SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS INC (EIN 35-0868157)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-06
IRS object ID: 201341269349301254
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-06T13:15:19-05:00	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	350868157	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAINT JOSEPH REGIONAL MEDICAL CENTER-	BusinessNameLine1
Business Name Line2	SOUTH BEND CAMPUS INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	5743355000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5215 HOLY CROSS PARKWAY	AddressLine1
City	MISHAWAKA	City
State	IN	State
ZIP Code	465451469	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JANICE DUNN	Name
Title	CFO	Title
Phone	5744726083	Phone
Date Signed	2013-05-06	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ALBERT GUTIERREZ	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5215 HOLY CROSS PARKWAY	AddressLine1
City	MISHAWAKA	City
State	IN	State
ZIP Code	465451469	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	291447559	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	WWW.SJMED.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1958	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	HEALTHCARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	1985	TotalNbrEmployees
Total Nbr Volunteers	736	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3356058	ContributionsGrantsPriorYear
Contributions Grants Current Year	2730864	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	254984369	ProgramServiceRevenuePriorYear
Program Service Revenue CY	281749352	ProgramServiceRevenueCY
Investment Income Prior Year	-943566	InvestmentIncomePriorYear
Investment Income Current Year	-1433671	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2143364	OtherRevenuePriorYear
Other Revenue Current Year	5540399	OtherRevenueCurrentYear
Total Revenue Prior Year	259540225	TotalRevenuePriorYear
Total Revenue Current Year	288586944	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2700000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	95353654	SalariesEtcPriorYear
Salaries Etc Current Year	96103737	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	164232825	OtherExpensePriorYear
Other Expenses Current Year	183485097	OtherExpensesCurrentYear
Total Expenses Prior Year	262286479	TotalExpensesPriorYear
Total Expenses Current Year	279588834	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2746254	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8998110	RevenuesLessExpensesCY
Total Assets BOY	426009401	TotalAssetsBOY
Total Assets EOY	417539311	TotalAssetsEOY
Total Liabilities BOY	375976278	TotalLiabilitiesBOY
Total Liabilities EOY	364032204	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	50033123	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	53507107	NetAssetsOrFundBalancesEOY
Mission Description	HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	229053112	Expense
Grants	0	Grants
Revenue	286044816	Revenue
Description	SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. (THE HOSPITAL), A NOT-FOR-PROFIT CORPORATION OWNS AND OPERATES A 287-BED ACUTE-CARE HOSPITAL IN SOUTH BEND, INDIANA. THE HOSPITAL PROVIDES SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL IS A MEMBER OF TRINITY HEALTH, AN INDIANA NOT-FOR-PROFIT CORPORATION SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH. FOR MORE INFORMATION ON SPECIFIC SERVICES PROVIDED, PLEASE SEE THE HOSPITAL WEBSITE AT WWW.SJMED.COM.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	THE MISSION STATEMENT FOR THE HOSPITAL IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPEL TO 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	229053112	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	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	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	216	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1985	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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	0	QuidProQuoContributions
