VP CLINICAL SERVICES	50.00			174288	0	47198		X
DEBRA PASLEY RN
CNO	50.00			0	196005	17350		X
TINA DEMARCO
CONSULTANT	50.00			0	486000	12500			X
GERALD MARGOSIAN
COORD. PHARM. OPERATIONS	50.00			284353	0	65257			X
PATRICIA HARGER
VP BUS DEVELOPMENT UNTIL 3/13	50.00			0	254380	38130			X
KEVIN KOZUKI
PHARMACIST	50.00			210261	0	19331			X
TY DUONG
PHARMACIST	50.00			204782	0	19893			X
THOMAS ANDERSON
FORMER OFFICER, LOYOLA CAO	0.00			0	549162	46429	50.00			X
JARELL E WILLIAMSON ESQ
FORMER OFFICER; STAFF ATTY.	50.00			0	164758	23672				X
MICHAEL MURPHY
FORMER KEY EMPLOYEE	0.00			0	180882	16630				X
TONI KAZARIAN
FORMER KEY EMPLOYEE; SR ADMIN DIR	50.00			173846	0	84744				X
MARYANN STATBILE INTER HLTH INV
FORMER KEY EMPLOYEE	0.00			120151	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1357535	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	11095168	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1663479	TotalOtherCompensation
Number Individuals GT100 K	446	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
STANFORD HOSPITAL AND CLINICS
300 PASTEUR DR FALK BLDG MC	STANFORD	CA	94305	MEDICAL PROFESSIONAL SERVICES	3449246
SEALSBIEHLE GENERAL CONTRACTORS
9410 W PLACER AVE	VISALIA	CA	93291	CONSTRUCTION SERVICES	2036538
ANGELICA CORPORATION
1105 LAKEWOOD PARKWAY STE 210	ALPHARETTA	GA	30009	LAUNDRY SERVICES	1795655
DAVITA DIALYSIS GHENT
PO BOX 403008	ATLANTA	GA	30384	DIALYSIS SERVICES	1605124
CROSS COUNTRY STAFFING
6551 PARK OF COMMERCE BLVD	BOCA RATON	FL	33487	TEMPORARY MEDICAL STAFFING SERVICES	1519499

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	72	NumberOfContractorsGT100K
Fundraising Events	454285	FundraisingEvents
Related Organizations	3200	RelatedOrganizations
Government Grants	10625	GovernmentGrants
All Other Contributions	1217647	AllOtherContributions
Noncash Contributions	175650	NoncashContributions
Total Contributions	1685757	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
ACUTE INPATIENT SVCS	900099	334940737	334940737
ACUTE OUTPATIENT SVCS	900099	143940852	143767860	172992

Field	Value	IRS element (for citing)
Total Program Service Revenue	478881589	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	9100326	TotalRevenueColumn
Exclusion	$9,100,326	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	744355	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	291589	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	452766	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	452766	TotalRevenueColumn
Exclusion	$452,766	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5667290	Securities
Other	62845	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	458447	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5667290	Securities
Other	-395602	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5271688	TotalRevenueColumn
Exclusion	$5,271,688	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	87626	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	454285	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	296428	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-208802	TotalRevenueColumn
Exclusion	-$208,802	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	74727	GrossIncomeGaming
Gaming Direct Expenses	53574	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	21153	TotalRevenueColumn
Exclusion	$21,153	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MEDICARE/MEDICAID HIT	900099	4395418	4395418
OTHER REVENUE	900099	2091740	1957168	134572
CAFETERIA REVENUE	900099	2026956			$2,026,956

Field	Value	IRS element (for citing)
Total Other Revenue	8514114	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	503718591	TotalRevenueColumn
Related Or Exempt Function Income	485061183	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	307564	UnrelatedBusinessRevenue
Exclusion	$16,664,087	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	122207	Total
Program Services	122207	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	48797	Total
Program Services	48797	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3461536	Total
Management And General	3461536	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	552059	Total
Program Services	103727	ProgramServices
Management And General	448332	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	167618454	Total
Program Services	157514564	ProgramServices
Management And General	9571129	ManagementAndGeneral
Fundraising	532761	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	12113151	Total
Program Services	11433247	ProgramServices
Management And General	641240	ManagementAndGeneral
Fundraising	38664	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7017326	Total
Program Services	6607077	ProgramServices
Management And General	387915	ManagementAndGeneral
Fundraising	22334	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12696203	Total
Program Services	11237507	ProgramServices
Management And General	1420667	ManagementAndGeneral
Fundraising	38029	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	497485	Total
Program Services	468479	ProgramServices
Management And General	29006	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	372318	Total
Management And General	372318	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	24122519	Total
Program Services	21616995	ProgramServices
Management And General	2480067	ManagementAndGeneral
Fundraising	25457	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	718657	Total
Program Services	13321	ProgramServices
Management And General	696456	ManagementAndGeneral
Fundraising	8880	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4954940	Total
Program Services	3737783	ProgramServices
Management And General	1172150	ManagementAndGeneral
Fundraising	45007	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	19067924	Total
Program Services	399121	ProgramServices
Management And General	18668353	ManagementAndGeneral
Fundraising	450	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7335321	Total
Program Services	6936319	ProgramServices
Management And General	392933	ManagementAndGeneral
Fundraising	6069	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	476207	Total
Program Services	324339	ProgramServices
Management And General	124697	ManagementAndGeneral
Fundraising	27171	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3929661	Total
Program Services	3929661	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26899149	Total
Program Services	9420135	ProgramServices
Management And General	17470353	ManagementAndGeneral
Fundraising	8661	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2577672	Total
Management And General	2577672	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	64511461	64511461
HOSPITAL PROVIDER TAX	61201633	61201633
BAD DEBT	30817487	30817487
UBI TAXES	79984		79984

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	33498774	Total
Program Services	12794532	ProgramServices
Management And General	20518678	ManagementAndGeneral
Fundraising	185564	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	484690925	Total
Program Services	403238392	ProgramServices
Management And General	80513486	ManagementAndGeneral
Fundraising	939047	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2268472	BOY
EOY	19914230	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	275757	BOY
EOY	267271	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2140659	BOY
EOY	2074375	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	60250038	BOY
EOY	69100636	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	400000	BOY
EOY	1203567	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6708665	BOY
EOY	6289051	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1065633	BOY
EOY	1159239	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	505761758	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	303241941	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	210044664	BOY
EOY	202519817	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	125140440	BOY
EOY	162077758	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	183209387	BOY
EOY	142132830	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25487984	BOY
EOY	25372070	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	616991699	BOY
EOY	632110844	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39525795	BOY
EOY	38047095	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	445471	BOY
EOY	266986	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	516579	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	113327519	BOY
EOY	106251288	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	153298785	BOY
EOY	145081948	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	449482300	BOY
EOY	471993049	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3636591	BOY
EOY	3682154	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10574023	BOY
EOY	11353693	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	463692914	BOY
EOY	487028896	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	616991699	BOY
EOY	632110844	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19027666	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	7471389	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-3163073	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$63,727	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	63727	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	SAINT AGNES MEDICAL CENTER HAS HAD DIRECT CONTACT WITH AND SENT MAILINGS TO LEGISLATORS DURING THE YEAR. THIS CONTACT INCLUDED DISCUSSIONS OF HEALTH CARE AND MEDICARE ISSUES. SAINT AGNES MEDICAL CENTER HAS ALSO 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 SAINT AGNES MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAINT AGNES MEDICAL CENTER MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13673937	BeginningOfYearBalance
Contributions	38630	Contributions
Investment Earnings Or Losses	1184274	InvestmentEarningsOrLosses
End Of Year Balance	14896841	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13948318	BeginningOfYearBalance
Contributions	80410	Contributions
Investment Earnings Or Losses	-354791	InvestmentEarningsOrLosses
End Of Year Balance	13673937	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11889721	BeginningOfYearBalance
Contributions	30096	Contributions
Investment Earnings Or Losses	2028501	InvestmentEarningsOrLosses
End Of Year Balance	13948318	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11022433	BeginningOfYearBalance
Contributions	19842	Contributions
Investment Earnings Or Losses	902081	InvestmentEarningsOrLosses
Other Expenditures	54635	OtherExpenditures
End Of Year Balance	11889721	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	13058503	BeginningOfYearBalance
Contributions	403895	Contributions
Investment Earnings Or Losses	-2439965	InvestmentEarningsOrLosses
End Of Year Balance	11022433	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.23780	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.76220	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1369459	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	5093934	OtherCostOrOtherBasis
Book Value	6463393	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	293795787	OtherCostOrOtherBasis
Depreciation	142880865	Depreciation
Book Value	150914922	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3947874	OtherCostOrOtherBasis
Depreciation	2247751	Depreciation
Book Value	1700123	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	198349195	OtherCostOrOtherBasis
Depreciation	158113325	Depreciation
Book Value	40235870	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3205509	OtherCostOrOtherBasis
Book Value	3205509	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	202519817	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	43510050	F
EQUITY METHOD INVESTMENTS	52212060	C
