SAINT ALPHONSUS MEDICAL CENTER NAMPA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAINT ALPHONSUS MEDICAL CENTER NAMPA INC (EIN 82-0200896)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201331349349300223
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T07:34:29-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	820200896	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT ALPHONSUS MEDICAL CENTER - NAMPA INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	2084635589	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1512 12TH AVENUE ROAD	AddressLine1
City	NAMPA	City
State	ID	State
ZIP Code	836866008	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	B LANNIE CHECKETTS	Name
Title	CFO	Title
Phone	2084635589	Phone
Date Signed	2013-05-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KARL KEELER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1512 12TH AVENUE ROAD	AddressLine1
City	NAMPA	City
State	ID	State
ZIP Code	836866008	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	99786116	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.MERCYNAMPA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2007	YearFormation
State Legal Domicile	ID	StateLegalDomicile
Activity Or Mission Description	HEALTHCARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	711	TotalNbrEmployees
Total Nbr Volunteers	191	TotalNbrVolunteers
Total Gross UBI	328276	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	182503	ContributionsGrantsPriorYear
Contributions Grants Current Year	200457	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	84560967	ProgramServiceRevenuePriorYear
Program Service Revenue CY	96262522	ProgramServiceRevenueCY
Investment Income Prior Year	1811133	InvestmentIncomePriorYear
Investment Income Current Year	1428439	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2307657	OtherRevenuePriorYear
Other Revenue Current Year	1615431	OtherRevenueCurrentYear
Total Revenue Prior Year	88862260	TotalRevenuePriorYear
Total Revenue Current Year	99506849	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	89733	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	29054	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	32485462	SalariesEtcPriorYear
Salaries Etc Current Year	36236123	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	51325229	OtherExpensePriorYear
Other Expenses Current Year	57187689	OtherExpensesCurrentYear
Total Expenses Prior Year	83900424	TotalExpensesPriorYear
Total Expenses Current Year	93452866	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4961836	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6053983	RevenuesLessExpensesCY
Total Assets BOY	88986955	TotalAssetsBOY
Total Assets EOY	108772205	TotalAssetsEOY
Total Liabilities BOY	17704535	TotalLiabilitiesBOY
Total Liabilities EOY	31970934	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	71282420	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	76801271	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	80309818	Expense
Grants	29054	Grants
Revenue	96574043	Revenue
Description	SINCE 1917 WHEN THE SISTERS OF MERCY BEGAN PROVIDING CARE TO THE NAMPA, IDAHO COMMUNITY, SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS BEEN COMMITTED TO THE PROVISION OF QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS THE ONLY CATHOLIC HOSPITAL TO SERVE THE NAMPA COMMUNITY. IT IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL.SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS A 152-BED ACUTE CARE HOSPITAL SERVING THE NEEDS OF THE GREATER NAMPA AREA. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM.SEE SCHEDULE H FOR MORE INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	THE MISSION STATEMENT FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA,INC. IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	80309818	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	136	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	711	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	B LANNIE CHECKETTS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2084635589	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1512 12TH AVENUE ROAD	AddressLine1
City	NAMPA	City
State	ID	State
ZIP Code	83686	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
GEORGE JUETTEN
VICE CHAIR THROUGH 12/11; CHAIR	2.00	X	X	0	0	0
BRENT LLOYD
CHAIR THROUGH 12/11; TRUSTEE	2.00	X	X	0	0	0
SALLY JEFFCOAT
TRUSTEE; SYSTEM PRESIDENT & CEO	2.00	X	X	0	688536	92426
J RICHARD O'CONNELL
TRUSTEE; TRIN EVP & COO HOSP NTWKS	2.00	X		0	943237	118221
KAYE O'RIORDAN
TRUSTEE	2.00	X		0	0	0
STEVE BROCATO
TRUSTEE THROUGH 11/11	2.00	X		0	0	0
SR SHARLET WAGNER CSC
TRUSTEE	2.00	X		0	0	0
SR SHARON FORD RSM
TRUSTEE	2.00	X		0	0	0
KENNETH HART
TRUSTEE	2.00	X		0	0	0
RONALD GRAVES
TRUSTEE	2.00	X		0	0	0
VICTOR YAMAMOTO
TRUSTEE	2.00	X		0	0	0
JON WAGNILD MD
TRUSTEE	2.00	X		0	0	0
LYNN HARRIS
TRUSTEE	2.00	X		0	0	0
MIKE REULING
TRUSTEE	2.00	X		0	0	0
MATT SHIRTCLIFF
TRUSTEE AS OF 1/12	2.00	X		0	0	0
STEPHANIE WESTERMEIER
SECRETARY; SYSTEM VP & GEN. CNSL.	2.00		X	0	274225	38872
BLAINE PETERSEN
TREASURER AND SYSTEM CFO	2.00		X	0	415490	40858
KARL KEELER
PRESIDENT & CEO	50.00		X	0	330267	46225
B LANNIE CHECKETTS
CFO	50.00		X	259519	0	39796
JOSEPH SWEDISH
TRINITY HEALTH PRES & CEO	2.00			0	5186660	576202	X
KEDRICK ADKINS
TRINITY HEALTH PRES INTEGRATED SVCS	2.00			0	1405226	117120	X
MICHAEL MURPHY
TRINITY EVP, HLTH NTWKS THROUGH 4/12	2.00			0	474370	75538	X
CLINTON CHILD
CHIEF NURSING OFFICER	50.00			205006	0	38855	X
JANELLE REILLY
SYSTEM CHIEF STRGY OFFICER THRU 2/12	2.00			0	360500	35844	X
JAMES POLK
SYSTEM CHIEF QUALITY OFFICER	2.00			0	345649	51765	X
RODNEY REIDER
SYSTEM COO	2.00			0	384532	44250	X
PETER ROAN MD
PHYSICIAN	50.00			550079	0	47998		X
BARRY MALLARD
DIRECTOR OF PHARMACY SVCS.	50.00			154001	0	27600		X
DARWIN WATERS
PHARMACIST	50.00			134340	0	33092		X
CATHERINE WEBER
DIRECTOR	50.00			132090	0	31039		X
MARK BEKKEDAHL
CMIO	50.00			129769	0	103316		X
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE	0.00			0	150838	1101			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1564804	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10959530	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1560118	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SOUND PHYSICIANS
1123 PACIFIC AVENUE	TACOMA	WA	98402	HEALTHCARE SERVICES	1200339
ANESTHESIOLOGY CONSULTANTS ID
217 W GEORGIA 100	NAMPA	ID	83686	ANESTHESIA SERVICES	761667
BAR S CONSTRUCTION LLC
2788 W USTICK RD	MERIDIAN	ID	83646	CONSTRUCTION SERVICES	636001
HDR ARCHITECTURE
8404 INDIAN HILLS DRIVE	OMAHA	NE	68114	ARCHITECTURE SERVICES	335329
ELITE SPECIALTY STAFFING INC
5903 FLAMINGO DRIVE	BOISE	ID	83704	STAFFING SERVICES	317505

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	13	NumberOfContractorsGT100K
Related Organizations	14800	RelatedOrganizations
Government Grants	33649	GovernmentGrants
All Other Contributions	152008	AllOtherContributions
Total Contributions	200457	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SVC REV	900099	95988078	95988078
LABORATORY REVENUE	621500	274444		274444

Field	Value	IRS element (for citing)
Total Program Service Revenue	96262522	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	699265	TotalRevenueColumn
Exclusion	$699,265	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	460191	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	460191	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	460191	TotalRevenueColumn
Unrelated Business Revenue	53832	UnrelatedBusinessRevenue
Exclusion	$406,359	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	587909	Securities
Other	420532	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	279267	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	587909	Securities
Other	141265	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	729174	TotalRevenueColumn
Exclusion	$729,174	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA REVENUE	722100	534844	$534,844
PHARMACY REVENUE	446110	34431	$34,431

