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MERCY HOSPITAL & MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL & MEDICAL CENTER (EIN 36-2170152)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201311339349301506
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-13T09:27:32-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362170152EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERCNameControl
Phone3125672000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 SOUTH MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606162477ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIRIS CHANName
TitleINTERIM CFOTitle
Phone3125672000Phone
Date Signed2013-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSR SHEILA LYNE RSMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12525 SOUTH MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606162477ZIPCode
FieldValueIRS element (for citing)
Gross Receipts279377943GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MERCY-CHICAGO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1852YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionMERCY FOSTERS AN ENVIRONMENT OF HEALING, PROVIDING ACCESS AND NEEDED CARE WITH COMPASSION AND EXCELLENCE TO THE DIVERSE COMMUNITIES IT SERVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2097TotalNbrEmployees
Total Nbr Volunteers110TotalNbrVolunteers
Total Gross UBI506262TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1357728ContributionsGrantsPriorYear
Contributions Grants Current Year8689694ContributionsGrantsCurrentYear
Program Service Revenue Prior Year254100071ProgramServiceRevenuePriorYear
Program Service Revenue CY259937696ProgramServiceRevenueCY
Investment Income Prior Year250649InvestmentIncomePriorYear
Investment Income Current Year60749InvestmentIncomeCurrentYear
Other Revenue Prior Year1341114OtherRevenuePriorYear
Other Revenue Current Year10689203OtherRevenueCurrentYear
Total Revenue Prior Year257049562TotalRevenuePriorYear
Total Revenue Current Year279377342TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year40465GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY44752GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year119517048SalariesEtcPriorYear
Salaries Etc Current Year125079290SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year124041231OtherExpensePriorYear
Other Expenses Current Year135483601OtherExpensesCurrentYear
Total Expenses Prior Year243598744TotalExpensesPriorYear
Total Expenses Current Year260607643TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13450818RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18769699RevenuesLessExpensesCY
Total Assets BOY174574023TotalAssetsBOY
Total Assets EOY332925280TotalAssetsEOY
Total Liabilities BOY106483483TotalLiabilitiesBOY
Total Liabilities EOY137691928TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68090540NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY195233352NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMERCY FOSTERS AN ENVIRONMENT OF HEALING, PROVIDING ACCESS AND NEEDED CARE WITH COMPASSION AND EXCELLENCE TO THE DIVERSE COMMUNITIES IT SERVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense193391952Expense
Grants44752Grants
Revenue267708044Revenue
DescriptionMERCY HOSPITAL AND MEDICAL CENTER (MERCY) IS A 479 BED ACUTE CARE FACILITY PROVIDING QUALITY HEALTH CARE TO OVER 200,000 RESIDENTS EMBRACING A BROAD CULTURAL MIX. MERCY, ESTABLISHED IN 1852, STRIVES TO PROVIDE A BROAD SPECTRUM OF HEALTH CARE SERVICES, APPROPRIATED TO THE NEEDS OF AND ACCESSIBLE TO PEOPLE IN THE COMMUNITIES IT SERVES. SINCE ITS INCEPTION, MERCY HOSPITAL AND MEDICAL CENTER HAS HAD AN UNWAVERING COMMITMENT TO SERVING THE COMMUNITY, INCLUDING THE UNDER-INSURED AND UNDER-PRIVILEGED.FOUNDED IN 1852, MERCY HOSPITAL AND MEDICAL CENTER ENJOYS THE HONOR OF BEING CHICAGO'S FIRST CHARTERED HOSPITAL AND THE FIRST HOSPITAL IN ILLINOIS. FOR MORE THAN 160 YEARS, MERCY HAS BEEN AN INNOVATIVE PIONEER IN BOTH PATIENT CARE AND MEDICAL EDUCATION, AND MERCY'S LEADERSHIP LEGACY CONTINUES TODAY. RECOGNIZED NATIONALLY FOR EXCELLENCE, MERCY STANDS AT THE INTERSECTION OF PIONEERING MEDICINE AND COMPASSIONATE PATIENT CARE.OUR CENTERS OF EXCELLENCE (TWELVE IN ALL) AND SPECIALTY CARE CENTERS PROVIDE LEADING EDGE CARE WITH A PATIENT-FIRST PERSPECTIVE, AND CONTINUALLY PIONEER NEW APPROACHES IN THE FIELDS OF HEART AND ENDOVASCULAR CARE, CANCER CARE, WOMEN'S HEALTH CARE, DIABETES TREATMENT AND MINIMALLY INVASIVE SURGERY. MERCY IS ALSO HOME TO ONE OF THE CITY'S LEADING HEART & VASCULAR CENTERS AND IS CURRENTLY RECOGNIZED AS ONE OF THE NATION'S 10 TOP CARDIOVASCULAR HOSPITALS BY THOMSON HEALTHCARE.MERCY IS STEADFASTLY COMMITTED TO INVESTING IN TECHNOLOGIES THAT ALLOW OUR PROVIDERS TO DELIVER THE HIGHEST QUALITY CARE. RECENT EXAMPLES OF THIS COMMITMENT INCLUDE:-RECENT ACQUISITIONS OF STATE-OF-THE-ART LINEAR ACCELERATOR AND DIGITAL MAMMOGRAPHY EQUIPMENT.-MERCY WAS ONE OF THE FIRST HOSPITALS IN ILLINOIS TO ACQUIRE A 64-SLICE SCANNER AND REMAINS AT THE FOREFRONT OF CARDIAC TESTING AND IMAGING.-OTHER PLANS FOR MERCY INCLUDE PLANNED EXPANSION OF OUR CRITICAL CARE UNIT AND GASTROINTESTINAL LABORATORY SUITES, PROVIDING FOR ENHANCED CARE TO PATIENTS.MERCY'S MEDICAL STAFF CONSISTS OF MORE THAN 480 PROVIDERS IN 32 SPECIALTIES. OUR PROVIDERS ARE RECOGNIZED LEADERS IN THEIR FIELD, BOTH LOCALLY AND INTERNATIONALLY, AND ARE OFTEN SOUGHT FOR EXPERT ADVICE AND CONSULTATION.MERCY HAS A LONG AND PROUD TRADITION OF TEACHING, AND MEDICAL EDUCATION REMAINS CENTRAL TO OUR MISSION TODAY. MERCY MAINTAINS AFFILIATIONS WITH CHICAGO'S LEADING MEDICAL UNIVERSITIES AND OFFERS FOUR FREESTANDING RESIDENCY PROGRAMS, AS WELL AS THREE INTEGRATED RESIDENCY PROGRAMS. OUR SPONSORED RESIDENCY PROGRAMS INCLUDE INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, DIAGNOSTIC RADIOLOGY AND PODIATRY. OUR AFFILIATED RESIDENCY PROGRAMS INCLUDE SURGERY, EMERGENCY MEDICINE AND PATHOLOGY.AS A MAJOR URBAN HOSPITAL, MERCY PROVIDES RESIDENTS WITH AMPLE CASELOADS AND BROAD EDUCATION EXPERIENCE. TWO ON-SITE CLINICS, THE DOCTORS OFFICE CENTER AND THE MERCY FAMILY HEALTH CENTER, ACCOMMODATE 65,000 PATIENT VISITS PER YEAR IN ALL MAJOR SPECIALTIES AND SUB-SPECIALTIES. THERE ARE AN ADDITIONAL 100,000 PATIENT VISITS IN MERCY'S SATELLITE CLINICS LOCATED THROUGHOUT THE CHICAGO AREA.LOCATED MINUTES FROM CHICAGO'S LOOP, MERCY SERVES A DIVERSE PATIENT POPULATION, RANGING FROM UPSCALE URBAN REDEVELOPMENT AREAS TO ESTABLISHED ETHNIC NEIGHBORHOODS. MERCY'S POPULATION VIRTUALLY MIRRORS THAT OF CHICAGO, A CITY KNOWN FOR ITS ETHNIC AND SOCIOECONOMIC DIVERSITY.Description
Total Program Service Expense193391952TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096155NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2097NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1IRIS CHAN CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3125676676TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12525 SOUTH MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606162477ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN MCCARTHY
CHAIR1.00XX000
SUSAN GALLAGHER
VICE CHAIR/SECRETARY1.00XX000
RAYMOND SPAETH II
TREASURER1.00XX000
STEVEN POTTS DO
DIRECTOR39.00X185792011609
ELZIE HIGGINBOTTOM
DIRECTOR1.00X000
WILLIAM KRESSE
DIRECTOR1.00X000
BETSY MEISENHEIMER CCM
DIRECTOR1.00X000
SR LENORE MULVIHILL RSM
DIRECTOR1.00X60000
MICHELLE MURPHY
DIRECTOR1.00X000
SR BETTY SMITH RSM
DIRECTOR1.00X000
RENEE TOGHER
DIRECTOR1.00X000
DANIEL HALE
DIRECTOR AS OF 4/121.00X0925954106225
PIERRE NOISETTE MD
DIRECTOR39.00X109841014597
ROHITKUMAR VASA MD
DIRECTOR THROUGH 3/121.00X1155100
WILLIAM BROWN
DIRECTOR THROUGH 12/111.00X000
LANGDON NEAL
DIRECTOR THROUGH 3/121.00X000