HEDGE FUNDS	46410720	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	142132830	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY ACCOUNTS PAYABLE	$1,900,279
ASSET RETIREMENT OBLIGATION (FIN 47)	$1,491,955
INTERCOMPANY NOTES PAYABLE	$102,280,073
OTHER LONG-TERM LIABILITIES	$578,981

Field	Value	IRS element (for citing)
Total Of Amounts	106251288	TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	SAINT AGNES MEDICAL CENTER HAS ENDOWMENT FUNDS (BOARD DESIGNATED AND PERMANENTLY RESTRICTED) WHERE THE GOAL IS TO BUILD THE OVERALL ENDOWMENT FUNDS TO $25 MILLION. UPON REACHING THIS GOAL, INVESTMENT INCOME FROM THE FUNDS WILL BE USED BY SAINT AGNES MEDICAL CENTER TO PURCHASE EQUIPMENT AND TO OFFSET OPERATING EXPENDITURES. PRIOR TO REACHING THE $25 MILLION GOAL, AN ANNUAL DISTRIBUTION EQUAL TO THE LESSER OF 50% OF THE ANNUAL INVESTMENT INCOME OR 5% OF THE ENDOWMENT FUND BALANCE WILL BE DISTRIBUTED TO SAINT AGNES MEDICAL CENTER. AS OF JUNE 30,2013, THE BOARD DESIGNATED ENDOWMENT FUND WAS $3.6 MILLION AND THE PERMANENTLY RESTRICTED ENDOWMENT FUND WAS $10.8 MILLION. SAINT AGNES MEDICAL CENTER HAS ANOTHER PERMANENTLY RESTRICTED ENDOWMENT FUND, THE INCOME FROM WHICH IS USED FOR NURSING EDUCATION. AS OF JUNE 30, 2013, THIS PERMANENTLY RESTRICTED ENDOWMENT FUND WAS $491,000.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FASHION SHOW	NameOfEvent1
Gross Receipts Event1	152453	GrossReceiptsEvent1
Charitable Contributions Event1	119226	CharitableContributionsEvent1
Gross Revenue Event1	33227	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	8982	RentFacilityCostsEvent1
Food And Beverage Event1	17726	FoodAndBeverageEvent1
Entertainment Event1	15271	EntertainmentEvent1
Other Direct Expenses Event1	28858	OtherDirectExpensesEvent1
Name Of Event2	DINNER & GOLF	NameOfEvent2
Gross Receipts Event2	150330	GrossReceiptsEvent2
Charitable Contributions Event2	120258	CharitableContributionsEvent2
Gross Revenue Event2	30072	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	44503	RentFacilityCostsEvent2
Food And Beverage Event2	31095	FoodAndBeverageEvent2
Entertainment Event2	11155	EntertainmentEvent2
Other Direct Expenses Event2	17682	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	239128	GrossReceiptsOtherEvents
Charitable Contrib Other Events	214801	CharitableContribOtherEvents
Gross Revenue Other Events	24327	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	1896	RentFacilityCostsOtherEvents
Food And Beverage Other Events	34400	FoodAndBeverageOtherEvents
Entertainment Other Events	13201	EntertainmentOtherEvents
Other Direct Expenses Other Events	71659	OtherDirectExpensesOtherEvents
Gross Receipts Total	541911	GrossReceiptsTotal
Charitable Contributions Total	454285	CharitableContributionsTotal
Gross Revenue Total Events	87626	GrossRevenueTotalEvents
Rent Facility Costs Total Events	55381	RentFacilityCostsTotalEvents
Food And Beverage Total Events	83221	FoodAndBeverageTotalEvents
Entertainment Total Events	39627	EntertainmentTotalEvents
Other Direct Expenses Total Events	118199	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	296428	DirectExpenseSummaryEvents
Net Income Summary	-208802	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	74727	GrossRevenueOtherGaming
Cash Prizes Other Gaming	1500	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	48614	NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming	3460	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.10000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	74727	GrossRevenueTotalGaming
Cash Prizes Total Gaming	1500	CashPrizesTotalGaming
Non Cash Prizes Total Gaming	48614	NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming	3460	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	53574	DirectExpenseSummaryGaming
Net Gaming Income Summary	21153	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConducted
Licensed	0	Licensed
Explanation If No	ORGANIZATION IS EXEMPT AND DOES NOT REQUIRE A LICENSE.	ExplanationIfNo
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	MARISELA ROMO	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	1111 E SPRUCE AVENUE	AddressLine1
City	FRESNO	City
State	CA	State
ZIP Code	93720	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	TERI AMERINE	GamingManagerNamePerson
Gaming Manager Compensation	1195	GamingManagerCompensation
Gaming Manager Services Provided	THE GAMING ACTIVITIES AT SAINT AGNES MEDICAL CENTER PRIMARILY RELATE TO RAFFLE TICKET SALES AT FUNDRAISING EVENTS. TERI AMERINE, VP - FOUNDATION, MANAGES THE OVERALL GAMING ACTIVITIES INCLUDING THE RECORDKEEPING, HIRING AND FIRING OF WORKERS, AND MAKING THE BANK DEPOSITS FOR THE GAMING ACTIVITIES. TERI AMERINE'S COMPENSATION ALLOCATED TO GAMING ACTIVITIES IS APPROXIMATELY $1,195.	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	0	CharitableDistribRequired

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent350	X	Pcent350
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	8131	PersonsServed
Total Community Benefit Expense	8345214	TotalCommunityBenefitExpense
Net Community Benefit Expense	8345214	NetCommunityBenefitExpense
Percent Of Total Expense	0.01840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	46383	PersonsServed
Total Community Benefit Expense	138398505	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121238499	DirectOffsettingRevenue
Net Community Benefit Expense	17160006	NetCommunityBenefitExpense
Percent Of Total Expense	0.03780	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	54514	PersonsServed
Total Community Benefit Expense	146743719	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121238499	DirectOffsettingRevenue
Net Community Benefit Expense	25505220	NetCommunityBenefitExpense
Percent Of Total Expense	0.05620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	7072	PersonsServed
Total Community Benefit Expense	881602	TotalCommunityBenefitExpense
Net Community Benefit Expense	881602	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	122207	TotalCommunityBenefitExpense
Net Community Benefit Expense	122207	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	7072	PersonsServed
Total Community Benefit Expense	1003809	TotalCommunityBenefitExpense
Net Community Benefit Expense	1003809	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	61586	PersonsServed
Total Community Benefit Expense	147747528	TotalCommunityBenefitExpense
Direct Offsetting Revenue	121238499	DirectOffsettingRevenue
Net Community Benefit Expense	26509029	NetCommunityBenefitExpense
Percent Of Total Expense	0.05840	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	40681	PersonsServed
Total Community Building Expense	540051	TotalCommunityBuildingExpense
Net Community Building Expense	540051	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	40681	PersonsServed
Total Community Building Expense	540051	TotalCommunityBuildingExpense
Net Community Building Expense	540051	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$7,197,863	BadDebtExpenseAmount
Amount Attributable To	3030300	AmountAttributableTo
Amount Reimbursed By Medicare	156853032	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	168594124	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11741092	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT AGNES MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1303 E HERNDON AVE	AddressLine1
City	FRESNO	City
State	CA	State
ZIP Code	93720	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.SAMC.COM	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT AGNES MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	350.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
State Regulation	X	StateRegulation
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
SAINT AGNES PEACHWOOD LABORATORY
275 W HERNDON AVE	CLOVIS	CA	93612	LAB
SAINT AGNES NORTHWEST LABORATORY
4770 W HERNDON AVE	FRESNO	CA	93722	LAB
SAINT AGNES LAB AT KEISHO PLAZA
568 E HERNDON AVE	FRESNO	CA	93720	LAB
SAINT AGNES CENTRAL FRESNO LABORATORY
1300 N FRESNO ST	FRESNO	CA	93703	LAB (CLOSED 3/13)
SAINT AGNES OAKHURST LABORATORY
40232 JUNCTION DRIVE	OAKHURST	CA	93644	LAB (CLOSED 2/13)
THE HOLY CROSS CLINIC AT POVERELLO HOUSE
412 F STREET	FRESNO	CA	93720	MEDICAL/DENTAL FOR THE INDIGENT
HOLY CROSS CENTER FOR WOMEN
421 F STREET	FRESNO	CA	93720	DAYTIME SHELTER FOR WOMEN AND CHILDREN

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A: SAINT AGNES MEDICAL CENTER REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAINT AGNES MEDICAL CENTER 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, L7 COL(F): THE FOLLOWING NUMBER, $30,817,487, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: COMMUNITY BUILDING ACTIVITIES - SAINT AGNES MEDICAL CENTER ENGAGES IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES. A SAMPLING IS INCLUDED HERE. ESTABLISHED IN 1984 BY SAINT AGNES MEDICAL CENTER AND THE SISTERS OF THE HOLY CROSS, SAINT AGNES HOLY CROSS CENTER FOR WOMEN (HCCW) SERVES AS A DAYTIME REFUGE FOR POOR AND HOMELESS WOMEN AND THEIR CHILDREN. AN AVERAGE OF 129 WOMEN AND 20 CHILDREN VISIT THE CENTER EACH DAY FOR A NAP, A WARM MEAL, TO BATHE, WASH THEIR CLOTHES OR SIMPLY WATCH TELEVISION. LOCATED ACROSS THE STREET FROM POVERELLO HOUSE IN DOWNTOWN FRESNO, HOLY CROSS CENTER FOR WOMEN IS EASILY ACCESSIBLE TO THOSE IN NEED. IT PROVIDES WOMEN OF ALL AGES AND THEIR CHILDREN A PEACEFUL RESPITE FROM THE COLD REALITIES OF THE STREETS. THEY CAN ALSO TAKE ADVANTAGE OF COUNSELING, REFERRAL SERVICES, EDUCATIONAL AND SKILLS TRAINING, AND RECREATIONAL ACTIVITIES.THOSE WHO COME TO THE CENTER ARE PREDOMINANTLY YOUNG, MINORITY, IMPOVERISHED WOMEN WITH CHILDREN WHOSE LIVES ARE CHALLENGED BY UNEMPLOYMENT, POVERTY, ADDICTION, RACISM, FEAR, LACK OF EDUCATION, LOW SELF-ESTEEM AND HOMELESSNESS. SOME COME BACK DAY AFTER DAY; OTHERS COME TO FILL A TEMPORARY NEED. ON A MONTHLY BASIS, HCCW PROVIDES:- GENTLY USED CLOTHING TO MORE THAN 403 INDIVIDUALS AND FAMILIES - WARM SHOWERS TO 774 HOMELESS WOMEN - WASHERS AND DRYERS TO ACCOMMODATE 455 LOADS OF LAUNDRY IN ADDITION TO REFUGE AND REST, HCCW PROVIDES WOMEN WITH OPPORTUNITIES TO LEARN NECESSARY SKILLS THAT ENABLE THEM TO BECOME SELF-SUFFICIENT SO THEY MAY EVENTUALLY BREAK THE CYCLE THEY ARE IN. THIS INCLUDES:- ENGLISH AS A SECOND LANGUAGE CLASSES- SELF-ESTEEM AND PARENTING CLASSES- SEWING INSTRUCTION- ARTS AND CRAFTS- PRAYER GROUPS- PSYCHOLOGIST COUNSELINGTHANKS TO THE COMMUNITY VOLUNTEERS WHO DONATE THEIR TIME TO LEAD THESE CLASSES AND ACTIVITIES, AND THE SUPPORTIVE STAFF AT HCCW, MANY CLIENTS HAVE SUCCESSFULLY TURNED THEIR LIVES AROUND AND BECOME PRODUCTIVE, CONTRIBUTING MEMBERS OF THE COMMUNITY.THE POVERELLO HOUSE, LOCATED ACROSS THE STREET FROM HOLY CROSS CENTER FOR WOMEN, PROVIDES FREE MEALS TO HUNDREDS OF HOMELESS INDIVIDUALS AND LOW-INCOME FAMILIES EVERY DAY. BESIDES NEEDING FOOD AND CLOTHING, MANY VISITORS LACK BASIC MEDICAL CARE. TO ADDRESS THIS NEED, THE SISTERS OF THE HOLY CROSS AND SAINT AGNES MEDICAL CENTER ESTABLISHED THE HOLY CROSS CLINIC AT POVERELLO HOUSE IN 1982. SAINT AGNES STAFF AND MEDICAL PROFESSIONAL VOLUNTEERS - INCLUDING SPECIALISTS, DENTISTS, NURSES, AND OTHER PARAMEDICAL PERSONNEL - PROVIDE FREE BASIC MEDICAL AND DENTAL CARE TO OUR VALLEY'S GROWING NUMBERS OF UNINSURED AND UNDERINSURED. LAST YEAR ALONE, HOLY CROSS CLINIC RECEIVED 4,284 VISITS FOR MEDICAL SERVICES AND 585 VISITS FOR DENTAL CARE. THE VALUE OF DONATED SERVICES TOTALED MORE THAN $512,491. HEALTH EDUCATION IS ALSO PROVIDED BY THE CLINIC TO TEACH INDIVIDUALS WHO SUFFER FROM CHRONIC CONDITIONS LIKE DIABETES AND ASTHMA HOW TO MANAGE THEIR DISEASE, PREVENT COMPLICATIONS AND EXPERIENCE A HEALTHIER, MORE PRODUCTIVE LIFESTYLE. FURTHER, THE CLINIC COLLABORATES WITH NUMEROUS COMMUNITY GROUPS AND SERVICE PROVIDERS TO REACH OUT TO THOSE CLIENTS WHO - IN ADDITION TO MEDICAL OR DENTAL SERVICES - MAY NEED HELP FINDING SHELTER OR OTHER SUPPORT SERVICES.