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	585965	TotalRevenueColumn
Related Or Exempt Function Income	585965	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1155240	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	99506849	TotalRevenueColumn
Related Or Exempt Function Income	96574043	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	328276	UnrelatedBusinessRevenue
Exclusion	$2,404,073	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	22768	Total
Program Services	22768	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	6286	Total
Program Services	6286	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	982892	Total
Management And General	982892	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	27517896	Total
Program Services	26445873	ProgramServices
Management And General	1072023	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1775497	Total
Program Services	1702703	ProgramServices
Management And General	72794	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3926648	Total
Program Services	3717141	ProgramServices
Management And General	209507	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2033190	Total
Program Services	1862471	ProgramServices
Management And General	170719	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	233080	Total
Management And General	233080	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	19496	Total
Management And General	19496	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7038503	Total
Program Services	6054007	ProgramServices
Management And General	984496	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	191418	Total
Program Services	3078	ProgramServices
Management And General	188340	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1282683	Total
Program Services	883863	ProgramServices
Management And General	398820	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2666767	Total
Program Services	34379	ProgramServices
Management And General	2632388	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1317506	Total
Program Services	1266880	ProgramServices
Management And General	50626	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	140472	Total
Program Services	100323	ProgramServices
Management And General	40149	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	18825	Total
Program Services	15070	ProgramServices
Management And General	3755	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	256688	Total
Program Services	256688	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2393990	Total
Program Services	2142399	ProgramServices
Management And General	251591	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1061997	Total
Program Services	1030	ProgramServices
Management And General	1060967	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	15702428	15702428
BAD DEBT	14529523	14529523
INTERCO. PURCHASED SVCS	6422982	1850890	4572092
UBI TAXES	30		30

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3911301	Total
Program Services	3712018	ProgramServices
Management And General	199283	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	93452866	Total
Program Services	80309818	ProgramServices
Management And General	13143048	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	111495	BOY
EOY	4450	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1122011	BOY
EOY	814768	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8068615	BOY
EOY	15749050	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	77154	BOY
EOY	15625	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1883542	BOY
EOY	1876493	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	79675	BOY
EOY	203372	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	45186500	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	5112163	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	34624737	BOY
EOY	40074337	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	17417710	BOY
EOY	16191944	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	20446877	BOY
EOY	26418434	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5155139	BOY
EOY	7423732	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	88986955	BOY
EOY	108772205	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	15380371	BOY
EOY	16706712	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7829	BOY
EOY	4244	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2316335	BOY
EOY	15259978	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	17704535	BOY
EOY	31970934	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	70160409	BOY
EOY	75736367	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1117011	BOY
EOY	1059904	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	5000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	71282420	BOY
EOY	76801271	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88986955	BOY
EOY	108772205	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6053983	ReconcilationRevenueExpenses
Reconcilation Other Changes	-535132	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$2,786	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	2786	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
End Of Year Balance	5000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5000	BeginningOfYearBalance
End Of Year Balance	5000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Contributions	5000	Contributions
End Of Year Balance	5000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5931211	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3810233	OtherCostOrOtherBasis
Book Value	9741444	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18777103	OtherCostOrOtherBasis
Depreciation	2068150	Depreciation
Book Value	16708953	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7965688	OtherCostOrOtherBasis
Depreciation	3044013	Depreciation
Book Value	4921675	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8702265	OtherCostOrOtherBasis
Book Value	8702265	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	40074337	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	14913632	F
EQUITY METHOD INVESTMENTS	11504802	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	26418434	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
INTERCOMPANY RECEIVABLES	4129446
INVESTMENT IN ENTITIES	1279701
MISCELLANEOUS RECEIVABLES	1064585
OTHER LONG-TERM ASSETS	950000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	7423732	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY PAYABLES	$2,598,122
INTERCOMPANY NOTES PAYABLE	$12,481,607
ASSET RETIREMENT OBLIGATION (FIN 47)	$180,249

Field	Value	IRS element (for citing)
Total Of Amounts	15259978	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	Identifier
Return Reference	PART V, LINE 4:	ReturnReference
Explanation	ENDOWMENT FUNDS ARE FOR THE SUPPORT OF VARIOUS MEDICAL PROGRAMS CONDUCTED BY SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1583	PersonsServed
Total Community Benefit Expense	1990624	TotalCommunityBenefitExpense
Net Community Benefit Expense	1990624	NetCommunityBenefitExpense
Percent Of Total Expense	0.02520	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	22184	PersonsServed
Total Community Benefit Expense	15991737	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11990770	DirectOffsettingRevenue
Net Community Benefit Expense	4000967	NetCommunityBenefitExpense
Percent Of Total Expense	0.05070	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Persons Served	23767	PersonsServed
Total Community Benefit Expense	17982361	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11990770	DirectOffsettingRevenue
Net Community Benefit Expense	5991591	NetCommunityBenefitExpense
Percent Of Total Expense	0.07590	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	12881	PersonsServed
Total Community Benefit Expense	135335	TotalCommunityBenefitExpense
Net Community Benefit Expense	135335	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1106	PersonsServed
Total Community Benefit Expense	107362	TotalCommunityBenefitExpense