SR SHEILA LYNE RSM
DIRECTOR, PRESIDENT & CEO48.00XX001272
THOMAS GARVEY
VICE PRESIDENT, CFO48.00X348188024338
RICHARD CERCEO
VICE PRESIDENT, COO38.00369560022778X
BARBARA TOWNSEND
VP, BUSINESS DEVELOPMENT38.00243119013193X
CARLA CAMPBELL
VP, CNO40.00186352025779X
JOSEPH SWEDISH
TRINITY PRES AND CEO2.0005186660576202X
KEDRICK ADKINS
TRINITY PRES, INTEGRATED SVCS2.0001405226117120X
J RICHARD O'CONNELL
TRIN EVP & COO-HOSPITAL NETWKS2.000943237118221X
MICHAEL MCDONNELL
PHYSICIAN40.00331811022306X
REUBEN NICHOLS
PHYSICIAN40.00312541019563X
JENNIFER ANGELES
PHYSICIAN40.0029226709316X
PHILLIP AHN
PHYSICIAN40.00279111019920X
ANN GARCELON
PHYSICIAN40.00264777013335X
MARTIN HEBDA
FORMER KEY EMPLOYEE38.00136349010134X
NANCY HILL-DAVIS
FORMER KEY EMPLOYEE38.00227141015392X
CONSTANCE MURPHY
FORMER KEY EMPLOYEE20.00196257028723X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3495257TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8461077TotalReportableCompFrmRltdOrgs
Total Other Compensation1170023TotalOtherCompensation
Number Individuals GT100 K113NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MORRISON MANAGEMENT
200 E 5TH AVENAPERVILLEIL60563FOOD SERVICE MANAGEMENT4310292
US BANK CORPORATION TRUST
800 NICOLLET MALLMINNEAPOLISMN55402FINANCIAL SERVICES2948896
CERNER CORPORATION
2800 ROCKCREEK PARKWAYNORTH KANSAS CITYMO64117HEALTHCARE TECHNOLOGY SERVICES2759820
MCKESSON TECHNOLOGIES INC
ONE POST STREETSAN FRANCISCOCA94104HEALTHCARE TECHNOLOGY SERVICES2444192
ARAMARK CTS INC
10510 TWIN LAKES PARKWAYCHARLOTTENC28269BIOMEDICAL MANAGEMENT1956339
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Related Organizations413617RelatedOrganizations
Government Grants3871004GovernmentGrants
All Other Contributions4405073AllOtherContributions
Total Contributions8689694TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REV900099259431434259431434
REFERENCE LAB621500506262506262
FieldValueIRS element (for citing)
Total Program Service Revenue259937696TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46489TotalRevenueColumn
Exclusion$46,489ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1925762Real
Personal14726Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1925762Real
Personal14726Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1940488TotalRevenueColumn
Exclusion$1,940,488ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other14861Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other601Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other14260Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column14260TotalRevenueColumn
Exclusion$14,260ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEANINGFUL USE90009953185575318557
JT. VENTURE REVENUE90009910131071013107
CAFETERIA REVENUE900099472105$472,105

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1944946TotalRevenueColumn
Related Or Exempt Function Income1944946RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue8748715TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column279377342TotalRevenueColumn
Related Or Exempt Function Income267708044RelatedOrExemptFunctionIncome
Unrelated Business Revenue506262UnrelatedBusinessRevenue
Exclusion$2,473,342ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total7502Total
Program Services7502ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total37250Total
Program Services37250ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1591226Total
Program Services334759ProgramServices
Management And General1256467ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total728658Total
Program Services104054ProgramServices
Management And General624604ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total102349001Total
Program Services78813146ProgramServices
Management And General23535855ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1557327Total
Program Services1212725ProgramServices
Management And General344602ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11612861Total
Program Services9026044ProgramServices
Management And General2586817ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7240217Total
Program Services5328050ProgramServices
Management And General1912167ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total505015Total
Management And General505015ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total624264Total
Management And General624264ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total150000Total
Management And General150000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20814051Total
Program Services7502298ProgramServices
Management And General13311753ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total813004Total
Management And General813004ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6474861Total
Program Services4382840ProgramServices
Management And General2092021ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6298073Total
Program Services2255148ProgramServices
Management And General4042925ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total178554Total
Program Services14483ProgramServices
Management And General164071ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total392411Total
Program Services102244ProgramServices
Management And General290167ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1476171Total
Program Services3019ProgramServices
Management And General1473152ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10100841Total
Program Services2812553ProgramServices
Management And General7288288ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11203261Total
Program Services11203261ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES3331584833315848
BAD DEBT1857143618571436
CONTRACT LABOR77269837726983
HOSPITAL PROVIDER TAX71947477194747

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9634081Total
Program Services3433562ProgramServices
Management And General6200519ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total260607643Total
Program Services193391952ProgramServices
Management And General67215691ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8400BOY
EOY8450EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30545012BOY
EOY86487426EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37594923BOY
EOY50418457EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1484238BOY
EOY117809EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2556177BOY
EOY2616674EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5368707BOY
EOY1881957EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis171507060LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2798256LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY72638185BOY
EOY168708804EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10227823BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY342153BOY
EOY11000000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13808405BOY
EOY11685703EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY174574023BOY
EOY332925280EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32598885BOY
EOY64449118EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1376469BOY
EOY125000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY38613577BOY
EOY54293148EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33894552BOY
EOY18824662EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY106483483BOY
EOY137691928EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY63570377BOY
EOY184217476EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4207603BOY
EOY11015876EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY312560BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68090540BOY
EOY195233352EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY174574023BOY