PART III, LINE 4: SAINT AGNES MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 17 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 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 MINISTRY ORGANIZATION 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 2: METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY. ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.PART III, LINE 3: SAINT AGNES MEDICAL CENTER USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FY13 WAS THE FIRST YEAR SAINT AGNES MEDICAL CENTER UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, SAINT AGNES MEDICAL CENTER IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL.
PART III, LINE 8: SAINT AGNES MEDICAL CENTER 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 V, SECTION B, LINE 3: IN ADDITION TO PRIMARY DATA SOURCES, A STRONG EMPHASIS WAS PLACED ON CONDUCTING FOCUS GROUPS AND INTERVIEWS OF KEY STAKEHOLDERS IN EACH COUNTY. A TOTAL OF 14 FOCUS GROUPS WERE CONDUCTED. IN ADDITION, EIGHT FACILITY CEOS OR SENIOR EXECUTIVES WERE INTERVIEWED BY PHONE OR IN PERSON AS WERE ALL FOUR COUNTY PUBLIC HEALTH DIRECTORS. TO ENSURE THAT THE FOCUS GROUP PROCESS COULD ALSO ACCOMMODATE INDIVIDUALS UNABLE TO TRAVEL TO THE MEETINGS OR PARTICIPATE IN PERSON (SUCH AS THOSE IN RURAL AREAS OR FRONTLINE HEALTHCARE STAFF WHO WOULD NOT BE ABLE TO BE RELEASED FROM THEIR WORK IN ORDER TO ATTEND THE FOCUS GROUPS), AN ONLINE SURVEY VERSION OF THE FOCUS GROUP QUESTIONS WAS CREATED TO SOLICIT INPUT.THE WORK OF GATHERING THE FOCUS GROUP DATA AND INTERVIEWS INVOLVED SECURING MEETING DATES AND SITES NEAR EACH OF THE PARTICIPATING FACILITIES IN EACH COUNTY. MEMBERS OF THE WORKING COMMITTEE IDENTIFIED KEY STAKEHOLDERS IN THEIR RESPECTIVE COMMUNITIES AND CONSULTANTS REACHED OUT BY EMAIL TO INVITE THEM TO A COMMUNITY FOCUS GROUP. A TOTAL OF 230 INDIVIDUALS WERE INVITED BY CONSULTANTS TO ATTEND THE COMMUNITY FOCUS GROUPS. HOSPITAL STAFF WERE ALSO IDENTIFIED BY THE COMMITTEE MEMBERS AND THEY WERE INVITED TO THEIR OWN FOCUS GROUP SESSIONS.	SAINT AGNES MEDICAL CENTER
PART V, SECTION B, LINE 4: THE HOSPITAL'S CHNA WAS CONDUCTED IN COLLABORATION WITH:1. ADVENTIST HEALTH/ADVENTIST MEDICAL CENTER - HANFORD2. ADVENTIST MEDICAL CENTER - REEDLEY3. CLOVIS COMMUNITY MEDICAL CENTER4. COALINGA REGIONAL MEDICAL CENTER5. CORCORAN DISTRICT HOSPITAL6. COMMUNITY REGIONAL MEDICAL CENTER (INCLUDES COMMUNITYBEHAVIORAL HEALTH CENTER)7. CHILDREN'S HOSPITAL CENTRAL CALIFORNIA8. FRESNO HEART & SURGICAL HOSPITAL9. KAISER PERMANENTE FRESNO MEDICAL CENTER10. KAWEAH DELTA HEALTH CARE DISTRICT11. MADERA COMMUNITY HOSPITAL12. SAN JOAQUIN VALLEY REHABILITATION HOSPITAL13. SIERRA VIEW DISTRICT HOSPITAL14. TULARE REGIONAL MEDICAL CENTER	SAINT AGNES MEDICAL CENTER
PART V, SECTION B, LINE 5C: LINE 5A: HTTP://WWW.SAMC.COM/DOCUMENTS/COMMUNITY%20BENEFITS/FINAL_CHNA_2013.PDF	SAINT AGNES MEDICAL CENTER
PART V, SECTION B, LINE 7: OF THE FOUR MAJOR NEEDS IDENTIFIED IN THE CHNA, THE ONE AREA WHICH WE HAVE NOT TAKEN DIRECT ACTION TO ADDRESS IS PHYSICAL ACTIVITY/OVERWEIGHT/OBESITY. GIVEN THE REGIONAL APPROACH TO OUR PLAN, RECOGNITION WAS MADE THAT EACH OF THE PARTNER HOSPITALS HAVE LIMITED FINANCIAL RESOURCES AND THEREFORE MUST WORK TOGETHER TO ACHIEVE GREATER COLLABORATION. SOME OF THE STEPS IDENTIFIED TO MEET THIS COLLABORATION INCLUDED:LINK DIABETES PATIENTS TO EFFECTIVE COMMUNITY-BASED PROGRAMS WHERE ONGOING SUPPORT, EDUCATION AND NEW HEALTHY BEHAVIORS ARE INCORPORATED INTO BROAD LIFESTYLE CHANGES; ENCOURAGE ACCESS TO NUTRITIOUS FOODS IN SCHOOLS, WORKPLACES AND OUR OWN FACILITIES; PROMOTE SAFE PLACES TO WALK AND EXERCISE IN REGIONAL PLANS WHEN OPPORTUNITIES ARISE ENCOURAGE EXERCISE AND FITNESS ACTIVITIES AMONG OUR OWN FACILITY STAFF. IN ADDITION, A NUMBER OF EFFORTS TO REDUCE OBESITY IN THE REGION HAVE ALREADY SURFACED IN OUR COMMUNITIES. FOR EXAMPLE, IN FRESNO COUNTY, THE DEPARTMENT OF PUBLIC HEALTH HAS ALREADY INITIATED THE HEALTHY EATING ACTIVE LIVING BLUEPRINT WHICH REFLECTS A COMPREHENSIVE, FIVE-YEAR STRATEGY TO REDUCE OBESITY AND RELATED CHRONIC DISEASE. SIMILARLY, ONE OF FRESNO'S MOST ACTIVE NONPROFITS, FRESNO METRO MINISTRY, IS LEADING THE CENTRAL CALIFORNIA REGIONAL OBESITY PREVENTION PROGRAM (CCROPP). IT ADVOCATES FOR SAFE PLACES TO PLAY AND EXERCISE, HEALTHY FOOD CHOICES, AND OPTIONS FOR IMPROVING PHYSICAL FITNESS. OUR EFFORTS SHOULD LINK TO AND BUILD ON THESE EFFORTS RATHER THAN TO DUPLICATE EFFORTS AT ADDITIONAL EXPENSE.	SAINT AGNES MEDICAL CENTER
PART V, SECTION B, LINE 12H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.	SAINT AGNES MEDICAL CENTER
PART V, SECTION B, LINE 14G: BROCHURES ARE AVAILABLE AND/OR SIGNS ARE POSTED AT THE DESKS OF FACILITY FINANCIAL ADVOCATES AND CASHIER, AS WELL AS IN THE PATIENT WAITING AREAS FOR EMERGENCY ROOM, REGISTRATION, OUTPATIENT DEPARTMENT, LABORATORY, SURGERY, SECOND FLOOR MAIN, AND FIRST FLOOR WEST/ENDOSCOPY.THE POLICY AND FORMS AVAILABLE FROM THE FINANCIAL ADVOCATE OFFICE, REGISTRATION, EMERGENCY DEPARTMENT, AND REGIONAL SHARED SERVICES CENTER.INFORMATION ABOUT FINANCIAL ASSISTANCE IS PROVIDED DURING ENCOUNTERS WITH FINANCIAL ADVOCATES AND UPON REQUEST TO CUSTOMER SERVICE REPRESENTATIVES AT THE REGIONAL SHARED SERVICES CENTER AND THE BILLING COMPANY, AND ON OUR WEBSITE: HTTP://WWW.SAMC.COM/FINANCIAL-SUPPORT. BILLING STATEMENTS REFERENCE THE AVAILABILITY OF THE POLICY FOR THOSE WHO ARE UNABLE TO PAY.	SAINT AGNES MEDICAL CENTER
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 350% OF THE FPG RECEIVE A WRITE OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES EQUAL TO THE HOSPITAL'S AVERAGE COMMERCIAL CONTRACTUAL ADJUSTMENT FOR ALL COMMERCIAL PAYERS.	SAINT AGNES MEDICAL CENTER
PART VI, LINE 2: NEEDS ASSESSMENT - SAINT AGNES MEDICAL CENTER ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT AGNES MEDICAL CENTER IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR ALL THOSE WE SERVE, PARTICULARLY OUR COMMUNITY'S POOR AND UNDERSERVED; - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY; - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE SERVICES/CARE PROVIDED;- BALANCING NEEDED PATIENT FINANCIAL ASSISTANCE WITH THE ORGANIZATION'S BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE. IN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, SAINT AGNES MEDICAL CENTER HAS ADOPTED THESE PRINCIPLES FOR HANDLING PATIENT BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS: - PROACTIVELY COMMUNICATE WITH PATIENTS REGARDING THEIR 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 CONSISTENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS; - IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PAYMENT OBLIGATIONS.SAINT AGNES MEDICAL CENTER PROACTIVELY COMMUNICATES WITH