Net Community Benefit Expense	107362	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	220	PersonsServed
Total Community Benefit Expense	37563	TotalCommunityBenefitExpense
Net Community Benefit Expense	37563	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	404	PersonsServed
Total Community Benefit Expense	139337	TotalCommunityBenefitExpense
Net Community Benefit Expense	139337	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Persons Served	14611	PersonsServed
Total Community Benefit Expense	419597	TotalCommunityBenefitExpense
Net Community Benefit Expense	419597	NetCommunityBenefitExpense
Percent Of Total Expense	0.00540	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	46	NumberOfActivitiesOrPrograms
Persons Served	38378	PersonsServed
Total Community Benefit Expense	18401958	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11990770	DirectOffsettingRevenue
Net Community Benefit Expense	6411188	NetCommunityBenefitExpense
Percent Of Total Expense	0.08130	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	1751	PersonsServed
Total Community Building Expense	569	TotalCommunityBuildingExpense
Net Community Building Expense	569	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	200	PersonsServed
Total Community Building Expense	461	TotalCommunityBuildingExpense
Net Community Building Expense	461	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	705	TotalCommunityBuildingExpense
Net Community Building Expense	705	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	3157	PersonsServed
Total Community Building Expense	4613	TotalCommunityBuildingExpense
Net Community Building Expense	4613	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	76	PersonsServed
Total Community Building Expense	1374	TotalCommunityBuildingExpense
Net Community Building Expense	1374	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	5567	PersonsServed
Total Community Building Expense	98778	TotalCommunityBuildingExpense
Net Community Building Expense	98778	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Persons Served	10751	PersonsServed
Total Community Building Expense	106500	TotalCommunityBuildingExpense
Net Community Building Expense	106500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,269,493	BadDebtExpenseAmount
Amount Attributable To	948509	AmountAttributableTo
Amount Reimbursed By Medicare	16133482	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13970189	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2163293	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MERCY OUTPATIENT SURGERY CENTER LLC
SURGICAL CARE	0.60000	0.40000
2 TREASURE VALLEY HEALTHNET
CONTRACTING SERVICES	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT ALPHONSUS MEDICAL CENTER - NAMPA	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1512 12TH AVENUE ROAD	AddressLine1
City	NAMPA	City
State	ID	State
ZIP Code	83686	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAINT ALPHONSUS MEDICAL CENTER - NAMPA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	150.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier
PART I, LINE 6A: SAINT ALPHONSUS MEDICAL CENTER - NAMPA (SAMC - NAMPA) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAMC - NAMPA INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, L7 COL(F): THE FOLLOWING NUMBER, $14,529,523, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: COMMUNITY BUILDING ACTIVITIES - SAMC- NAMPA STRIVES TO MAKE THE CITIZENS OF OUR COMMUNITY MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT AND OTHER COMMUNITY DATA, WE LEARNED THAT SEVERAL AREAS CAN BENEFIT FROM OUR HEALTH CARE EXPERTISE AND MONETARY SUPPORT. PARTICIPATION IN LOCAL BOARDS AND TASK FORCES: SAINT ALPHONSUS LEADERS AND ASSOCIATES PARTICIPATE IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITIES AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE. EXAMPLES OF BOARD PARTICIPATION INCLUDE:-BOYS & GIRLS CLUB OF CANYON COUNTY: ENHANCEMENT OF BEFORE AND AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH. SAINT ALPHONSUS REPRESENTATIVES SERVE ON THE BOARD OF DIRECTORS AND THE STEERING COMMITTEE. THE STEERING COMMITTEE MEMBER MANAGES THE DATABASE FOR THE ANNUAL FUNDRAISER AUCTION (FORMERLY COMMUNITY SALE), WHICH BRINGS IN THE BULK OF ANNUAL OPERATING FUNDS FOR THE CLUB. -COMMUNITY MENTAL HEALTH MEETINGS: A SAINT ALPHONSUS REPRESENTATIVE PARTICIPATES IN DISCUSSIONS WITH MENTAL HEALTH PROVIDERS THROUGHOUT THE COMMUNITY, TO WORK THROUGH ISSUES AND IMPROVE COORDINATION OF SERVICES.-LATINO HEALTH COALITION: THE LATINO HEALTHCARE COALITION INCLUDES MEMBERS FROM SAMC-NAMPA, CASEY FAMILY SERVICES, BOISE STATE UNIVERSITY, IDAHO HEALTH AND WELFARE, IDAHO CENTRAL DISTRICT HEALTH, THE IDAHO COMMISSION ON HISPANIC AFFAIRS, CATHOLIC CHARITIES, THE HISPANIC CULTURAL CENTER, AND OTHER INTERESTED COMMUNITY MEMBERS. THE GOALS ARE TO REMOVE BARRIERS TO HEALTH CARE SERVICES; TO INCREASE THE LATINO PATIENT'S KNOWLEDGE REGARDING ACCESS TO HEALTH CARE; AND TO EMPOWER THEM TO BE MORE ACTIVE PARTICIPANTS IN THE HEALTH CARE TREATMENT AND DECISION-MAKING.-NAMPA MINISTERIAL ASSOCIATION: LOCAL PASTORS COME TOGETHER AT SAMC-NAMPA TO LEARN ABOUT COMMUNITY ACTIVITIES AND DISCUSS HOW THEY CAN HAVE AN IMPACT ON THE LOCAL ISSUES. THEY SPONSOR ECUMENICAL SERVICES FOR THANKSGIVING, LENTEN SERVICES AND BACCALAUREATE. SAMC-NAMPA'S CHAPLAINS PARTICIPATE WITH THIS GROUP.-HEALTH EDUCATION LEADERSHIP PROGRAM (HELP): DR. ROGER CURRAN FOUNDED HELP AS A WAY TO ADDRESS THE DEPARTMENT OF LABOR'S PREDICTIONS OF FUTURE SHORTAGES OF HEALTH PROFESSIONALS. HELP PROVIDES SCHOLARSHIPS TO STUDENTS PURSUING HEALTH CARE RELATED EDUCATION. HELP RAISES FUNDS THROUGH MEMORIAL CONTRIBUTIONS AND THE ANNUAL ROGER CURRAN FUN RUN. A SAMC-NAMPA REPRESENTATIVE PARTICIPATES ON THE BOARD.-LEADERSHIP NAMPA: PROVIDES IN-DEPTH EXPOSURE TO A VARIETY OF ISSUES THAT IMPACT THE CITIZENS OF NAMPA. INTERACTION TAKES PLACE WITH COMMUNITY LEADERS VISITING A VARIETY OF ORGANIZATIONS WITHIN NAMPA GIVING PARTICIPANTS A BROADENED PERSPECTIVE OF THE CHALLENGES AND OPPORTUNITIES FACING OUR COMMUNITY. SAMC-NAMPA REPRESENTATIVES PARTICIPATE IN THE CLASS. IN ADDITION, SAMC-NAMPA HOSTS THE CLASS ONE DAY EACH YEAR.-CANYON COUNTY FESTIVAL OF TREES: SAINT ALPHONSUS REPRESENTATIVES PARTICIPATE ON THE BOARD OF DIRECTORS TO BRING THE CANYON COUNTY FESTIVAL OF TREES FUNDRAISER TO NAMPA IN SUPPORT OF THE MEALS ON WHEELS PROGRAMS FOR NAMPA, CALDWELL, GREENLEAF, MIDDLETON AND SURROUNDING AREAS. SAMC-NAMPA IS A MAJOR SPONSOR OF THE FESTIVAL.-MERCY HOUSING: PROVIDES AFFORDABLE MULTIFAMILY HOUSING ACROSS THE STATE OF IDAHO AND SAMC-NAMPA PROVIDES SUPPORT IN TERMS OF PHYSICAL IMPROVEMENTS ON MERCY HOUSING PROPERTIES (NAMPA). -DISASTER READINESS: SAMC-NAMPA REPRESENTATIVE SITS ON THE COUNTY (LEPCE) AND DISTRICT (SWDH) PLANNING TEAMS AND PARTICIPATES IN DISCUSSIONS REGARDING DISASTER READINESS.-CHARITY CARE AND FINANCIAL ASSISTANCE: SAMC-NAMPA HAS ESTABLISHED A FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WHO DO NOT HAVE INSURANCE OR OTHER RESOURCES TO COVER THE FULL COST OF NECESSARY MEDICAL CARE.-RETIRED & SENIOR VOLUNTEER PROGRAM (RSVP) IS AMERICA'S LARGEST VOLUNTEER NETWORK FOR PEOPLE AGE 55 AND OVER. RSVP VOLUNTEERS SERVE IN A VARIETY OF CAPACITIES, E.G., DELIVERING MEALS, MENTORING AND TUTORING STUDENTS, PROVIDING COMPANIONSHIP FOR HOMEBOUND INDIVIDUALS, AND BUILDING CAPACITY FOR NON-PROFITS. SAMC-NAMPA PROVIDES SUPPORT IN TERMS OF OFFICE SPACE, UTILITIES AND PHYSICAL MAINTENANCE FOR THE CANYON COUNTY OFFICE.-UNITED WAY OF TREASURE VALLEY: SAINT ALPHONSUS COLLABORATES WITH UNITED WAY OF TREASURE VALLEY TO ADDRESS COMMUNITY NEEDS IN THE AREAS OF HEALTH, EDUCATION AND INCOME. A SAINT ALPHONSUS REPRESENTATIVE SERVES AS A CAMPAIGN COORDINATOR FOR THE ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS.-HEALTHY NAMPA, HEALTHY YOUTH: THE HNHY COMMITTEE WAS COMPRISED OF COMMUNITY STAKEHOLDERS WORKING TOGETHER TO IMPROVE THE LIVES OF NAMPA YOUTH BY FOCUSING ON SEARCH INSTITUTES 40 DEVELOPMENT ASSETS. SAMC-NAMPA REPRESENTATIVES SERVED ON THE COMMITTEE AND SAMC-NAMPA HOSTED THE MEETINGS.