EOY332925280EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18769699ReconcilationRevenueExpenses
Reconcilation Other Changes108373113ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$16,717GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$150,000DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB166717TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationMERCY HOSPITAL AND MEDICAL CENTER HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCY HOSPITAL AND MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. MERCY HOSPITAL AND MEDICAL CENTER MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis27747000OtherCostOrOtherBasis
Book Value27747000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105068966OtherCostOrOtherBasis
Depreciation1336740Depreciation
Book Value103732226BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27655074OtherCostOrOtherBasis
Depreciation1431780Depreciation
Book Value26223294BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11036020OtherCostOrOtherBasis
Depreciation29736Depreciation
Book Value11006284BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings168708804TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$1,277,346
OTHER CURRENT LIABILITIES$17,547,316
FieldValueIRS element (for citing)
Total Of Amounts18824662TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4103885TotalCommunityBenefitExpense
Net Community Benefit Expense4103885NetCommunityBenefitExpense
Percent Of Total Expense0.01700PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense60198282TotalCommunityBenefitExpense
Direct Offsetting Revenue69274143DirectOffsettingRevenue
Net Community Benefit Expense-9075861NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense64302167TotalCommunityBenefitExpense
Direct Offsetting Revenue69274143DirectOffsettingRevenue
Net Community Benefit Expense-4971976NetCommunityBenefitExpense
Percent Of Total Expense0.01700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1375510TotalCommunityBenefitExpense
Net Community Benefit Expense1375510NetCommunityBenefitExpense
Percent Of Total Expense0.00570PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8308197TotalCommunityBenefitExpense
Direct Offsetting Revenue4419333DirectOffsettingRevenue
Net Community Benefit Expense3888864NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense37867667TotalCommunityBenefitExpense
Direct Offsetting Revenue33278617DirectOffsettingRevenue
Net Community Benefit Expense4589050NetCommunityBenefitExpense
Percent Of Total Expense0.01900PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1537103TotalCommunityBenefitExpense
Net Community Benefit Expense1537103NetCommunityBenefitExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense49088477TotalCommunityBenefitExpense
Direct Offsetting Revenue37697950DirectOffsettingRevenue
Net Community Benefit Expense11390527NetCommunityBenefitExpense
Percent Of Total Expense0.04720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense113390644TotalCommunityBenefitExpense
Direct Offsetting Revenue106972093DirectOffsettingRevenue
Net Community Benefit Expense6418551NetCommunityBenefitExpense
Percent Of Total Expense0.06420PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,422,003BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare70871507AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare52391073CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall18480434MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MERCY ADVANCED MRI LLC
SUB-LEASE MRI EQUIPMENT0.650000.35000
2 MERCY HEART & VASCULAR LLC
SUB-LEASE CT EQUIPMENT0.510000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL AND MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12525 SOUTH MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606162477ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HOSPITAL AND MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent600.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities14NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MERCY MEDICAL ON PULASKI - NORTH
5525 SOUTH PULASKICHICAGOIL60629CLINIC - PRIMARY AND SPECIALTY PHYSICIANS
MERCY MEDICAL AT DEARBORN
47 WEST POLKCHICAGOIL60605INTEGRATIVE MEDICINE, PRIMARY AND SPECIALTY PHYSICIANS
MERCY MEDICAL AT 43RD STREET
4321 SOUTH PULASKICHICAGOIL60632CLINIC - PRIMARY CARE PHYSICIANS
MERCY MEDICAL ON MICHIGAN
2930 SOUTH MICHIGANCHICAGOIL60616PHYSICAL THERAPY, HAND REHABILITATION & PRIMARY CARE PHYSICIANS
MERCY WORKS ON ASHLAND
3316 SOUTH ASHLANDCHICAGOIL60608CLINIC - OCCUPATIONAL MEDICINE
MERCY MEDICAL IN CHATHAM
8541 SOUTH STREETCHICAGOIL60619CLINIC - PHYSICIAN OFFICES
MERCY MEDICAL AT 2600
2600 SOUTH MICHIGAN AVENUECHICAGOIL60616CLINIC - OCCUPATIONAL MEDICINE
MERCY HEART AND VASCULAR LLC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616SUB-LEASE CT EQUIPMENT
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616SUB-LEASE MRI EQUIPMENT
MERCY MEDICAL IN BRIDGEPORT
2837 SOUTH HALSTEDCHICAGOIL60608CLINIC - PRIMARY CARE AND SPECIALTY PHYSICIANS
MERCY MEDICAL IN CHINATOWN
2323 SOUTH WENTWORTHCHICAGOIL60616CLINIC - PRIMARY CARE PHYSICIANS
MERCY WORKS AT CUMBERLAND
4900 NORTH CUMBERLANDCHICAGOIL60706CLINIC - OCCUPATIONAL MEDICINE
MERCY MEDICAL IN BRIDGEPORT
3700 SOUTH WALLACECHICAGOIL60609CLINIC - PRIMARY CARE PHYSICIANS
MERCY MEDICAL
2850 SOUTH WABASHCHICAGOIL60609CLINIC - PRIMARY CARE PHYSICIANS

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: MERCY HOSPITAL AND MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. MERCY HOSPITAL AND MEDICAL CENTER ALSO WILL REPORT 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, MERCY HOSPITAL AND MEDICAL CENTER WILL INCLUDE 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, $18,571,436, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART III, LINE 4: MERCY HOSPITAL AND MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH FOR APRIL 1, 2012 THROUGH JUNE 30, 2012. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 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.ALTHOUGH MERCY RESPONDED TO PART III, LINE 3 AS $0, THE RESPONSE WOULD BE ACCURATELY NOTED AS UNKNOWN. WE STRONGLY BELIEVE, DESPITE SIGNIFICANT PROACTIVE MEASURES, THERE ARE A PERCENTAGE OF BAD DEBTS THAT COULD BE CONSIDERED COMMUNITY BENEFIT. HOWEVER AT THIS TIME WE DO NOT BELIEVE WE HAVE THE APPROPRIATE TOOLS TO DETERMINE THIS PERCENTAGE.
PART III, LINE 8: MERCY HOSPITAL AND 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: COLLECTION POLICIES ARE THE SAME FOR ALL MERCY HOSPITAL AND MEDICAL CENTER PATIENTS. PATIENTS ARE NOTIFIED OF MERCY HOSPITAL AND MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY AT THE TIME OF REGISTRATION VIA POSTED NOTIFICATIONS AND ON EVERY ACCOUNT STATEMENT THAT IS SENT. ON RECEIPT OF THE INFORMATION, MERCY HOSPITAL AND MEDICAL CENTER WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE AND NOTIFY THE PATIENT AS QUICKLY AS POSSIBLE. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS WHO ARE BEING REVIEWED FOR FINANCIAL ASSISTANCE ELIGIBILITY OR WHO ARE DETERMINED TO QUALIFY FOR CHARITY CARE. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THAT THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW.IN ADDITION, ALL PATIENTS HAVING DIFFICULTY PAYING THEIR BILLS ARE DIRECTED TO FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS WILL WORK WITH PATIENTS TO QUALIFY THEM FOR CHARITY CARE OR GOVERNMENT PROGRAMS SUCH AS MEDICAID. AFTER A PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS EITHER PARTIALLY OR ENTIRELY WRITTEN OFF IN ACCORDANCE WITH OUR FINANCIAL ASSISTANCE POLICY. IF THERE IS ANY REMAINING BALANCE, ONLY THAT BALANCE WOULD BE SUBJECT TO OUR DEBT COLLECTION POLICY.