PATIENTS REGARDING THEIR PAYMENT OBLIGATIONS AND OFFERS FINANCIAL COUNSELING TO HELP PATIENTS UNDERSTAND THEIR HOSPITAL BILLS AND FINANCIAL OBLIGATIONS, AS WELL AS ADDRESS ANY FINANCIAL QUESTIONS OR CONCERNS THEY MAY HAVE. DURING THE PRE-REGISTRATION AND ADMITTING PROCESS, AND/OR THROUGH COMMUNICATION WITH PATIENTS SEEKING FINANCIAL ASSISTANCE, SAINT AGNES MEDICAL CENTER PROVIDES PATIENTS WITH INFORMATION ABOUT HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SPECIFIC SERVICES.THE SAINT AGNES MEDICAL CENTER REGISTRARS GIVE FINANCIAL ASSISTANCE APPLICATIONS TO EVERY PATIENT WHO EXPRESSES A FINANCIAL CONCERN AND THEN REFER THE PATIENT TO A HOSPITAL FINANCIAL COUNSELOR FOR FURTHER ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH AN ELIGIBILITY VENDOR WHO ASSISTS PATIENTS WITH THEIR MEDICAID APPLICATIONS AND ELIGIBILITY. THE VENDOR HELPS PATIENTS GATHER THE APPROPRIATE DOCUMENTS REQUIRED TO APPLY FOR MEDI-CAL OR MEDICARE DISABILITY; TRANSLATES AS NEEDED; AND PROVIDES TRANSPORTATION TO THE LOCAL WELFARE OFFICE, IF REQUIRED.FINANCIAL COUNSELORS HELP PATIENTS OBTAIN AND PAY FOR NEEDED HEALTH CARE SERVICES BY IDENTIFYING AND HELPING THEM APPLY FOR THOSE PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY. SAINT AGNES MEDICAL CENTER ALSO ASSISTS PATIENTS BY PAYING THEIR COBRA BENEFITS SO THAT THE PATIENT WILL HAVE HEALTH CARE COVERAGE WHILE OBTAINING SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.SAINT AGNES MEDICAL CENTER ALSO OFFERS FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE, BUT WHO HAVE LIMITED MEANS. DETAILS AND CONTACT INFORMATION FOR OBTAINING FINANCIAL ASSISTANCE IS MADE AVAILABLE AT ALL REGISTRATION SITES ON AND OFF CAMPUS. THIS INCLUDES A COMPREHENSIVE FINANCIAL ASSISTANCE PROGRAM BROCHURE GIVEN TO PATIENTS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM IS ALSO NOTED IN THE CONDITIONS OF ADMISSION AND ON THE PATIENT BILL. IT IS ALSO MADE AVAILABLE IN THE SAINT AGNES MEDICAL CENTER PATIENT FINANCIAL SERVICES OFFICE. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO THE PUBLIC, PHYSICIANS, FRESNO METRO MINISTRIES, HOLY CROSS CENTER FOR WOMEN AND HOLY CROSS CLINIC AT POVERELLO HOUSE. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE AS PART OF THE ADMISSION PACKET, ON THE PUBLIC SAINT AGNES MEDICAL CENTER WEB SITE, AND AT EACH REGISTRATION AREA. IN ADDITION TO ENGLISH, THIS INFORMATION IS AVAILABLE IN SPANISH AND HMONG.SAINT AGNES MEDICAL CENTER HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND FINANCIAL SUPPORT OF PATIENTS AND PATIENT PAYMENT OBLIGATIONS. THE MEDICAL CENTER MAKES EVERY EFFORT TO ADHERE TO THE POLICY AS PART OF ITS COMMITMENT TO ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. TO ENSURE THAT ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES, SAINT AGNES MEDICAL CENTER EDUCATES ITS EMPLOYEES - PARTICULARLY THOSE WORKING IN FINANCIAL ASSISTANCE, REGISTRATION, AND BILLING AND COLLECTION - ABOUT ITS FINANCIAL POLICY. SAINT AGNES MEDICAL CENTER ALSO INCLUDES THE VENDOR AND COLLECTION AGENCIES IN THIS EDUCATION.
PART VI, LINE 4: COMMUNITY INFORMATION - SAINT AGNES MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE MAJORITY OF FRESNO AND PORTIONS OF MADERA COUNTIES. THE REMAINDER OF FRESNO AND MADERA COUNTIES COMPRISES THE SECONDARY SERVICE AREA. COMBINED, SAINT AGNES MEDICAL CENTER'S SERVICE AREA ENCOMPASSES A POPULATION IN EXCESS OF 1 MILLION.DESPITE A NATIONAL ECONOMIC DOWNTURN, THE SAN JOAQUIN VALLEY AND THE STATE OF CALIFORNIA CONTINUE TO EXPERIENCE POPULATION GROWTH. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF FRESNO COUNTY ROSE BY 16.4% BETWEEN 2000 AND 2010, WHILE THE STATE OF CALIFORNIA'S POPULATION ROSE BY 10% DURING THE SAME TIME PERIOD. IN 2011, THE POPULATION FOR FRESNO COUNTY WAS ESTIMATED AT 942,904. A GROWING POPULATION REQUIRES INCREASED INFRASTRUCTURE. HOWEVER, THE COMBINED 2010-2011 & 2011-2012 DEFICITS CREATED A $25.4 BILLION BUDGET GAP FOR CALIFORNIA WHICH HAS SLOWED INFRASTRUCTURE DEVELOPMENT AND HAS ACTUALLY DECREASED THE SERVICES THAT RESPOND TO THE NEEDS OF CALIFORNIANS. IT HAS AFFECTED THE POOR AND UNDERSERVED IN PARTICULAR, ESPECIALLY THOSE IN NEED OF MENTAL HEALTH SERVICES.FRESNO COUNTY IS AN AREA OF IMMENSE NEED, WITH FEWER HEALTH RESOURCES THAN THE REST OF THE STATE. IT IS A REGION OF GREAT DIVERSITY, WITH BOTH URBAN AND RURAL POPULATIONS, MANY IMMIGRANTS WITH LIMITED ENGLISH PROFICIENCY, AND A LOW INCOME POPULATION THAT IS HIGHER THAN THE STATE AVERAGE. ALTHOUGH FRESNO COUNTY'S $5 BILLION+ AGRICULTURAL INDUSTRY IS THE LARGEST IN THE UNITED STATES, THE COUNTY IS SUSCEPTIBLE TO THE VAGARIES OF ADVERSE WEATHER, WORKER SHORTAGES AND INTERNATIONAL COMPETITION. OF 58 COUNTIES IN CALIFORNIA, FRESNO HAS ONE OF THE HIGHEST RATES FOR TEEN PREGNANCY, LOW BIRTH-WEIGHT, INFANT DEATHS, ASTHMA, AND DEATHS DUE TO DIABETES. SOME OF THE CAUSES OF POOR HEALTH IN FRESNO COUNTY INCLUDE HIGH POVERTY, LACK OF HEALTH INSURANCE, POPULATION DIVERSITY, AND LACK OF MEDICAL INFRASTRUCTURE.ETHNIC, CULTURAL AND LINGUISTIC DIVERSITY CONTINUES TO INCREASE IN THE SAN JOAQUIN VALLEY, WHICH HAS A SIGNIFICANT POPULATION OF IMMIGRANTS AND REFUGEES, LINKING BACK TO EARLY SETTLEMENTS BY NATIVE AMERICANS AND THE EARLY CALIFORNIANOS WHO FARMED THIS REGION OF THE SAN JOAQUIN VALLEY. CALIFORNIA IS HOME TO 97 NATIVE AMERICAN TRIBES AND OUR REGION HOLDS SEVEN DIFFERENT TRIBAL LANDS PRIMARILY IN MADERA, FRESNO, AND TULARE COUNTY. IN 2011, THE U.S. CENSUS BUREAU ESTIMATED THAT FRESNO COUNTY'S TOTAL POPULATION IS 50.9% HISPANIC OR LATINO, 32.4% WHITE, 10.6% ASIAN AND PACIFIC ISLANDER, 5.9% AFRICAN-AMERICAN AND 3.0% NATIVE AMERICAN. THIS DIVERSITY HAS SIGNIFICANT IMPLICATIONS FOR HEALTHCARE DELIVERY WHEN WE LOOK AT THE LINGUISTIC NEEDS OF RESIDENTS WHO SEEK CARE. ACCORDING TO THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION, FRESNO COUNTY HAS 66 DIFFERENT LANGUAGES USED AT HOME. NEARLY HALF THE POPULATION OF FRESNO COUNTY (46.43%) ARE LIVING AT 200% OF THE FEDERAL POVERTY LEVEL. BY COMPARISON, 32.8% OF CALIFORNIANS AS A WHOLE LIVE AT THIS INCOME. WITHOUT A DOUBT, THE POVERTY LEVEL IN THE REGION IS IMPACTED BY THE LARGER ECONOMIC CHALLENGE POSED BY THE CURRENT ECONOMIC CLIMATE WHICH CREATED HIGH UNEMPLOYMENT RATES THROUGHOUT CALIFORNIA. THE REGION HAS EXPERIENCED FOUR TO SIX PERCENTAGE POINTS HIGHER RATES OF UNEMPLOYMENT THAN THE REST OF CALIFORNIA (FOR EXAMPLE, FRESNO COUNTY = 14.7% VS. CALIFORNIA OVERALL = 10.9%)ACCORDING TO THE AMERICAN LUNG ASSOCIATION, FRESNO-MADERA RANKS NO. 2 ON THE LIST OF THE TOP TEN MOST POLLUTED CITIES IN THE UNITED STATES. ASTHMA, CHRONIC BRONCHITIS, EMPHYSEMA AND CARDIOVASCULAR DISEASE HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF THE PEOPLE OF FRESNO.