PART III, LINE 4: SAMC - NAMPA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. 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.REVIEW AND DISCUSSION OF COLLECTION ACCOUNTS HELPED DETERMINE THE RATIO FOR THE CALCULATION AND THE KNOWLEDGE OF THE NUMBER OF PATIENTS WHO WILL NOT COMPLY WITH SUBMITTING THE REQUIRED DOCUMENTATION THAT WOULD AFFORD THEM THE DETERMINATION OF CHARITY OR OTHER RESOURCES.
PART III, LINE 8: SAMC - NAMPA 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: SAMC - NAMPA'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE SAINT ALPHONSUS HEALTH SYSTEM, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY. SAMC - NAMPA'S CENTRALIZED BUSINESS OFFICE WILL BE REQUIRED TO AUDIT ITS THIRD PARTY COLLECTION AGENTS AT LEAST ANNUALLY FOR ADHERENCE TO THESE STANDARDS.
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 400% RECEIVE A DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED ON A GRADUATED SCALE. A MINIMUM DISCOUNT OF 20% IS PROVIDED TO UNINSURED PATIENTS BETWEEN 300% TO 400% OF FPG. THIS DISCOUNT IS IN THE RANGE OF WHAT SAINT ALPHONSUS HEALTH SYSTEM HAS NEGOTIATED WITH PAYERS WHO DO NOT HAVE AN EXCLUSIVE ARRANGEMENT WITH SAINT ALPHONSUS HEALTH SYSTEM AND PROVIDE NO PATIENT INCENTIVES OR NO UTILIZATION MANAGEMENT.	SAINT ALPHONSUS MEDICAL CENTER - NAMPA
PART VI, LINE 2: NEEDS ASSESSMENT - EFFECTIVE APRIL 1, 2010, MERCY MEDICAL CENTER - NAMPA, IDAHO, HOLY ROSARY MEDICAL CENTER - ONTARIO, OREGON, AND ST. ELIZABETH HEALTH SERVICES - BAKER CITY, OREGON WERE PURCHASED BY TRINITY HEALTH. THESE HOSPITALS WERE COMBINED WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO FORM THE SAINT ALPHONSUS HEALTH SYSTEM (SAHS) TO STRENGTHEN THE CARE SERVICES AND IMPROVE THE HEALTH NEEDS OF THE COMMUNITIES.SAINT ALPHONSUS MEDICAL CENTER - NAMPA (SAMC - NAMPA), FORMERLY KNOWN AS MERCY MEDICAL CENTER, ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR SAHS 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 NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE SAMC - NAMPA COMMUNITY 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 COMMUNITY NEEDS ASSESSMENT PROCESS, PERFORMED JOINTLY BY SAHS AND SAMC - NAMPA, 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 SAHS COMMUNITY NEEDS ASSESSMENT IS CURRENT AS OF 2011. DURING FY11, SAINT ALPHONSUS PARTNERED WITH UNITED WAY OF TREASURE VALLEY, ST. LUKE'S HEALTH SYSTEM, AND ELKS REHABILITATION HOSPITAL TO CONDUCT A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOCUSING ON HEALTH, EDUCATION AND FINANCIAL INDEPENDENCE. ASSESSMENT WORK WAS LARGELY COMPLETED DURING FY11, AND THE PARTNERS HAVE NOW MOVED INTO THE PROCESS OF PRIORITIZING NEEDS AND CREATING AN IMPLEMENTATION PLAN. BOISE STATE UNIVERSITY SERVED AS RESEARCH PARTNER, AND UTAH FOUNDATION HAS PROVIDED TECHNICAL ASSISTANCE TO THIS PROJECT. THIS ASSESSMENT COVERED BOTH ADA AND CANYON COUNTIES.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC - NAMPA 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 RECOMMENDATIONS, SAMC - NAMPA 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 OBLIGATIONSSAMC - NAMPA COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. SAMC - NAMPA HAS SIGNS POSTED IN ALL REGISTRATION AREAS AND PLASTIC TABLE TOP CARDS IN THE REGISTRATION WAITING ROOMS, NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY PATIENTS ARE OFFERED FINANCIAL ASSISTANCE FORMS. EACH PATIENT RECEIVES A BILLING BROCHURE THAT LISTS PAYMENT OPTIONS AND HOW TO APPLY FOR CHARITY CARE. PATIENTS ALSO ARE SCREENED FOR MEDICAID ELIGIBILITY, UTILIZING FINANCIAL ASSISTANCE FORMS. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.SAMC - NAMPA OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH SIGNS POSTED IN REGISTRATION AREAS, PLASTIC TABLE TOP CARDS IN REGISTRATION WAITING ROOMS AND PATIENT BROCHURES. SELF-PAY INPATIENTS AND SURGERY PATIENTS RECEIVE A VISIT FROM A FINANCIAL ACCOUNT REPRESENTATIVE WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE. SAMC - NAMPA HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC - NAMPA 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. THE MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE 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.