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH ELIGIBLE ASSETS AND INCOMES ABOVE 200% BUT NOT EXCEEDING 600% OF THE FPL, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.MERCY HOSPITAL AND MEDICAL CENTER
PART VI, LINE 2: NEEDS ASSESSMENT - MERCY HOSPITAL & MEDICAL CENTER PERFORMS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE (3) YEARS. A COMMUNITY HEALTH NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR MERCY HOSPITAL & MEDICAL CENTER'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY HEALTH NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE MERCY HOSPITAL & MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE MERCY HOSPITAL & MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE MERCY HOSPITAL & MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT IS CURRENT AS OF 2010. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE ASSISTANCE OF THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HOSPITAL & MEDICAL CENTER IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION (AHA) RECOMMENDATIONS, MERCY HOSPITAL & MEDICAL CENTER HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS:- PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONS.MERCY HOSPITAL & MEDICAL CENTER OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. IN ACCORDANCE WITH AHA RECOMMENDATIONS, MERCY HOSPITAL & MEDICAL CENTER HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PAYMENT OBLIGATIONSMERCY HOSPITAL & MEDICAL CENTER PROVIDES EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING THEIR PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. WHILE EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. PATIENTS WITH INCOME AT, OR BELOW, 200% OF THE FEDERAL POVERTY LEVEL (FPL) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE-OFF FOR CHARGES FOR MEDICALLY NECESSARY SERVICES THAT HAVE BEEN PROVIDED FOR THEM. PATIENTS WITH ELIGIBLE ASSETS AND INCOME ABOVE 200% OF THE FPL, BUT NOT EXCEEDING 600%, ADJUSTED FOR FAMILY SIZE, WILL RECEIVE A DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED ON A SLIDING SCALE ESTABLISHED BY HOSPITAL POLICY. WHEN CHARITY CARE IS REQUESTED OR INDICATED, A FINANCIAL COUNSELOR WILL MEET WITH THE PATIENT IN PERSON OR BY PHONE, TO EXPLAIN THE HOSPITAL POLICY AND IF INDICATED, TO BEGIN THE APPLICATION PROCESS. FINANCIAL COUNSELORS ASSIST ELIGIBLE PATIENTS IN APPLYING FOR STATE AND/OR FEDERAL PROGRAMS, SUCH AS MEDICAID AND MEDICARE. INFORMATION REGARDING OTHER COMMUNITY RESOURCES WILL ALSO BE PROVIDED, IF APPROPRIATE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING INFORMATION ON FINANCIAL ASSISTANCE POLICIES (ON HOW TO APPLY OR OBTAIN FURTHER INFORMATION) ARE POSTED IN KEY PUBLIC AREAS OF THE HOSPITAL, INCLUDING EMERGENCY DEPARTMENT, OUTPATIENT REGISTRATION, CASHIER AND OTHER KEY AREAS OF THE HOSPITAL. INFORMATION IS AVAILABLE IN ENGLISH AS WELL AS SPANISH, POLISH AND CHINESE, WHICH REFLECTS THE PATIENT POPULATION SERVED BY MERCY. INFORMATION IS ALSO AVAILABLE ON MERCY'S WEBSITE AND IT IS PRINTED ON HOSPITAL BILLING STATEMENTS THAT ARE SENT TO PATIENTS. MERCY HOSPITAL & MEDICAL CENTER HAS ESTABLISHED A WRITTEN POLICY FOR BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY HOSPITAL & MEDICAL CENTER MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. MERCY HOSPITAL & MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING STAFF WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES, WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. PERSONNEL FROM PATIENT FINANCIAL SERVICES AND KEY OUTPATIENT DEPARTMENTS RECEIVE INSTRUCTION REGARDING MERCY'S CHARITY CARE POLICES AND ON THE PROCESS FOR SHARING THIS INFORMATION WITH PATIENTS IN KEEPING WITH MERCY VALUES AND BEHAVIORS.
PART VI, LINE 4: COMMUNITY INFORMATION- MERCY HOSPITAL & MEDICAL CENTER, A NOT-FOR-PROFIT HOSPITAL ESTABLISHED IN 1852, IS CHICAGO'S FIRST HOSPITAL. ITS MISSION IS TO PROVIDE A BROAD SPECTRUM OF HEALTH CARE SERVICES APPROPRIATE TO THE NEEDS OF AND ACCESSIBLE TO PEOPLE IN THE COMMUNITIES IT SERVES. FROM ITS VERY INCEPTION, MERCY HOSPITAL, SPONSORED BY THE RELIGIOUS SISTERS OF MERCY, HAS HAD AN UNWAVERING COMMITMENT TO SERVING THE COMMUNITY, INCLUDING THE UNDERINSURED AND UNDERPRIVILEGED. IN 2012, MERCY BECAME A PART OF THE TRINITY HEALTH SYSTEM, LOCATED IN LIVONIA, MICHIGAN. TRINITY IS THE 10TH LARGEST HEALTH SYSTEM IN THE NATION AND THE FOURTH LARGEST CATHOLIC HEALTH CARE SYSTEM IN THE COUNTRY. THE SYSTEM SERVES THROUGH A NETWORK OF 47 ACUTE-CARE HOSPITALS, 432 OUTPATIENT FACILITIES, 32 LONG-TERM CARE FACILITIES AND NUMEROUS HOME HEALTH OFFICES AND HOSPICE PROGRAMS IN TEN STATES. TRINITY HEALTH DRAWS ON A RICH AND COMPASSIONATE HISTORY OF CARE EXTENDING BEYOND 140 YEARS. AS A TEACHING HOSPITAL AFFILIATED WITH THE UNIVERSITY OF ILLINOIS, MERCY HOSPITAL PROVIDES A PHYSICIAN RESIDENCY PROGRAM THAT TRAINS OVER A HUNDRED RESIDENTS EACH YEAR. THE HOSPITAL SPONSORS TWO INDEPENDENT MEDICAL RESIDENCIES - IN INTERNAL MEDICINE AND OBSTETRICS/GYNECOLOGY. CLINICAL EDUCATION IS ALSO OFFERED FOR NURSES, ALLIED HEALTH PROFESSIONALS AND OTHERS SEEKING TO PROVIDE SERVICE TO THE HEALTH CARE INDUSTRY. THE HOSPITAL IS PART OF MERCY HEALTH SYSTEM OF CHICAGO THAT ALSO INCLUDES: - MERCY FOUNDATION, INC., THE PHILANTHROPIC ARM OF THE HEALTH SYSTEM.- TWO SCHOOL-BASED HEALTH CENTERS IN WENDELL PHILLIPS AND PERCY DUNBAR VOCATIONAL CAREER ACADEMIES ON THE NEAR SOUTH SIDE OF CHICAGO. BOTH CLINICS ARE HIGHLY REGARDED IN THE COMMUNITY FOR THEIR ROLE IN REDUCING THE BARRIERS ADOLESCENTS FACE IN SEEKING HEALTH CARE SERVICES.- A NETWORK OF SATELLITE FACILITIES.EIGHTEEN CHICAGO ZIP CODES MAKE UP MERCY HOSPITAL'S PRIMARY SERVICE AREA. FOUR CORE ZIP CODES - 60616, 60608, 60609 AND 60653 - MAKE UP APPROXIMATELY 50% OF MERCY'S INPATIENT ADMISSIONS. TEN ZIP CODES ARE LOCATED TO THE SOUTH AND WEST OF THE CORE MARKET AND FOUR ARE TO THE NORTH.MERCY'S PRIMARY SERVICE AREA (PSA) IS THE NEAR-SOUTH SIDE AND MID-SOUTHSIDE OF CHICAGO. MERCY SERVICES THE ETHNICALLY DIVERSE NEIGHBORHOODS OF CHINATOWN, PILSEN, ARMOR SQUARE, DOUGLAS, OAKLAND, FULLER PARK, GRAND BOULEVARD, AND KENWOOD, WHICH TOGETHER EXTEND FROM ROOSEVELT ROAD ON THE NORTH, LAKE MICHIGAN ON THE EAST, 51ST/55TH STREETS ON THE SOUTH AND AS FAR WEST AS WESTERN AVENUE. IN EXAMINING PAYOR MIX, HOSPITAL DISCHARGES FOR FY 2012 WERE: 38% MEDICARE, 36% MEDICAID, 22% MANAGED CARE AND, 4% ALL OTHERS. THE 2000 U.S. CENSUS REPORTS THE INCOME FOR RESIDENTS IN THE PSA AS FOLLOWS: 60% LESS THAN $35,000, 17% $35,000 - $49,999, 14% $50,000 - $74,999, 5% $75,000 - $100,000 AND 4% $100,000 PLUS.