PART VI, LINE 5: OTHER INFORMATION - SAINT AGNES MEDICAL CENTER'S CONTINUING MEDICAL EDUCATION (CME) PROGRAM STRIVES TO IMPROVE PATIENT CARE BY PROVIDING HIGH QUALITY EDUCATIONAL ACTIVITIES THAT ENHANCE PHYSICIAN KNOWLEDGE AND SKILLS AND PROMOTE LIFELONG LEARNING. PHYSICIANS WHO ATTEND SAINT AGNES MEDICAL CENTER'S CME ACTIVITIES EARN CREDITS TO SUPPORT THEIR STATE LICENSES AND BOARD CERTIFICATIONS. THE CLINICAL RESEARCH CENTER CONDUCTS PHARMACEUTICAL AND DEVICE STUDIES IN A WIDE RANGE OF THERAPEUTIC AREAS. CLINICAL TRIALS OF INVESTIGATIONAL DRUGS AND DEVICES, WHICH ARE SUPPORTED BY THE INDUSTRY, PROVIDE PATIENTS ACCESS TO INVESTIGATIONAL TREATMENTS AND SERVICES USUALLY AT NO ADDITIONAL COST. CLINICAL RESEARCH IS ALSO RESPONSIBLE FOR THE ADMINISTRATION OF THE INSTITUTIONAL REVIEW BOARD (IRB), WHICH ENSURES THAT THE RIGHTS AND WELFARE OF ALL HUMAN SUBJECTS INVOLVED IN CLINICAL RESEARCH ARE PROTECTED. APPROXIMATELY 750 VOLUNTEERS GENEROUSLY PROVIDE CARE AND SERVICE TO SAINT AGNES MEDICAL CENTER'S PATIENTS, STAFF, PHYSICIANS AND GUESTS. IN ADDITION TO SUPPORTING VARIOUS DEPARTMENTS AND PROGRAMS WITHIN THE HOSPITAL, MANY OF THESE INDIVIDUALS REPRESENT SAINT AGNES MEDICAL CENTER WITHIN THE COMMUNITY, VOLUNTEERING THEIR TIME TO SUCH COMMUNITY PROJECTS AS READING TO THE BLIND, MENTORING ELEMENTARY SCHOOL CHILDREN, COORDINATING BLOOD DRIVES, SUPPORTING THE COMMUNITY FOOD BANK, AND SUPPORTING THE AMERICAN CANCER SOCIETY, HABITAT FOR HUMANITY, SPCA AND THE "BABY TRACKING" INFANT IMMUNIZATION PROGRAM.SAINT AGNES PLAYS A CRITICAL ROLE IN EFFORTS TO END HOMELESSNESS BY FINANCIALLY SUPPORTING AND SERVING ON THE BOARD OF FRESNO FIRST STEPS HOME, AN INITIATIVE LED BY MAYOR ASHLEY SWEARINGEN. IN ADDITION TO SERVING THE HOMELESS POPULATION (AS ADDRESSED IN EARLIER SECTION), SAINT AGNES PARTICIPATED IN REMOVING HOMELESS ENCAMPMENTS AND MOVING INDIVIDUALS INTO STABILIZED LONG-TERM HOUSING.
PART VI, LINE 6: SAINT AGNES MEDICAL CENTER IS A MEMBER OF CHE TRINITY HEALTH, THE SECOND-LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. CHE 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, CHE 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 CHE TRINITY HEALTH, VISIT WWW.NEWHEALTHMINISTRY.ORG.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION (WESTERN STATES AFFILIATE)
7425 N PALM BLUFF AVE STE 101	FRESNO	CA	93711	135613797	501(C)(3)	15000	SPONSORSHIP FOR FUND-RAISING EVENT
CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO
149 N FULTON ST	FRESNO	CA	93701	941678938	501(C)(3)	16000	SPONSORSHIP FOR FUND-RAISING EVENT
CENTRAL CALIFORNIA WOMEN'S CONFERENCE
PO BOX 26214	FRESNO	CA	93729	770178140	501(C)(3)	17000	SPONSORSHIP FOR FUND-RAISING EVENT
MARCH OF DIMES FOUNDATION (CENTRAL VALLEY DIVISION)
4201 W SHAW SUITE 105	FRESNO	CA	93722	131846366	501(C)(3)	5000	SPONSORSHIP FOR FUND-RAISING EVENT
UNIVERSITY OF CALIFORNIA SAN FRANCISCO FOUNDATION
220 MONTGOMERY ST 5TH FLOOR	SAN FRANCISCO	CA	94104	942829914	501(C)(3)	5000	SPONSORSHIP FOR FUND-RAISING EVENT
GREATER FRENSO CHAMBER OF COMMERCE
2331 FRESNO STREET	FRESNO	CA	93721	940489640	501(C)(6)	7500	SPONSORSHIP FOR FUND-RAISING EVENT
HEALTHCARE FOUNDATON OF NORTHERN AND CENTRAL CALIFORNIA
1215 K STREET	SACRAMENTO	CA	95814	861147825	501(C)(3)	25000	ANNUAL FUNDING COMMITMENT FOR THE FRESNO MEDICAL RESPITE CENTER

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
TRANSPORTATION SERVICES	101	18019	COST	MEDICAL TRANSPORT/PUBLIC TRANSPORTATION
TEMPORARY HOUSING & IN-HOME ASSISTANCE	3	1370	COST	TEMPORARY HOUSING & ASSISTED LIVING
PHARMACEUTICALS	81	12516	COST	PHARMACEUTICALS
FUNERAL EXPENSES	15	3450	COST	FUNERAL EXPENSES
MEDICAL EQUIPMENT & SUPPLIES	59	8940	COST	MEDICAL EQUIPMENT & SUPPLIES
HEALTH INSURANCE/COBRA	7	4138	COST	HEALTH INSURANCE/COBRA
MISCELLANEOUS	3	364	COST	ELECTRIC BILL AND DMV RENEWAL

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY SAINT AGNES MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
NANCY HOLLINGSWORTH
PRESIDENT & CEO	0	395641	0	148871	0	75734	0	99032	0	20918	0	740196	0	10423
DEBRA CANALES
TRUSTEE; TRINITY EVP, CAO	0	508488	0	236816	0	106740	0	82290	0	19743	0	954077	0	22307
CHRISTINE SARRICO
CFO & TREASURER THR 9/12	0	280902	0	0	0	87385	0	46273	0	15243	0	429803	0	0
VREELAND JONES ESQ
SECRETARY; GENERAL COUNSEL	0	221583	0	0	0	6155	0	15823	0	16119	0	259680	0	0
MARK BATEMAN
COO	54000	290315	0	0	0	20072	0	12500	0	14865	54000	337752	0	0
JOSEPH SWEDISH
TRINITY HEALTH PRES & CEO THR 2/13	0	1402192	0	786411	0	1044897	0	572762	0	28714	0	3834976	0	520902
KEDRICK ADKINS
TRINITY PRES INTEGR SYS THR 6/13	0	784856	0	366716	0	670047	0	112792	0	13375	0	1947786	0	265335
J RICHARD O'CONNELL
EVP & PRES TRIN HLTH DIV	0	607209	0	284428	0	144773	0	97104	0	33319	0	1166833	0	0
STEPHEN SOLDO MD
CMO	0	395007	0	79174	0	18120	0	20000	0	19900	0	532201	0	0
STACY VAILLANCOURT
CAO	0	235421	0	56610	0	9418	0	18850	0	12723	0	333022	0	0
DEBBIE CHAPPELL
VP CLINICAL SERVICES	166203	0	0	0	8085	0	32051	0	15147	0	221486	0	0	0
DEBRA PASLEY RN
CNO	0	160911	0	0	0	35094	0	9520	0	7830	0	213355	0	0
TINA DEMARCO
CONSULTANT	0	486000	0	0	0	0	0	12500	0	0	0	498500	0	0
GERALD MARGOSIAN
COORD. PHARM. OPERATIONS	263176	0	0	0	21177	0	42322	0	22935	0	349610	0	0	0
PATRICIA HARGER
VP BUS DEVELOPMENT UNTIL 3/13	0	203015	0	41339	0	10026	0	19572	0	18558	0	292510	0	0
KEVIN KOZUKI
PHARMACIST	210166	0	0	0	95	0	11566	0	7765	0	229592	0	0	0
TY DUONG
PHARMACIST	201283	0	0	0	3499	0	12127	0	7766	0	224675	0	0	0
THOMAS ANDERSON
FORMER OFFICER, LOYOLA CAO	0	403580	0	74406	0	71176	0	25000	0	21429	0	595591	0	0
JARELL E WILLIAMSON ESQ
FORMER OFFICER; STAFF ATTY.	0	164409	0	0	0	349	0	5110	0	18562	0	188430	0	0
MICHAEL MURPHY
FORMER KEY EMPLOYEE	0	139488	0	0	0	41394	0	4650	0	11980	0	197512	0	0
TONI KAZARIAN
FORMER KEY EMPLOYEE; SR ADMIN DIR	166273	0	0	0	7573	0	76892	0	7852	0	258590	0	0	0
MARYANN STATBILE INTER HLTH INV
FORMER KEY EMPLOYEE	120151	0	0	0	0	0	0	0	0	0	120151	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	DURING CALENDAR 2012, SAINT AGNES MEDICAL CENTER PAID THE FOLLOWING COUNTRY CLUB DUES: NANCY HOLLINGSWORTH - $5,400 NONE OF THE CLUB DUES WERE INCLUDED IN TAXABLE INCOME AS THE COUNTRY CLUB WAS USED FOR BUSINESS PURPOSES ONLY.