PART VI, LINE 4: COMMUNITY INFORMATION - THE PRIMARY SERVICE AREA OF SAMC - NAMPA ENCOMPASSES A FIVE-COUNTY REGION OF SOUTHWEST IDAHO, INCLUDING CANYON, ADA, OWYHEE, PAYETTE AND GEM COUNTIES. AREA HOSPITAL FACILITIES INCLUDE ST. LUKE'S, IDAHO ELKS REHABILITATION CENTER, TREASURE VALLEY HOSPITAL, AND WEST VALLEY MEDICAL CENTER.SAMC - NAMPA'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE REGION HAS EXPERIENCED RAPID POPULATION GROWTH SINCE 2000. ADA COUNTY POPULATION GREW 32.6% FROM 2000-2011 WHILE CANYON COUNTY POPULATION GREW 45.2% FROM 2000-2011.WITH MEDIAN HOUSEHOLD INCOMES OF $42,943 IN CANYON COUNTY AND $55,304 IN ADA COUNTY, AREA RESIDENTS ARE WITHIN RANGE OF THE STATE MEDIAN OF $46,890. THE POVERTY LEVEL STANDS AT 18.1% IN CANYON COUNTY AND 11.2% IN ADA, COMPARED TO A STATE AVERAGE OF 14.3% AND A NATIONAL AVERAGE OF 14.3%. AS OF NOVEMBER 2012, THE 6.5% UNEMPLOYMENT RATE WAS SLIGHTLY LOWER THAN THE STATE RATE (7%), AND THE NATIONAL RATE OF 7.7% (BUREAU OF LABOR STATISTICS). OTHER RELEVANT STATISTICS CHARACTERIZING SAMC-NAMPA'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (FROM CENSUS.GOV QUICK FACTS, 2012):TOTAL POPULATION (2011): ADA COUNTY - 400,842CANYON COUNTY - 191,694OWYHEE COUNTY - 11,438GEM COUNTY - 16,665PAYETTE COUNTY - 22,624PERCENT WHITE PERSONS NOT HISPANIC:ADA COUNTY - 86.2%CANYON COUNTY - 71.9%OWYHEE COUNTY - 68.4%GEM COUNTY - 88.7%PAYETTE COUNTY - 80.1%PERCENT HISPANIC/LATINO ORIGIN:ADA COUNTY - 7.3%CANYON COUNTY - 24.1%OWYHEE COUNTY - 25.9%GEM COUNTY - 8.2%PAYETTE COUNTY - 15.2%MEDIAN HOUSEHOLD INCOME (2007-2011):ADA COUNTY - $55,304CANYON COUNTY - $42,943OWYHEE COUNTY - $32,169GEM COUNTY - $44,442PAYETTE COUNTY - $44,943PERSONS BELOW POVERTY LEVEL (2007-2011):ADA COUNTY - 11.2%CANYON COUNTY - 18.1%OWYHEE COUNTY - 24.8%GEM COUNTY - 16.5%PAYETTE COUNTY - 16.5%MEDICALLY UNDERSERVED POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS WITHIN OUR SERVICE AREA INCLUDE A SHORTAGE OF PRIMARY CARE AND MENTAL HEALTH SERVICES.THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH & SUBSTANCE ABUSE ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES.ON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SAMC - NAMPA, WITH IMPLICATIONS FOR FUTURE PLANNING. DRAMATIC POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. THE GROWING REFUGEE POPULATION HAS GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.GROWTH IN IDAHO'S SENIOR POPULATION IS ALSO PROJECTED TO ACCELERATE, WHICH WILL REQUIRE INCREASED HEALTH CARE SPENDING. MAMMOGRAPHY RATES, THE RISING RATE OF LOW BIRTH WEIGHT BABIES, OVERWEIGHT AND OBESITY, TOBACCO USE, MENTAL HEALTH AND DRINKING/DRUG USE ARE ALSO OF GREAT CONCERN.
PART VI, LINE 5: OTHER INFORMATION - SAINT ALPHONSUS STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS FOR AN ARRAY OF DIFFERENT CLINICAL STUDENTS. WE HAVE COMPLETED AN ASSORTMENT OF TRAINING FOR SOCIAL WORK AND PHLEBOTOMY STUDENTS, CNA'S, EMT'S, RT'S, PA'S AND NURSES (IN THE AREAS OF OBSTETRICS, MEDICAL/ SURGICAL, ICU AND ER). IN ADDITION, SAINT ALPHONSUS SERVES AS A KEY CLINICAL TRAINING SITE FOR STUDENTS ATTENDING BOISE STATE UNIVERSITY, IDAHO STATE UNIVERSITY, NORTHWEST NAZARENE UNIVERSITY, COLLEGE OF WESTERN IDAHO, COLLEGE OF SOUTHERN IDAHO, STEVENS-HENEGER COLLEGE, MILAN INSTITUTE, IDAHO CENTER FOR EMERGENCY TRAINING AND THE NAMPA SCHOOL DISTRICT.CANCER EDUCATION & AWARENESS: SAMC-NAMPA PARTNERS WITH SUSAN G. KOMEN, AND THE SNAKE RIVER STAMPEDE - STAMPEDE FOR THE CURE, TO SUPPORT THE UNINSURED AND PROVIDE SCREENING MAMMOGRAMS. SAMC-NAMPA ALSO PARTNERS WITH THE NAMPA SCHOOL DISTRICT, AND OTHER LOCAL BUSINESSES TO PROVIDE CANCER EDUCATION AND AWARENESS. MERCY FITNESS PARK: SAMC-NAMPA MAINTAINS THE MERCY FITNESS PARK PROMOTING HEALTHY HABITS AND PROVIDING FREE ACCESS TO THE COMMUNITY. HANDS OF HOPE: A FAITH-BASED ORGANIZATION THAT SUPPLIES USED OR USEABLE MEDICAL EQUIPMENT FOR OVERSEAS MISSIONS, AND COOPERATES WITH LOCAL AGENCIES TO LOAN EQUIPMENT TO INDIVIDUALS IN NEED IN OUR COMMUNITY.
PART VI, LINE 6: SAMC - NAMPA 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	NAMPA HARVEST FESTIVAL ASSOCIATION	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	16114 IDAHO CENTER BLVD STE 4	AddressLine1
City	NAMPA	City
State	ID	State
ZIP Code	83687	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	820148165	EINOfRecipient
IRC Section	501(C)(4)	IRCSection
Amount Of Cash Grant	17500	AmountOfCashGrant
Purpose Of Grant	SUPPORT OF THE ANNUAL SNAKE RIVER STAMPEDE	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	0	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Amount Of Cash GrantAmountOfCashGrant
MEDICATIONS	120	4161	COST	PRESCRIPTION MEDICATIONS FOR PATIENTS OR EMPLOYEES THAT COULD NOT AFFORD THEIR MEDICATION.