PART VI, LINE 5: OTHER INFORMATION - THE HOSPITAL SERVES ALL AGES, MEN AND WOMEN, CHILDREN AND INFANTS, AND THE PHYSICALLY AND MENTALLY CHALLENGED.IN ORDER TO MEET THE COMMUNITY'S HEALTH CARE NEEDS AND TO MAINTAIN MERCY'S STATUS AS A VIABLE TEACHING HOSPITAL, IT IS CONSTANTLY EVALUATING AND STRENGTHENING ITS CLINICAL PROGRAMS ON THE MAIN HOSPITAL CAMPUS AND AT SATELLITE FACILITIES LOCATED THROUGHOUT THE CITY OF CHICAGO. AS AN ACTIVE PARTICIPANT IN THE HEALTH AND WELLNESS OF ITS COMMUNITY, MERCY IS DEDICATED TO PARTNERING WITH RESIDENTS, COMMUNITY LEADERS, AREA BUSINESSES AND OTHER HEALTH PROVIDERS TO SUPPORT THE HEALTH NEEDS AND FOSTER THE ECONOMIC GROWTH OF THE DIVERSE COMMUNITIES SERVED BY THE INSTITUTION. MERCY IS RELENTLESS IN ITS EFFORTS TO MAKE CERTAIN THAT RESIDENTS HAVE ACCESS TO APPROPRIATE PROGRAMS AND SERVICES, INCLUDING HEALTH EDUCATION PROGRAMS ON DIABETES, OBESITY, SMOKING CESSATION, HEALTHY EATING, HEART HEALTH, AGE-APPROPRIATE HEALTH SCREENING SCHEDULES (FOR MEN AND WOMEN) AND OTHER HEALTH, WELLNESS AND MEDICAL CARE PROGRAMS AND SERVICES. THESE PROGRAMS ARE OFFERED ON THE HOSPITAL CAMPUS AND AT THE NETWORK OF MERCY SATELLITES. MERCY IS COMMITTED TO UTILIZING ITS RESOURCES TO MAXIMIZE THE NUMBER OF COMMUNITY RESIDENTS WHO ARE ABLE TO ACCESS PROGRAMS AND SERVICES PROVIDED AT MERCY. COMMUNITY BUILDING ACTIVITIES - MERCY HOSPITAL & MEDICAL CENTER IS ENGAGED IN THE COMMUNITY IN MANY WAYS. MENTAL HEALTH CENTER CHRISTMAS BASKETS:EACH YEAR MERCY STAFF COLLABORATES WITH SANTA FOR THE VERY POOR, A COMMUNITY GROUP THAT PROVIDES CLOTHING, TOYS AND OTHER GIFTS FOR 80 FAMILIES OF PATIENTS SEEN IN THE MERCY OUTPATIENT MENTAL HEALTH CENTER. THE FAMILIES CHOSEN USUALLY HAVE YOUNG CHILDREN AND ALL HAVE VERY LIMITED FINANCIAL RESOURCES. NEARLY ALL ARE DEALING WITH SERIOUS PROBLEMS RELATED TO MENTAL HEALTH ISSUES IN THE FAMILY. THE DONATIONS (TOYS, CLOTHING, HOUSEHOLD ITEMS AND CHRISTMAS TREATS) ARE BROUGHT TO THE HOSPITAL AND THE FAMILIES PICK THEM UP IN THE MENTAL HEALTH CENTER. FOR MANY OF THESE FAMILIES, THESE ARE THE ONLY CHRISTMAS GIFTS THEY WILL RECEIVE. THERE ARE ALSO EIGHTY $50 GIFT CERTIFICATES TO LOCAL GROCERY CHAINS THAT CAN BE USED THROUGHOUT THE YEAR FOR FOOD, MEDICINE OR PERSONAL PRODUCTS. THIS IS ONE OF MANY ACTIVITIES THAT HELPS BUILD TRUST BETWEEN MENTAL HEALTH PATIENTS, MERCY STAFF AND PHYSICIANS, THEREBY INCREASING THE PROBABILITY OF PATIENTS HAVING SUCCESSFUL OUTCOMES AND IMPROVED QUALITY OF LIFE.HEALTH PROFESSION FOR THE FUTURE:THIS IS A PIPELINE PROGRAM THAT COLLABORATES WITH THE CHICAGO PUBLIC SCHOOLS, THE CHICAGO WORKFORCE BOARD, THE MICHAEL REESE HEALTH TRUST AND OTHER CHICAGO-AREA HOSPITALS TO ASSIST HIGH SCHOOL STUDENTS WHO HAVE AN IDENTIFIED INTEREST IN SEEKING CAREERS IN HEALTHCARE. THESE STUDENTS PARTICIPATE IN LECTURES, CLASSES AND INTERNSHIP EXPERIENCES AT MERCY HOSPITAL AND MERCY SATELLITES, AS WELL AS THE OTHER AREA HOSPITALS INVOLVED IN THIS PROGRAM. THEY WORK UNDER THE DIRECTION OF HEALTHCARE PROFESSIONALS, WHO ACT AS MENTORS AND COACHES. THE GOAL IS TO WORK COLLABORATIVELY WITH AREA SCHOOLS, HOSPITALS AND OTHER ORGANIZATIONS, TO STRENGTHEN OUR COMMUNITIES BY PROVIDING OPPORTUNITIES FOR YOUNG PEOPLE TO OBTAIN MEANINGFUL AND LUCRATIVE EMPLOYMENT. PATIENT RELATIONS PROGRAM ANNUAL CHRISTMAS BASKETS: MERCY'S PATIENT RELATIONS PROGRAM SERVES THE NEEDS OF ELDERLY PATIENTS WHO RECEIVE CARE AT MERCY. MOST OF THESE PATIENTS HAVE MULTIPLE MEDICAL PROBLEMS AND CHRONIC ILLNESSES. STAFF MEMBERS ACT AS ADVOCATES AND PATIENTS ARE MONITORED IN ALL LEVELS OF CARE (INPATIENT AND OUTPATIENT). PATIENTS ARE ROUTINELY VISITED IN THEIR HOME TO PROVIDE SUPPORT AND TO DIRECT RESOURCES IN AN EFFORT TO IMPROVE OR MAINTAIN THEIR HEALTH STATUS. EACH YEAR FOR THE PAST 38 YEARS, MERCY HAS DELIVERED CHRISTMAS BASKETS TO THE HOMES OF THESE ELDERLY PATIENTS. THIS PAST YEAR (2012) MERCY EMPLOYEES AND VOLUNTEERS DELIVERED OVER 1,000 BASKETS. THE BASKETS INCLUDE THE FOOD ITEMS NEEDED FOR A CHRISTMAS DINNER AND ADDITIONAL FOOD ITEMS AS WELL. PATIENTS ARE EXTREMELY THANKFUL FOR THESE GIFTS AND HAVE EXPRESSED THEIR APPRECIATION NUMEROUS TIMES TO PATIENT RELATIONS STAFF AND OTHER HOSPITAL PERSONNEL. BECAUSE MANY OF THE PATIENTS ARE SHUT-IN, THEY OFTEN EXPRESS THEIR THANKS AND PLEASURE AT HAVING SOMEONE VISIT AT THE HOLIDAY TIME TO BRING THIS SPECIAL GIFT.LUNCH VOUCHERS:LUNCH VOUCHERS ARE OFTEN PROVIDED FOR OUTPATIENTS WHO MAY NOT HAVE MONEY FOR FOOD AND WHO ARE BEING SEEN FOR EXTENSIVE TESTING (THAT MAY REQUIRE THEM TO REMAIN AT THE HOSPITAL FOR SEVERAL HOURS). VOUCHERS ARE ALSO PROVIDED FOR VOLUNTEERS, MANY OF WHOM ASSIST PATIENTS IN HOSPITAL PROGRAMS AND DEPARTMENTS SUCH AS MERCY'S WOMEN'S HEALTH CENTER, THE MERCY FAMILY HEALTH CENTER AND AT INFORMATION/WELCOMING CENTERS (WHICH ARE LOCATED AT FACILITY ENTRY POINTS). THESE VOLUNTEERS ALSO ACT AS PATIENT VISITORS, TAKING BOOKS AND MAGAZINES TO INPATIENTS ON THE HOSPITAL FLOORS.ENVIRONMENTAL BUILDING ACTIVITIES:ACTIVITIES INCLUDE:- A GREEN ROOF, PLANTED TO IMPROVE AIR QUALITY IN THE COMMUNITY AND TO DECREASE CONSUMPTION OF GAS AND OTHER RESOURCES NEEDED TO HEAT AND COOL THE HOSPITAL CAMPUS.- CONSTRUCTION OF A COMMUNITY GARDEN SPACE, TO PROVIDE HEALTHY FOOD FOR COMMUNITY RESIDENTS. THE PROGRAM TEACHES GARDENING SKILLS AND HEALTHY COOKING TO PROMOTE THE CONSUMPTION OF MORE NUTRITIOUS FOOD AND TO IMPROVE THE HEALTH STATUS OF COMMUNITY RESIDENTS AND EMPLOYEES.