PART I, LINE 3	SAINT AGNES MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT AGNES MEDICAL CENTER'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT AGNES MEDICAL CENTER'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2012. THIS AMOUNT IS INCLUDED IN COLUMN B(III): CHRISTINE SARRICO - $56,100 IN ADDITION, COLUMN (C) OF SCHEDULE J, PART II INCLUDES $38,251 OF SEVERANCE FOR CHRISTINE SARRICO WHICH WAS UNPAID AS OF 12/31/12. THE $38,251 WAS PAID AND INCLUDED IN CHRISTINE SARRICO'S TAXABLE INCOME IN 2013. 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 ($250,000 FOR 2012). THE FOLLOWING ACCRUALS FOR 2012 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $100,292 DEBRA CANALES - $60,671 NANCY HOLLINGSWORTH - $56,313 J. RICHARD O'CONNELL - $77,104 JOSEPH SWEDISH - $543,977 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $185,540 JOSEPH SWEDISH - $530,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.
PART III	PART II: MARK BATEMAN - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY SAINT AGNES MEDICAL CENTER IN CALENDAR 2012 TO B.E. SMITH, INC. FOR MR. BATEMAN'S SERVICES AS INTERIM COO. SAINT AGNES MEDICAL CENTER DOES NOT KNOW HOW MUCH MR. BATEMAN RECEIVED AS WAGES FROM B.E. SMITH, INC. IN CALENDAR 2012. PART II: MARYANN STABILE - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY SAINT AGNES MEDICAL CENTER IN CALENDAR 2012 TO INTERIM HEALTH INNOVATIONS, LLC FOR MS. STABILE'S SERVICES AS INTERIM CNO. SAINT AGNES MEDICAL CENTER DOES NOT KNOW HOW MUCH MS. STABILE RECEIVED AS WAGES FROM INTERIM HEALTH INNOVATIONS, LLC IN CALENDAR 2012. PART II: PHILLIP ROBINSON - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY SAINT AGNES MEDICAL CENTER IN CALENDAR 2012 TO TATUM, LLC FOR MR. ROBINSON'S SERVICES AS INTERIM CFO AND TREASURER. SAINT AGNES MEDICAL CENTER DOES NOT KNOW HOW MUCH MR. ROBINSON RECEIVED AS WAGES FROM TATUM, LLC IN CALENDAR 2012.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	ALEXANDER SANCHEZ	NamePerson

Field	Value	IRS element (for citing)
Relationship	FAMILY MEMBER OF PHILLIP SANCHEZ, VICE CHAIR	Relationship
Amount Of Transaction	103727	AmountOfTransaction
Description Of Transaction	EMPLOYMENT ARRANGEMENT	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	1570	NoncashContribsRptdF990
Method Of Determining Revenues	DONOR VALUED	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	AUCTION ITEMS	371	164460	DONOR VALUED
X	COUNTRY CLUB MEMBERSHIP	1	9620	DONOR VALUED

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	SAINT AGNES MEDICAL CENTER RECEIVES GIFT-IN-KIND DONATIONS IN SUPPORT OF FUNDRAISING EVENTS. THESE DONATIONS ARE PRIMARILY AUCTION ITEMS, AND THE REVENUE FOR THESE ITEMS IS NOT RECORDED UNLESS THE ITEMS ARE SOLD DURING THE AUCTION. ITEMS THAT DO NOT SELL AT THE AUCTION ARE RETURNED TO THE DONOR. DONATED SUPPLIES ARE ALSO RECEIVED FOR THE FUNDRAISING EVENTS AND ARE RECORDED AT FAIR MARKET VALUE.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	MS. DIANNE NURY - SAMC TRUSTEE, AND MR. CRAIG SALADINO - SAMC TRUSTEE, HAVE A BUSINESS RELATIONSHIP. MR. NEIL KOENIG - SAMC TRUSTEE, AND MR. CRAIG SALADINO - SAMC TRUSTEE, HAVE A BUSINESS RELATIONSHIP. MR. A THOMAS FERDINANDI, JR. - SAMC VICE CHAIR, AND MR. CRAIG SALADINO - SAMC TRUSTEE, HAVE A BUSINESS RELATIONSHIP. MR. MICHAEL MARTINEZ - SAMC BOARD CHAIR HAS A BUSINESS RELATIONSHIP WITH DR. STEPHEN SOLDO, SAMC KEY EMPLOYEE.
FORM 990, PART VI, SECTION A, LINE 3	SAINT AGNES MEDICAL CENTER CONTRACTED WITH THE FOLLOWING COMPANIES FOR THE PROVISION OF INTERIM EXECUTIVE SERVICES: - B.E. SMITH, INC., FOR INTERIM COO SERVICES UNTIL 2/12 - INTERIM HEALTH INNOVATIONS, LLC, FOR INTERIM CNO SERVICES UNTIL 5/12 - TATUM, LLC, FOR INTERIM CFO SERVICES AS OF 10/12 SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT AGNES MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING, THE FORM 990 FOR SAINT AGNES MEDICAL CENTER IS REVIEWED BY SENIOR MANAGEMENT. THE MEMBERS OF THE BOARD OF TRUSTEES RECEIVE A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	SAINT AGNES MEDICAL CENTER HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAINT AGNES MEDICAL CENTER, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAINT AGNES MEDICAL CENTER'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT AGNES MEDICAL CENTER OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF SAINT AGNES MEDICAL CENTER IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAINT AGNES MEDICAL CENTER. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF SAINT AGNES MEDICAL CENTER 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 SAINT AGNES MEDICAL CENTER 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	SAINT AGNES MEDICAL CENTER 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. IN ADDITION, SAINT AGNES MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFILIATES: -2,990,674. EQUITY LOSS IN UNCONSOLIDATED AFFILIATES: -172,399.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2:	SAINT AGNES MEDICAL CENTER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY13 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (242 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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		0	N/A
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		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
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		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	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 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	0
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	0
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	0
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	0
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	0
MERCY HEALTHCARE FOUNDATION
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 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	0
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	496012331	203357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH-MICHIGAN	0
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	0
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	527322940	421336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	0
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	0
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	504012800	421229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	LINE 11C, III-FI		0	N/A
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	0
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	208192593	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 9	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	0
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	LINE 11B, II	TRINITY CONTINUING CARE SERVICES	0
MIDWEST MEDFLIGHT
1300 VICTORS WAY	ANN ARBOR	MI	48108	382684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	0
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	0
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	0
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	0
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	0
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	0
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	0
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	0
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	0
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	0
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
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	0
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	494423257	382638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	LINE 9	TRINITY HEALTH-MICHIGAN	0
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 11A, I	SAINT AGNES MEDICAL CENTER	1
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	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	0
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	0
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 7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	0
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	0
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	0
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	0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS MEDICAL CENTER-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	0
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
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	0
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	0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935	SOUTH BEND	IN	466341935	350868157	HEALTHCARE SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
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	0
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	0
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	0
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	311040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES-INDIANA	0
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	0
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	0
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	0
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	0
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	0
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	930907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	LINE 9	TRINITY CONTINUING CARE SERVICES	0
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTHCARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	0
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	0
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	0
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	0
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAY	LIVONIA	MI	48152	382621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	LINE 11A, I	TRINITY HEALTH CORPORATION	0
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	0
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	0
MERCY HOSPITAL
144 STATE STREET	PORTLAND	MA	04101	010211534	HOSPITAL	ME	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF MAINE	0
MERCY HEALTH SYSTEM OF MAINE
144 STATE STREET	PORTLAND	MA	04101	010484074	MANAGEMENT & SUPPORT SERVICES	ME	501(C)(3)	LINE 11C, III-FI	CATHOLIC HEALTH EAST	0
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	0
ST MARY'S WOODLAND VILLAGE INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141675183	DISCONTINUED OPERATIONS	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	0
MERCY CARE FOR KIDS INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	141717564	DAY CARE CENTER	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES	0
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	0
ST PETER'S AUXILIARY
315 SOUTH MANNING BLVD	ALBANY	NY	01228	222843206	AUXILIARY	NY	501(C)(3)	LINE 11A, I	ST PETER'S HEALTH CARE SERVICES	0
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	0
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	0
ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD SUITE 309	ALBANY	NY	12208	222262982	FUNDRAISING & PUBLIC RELATIONS	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH CARE SERVICES	0
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	0
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	0
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	0
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	NURSING HOME & PHYSICAL REHAB	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	0
WARDE SERVICE CORPORATION INC
159 WOLF ROAD 3RD FLOOR	ALBANY	NY	12205	141732097	SUPPORTING & STRENGTHING THE MINISTRIES OF REL. SR. MERCY	NY	501(C)(3)	LINE 9	ST PETER'S HEALTH CARE SERVICES	0