SCHOLARSHIPS	3				125
FOOD, CLOTHING AND SHELTER	2				1000
DIRECT CASH ASSISTANCE	1				1000

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY SAMC - NAMPA 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

Field	Value	IRS element (for citing)
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SALLY JEFFCOAT
0	471288	0	150924	0	66324	0	69049	0	23377	0	780962	0	0
J RICHARD O'CONNELL
0	571942	0	230946	0	140349	0	85919	0	32302	0	1061458	0	0
STEPHANIE WESTERMEIER
0	273314	0	0	0	911	0	20114	0	18758	0	313097	0	0
BLAINE PETERSEN
0	318198	0	45828	0	51464	0	19375	0	21483	0	456348	0	0
KARL KEELER
0	226768	0	61864	0	41635	0	22156	0	24069	0	376492	0	0
B LANNIE CHECKETTS
221260	0	29219	0	9040	0	21736	0	18060	0	299315	0	0	0
JOSEPH SWEDISH
0	1279458	0	677642	0	3229560	0	548602	0	27600	0	5762862	0	2698342
KEDRICK ADKINS
0	743978	0	316652	0	344596	0	103857	0	13263	0	1522346	0	143708
MICHAEL MURPHY
0	402598	0	0	0	71772	0	48365	0	27173	0	549908	0	0
CLINTON CHILD
180637	0	24128	0	241	0	17854	0	21001	0	243861	0	0	0
JANELLE REILLY
0	296481	0	63033	0	986	0	19719	0	16125	0	396344	0	0
JAMES POLK
0	284924	0	56511	0	4214	0	33367	0	18398	0	397414	0	0
RODNEY REIDER
0	301074	0	49174	0	34284	0	20273	0	23977	0	428782	0	0
PETER ROAN MD
543792	0	0	0	6287	0	28455	0	19543	0	598077	0	0	0
BARRY MALLARD
145431	0	8033	0	537	0	14262	0	13338	0	181601	0	0	0
DARWIN WATERS
133936	0	0	0	404	0	15685	0	17407	0	167432	0	0	0
CATHERINE WEBER
121458	0	10538	0	94	0	12075	0	18964	0	163129	0	0	0
MARK BEKKEDAHL
77738	0	6412	0	45619	0	93783	0	9533	0	233085	0	0	0
MICHAEL SLUBOWSKI
0	13394	0	0	0	137444	0	500	0	601	0	151939	0	136445

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 3

SAINT ALPHONSUS MEDICAL CENTER-NAMPA IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT ALPHONSUS MEDICAL CENTER-NAMPA'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAINT ALPHONSUS MEDICAL CENTER-NAMPA'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2011. THIS AMOUNT IS INCLUDED IN COLUMN B(III): MARK BEKKEDAHL - $35,278 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $82,731 OF SEVERANCE FOR MARK BEKKEDAHL WHICH WAS UNPAID AS OF 12/31/11. THE $82,731 WAS PAID AND INCLUDED IN MARK BEKKEDAHL'S TAXABLE INCOME IN 2012. PART I, LINE 4B: THE 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 SALLY JEFFCOAT - $48,910 KARL KEELER - $9,654 MICHAEL MURPHY - $27,513 J. RICHARD O'CONNELL - $66,279 JOSEPH SWEDISH - $255,902 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: KEDRICK ADKINS - $220,648 JOSEPH SWEDISH - $2,740,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MEDNOW INC
B. LANNIE CHECKETTS, SAMC-NAMPA CFO, IS AN OFFICER OF MEDNOW, INC.	357342	VARIOUS TRANSACTIONS BETWEEN SAMC - NAMPA AND MEDNOW. MEDNOW IS OWNED 100% BY SAMC - NAMPA. SEE SCHEDULE R PART V FOR MORE INFORMATION.	0
BLUE CROSS OF IDAHO (BCI)
SALLY JEFFCOAT, TRUSTEE, SERVES ON THE BOARD OF BCI	15130523	PAYMENTS MADE BY BLUE CROSS OF IDAHO TO SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. FOR HEALTH CARE SERVICES PROVIDED TO BCI COVERED MEMBERS.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	KAYE O'RIORDAN, TRUSTEE, AND BRENT LLOYD, TRUSTEE, HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS SAINT ALPHONSUS HEALTH SYSTEM, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	SAINT ALPHONSUS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. SAINT ALPHONSUS HEALTH SYSTEM, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11	PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS REVIEWED BY SENIOR MANAGEMENT. 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 12C	SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. (SAMC - NAMPA) 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 SAMC - NAMPA, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAMC - NAMPA'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC - NAMPA OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF SAMC - NAMPA IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAMC - NAMPA. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF SAMC - NAMPA ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAMC - NAMPA ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	SAMC - NAMPA 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, SAMC - NAMPA INCLUDES 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, 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 SALLY JEFFCOAT - 48 HOURS MICHAEL MURPHY - 53 HOURS J. RICHARD O'CONNELL - 53 HOURS BLAINE PETERSEN - 48 HOURS JAMES POLK - 48 HOURS RODNEY REIDER - 48 HOURS JANELLE REILLY - 48 HOURS JOSEPH SWEDISH - 53 HOURS STEPHANIE WESTERMEIER - 48 HOURS	ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,335,239. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS: 1,500. EQUITY TRANSFERS FROM AFFILIATES: 46,872. GAIN ON SALE, DIVESTITURES: 746,000. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES: 5,735. TOTAL TO FORM 990, PART XI, LINE 5: -535,132.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2:	SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY12 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS:	SAINT ALPHONSUS MEDICAL CENTER - NAMPA MERCY MEDICAL CENTER, NAMPA MERCY MEDICAL CENTER

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (96 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SE	GRAND RAPIDS	MI	49503	272491974	HEALTHCARE SERVICES	MI	501(C)(3)	9	TRINITY HEALTH-MICHIGAN	0
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382949053	PROVIDE HOSPICE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	SUPPORTS SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	9	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	0
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	ACUTE/AMBULATORY HEALTHCARE SERVICES	IA	501(C)(3)	3	MERCY HEALTH SERVICES-IOWA CORP	0
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	11, TYPE I	BAUM HARMON MERCY HOSPITAL	0
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995	ANN ARBOR	MI	48106	382507173	FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES	MI	501(C)(3)	11, TYPE II	TRINITY HEALTH-MICHIGAN	0
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998	SOUTH BEND	IN	46619	263051440	HEALTHCARE SERVICES	IN	501(C)(3)	3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
CRANBROOK HOSPICE CARE
281 ENTERPRISE COURT	BLOOMFIELD HILLS	MI	48302	383320699	PROVIDE HOSPICE HEALTH SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET	COLUMBUS	OH	43213	342032340	HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO	OH	501(C)(3)	3	MOUNT CARMEL HEALTH SYSTEM	0
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	11, TYPE I	MERCY HEALTH SERVICES-IOWA CORP	0
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	11, TYPE I	MERCY HEALTH SERVICES-IOWA CORP	0
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	9	GOTTLIEB MEMORIAL HOSPITAL	0
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE	MELROSE PARK	IL	60160	743260011	SUPPORT THE SERVICES OF RELATED HOSPITAL	IL	501(C)(3)	11, TYPE III-FI		0	N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTHCARE SERVICES	IL	501(C)(3)	3	LOYOLA UNIVERSITY HEALTH SYSTEM	0
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302	MUSKEGON	MI	494433302	381358196	HEALTHCARE SERVICES	MI	501(C)(3)	3	MERCY HEALTH PARTNERS	0
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302	MUSKEGON	MI	494433302	382299878	SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY	MI	501(C)(3)	11, TYPE III-FI	MERCY HEALTH PARTNERS	0
HACKLEY LIFE COUNSELING
1352 TERRACE ST	MUSKEGON	MI	494423545	381386362	COUNSELING, EDUCATION, AND SUPPORT	MI	501(C)(3)	9	MERCY HEALTH PARTNERS	0
HACKLEY VISITING NURSE SERVICES AND HOSPICE INC
888 TERRACE ST	MUSKEGON	MI	49440	381359598	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	7	MERCY HEALTH PARTNERS	0
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	521945054	LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY	MD	501(C)(3)	9	TRINITY CONTINUING CARE SERVICES	0
HOLY CROSS HOSPITAL FOUNDATION INC
11801 TECH ROAD	SILVER SPRING	MD	20904	208428450	CHARITABLE FUNDRAISING	MD	501(C)(3)	11, TYPE I	HOLY CROSS HOSPITAL OF SILVER SPRING	0