PART VI, LINE 6: MERCY HOSPITAL & MEDICAL CENTER IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN LIVONIA, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP - AND ARE HELD ACCOUNTABLE FOR ACHIEVING - COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2012, THIS INCLUDED OVER $615 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEM APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
ILREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1MERCY DIAGNOSTIC AND TREATMENT CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12525 SOUTH MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60616ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient363720708EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant7502AmountOfCashGrant
Purpose Of GrantMATERNAL/CHILD HEALTHPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantEMPLOYEE SCHOLARSHIP PROGRAMTypeOfGrant
Number Of Recipients6NumberOfRecipients
Amount Of Cash Grant37250AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: DONATIONS MADE BY MERCY HOSPITAL AND MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEVEN POTTS DO
18541100038103752078570197401000
DANIEL HALE
047934001863400260274087640018585010321790155414
THOMAS GARVEY
3156570318990632094630148750372526000
RICHARD CERCEO
33384103369902020082620145160392338000
BARBARA TOWNSEND
2186270221910230104791084020256312000
CARLA CAMPBELL
1688730173420137057270200520212131000
JOSEPH SWEDISH
0127945806776420322956005486020276000576286202698342
KEDRICK ADKINS
0743978031665203445960103857013263015223460143708
J RICHARD O'CONNELL
0571942023094601403490859190323020106145800
MICHAEL MCDONNELL
2414930900000318047280175780354117000
REUBEN NICHOLS
3088550003686058340137290332104000
JENNIFER ANGELES
1717610120398010805117041990301583000
PHILLIP AHN
1815640973040243051230147970299031000
ANN GARCELON
1682110936000296605562077730278112000
MARTIN HEBDA
134470000187904129060050146483000
NANCY HILL-DAVIS
205995020984016206231091610242533000
CONSTANCE MURPHY
1774850185690203049610237620224980000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2011). THE FOLLOWING ACCRUALS FOR 2011 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $91,607 DANIEL HALE - $42,034 J. RICHARD O'CONNELL - $66,279 JOSEPH SWEDISH - $255,902 PART I, LINE 4B: THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2011 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JOSEPH SWEDISH - $265,000 PART II: THE FOLLOWING INDIVIDUALS BECAME VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING CALENDAR 2011. AS A RESULT, THE VESTED AMOUNTS WERE INCLUDED IN THEIR 2011 TAXABLE INCOMES. THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOSEPH SWEDISH - $2,740,000 KEDRICK ADKINS - $220,648 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KIMBERLY TOWNSEND-SCOTT
FAMILY MEMBER OF BARBARA TOWNSEND, KEY EMPLOYEE104054EMPLOYMENT ARRANGEMENT0
CONSTANCE MURPHY
FAMILY MEMBER OF MICHELLE MURPHY, BOARD DIRECTOR229113EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF MERCY HOSPITAL AND MEDICAL CENTER IS MERCY HEALTH SYSTEM OF CHICAGO. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH SYSTEM OF CHICAGO IS THE SOLE MEMBER OF MERCY HOSPITAL AND MEDICAL CENTER. MERCY HEALTH SYSTEM OF CHICAGO MUST APPROVE ALL CANDIDATES ELECTED AS BOARD MEMBERS OR OFFICERS OF MERCY HOSPITAL AND MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, MERCY HEALTH SYSTEM OF CHICAGO MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SYSTEM OF CHICAGO MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, THE FORM 990 FOR MERCY HOSPITAL AND MEDICAL CENTER IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE AS WELL AS THE BOARD OF DIRECTORS. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CMERCY HOSPITAL AND 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 MERCY HOSPITAL AND MEDICAL CENTER, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MERCY HOSPITAL AND 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 MERCY HOSPITAL AND 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 DIRECTORS OF MERCY HOSPITAL AND MEDICAL CENTER IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MERCY HOSPITAL AND 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 DIRECTORS OF MERCY HOSPITAL AND MEDICAL CENTER ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15MERCY HOSPITAL AND MEDICAL CENTER USES AN EXECUTIVE COMPENSATION SURVEY COMPILED BY SULLIVAN COTTER & ASSOCIATES. THE VICE PRESIDENT OF HUMAN RESOURCES REVIEWS THE SALARY SURVEY DATA EACH YEAR AND PRESENTS THE RESULTS TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE REVIEWS THE DATA AND MAKES A RECOMMENDATION TO ADJUST THE CEO'S SALARY, WHEN SUPPORTED BY THE DATA, TO THE FULL BOARD OF DIRECTORS. MINUTES OF ALL BOARD OF DIRECTOR MEETINGS ARE RECORDED. MERCY HOSPITAL DOES NOT HAVE A FORMAL COMPENSATION COMMITTEE; HOWEVER, THE EXECUTIVE COMMITTEE ASSUMES THIS FUNCTION. NO OUTSIDE COMPENSATION CONSULTANTS ARE USED.
FORM 990, PART VI, SECTION C, LINE 19EFFECTIVE APRIL 1, 2012, MERCY HOSPITAL AND 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, MERCY HOSPITAL AND MEDICAL CENTER WILL BE INCLUDING A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
FORM 990, PART VII, SECTION A, LINE 1:SR. SHEILA LYNE IS A MEMBER OF THE CONGREGATION OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. SHEILA DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MERCY HOSPITAL AND MEDICAL CENTER EXCEPT FOR INSURANCE BENEFITS OF $1,272. INSTEAD, A TOTAL OF $566,365 WAS PAID BY MERCY HOSPITAL AND MEDICAL CENTER TO THE RELIGIOUS SISTERS OF MERCY FOR SR. SHEILA'S SERVICES.