NORTHEAST HEALTH INC
2212 BURDETT AVE	TROY	NY	12180	042450756	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11B, II	ST PETER'S HEALTH PARTNERS	0
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVD	ALBANY	NY	12204	141338457	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	0
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVE	TROY	NY	12180	141338544	GENERAL HOSPITAL	NY	501(C)(3)	LINE 3	NORTHEAST HEALTH INC	0
THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVE	TROY	NY	12180	222743478	SUPPORTING FOUNDATION	NY	501(C)(3)	LINE 7	NORTHEAST HEALTH INC	0
SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVE	TROY	NY	12180	141710225	CHILD DAY CARE	NY	501(C)(3)	LINE 9	NORTHEAST HEALTH INC	0
SHAKER PROPERTIES INC
2212 BURDETT AVE	TROY	NY	12180	223119822	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	NORTHEAST HEALTH INC	0
SUNNYVIEW HOSPITAL & REHABILITATION CTR
1270 BELMONT AVE	SCHENECTADY	NY	12308	141338386	REHABILITATION HOSPITAL	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	0
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	0
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141701597	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	NURSING HOME	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
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	0
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
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	0
GLEN EDDY INC
ONE GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	INDEPENDENT/ASSISTED LIVING COMMUNITY	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	REAL ESTATE HOLDING	NY	501(C)(2)	N/A	LTC (EDDY) INC	0
SENIOR CARE CONNECTION INC
504 STATE ST	SCHENECTADY	NY	12305	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
HOME AID SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME CARE	NY	501(C)(3)	LINE 9	LTC (EDDY) INC	0
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141776186	HOSPITAL	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	0
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	0
SETON HEALTH FOUNDATION
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	222345416	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 11A, I	SETON HEALTH SYSTEM INC	0
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141505031	SUPPORTING ORGANIZATION	NY	501(C)(3)	LINE 9	SETON HEALTH SYSTEM INC	0
SETON LICENSED HOME CARE INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141809134	LICENSED HOME HEALTH AGENCY	NY	501(C)(3)	LINE 3	SETON HEALTH SYSTEM INC	0
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME CARE	NY	501(C)(3)	LINE 9	HOME AID SERVICE OF EASTERN NEW YORK INC	0
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	ELDERLY HEALTH/HOUSING SUPPORTING ORG	NY	501(C)(3)	LINE 11A, I	NORTHEAST HEALTH INC	0
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	0
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	0
PROVIDENCE PLACE INC
5 GAMELIN STREET	HOLYOKE	MA	01040	043404084	RETIREMENT COMMUNITY	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042182395	BEHAVIORAL CARE	MA	501(C)(3)	LINE 9	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
FARREN CARE CENTER INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043398280	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	264033168	NEUROSURGERY MEDICAL SERVICES	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
SISTERS OF PROVIDENCE CARE CENTERS INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	043398374	MANAGEMENT & SUPPORT SERVICES	MA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	01040	453086711	ACUTE CARE	MA	501(C)(3)	LINE 3	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454208896	CARDIOLOGY SERVICES	MA	501(C)(3)	LINE 4	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MERCY ONCOLOGY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 213	HOLYOKE	MA	01040	454884805	ONCOLOGY MEDICAL SERVICES	MA	501(C)(3)	N/A	SISTERS OF PROVIDENCE HEALTH SYSTEM INC	0
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	INDEPENDENT LIVING	CT	501(C)(3)	LINE 9	MERCY COMMUNITY HEALTH INC	0
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	MANAGEMENT & SUPPORT SERVICES	CT	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
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	0
MERCY SERVICES
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061453323	SUPPORT SERVICES	CT	501(C)(3)	LINE 1	MERCY COMMUNITY HEALTH INC	0
MERCYKNOLL INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060757380	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	0
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	0
ST MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	SKILLED NURSING	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	0
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE	TUPPER LAKE	NY	12986	150532211	IN DISSOLUTION	NY	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
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	0
UIHLEIN MERCY CENTER
185 OLD MILITARY ROAD	TUPPER LAKE	NY	12986	150532190	IN DISSOLUTION	NY	501(C)(3)	LINE 3	MERCY HEALTHCARE CENTER	0
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	0
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREET	HORNELL	NY	14843	223127184	MANAGEMENT & SUPPORT SERVICES	NY	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST JAMES MERCY HOSPITAL
411 CANISTEO STREET	HORNELL	NY	14843	160743310	HOSPITAL	NY	501(C)(3)	LINE 3	ST JAMES MERCY HEALTH SYSTEM INC	0
MAXIS MEDICAL SERVICES
100 LINCOLN AVE	CARBONDALE	PA	18407	232577185	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	0
MARIAN COMMUNITY HOSPITAL
100 LINCOLN AVE	CARBONDALE	PA	18407	240711230	HOSPITAL	PA	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	0
MARIAN COMMUNITY HOSPITAL AUXILIARY
100 LINCOLN AVE	CARBONDALE	PA	18407	251874733	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
MAXIS FOUNDATION
100 LINCOLN AVE	CARBONDALE	PA	18407	232330090	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
MAXIS HEALTH SYSTEM
100 LINCOLN AVE	CARBONDALE	PA	18407	911940902	HEALTH CARE SYSTEM	PA	501(C)(3)	LINE 11B, II	MAXIS HEALTH SYSTEM	0
TRI-COUNTY HUMAN SERVICES CENTER INC
PO BOX 517	CARBONDALE	PA	18407	231938528	BEHAVIORAL HEALTH ORGANIZATION	PA	501(C)(3)	LINE 7	MAXIS HEALTH SYSTEM	0
COLUMBUS ACQUISITION CORP
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	262616342	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	0
SAINT MICHAELS MEDICAL CENTER
111 CENTRAL AVENUE	NEWARK	NJ	07102	262616046	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
ST JAMES CARE INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	262616230	INACTIVE ENTITY	NJ	501(C)(3)	LINE 9	SAINT MICHAELS MEDICAL CENTER	0
ST MICHAEL'S FOUNDATION INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	223311976	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	SAINT MICHAELS MEDICAL CENTER	0
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
1160 RAYMOND BOULEVARD	NEWARK	NJ	07102	223100162	MEDICAL PROPERTY HOLDING COMPANY	NJ	501(C)(2)	N/A	SAINT MICHAELS MEDICAL CENTER	0
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	0
ST FRANCIS MEDICAL CENTER FOUNDATION NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 11A, I	ST FRANCIS MEDICAL CENTER TRENTON NJ	0
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HOSPITAL	NJ	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	0
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 9: 509(A)(2)	ST MARY MEDICAL CENTER	0
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	262976184	ELDERLY CARE	PA	501(C)(3)	LINE 9	ST MARY MEDICAL CENTER	0
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HOSPITAL	PA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
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	0
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	0
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	0
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 301	SPRINGFIELD	PA	19064	232325059	HOME HEALTH	PA	501(C)(3)	LINE 9	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
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	0
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	0
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	0
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	0
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 301	SPRINGFIELD	PA	19064	232325058	HOME HEALTH	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232627944	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
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	0
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	0
NAZARETH HOSPITAL
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232794121	ACUTE CARE HOSPITAL	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NAZARETH PHYSICIAN SERVICES INC
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	203261266	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
NE PHYSICIAN SERVICES
2601 HOLME AVENUE	PHILADELPHIA	PA	19152	232497355	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
ST AGNES CONTINUING CARE CENTER
1900 S BROAD STREET	PHILADELPHIA	PA	19145	232840137	CONTINUING CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
ST AGNES CONTINUING CARE CENTER FOUNDATION
1900 S BROAD STREET	PHILADELPHIA	PA	19145	232415137	FUNDRAISING	PA	501(C)(3)	LINE 11B, II	MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA	0
LIFE AT LOURDES INC
1600 HADDON AVENUE	CAMDEN	NJ	08108	261854750	ELDERLY CARE	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
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	0
LOURDES DIALYSIS AT INNOVA INC
1600 HADDON AVENUE	CAMDEN	NJ	08108	263237625	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
LOURDES MEDICAL CENTER BURLINGTON COUNTY
218 SUNSET ROAD	WILLINGBORO	NJ	08046	223612265	HOSPITAL	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUE	CAMDEN	NJ	08103	222568528	MANAGEMENT & SUPPORT SERVICES	NJ	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
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	0
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	0
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE	CAMDEN	NJ	08108	274357794	CARDIOLOGY SERVICES	NJ	501(C)(3)	LINE 3	OUR LADY OF LOURDES HEALTH CARE SERVICES	0
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	ELDERCARE	DE	501(C)(3)	LINE 9	ST FRANCIS HOSPITAL	0
ST FRANCIS FOUNDATION
PO BOX 2500	WILMINGTON	DE	19805	510374158	FOUNDATION	DE	501(C)(3)	LINE 11B, II	ST FRANCIS HOSPITAL	0
ST FRANCIS HOSPITAL
PO BOX 2500	WILMINGTON	DE	19805	510064326	HOSPITAL	DE	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETS	WILMINGTON	DE	19805	452569214	ELDERLY CARE	DE	501(C)(3)	LINE 3	ST FRANCIS HOSPITAL	0
MCAULEY MINISTRIES
MCAULEY HALL 3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
MERCY JEANNETTE HOSPITAL
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251310602	INACTIVE ENTITY	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY TREATMENT	PA	501(C)(3)	LINE 9	PITTSBURGH MERCY HEALTH SYSTEM	0
PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
ST JOSEPH'S OF THE PINES INC
100 GOSSMAN DRIVE SUITE B	SOUTHERN PINES	NC	28387	560694200	HOSPITAL	NC	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
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	0
MERCY SENIOR CARE INC
300 CHATILLON ROAD PO BOX 866	ROME	GA	30162	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	0
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	0
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	0
SAINT JOSEPH'S MERCY FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	0
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	0