HOLY CROSS HOSPITAL OF SILVER SPRING INC
1500 FOREST GLEN RD	SILVER SPRING	MD	209101484	520738041	HEALTHCARE SERVICES	MD	501(C)(3)	3	TRINITY HEALTH CORPORATION	0
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAY	LIVONIA	MI	48152	951985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	3	TRINITY HEALTH CORPORATION	0
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	504016208	421173708	HOSPICE HEALTH CARE SERVICES	IA	501(C)(3)	7	MERCY HEALTH SERVICES-IOWA CORP	0
HOSPICE OF WASHTENAW II
806 AIRPORT BLVD	ANN ARBOR	MI	48108	383320707	HOSPICE HEALTH CARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
HPCN
1675 LEAHY STREET	MUSKEGON	MI	49442	300207909	HEALTHCARE SERVICES	MI	501(C)(3)	11, TYPE II	MERCY HEALTH PARTNERS	0
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383316559	PROVIDES OFFICE-BASED MEDICAL CARE	MI	501(C)(3)	9	TRINITY HEALTH-MICHIGAN	0
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREET	SHELBY	MI	494551228	382549295	ACUTE HEALTHCARE SERVICES	MI	501(C)(3)	3	MERCY HEALTH PARTNERS	0
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	11, TYPE II	TRINITY HEALTH CORPORATION	0
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTHCARE SERVICES	IL	501(C)(3)	3	LOYOLA UNIVERSITY HEALTH SYSTEM	0
MARIAN HOME HEALTHCARE
801 5TH STREET	SIOUX CITY	IA	51101	383320705	PROVIDE HOME HEALTH CARE SERVICES	IA	501(C)(3)	11, TYPE I	MERCY HEALTH SERVICES-IOWA CORP	0
MCAULEY CLINIC CORPORATION
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	3	CATHERINE MCAULEY HEALTH SERVICES CORP	0
MERCY AMICARE HOME HEALTHCARE OAKLAND
281 ENTERPRISE COURT	BLOOMFIELD HILLS	MI	483020312	383320698	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUE	PORT HURON	MI	48060	383320701	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227350	SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM	IL	501(C)(3)	11, TYPE I	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREET	MUSKEGON	MI	49442	383321856	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
MERCY HEALTH PARTNERS
1415 LEAHY STREET	MUSKEGON	MI	49442	382589966	HEALTHCARE SYSTEM SUPPORT	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE SERVICES	DE	501(C)(3)	3	TRINITY HEALTH-MICHIGAN	0
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363163327	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLE	CHICAGO	IL	60697	912092113	SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY	IL	501(C)(3)	11, TYPE III-FI	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY HEALTHCARE FOUNDATION
1410 N 4TH ST	CLINTON	IA	52732	421316126	FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES	IA	501(C)(3)	11, TYPE I	MERCY MEDICAL CENTER-CLINTON	0
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	362170152	HEALTHCARE SERVICES	IL	501(C)(3)	3	MERCY HEALTH SYSTEM OF CHICAGO	0
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBART	CADILLAC	MI	496012331	203357131	SUPPORT THE SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVE	PORT HURON	MI	48060	381630480	VOLUNTEER SERVICE AUXILIARY	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	527322940	421336618	TO PROVIDE QUALITY HEALTH CARE	DE	501(C)(3)	3	MERCY HEALTH SERVICES-IOWA CORP	0
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	7	MERCY HEALTH SERVICES-IOWA CORP	0
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	504012800	421229151	SUPPORT THE SERVICES OF RELATED HOSPITAL	IA	501(C)(3)	11, TYPE III-FI	MERCY HEALTH SERVICES-IOWA CORP	0
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAIL	CADILLAC	MI	49601	383313897	HOME HEALTH AND HOSPICE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	208192593	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	9	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	1
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	11, TYPE II	TRINITY CONTINUING CARE SERVICES INC	0
MIDWEST MEDFLIGHT
1300 VICTORS WAY	ANN ARBOR	MI	48108	382684671	AEROMEDICAL TRANSPORT	MI	501(C)(3)	9	TRINITY HEALTH-MICHIGAN	0
MOUNT CARMEL CARE CONTINUUM SERVICES CORP
793 WEST STATE STREET	COLUMBUS	OH	43222	311126211	COOPERATIVE HOSPITAL SERVICE ORGANIZATION	OH	501(C)(3)	3	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	COLLEGE OF NURSING	OH	501(C)(3)	2	MOUNT CARMEL HEALTH	0
MOUNT CARMEL HEALTH
6150 EAST BROAD STREET	COLUMBUS	OH	43213	314379602	HEALTHCARE SERVICES	OH	501(C)(3)	3	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET	COLUMBUS	OH	43213	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311471229	MEDICARE HMO FOR SENIORS	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311439334	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	OH	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311113966	SUPPORT THE SERVICES OF RELATED HOSPITAL	OH	501(C)(3)	11, TYPE I	MOUNT CARMEL HEALTH SYSTEM	0
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE B	COLUMBUS	OH	43215	262729300	PROVIDE HOME HEALTH CARE SERVICES	OH	501(C)(3)	9	TRINITY HOME HEALTH SERVICES INC	0
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
7333 SMITHS MILL RD	NEW ALBANY	OH	43054	870790288	HEALTHCARE SERVICES	OH	501(C)(3)	3	MOUNT CARMEL HEALTH SYSTEM	0
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREET	KENTWOOD	MI	49508	383073745	OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)	MI	501(C)(3)	9	TRINITY HEALTH-MICHIGAN	0
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE	MUSKEGON	MI	49440	911932918	FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES	MI	501(C)(3)	7	MERCY HEALTH PARTNERS	0
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE SERVICES	NE	501(C)(3)	3	MERCY HEALTH SERVICES-IOWA CORP	0
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET	OAKLAND	NE	68045	311678345	SUPPORTS SERVICES OF RELATED HOSPITAL	NE	501(C)(3)	11, TYPE III-FI	OAKLAND MERCY HOSPITAL	0
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVE	PORT HURON	MI	48060	201855647	HEALTHCARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	494423257	382638284	MEDICAL CARE, TRANSPORTATION AND EDUCATION	MI	501(C)(3)	9	TRINITY HEALTH-MICHIGAN	0
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTHCARE SERVICES	CA	501(C)(3)	11, TYPE I	SAINT AGNES MEDICAL CENTER	0
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE SERVICES	CA	501(C)(3)	3	TRINITY HEALTH CORPORATION	0
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820401011	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	11, TYPE I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	0
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	SUPPORTS SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	11, TYPE I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	0
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	7	SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY	0
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	SUPPORT THE SERVICES OF RELATED HOSPITAL	OR	501(C)(3)	11, TYPE I	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO	0
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820200896	TO PROVIDE QUALITY HEALTH CARE	ID	501(C)(3)	3	SAINT ALPHONSUS HEALTH SYSTEM INC	1
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	261737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	1
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	TO PROVIDE QUALITY HEALTH CARE	OR	501(C)(3)	3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTHCARE SERVICES	ID	501(C)(3)	3	SAINT ALPHONSUS HEALTH SYSTEM INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTHCARE SERVICES	IN	501(C)(3)	3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935	SOUTH BEND	IN	466341935	350868157	HEALTHCARE SERVICES	IN	501(C)(3)	3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	356033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND	0
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE	PLYMOUTH	IN	46563	356043563	HOSPITAL SERVICE AUXILIARY	IN	501(C)(3)	11, TYPE II	SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH	0
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVE	SOUTH BEND	IN	46617	351568821	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	311040468	PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS	IN	501(C)(3)	9	TRINITY CONTINUING CARE SERVICES-INDIANA	0