FORM 990, PART VII, SECTION A, LINE 1, COLUMN B:THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 53 HOURS RICHARD CERCEO - 2 HOURS THOMAS GARVEY - 2 HOURS DANIEL HALE - 49 HOURS MARTIN HEBDA - 2 HOURS NANCY HILL-DAVIS - 2 HOURS SR. SHEILA LYNE, RSM - 2 HOURS CONSTANCE MURPHY - 20 HOURS PIERRE NOISETTE, MD - 1 HOUR J. RICHARD O'CONNELL - 53 HOURS STEVEN POTTS, DO - 1 HOUR JOSEPH SWEDISH - 53 HOURS BARBARA TOWNSEND - 2 HOURSESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:EQUITY TRANSFER FROM AFFILIATE 681,052. PURCHASE ACCOUNTING ADJUSTMENTS DUE TO ACQUISITION BY TRINITY HEALTH CORP. 107,973,910. TEMPORARILY RESTRICTED NET ASSETS RELEASED FOR OPERATIONS -19,071. CHANGE IN HOSPITAL INTEREST IN NET ASSETS OF THE FOUNDATION -262,778. TOTAL TO FORM 990, PART XI, LINE 5: 108,373,113.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2:MERCY HOSPITAL AND MEDICAL CENTER'S FINANCIAL STATEMENTS FOR APRIL 1, 2012 THROUGH JUNE 30, 2012 WERE INCLUDED IN THE FY12 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PART X, BALANCE SHEET:CERTAIN BEGINNING BALANCE SHEET AMOUNTS HAVE BEEN RECLASSIFIED TO CONFORM TO THE ENDING BALANCE SHEET PRESENTATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (96 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTHCARE SERVICESMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAYLIVONIAMI48152382949053PROVIDE HOSPICE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREETONTARIOOR97914943059469SUPPORTS SERVICES OF RELATED HOSPITALOR501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-ONTARIO0
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277ACUTE/AMBULATORY HEALTHCARE SERVICESIA501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IBAUM HARMON MERCY HOSPITAL0
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICESMI501(C)(3)11, TYPE IITRINITY HEALTH-MICHIGAN0
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998SOUTH BENDIN46619263051440HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
CRANBROOK HOSPICE CARE
281 ENTERPRISE COURTBLOOMFIELD HILLSMI48302383320699PROVIDE HOSPICE HEALTH SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIOOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVEDUBUQUEIA52001262227941SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)9GOTTLIEB MEMORIAL HOSPITAL0
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVEMELROSE PARKIL60160743260011SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)11, TYPE III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTHCARE SERVICESIL501(C)(3)3LOYOLA UNIVERSITY HEALTH SYSTEM0
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302MUSKEGONMI494433302381358196HEALTHCARE SERVICESMI501(C)(3)3MERCY HEALTH PARTNERS0
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302MUSKEGONMI494433302382299878SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITYMI501(C)(3)11, TYPE III-FIMERCY HEALTH PARTNERS0
HACKLEY LIFE COUNSELING
1352 TERRACE STMUSKEGONMI494423545381386362COUNSELING, EDUCATION, AND SUPPORTMI501(C)(3)9MERCY HEALTH PARTNERS0
HACKLEY VISITING NURSE SERVICES AND HOSPICE INC
888 TERRACE STMUSKEGONMI49440381359598PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)7MERCY HEALTH PARTNERS0
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48333521945054LONG-TERM CARE AND REHABILITATION FOR THE ELDERLYMD501(C)(3)9TRINITY CONTINUING CARE SERVICES0
HOLY CROSS HOSPITAL FOUNDATION INC
11801 TECH ROADSILVER SPRINGMD20904208428450CHARITABLE FUNDRAISINGMD501(C)(3)11, TYPE IHOLY CROSS HOSPITAL OF SILVER SPRING0
HOLY CROSS HOSPITAL OF SILVER SPRING INC
1500 FOREST GLEN RDSILVER SPRINGMD209101484520738041HEALTHCARE SERVICESMD501(C)(3)3TRINITY HEALTH CORPORATION0
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAYLIVONIAMI48152951985442HEALTHCARE SERVICES (FORMERLY)CA501(C)(3)3TRINITY HEALTH CORPORATION0
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA504016208421173708HOSPICE HEALTH CARE SERVICESIA501(C)(3)7MERCY HEALTH SERVICES-IOWA CORP0
HOSPICE OF WASHTENAW II
806 AIRPORT BLVDANN ARBORMI48108383320707HOSPICE HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
HPCN
1675 LEAHY STREETMUSKEGONMI49442300207909HEALTHCARE SERVICESMI501(C)(3)11, TYPE IIMERCY HEALTH PARTNERS0
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559PROVIDES OFFICE-BASED MEDICAL CAREMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREETSHELBYMI494551228382549295ACUTE HEALTHCARE SERVICESMI501(C)(3)3MERCY HEALTH PARTNERS0
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)11, TYPE IITRINITY HEALTH CORPORATION0
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTHCARE SERVICESIL501(C)(3)3LOYOLA UNIVERSITY HEALTH SYSTEM0
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705PROVIDE HOME HEALTH CARE SERVICESIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTHCARE SERVICES (FORMERLY)MI501(C)(3)3CATHERINE MCAULEY HEALTH SERVICES CORP0
MERCY AMICARE HOME HEALTHCARE OAKLAND
281 ENTERPRISE COURTBLOOMFIELD HILLSMI483020312383320698PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUEPORT HURONMI48060383320701PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEMIL501(C)(3)11, TYPE IMERCY HEALTH SYSTEM OF CHICAGO0
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREETMUSKEGONMI49442383321856PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY HEALTH PARTNERS
1415 LEAHY STREETMUSKEGONMI49442382589966HEALTHCARE SYSTEM SUPPORTMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTHCARE SERVICESDE501(C)(3)3TRINITY HEALTH-MICHIGAN0
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLECHICAGOIL60697912092113SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITYIL501(C)(3)11, TYPE III-FIMERCY HEALTH SYSTEM OF CHICAGO0
MERCY HEALTHCARE FOUNDATION
1410 N 4TH STCLINTONIA52732421316126FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICESIA501(C)(3)11, TYPE IMERCY MEDICAL CENTER-CLINTON0
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTHCARE SERVICESIL501(C)(3)3MERCY HEALTH SYSTEM OF CHICAGO0
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBARTCADILLACMI496012331203357131SUPPORT THE SERVICES OF RELATED HOSPITALMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVEPORT HURONMI48060381630480VOLUNTEER SERVICE AUXILIARYMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA527322940421336618TO PROVIDE QUALITY HEALTH CAREDE501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)7MERCY HEALTH SERVICES-IOWA CORP0
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA504012800421229151SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE III-FIMERCY HEALTH SERVICES-IOWA CORP0
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAILCADILLACMI49601383313897HOME HEALTH AND HOSPICE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROADNAMPAID83686208192593TO PROVIDE QUALITY HEALTH CAREID501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-NAMPA0
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI483339184382719605PROVIDES LONG-TERM CARE FOR THE ELDERLYMI501(C)(3)11, TYPE IITRINITY CONTINUING CARE SERVICES INC0
MIDWEST MEDFLIGHT
1300 VICTORS WAYANN ARBORMI48108382684671AEROMEDICAL TRANSPORTMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
MOUNT CARMEL CARE CONTINUUM SERVICES CORP
793 WEST STATE STREETCOLUMBUSOH43222311126211COOPERATIVE HOSPITAL SERVICE ORGANIZATIONOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)2MOUNT CARMEL HEALTH0
MOUNT CARMEL HEALTH
6150 EAST BROAD STREETCOLUMBUSOH43213314379602HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMO FOR SENIORSOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTOH501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966SUPPORT THE SERVICES OF RELATED HOSPITALOH501(C)(3)11, TYPE IMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE BCOLUMBUSOH43215262729300PROVIDE HOME HEALTH CARE SERVICESOH501(C)(3)9TRINITY HOME HEALTH SERVICES INC0
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
7333 SMITHS MILL RDNEW ALBANYOH43054870790288HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREETKENTWOODMI49508383073745OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)MI501(C)(3)9TRINITY HEALTH-MICHIGAN0
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICESMI501(C)(3)7MERCY HEALTH PARTNERS0
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTHCARE SERVICESNE501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345SUPPORTS SERVICES OF RELATED HOSPITALNE501(C)(3)11, TYPE III-FIOAKLAND MERCY HOSPITAL0
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVEPORT HURONMI48060201855647HEALTHCARE SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI494423257382638284MEDICAL CARE, TRANSPORTATION AND EDUCATIONMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTHCARE SERVICESCA501(C)(3)11, TYPE ISAINT AGNES MEDICAL CENTER0
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTHCARE SERVICESCA501(C)(3)3TRINITY HEALTH CORPORATION0
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)11, TYPE ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INC0
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)11, TYPE ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INC0