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HOSPITAL	GA	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FUNDRAISING	GA	501(C)(3)	LINE 11B, II	ST MARY'S HEALTH CARE SYSTEM INC	0
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	0
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	0
GOOD SAMARITAN HOSPITAL INC
1201 SILOAM ROAD	GREENSBORO	GA	30462	261720984	HOSPITAL	GA	501(C)(3)	LINE 3	SAINT JOSEPH'S HEALTH SYSTEM INC	0
MERCY MEDICAL CORPORATION
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	636002215	HOSPITAL	AL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
MERCY LIFE OF ALABAMA
PO BOX 1090 101 VILLA DRIVE	DAPHNE	AL	36526	273163002	HOSPITAL	AL	501(C)(3)	LINE 3	MERCY MEDICAL CORPORATION	0
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	MANAGEMENT & SUPPORT SERVICES	FL	501(C)(3)	LINE 11B, II	CATHOLIC HEALTH EAST	0
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	0
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	0
HOLY CROSS LONG-TERM INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	650787320	MEDICAL SERVICES	FL	501(C)(3)	LINE 3	HOLY CROSS HOSPITAL INC	0
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	0
SSJ HEALTH FOUNDATION INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	591709438	FUNDRAISING	FL	501(C)(3)	LINE 7	MERCY HOSPITAL INC	0
MERCY HOSPITAL INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	590791034	HOSPITAL	FL	501(C)(3)	LINE 3	CATHOLIC HEALTH EAST	0
MERCY MEDICAL DEVELOPMENT INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	592789194	OUTPATIENT SERVICES	FL	501(C)(3)	LINE 9	MERCY HOSPITAL INC	0
MERCY MISSION SERVICES INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	650435764	HEALTH CARE	FL	501(C)(3)	LINE 11A, I	MERCY HOSPITAL INC	0
MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	510461511	HOSPITAL	FL	501(C)(3)	LINE 3	MERCY HOSPITAL INC	0
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	0
INTRACOASTAL HEALTH SYSTEMS
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	650556413	MANAGEMENT & SUPPORT SERVICES	PA	501(C)(3)	LINE 11A, I	CATHOLIC HEALTH EAST	0
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	0

Form990 Schedule R Part III Form990ScheduleRPartIII (44 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
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
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	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
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		PROFESSIONAL OFFICE CORPORATION	RELATED	-31313	-510963	0	0	0.38630
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RD	BOISE	ID	83706	202975807	PROVIDE GYN ONCOLOGY SERVICES	ID	N/A
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	PROVIDE IMAGING SERVICES	ID	N/A
LOYOLA AMBULATORY SURGERY CENTER
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 & VASCULAR LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	205272726	SUBLEASE CT EQUIPMENT	IL	N/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREET	SOUTH BEND	IN	46601	352050128	COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORY	IN	N/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUE	FORT GRATIOT	MI	48059	300136708	OUTPATIENT SURGERY CENTER	MI	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
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
TAMARACK MEDICAL CLINIC LLC
402 OLD STATE HWY	CASCADE	ID	83611	201637921	OUTPATIENT MEDICAL SERVICES	ID	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
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVENUE STE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY	N/A
CATHERINE HORAN BUILDING LIMITED PARTNERSHIP
1221 MAIN STREET ROOM 108	HOLYOKE	MA	010400000	042723429	PROPERTY MANAGEMENT	MA	N/A
WESTERN MASSACHUSETTS PETCT IMAGING CENTER LLC
100 BAYVIEW CIRCLE STE 400	NEWPORT BEACH	CA	92660	204744663	OUTPATIENT MEDICAL SERVICES	DE	N/A
CENTRAL NEW JERSEY HEART SERVICES LLC
29 E 29TH STREET 2ND FLOOR	BAYONNE	NJ	07002	208525458	CARDIAC PROGRAM	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
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232871206	OUTPATIENT SURGERY	PA	N/A
EAST NORRITON MEDICAL ASSOCIATES
ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232319531	MEDICAL OFFICE BUILDING	PA	N/A
GATEWAY HEALTH PLAN
300 GRANT STREET	PITTSBURGH	PA	15219	251691945	MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION	PA	N/A
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	436990086	521931012	NURSING HOME	PA	N/A
ST AGNES LONG TERM INTENSIVE CARE LLP
C/O MERCY HEALTH SYSTEM ONE WEST EL	CONSHOHOCKEN	PA	19428	200984882	LONG TERM INTENSIVE CARE	PA	N/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
C/O NAZARETH HOSPITAL 2601 HOLME AV	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA	N/A
SJV MANAGEMENT LLC
200 CENTURY PKWY STE 200E	MOUNT LAUREL	NJ	08054	202273476	RADIOLOGY	NJ	N/A
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL	N/A
CENTER FOR SURGERY & DIGESTIVE ORDERS
3641 SOUTH MIAMI AVENUE	MIAMI	FL	33133	510438152	OUTPATIENT MEDICAL SERVICES	FL	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (61 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Province Or StateAddressForeign/ProvinceOrState	Postal CodeAddressForeign/PostalCode
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVE	MUSKEGON	MI	49440	383522260	SOFTWARE MARKETING	MI	N/A	C	0
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C	0
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	382961814	WEIGHT MANAGEMENT	MI	N/A	C	0
HACKLEY HEALTH VENTURES INC
1415 LEAHY ST	MUSKEGON	MI	49442	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	0
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY ST	MUSKEGON	MI	49442	382578569	HOME MEDICAL EQUIPMENT	MI	N/A	C	0
HACKLEY PROFESSIONAL CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	383024797	REAL ESTATE RENTAL	MI	N/A	C	0
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY ST	MUSKEGON	MI	49442	382447870	PHARMACY	MI	N/A	C	0
HEF INC
1415 LEAHY ST	MUSKEGON	MI	49442	383086401	OFFICE STAFFING	MI	N/A	C	0
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD	SILVER SPRING	MD	20904	521986562	HOME CARE SERVICES	MD	N/A	C	0
HPC CO-OWNERS ASSOCIATION
1700 CLINTON	MUSKEGON	MI	49442	270734448	CONDOMINIUM ASSOCIATION	MI	N/A	C	0
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C	0
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	0
MARYLAND CARE GROUP INC
11801 TECH ROAD	SILVER SPRING	MD	20904	521815313	HEALTHCARE HOLDING	MD	N/A	C	0
MEDNOW INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820389927	OUTPATIENT PHARMACY	ID	N/A	C	0
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	0
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C	0
MICHIGAN ATHLETIC CLUB
2500 BURTON	GRAND RAPIDS	MI	49546	382647304	ATHLETIC CLUB	MI	N/A	C	0
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311382442	MEDICAL SERVICES	OH	N/A	C	0
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SW	MASON CITY	IA	50401	421382308	MEDICAL SERVICES	IA	N/A	C	0
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230	FRESNO	CA	93729	770395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA		C	0	SAINT AGNES MEDICAL CENTER	-147146	155987	0.64000
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	837061370	331078261	PHYSICIANS	ID	N/A	C	0
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SE	GRAND RAPIDS	MI	49546	383450733	ATHLETIC CLUB	MI	N/A	C	0
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C	0
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	0
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	0
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE		N/A	C	0					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	0
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	PHYSICIAN HOSPITAL ORGANIZATION	MI	N/A	C	0
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	0
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	0
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUE	TROY	NY	12180	141668024	REAL ESTATE	NY	N/A	C	0
CATHERINE HORAN BUILDING INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	042938160	BUILDING MANAGEMENT	MA	N/A	C	0
DIVERSIFIED COMMUNITY SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043128890	MEDICAL SERVICES	MA	N/A	C	0
MERCY INPATIENT MEDICAL ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043029929	MEDICAL SERVICES	MA	N/A	C	0
PROVIDENCE HOME CARE INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	043317426	HEALTH CARE SERVICES	MA	N/A	C	0
SYSTEM COORDINATED SERVICES INC
C/O SPHS 1221 MAIN STREET SUITE 108	HOLYOKE	MA	010400000	042938181	LAB SERVICES	MA	N/A	C	0
PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST
1221 MAIN STREET ROOM 108	HOLYOKE	MA	010400000	046608649	PROPERTY MANAGEMENT	MA	N/A	C	0
SJM PROPERTIES INC
411 CANISTEO STREET	HORNELL	NY	148482101	161294991	PROPERTY HOLDINGS	NY	N/A	C	0
CARBONDALE AREA PHYSICIANS' ASSOCIATION PC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801677	MEDICAL INSURANCE CONTRACTING	PA	N/A	C	0
CARBONDALE AREA PHYSICIANS' PHO INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232801676	INACTIVE	PA	N/A	C	0
CARBONDALE PHYSICIANS' SERVICES INC
100 LINCOLN AVE	CARBONDALE	PA	18407	232365077	PHARMACY	PA	N/A	C	0
CHESTNUT RISK SERVICES LTD
					INSURANCE		N/A	C	0					11 VICTORIA STREET	HAMILTON	BD	BD
LIFECARE PHYSICIANS PC
601 HAMILTON AVENUE	TRENTON	NJ	086291986	261649038	HEALTH CARE SERVICES	NJ	N/A	C	0
MULTICARE PLUS INC
601 HAMILTON AVENUE	TRENTON	NJ	086291986	223435844	INACTIVE	NJ	N/A	C	0
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	253795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	0
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS,	PA	N/A	C	0
GATEWAY HEALTH PLAN INC
600 GRANT STREET	PITTSBURGH	PA	15219	251505506	HEALTH CARE	PA	N/A	C	0
GATEWAY HEALTH PLAN INC OF OHIO
600 GRANT STREET	PITTSBURGH	PA	15219	300282076	HEALTH CARE	PA	N/A	C	0
MCMC EASTWICK INC
C/O MHS ONE WEST ELM STREET	CONSHOHOCKEN	PA	19428	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	0
HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223366580	HEALTH CARE BILLING	NJ	N/A	C	0
LOURDES MEDEICAL ASSOCIATES PA
500 GROVE STREET SUITE 100	HADDON HEIGHTS	NJ	08035	223361862	MEDICAL SERVICES	NJ	N/A	C	0
JEANNETTE MEDICAL PROVIDERS
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	251787334	HOLDING COMPANY	PA	N/A	C	0
JEANNETTE OBGYN GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890748	HOLDING COMPANY	PA	N/A	C	0
JEANNETTE PRIMARY CARE GROUP 1 INC
3805 WEST CHESTER PIKE	NEWTOWN SQUARE	PA	19073	232890743	HOLDING COMPANY	PA	N/A	C	0
GEORGIA HEALTH ENTERPRISES LLC
1230 BAXTER STREET	ATHENS	GA	30606	541806329	HEALTHCARE	GA	N/A	C	0
ST MARY'S HIGHLAND HILLS VILLAGE INC
1660 JENNINGS MILL PKLY	BOGART	GA	30622	582276801	ASSISTED LIVING	GA	N/A	C	0
GHE PHYSICIANS PC
3500 PIEDMONT ROAD	ATLANTA	GA	30305	582277939	PRACTICE MANAGEMENT	GA	N/A	C	0
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE HIGHWA	FL	333080000	591145192	MEDICAL SERVICES	FL	N/A	C	0
MERCY PHYSICIAN GROUP INC
3663 SOUTH MIAMI AVENUE	MIAMI	FL	33133	202970015	HEALTH CARE	FL	N/A	C	0
STELLA MARIS INSURANCE COMPANY LIMITED
				980078266	INSURANCE		N/A	C	0					PO BOX 69	GRAND CAYMAN	CJ	CJ	CAYMAN ISLANDS	KY1-1102
CATHOLIC HEALTH EAST SENIOR SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	371572595	SENIOR SERVICES	PA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PROFESSIONAL OFFICE CORPORATION
K	307355	PER BOOKS
TRINITY HEALTH CORPORATION
B	2990674	PER BOOKS
TRINITY HEALTH CORPORATION
M	30786397	PER BOOKS
TRINITY HEALTH CORPORATION
P	28963869	PER BOOKS
TRINITY HEALTH CORPORATION
Q	2191620	PER BOOKS
TRINITY HEALTH CORPORATION
R	4650214	PER BOOKS