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW	GRAND RAPIDS	MI	49505	383320700	PROVIDE HOME HEALTH CARE SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HOME HEALTH SERVICES INC	0
SAINT MARY'S FOUNDATION (FKA SAINT MARY'S DORAN FOUNDATION)
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	7	TRINITY HEALTH-MICHIGAN	0
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE	PONTIAC	MI	48341	352356789	SUPPORTS SERVICES OF RELATED HOSPITAL	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH-MICHIGAN	0
ST ANN'S HOSPITAL
500 SOUTH CLEVELAND AVE	WESTERVILLE	OH	43081	314412701	HEALTHCARE SERVICES	OH	501(C)(3)	3	MOUNT CARMEL HEALTH SYSTEM	0
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAY	MISHAWAKA	IN	46545	351654543	SUPPORTS SERVICES OF RELATED HOSPITAL	IN	501(C)(3)	11, TYPE I	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	0
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUE	FORT GRATIOT	MI	48054	382884297	MRI SERVICES	MI	501(C)(3)	3	TRINITY HEALTH-MICHIGAN	0
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382559656	MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184	FARMINGTON HILLS	MI	483339184	930907047	PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING	IN	501(C)(3)	9	TRINITY CONTINUING CARE SERVICES	0
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTHCARE SERVICES	MI	501(C)(3)	3	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	11, TYPE I		0	N/A
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTHCARE TRAINING AND SUPPORT SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	0
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAY	LIVONIA	MI	48152	382621935	HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES	MI	501(C)(3)	11, TYPE I	TRINITY HEALTH CORPORATION	0

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Percentage OwnershipPercentageOwnership
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300	GRAND RAPIDS	MI	49504	383306673	REHABILITATION THERAPY SERVICES	MI	N/A	N/A	0	0
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A	N/A	0	0
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311701029	SLEEP MEDICINE SERVICES	OH	N/A	N/A	0	0
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202	MOLINE	IL	61265	412044739	MRI DIAGNOSTIC SERVICES	IA	N/A	N/A	0	0
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A	N/A	0	0
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROAD	ANN ARBOR	MI	48104	382648446	LABORATORY	MI	N/A	N/A	0	0
FRESNO IMAGING CENTER
1303 E HERNDON AVE	FRESNO	CA	93720	770363563	DIAGNOSTIC IMAGING	CA	N/A	N/A	0	0
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A	N/A	0	0
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RD	BOISE	ID	83706	202975807	PROVIDE GYN ONCOLOGY SERVICES	ID	N/A	N/A	0	0
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	PROVIDE IMAGING SERVICES	ID	N/A	N/A	0	0
LOYOLA AMBULATORY SURGERY CENTER
1S224 SUMMIT AVE STE 201	OAKBROOK TERRACE	IL	60181	364119522	SURGICAL SERVICES	IL	N/A	N/A	0	0
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A	N/A	0	0
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A	N/A	0	0
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MEDILUCENT MOB I
793 W STATE STREET	COLUMBUS	OH	43222	204911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	262116721	SUBLEASE MRI EQUIPMENT	IL	N/A	N/A	0	0
MERCY HEART & VASCULAR LLC
2525 SOUTH MICHIGAN AVE	CHICAGO	IL	60616	205272726	SUBLEASE CT EQUIPMENT	IL	N/A	N/A	0	0
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A	N/A	0	0
MERCY OUTPATIENT SURGERY CENTER LLC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	841380439	OUTPATIENT SURGERY	ID		RELATED	0	1	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	617	0.60000
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREET	SOUTH BEND	IN	46601	352050128	COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORY	IN	N/A	N/A	0	0
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUE	FORT GRATIOT	MI	48059	300136708	OUTPATIENT SURGERY CENTER	MI	N/A	N/A	0	0
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311531135	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102	BOISE	ID	83706	510483218	PHARMACY	ID	N/A	N/A	0	0
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A	N/A	0	0
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	RADIATION ONCOLOGY	ID	N/A	N/A	0	0
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
TAMARACK MEDICAL CLINIC LLC
610 VILLAGE DRIVE	DONNELLY	ID	83615	201637921	OUTPATIENT MEDICAL SERVICES	ID	N/A	N/A	0	0
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311784409	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/IMAGING	MI	N/A	N/A	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVE	MUSKEGON	MI	49440	383522260	SOFTWARE MARKETING	MI	N/A	C
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVE	MELROSE PARK	IL	60160	363330529	MANAGEMENT SERVICES	IL	N/A	C
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	382961814	WEIGHT MANAGEMENT	MI	N/A	C
HACKLEY HEALTH VENTURES INC
1415 LEAHY ST	MUSKEGON	MI	49442	382589959	OTHER MEDICAL SERVICES	MI	N/A	C
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY ST	MUSKEGON	MI	49442	382578569	HOME MEDICAL EQUIPMENT	MI	N/A	C
HACKLEY PROFESSIONAL CENTER
1415 LEAHY ST	MUSKEGON	MI	49442	383024797	REAL ESTATE RENTAL	MI	N/A	C
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY ST	MUSKEGON	MI	49442	382447870	PHARMACY	MI	N/A	C
HEF INC
1415 LEAHY ST	MUSKEGON	MI	49442	383086401	OFFICE STAFFING	MI	N/A	C
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROAD	SILVER SPRING	MD	20904	521986562	HOME CARE SERVICES	MD	N/A	C
HPC CO-OWNERS ASSOCIATION
1700 CLINTON	MUSKEGON	MI	49442	270734448	CONDOMINIUM ASSOCIATION	MI	N/A	C
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	MI	N/A	C
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C
LOYOLA UNIVERSITY OF CHICAGO INSURANCE CO LTD
					PROVISION OF INSURANCE COVERAGE		N/A	C	23 LIME TREE BAY AVENUE	GRAND CAYMAN	CJ	CJ
MARYLAND CARE GROUP INC
11801 TECH ROAD	SILVER SPRING	MD	20904	521815313	HEALTHCARE HOLDING	MD	N/A	C
MEDNOW INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	820389927	OUTPATIENT PHARMACY	ID		C					SAINT ALPHONSUS MEDICAL CENTER-NAMPA	61528	2243663	1.00000
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60616	363227348	DORMANT	IL	N/A	C
MICHIGAN ATHLETIC CLUB
2500 BURTON	GRAND RAPIDS	MI	49546	382647304	ATHLETIC CLUB	MI	N/A	C
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	310971510	BEHAVIORAL HEALTHCARE SERVICES	OH	N/A	C
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311382442	MEDICAL SERVICES	OH	N/A	C
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SW	MASON CITY	IA	50401	421382308	MEDICAL SERVICES	IA	N/A	C
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230	FRESNO	CA	93729	770395267	FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS	CA	N/A	C
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	837061370	331078261	PHYSICIANS	ID	N/A	C
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SE	GRAND RAPIDS	MI	49546	383450733	ATHLETIC CLUB	MI	N/A	C
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311531102	FINANCE, INSURANCE AND REAL ESTATE	OH	N/A	C
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE		N/A	C	PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	PHYSICIAN HOSPITAL ORGANIZATION	MI	N/A	C
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
L	5049055	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
O	1260974	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
J	55049	PER BOOKS
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
K	304718	PER BOOKS
TRINITY HEALTH CORPORATION
E	11363000	PER BOOKS
TRINITY HEALTH CORPORATION
O	3849321	PER BOOKS
TRINITY HEALTH CORPORATION
Q	302156	PER BOOKS
TRINITY HEALTH CORPORATION
L	1013836	PER BOOKS
MEDNOW INC
K	216860	PER BOOKS
MEDNOW INC
P	124944	PER BOOKS
MERCY PHYSICIAN GROUP INC
K	161206	PER BOOKS
MERCY PHYSICIAN GROUP INC
O	148461	PER BOOKS
MERCY PHYSICIAN GROUP INC
P	58806	PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
L	345906	PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
O	2179690	PER BOOKS