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY0
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)11, TYPE ISAINT ALPHONSUS MEDICAL CENTER-ONTARIO0
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
3325 POCAHONTAS ROADBAKER CITYOR97814271790052TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
1512 12TH AVENUE ROADNAMPAID83686820200896TO PROVIDE QUALITY HEALTH CAREID501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256SUPPORT THE SERVICES OF RELATED HOSPITALID501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER-NAMPA0
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
351 SW 9TH STREETONTARIOOR97914271789847TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTHCARE SERVICESID501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670PLYMOUTHIN46563351142669HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935SOUTH BENDIN466341935350868157HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545356033285HOSPITAL SERVICE AUXILIARYIN501(C)(4)N/ASAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND0
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563HOSPITAL SERVICE AUXILIARYIN501(C)(3)11, TYPE IISAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH0
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVESOUTH BENDIN46617351568821HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI483339184311040468PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALSIN501(C)(3)9TRINITY CONTINUING CARE SERVICES-INDIANA0
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NWGRAND RAPIDSMI49505383320700PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
SAINT MARY'S FOUNDATION (FKA SAINT MARY'S DORAN FOUNDATION)
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)7TRINITY HEALTH-MICHIGAN0
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVEPONTIACMI48341352356789SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
ST ANN'S HOSPITAL
500 SOUTH CLEVELAND AVEWESTERVILLEOH43081314412701HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAYMISHAWAKAIN46545351654543SUPPORTS SERVICES OF RELATED HOSPITALIN501(C)(3)11, TYPE ISAINT JOSEPH REGIONAL MEDICAL CENTER INC0
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUEFORT GRATIOTMI48054382884297MRI SERVICESMI501(C)(3)3TRINITY HEALTH-MICHIGAN0
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI483339184382559656MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184FARMINGTON HILLSMI483339184930907047PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSINGIN501(C)(3)9TRINITY CONTINUING CARE SERVICES0
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTHCARE SERVICESMI501(C)(3)3TRINITY HEALTH CORPORATION0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)11, TYPE I0N/A
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTHCARE TRAINING AND SUPPORT SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGEMI501(C)(9)N/ATRINITY HEALTH CORPORATION0
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAYLIVONIAMI48152382621935HOME HEALTH CARE SYSTEM MANAGEMENT SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/AN/A00
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311608125MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/AN/A00
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREETCOLUMBUSOH43213311701029SLEEP MEDICINE SERVICESOHN/AN/A00
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202MOLINEIL61265412044739MRI DIAGNOSTIC SERVICESIAN/AN/A00
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/AN/A00
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/AN/A00
FRESNO IMAGING CENTER
1303 E HERNDON AVEFRESNOCA93720770363563DIAGNOSTIC IMAGINGCAN/AN/A00
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/AN/A00
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RDBOISEID83706202975807PROVIDE GYN ONCOLOGY SERVICESIDN/AN/A00
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603BOISEID83702820514422PROVIDE IMAGING SERVICESIDN/AN/A00
LOYOLA AMBULATORY SURGERY CENTER
1S224 SUMMIT AVE STE 201OAKBROOK TERRACEIL60181364119522SURGICAL SERVICESILN/AN/A00
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/AN/A00
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/AN/A00
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222421544707MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311392994MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MEDILUCENT MOB I
793 W STATE STREETCOLUMBUSOH43222204911370MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616262116721SUBLEASE MRI EQUIPMENTILRELATED00MERCY HOSPITAL AND MEDICAL CENTER47182312422300.65000
MERCY HEART & VASCULAR LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616205272726SUBLEASE CT EQUIPMENTILRELATED00MERCY HOSPITAL AND MEDICAL CENTER6303542703240.51000
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/AN/A00
MERCY OUTPATIENT SURGERY CENTER LLC
1512 12TH AVENUE ROADNAMPAID83686841380439OUTPATIENT SURGERYIDN/AN/A00
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREETSOUTH BENDIN46601352050128COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORYINN/AN/A00
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311369473MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUEFORT GRATIOTMI48059300136708OUTPATIENT SURGERY CENTERMIN/AN/A00
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311531135MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/AN/A00
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/AN/A00
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DRCALDWELLID83605820526861RADIATION ONCOLOGYIDN/AN/A00
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311603660MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
TAMARACK MEDICAL CLINIC LLC
610 VILLAGE DRIVEDONNELLYID83615201637921OUTPATIENT MEDICAL SERVICESIDN/AN/A00
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311784409MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/IMAGINGMIN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVEMUSKEGONMI49440383522260SOFTWARE MARKETINGMIN/AC
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVEMELROSE PARKIL60160363330529MANAGEMENT SERVICESILN/AC
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY STMUSKEGONMI49442382961814WEIGHT MANAGEMENTMIN/AC
HACKLEY HEALTH VENTURES INC
1415 LEAHY STMUSKEGONMI49442382589959OTHER MEDICAL SERVICESMIN/AC
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY STMUSKEGONMI49442382578569HOME MEDICAL EQUIPMENTMIN/AC
HACKLEY PROFESSIONAL CENTER
1415 LEAHY STMUSKEGONMI49442383024797REAL ESTATE RENTALMIN/AC
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY STMUSKEGONMI49442382447870PHARMACYMIN/AC
HEF INC
1415 LEAHY STMUSKEGONMI49442383086401OFFICE STAFFINGMIN/AC
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROADSILVER SPRINGMD20904521986562HOME CARE SERVICESMDN/AC
HPC CO-OWNERS ASSOCIATION
1700 CLINTONMUSKEGONMI49442270734448CONDOMINIUM ASSOCIATIONMIN/AC
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992ANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/AC
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/AC
LOYOLA UNIVERSITY OF CHICAGO INSURANCE CO LTD
PROVISION OF INSURANCE COVERAGEN/AC23 LIME TREE BAY AVENUEGRAND CAYMANCJCJ
MARYLAND CARE GROUP INC
11801 TECH ROADSILVER SPRINGMD20904521815313HEALTHCARE HOLDINGMDN/AC
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927OUTPATIENT PHARMACYIDN/AC
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/AC
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227348DORMANTILN/AC
MICHIGAN ATHLETIC CLUB
2500 BURTONGRAND RAPIDSMI49546382647304ATHLETIC CLUBMIN/AC
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
6150 EAST BROAD STREETCOLUMBUSOH43213310971510BEHAVIORAL HEALTHCARE SERVICESOHN/AC
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHN/AC
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SWMASON CITYIA50401421382308MEDICAL SERVICESIAN/AC
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230FRESNOCA93729770395267FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONSCAN/AC
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID837061370331078261PHYSICIANSIDN/AC
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SEGRAND RAPIDSMI49546383450733ATHLETIC CLUBMIN/AC
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREETCOLUMBUSOH43213311531102FINANCE, INSURANCE AND REAL ESTATEOHN/AC
THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/AC
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/AT
VENZKE INSURANCE COMPANY LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACPO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
WESTSHORE HEALTH NETWORK
1820 44TH STREETKENTWOODMI49508383280200PHYSICIAN HOSPITAL ORGANIZATIONMIN/AC
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY STMUSKEGONMI49442383112035OCCUPATIONAL HEALTHMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MERCY FOUNDATION INC
C413617PER BOOKS
MERCY HEALTH SYSTEM OF CHICAGO
C681052PER BOOKS
MERCY ADVANCED MRI LLC
C666403PER TAX RETURN
MERCY HEART & VASCULAR LLC
C658287PER TAX RETURN
MERCY FOUNDATION INC
N91315PER BOOKS
MERCY FOUNDATION INC
L311263PER BOOKS