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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WAYNE NOETHE CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5744726083	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	837 EAST CEDAR ST STE 350	AddressLine1
City	SOUTH BEND	City
State	IN	State
ZIP Code	466172000	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionA (40 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
ALBERT GUTIERREZ
DIRECTOR; PRES & CEO SJRMC	10.00	X	X	0	595976	70498
FR MARK L POORMAN CSC
CHAIR UNTIL 7/11	2.00	X	X	0	0	0
ABRAHAM MARCUS
CHAIR AS OF 7/11; V. CHAIR TIL 7/11	2.00	X	X	0	0	0
JOHN ROSENTHAL
V. CHAIR AS OF 1/12; DIRECTOR	2.00	X	X	0	0	0
CHARLES VIATER
TREASURER	2.00	X	X	0	0	0
KATHY BEELER
DIRECTOR	2.00	X		0	0	0
BILAL ANSARI MD
DIRECTOR	2.00	X		0	0	0
ROBERT CASALOU
DIRECTOR; CEO,ST JOS MERCY,ANN ARBOR	2.00	X		0	580342	76595
UTHMAN CAVALLO MD
DIRECTOR	2.00	X		1800	0	0
ROBERT E CLEMENCY MD
DIRECTOR	2.00	X		0	0	0
GREG CRAWFORD
DIRECTOR	2.00	X		0	0	0
RODNEY GANEY
DIRECTOR	2.00	X		0	0	0
MICHAEL R LEEP SR
DIRECTOR	2.00	X		0	0	0
SCOTT MALPASS
DIRECTOR UNTIL 8/11	2.00	X		0	0	0
CAROL A MOONEY JD
DIRECTOR	2.00	X		0	0	0
JOHN OLIVER
DIRECTOR	2.00	X		0	0	0
ROBERT OPPMAN MD
DIRECTOR	2.00	X		0	0	0
SR KATHLEEN QUINN PHJC
DIRECTOR	2.00	X		0	0	0
SR AGNES A ROBERTS CSC
DIRECTOR	2.00	X		0	0	0
FR JAMES FOSTER CSC MD
DIRECTOR AS OF 10/11	2.00	X		0	0	0
MICHAEL HAMMES
TRUSTEE UNTIL 12/11	2.00	X		0	0	0
JASON SCHULTZ
SECR/INTERIM GEN CNSL AS OF 12/11	10.00		X	0	5577	167
ROBERT DEVEY TATUM LLC
INTERIM CFO FROM 1/11 TO 8/11	10.00		X	0	110744	0
JANICE DUNN
CFO AS OF 8/11	10.00		X	0	118277	9507
AARON AUSTIN
CHRO UNTIL 3/12	10.00			0	316265	37975	X
JOSEPH SWEDISH
TRINITY PRESIDENT & CEO	2.00			0	5186660	576202	X
KEDRICK ADKINS
TRINITY PRES INTEGRATED SVCS	2.00			0	1405226	117120	X
RICHARD O'CONNELL
TRINITY EVP, COO-HOSP NTKWKS	2.00			0	943237	118221	X
MICHAEL MURPHY
TRINITY EVP, HLTH NTWKS UNTIL 4/12	2.00			0	474370	75538	X
PAUL E MILLER MD
HOSPITALIST	50.00			353329	0	30776		X
THOMAS PERUMPILLYKADAN VARIED MD
HOSPITALIST	50.00			328403	0	38223		X
KHALEELUR REHMAN ZACKARIYA MD
PHYSICIAN	50.00			306108	0	20976		X
SUNDAY OSUNNUGA MD
PHYSICIAN	50.00			302234	0	28955		X
F MONCRIEF DOBSON MD
PHYSICIAN NEONATOLOGY	50.00			296154	0	42691		X
RICHARD KORMAN
FORMER OFFICER	0.00			0	123672	20018			X
NANCY R HELLYER
FORMER OFFICER	0.00			0	187702	8110			X
TERRY L HECK
FORMER OFFICER	0.00			0	296742	68421			X
LORI PRICE
FORMER OFFICER	0.00			0	240661	39463			X
MARSHA KING
FORMER KEY EMPLOYEE	0.00			0	234417	63683			X
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE	0.00			0	150838	1101			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1588028	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10970706	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1444240	TotalOtherCompensation
Number Individuals GT100 K	46	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVD	SOUTH BEND	IN	46601	LABORATORY SERVICES	12269706
BRANDENBURG INDUSTRIAL SERVICE COMPANY
2625 S LOOMIS STREET	CHICAGO	IL	60608	DEMOLITION SERVICES	4219117
SODEXO MARRIOT MGMT INC
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	DIETARY MANAGEMENT	1537733
ST JOSEPH VALLEY ANESTHESIA
PO BOX 1742	SOUTH BEND	IN	46634	ANESTHESIA SERVICES	1483698
FRESENIUS MEDICAL CARE
16343 COLLECTIONS CENTER DR	CHICAGO	IL	60693	HEALTHCARE SERVICES	950643

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	31	NumberOfContractorsGT100K
Related Organizations	2367068	RelatedOrganizations
Government Grants	108559	GovernmentGrants
All Other Contributions	255237	AllOtherContributions
Total Contributions	2730864	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	NET PATIENT SVC REV	Description
Business Code	900099	BusinessCode
Total Revenue Column	281749352	TotalRevenueColumn
Related Or Exempt Function Income	281749352	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	281749352	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	336414	TotalRevenueColumn
Exclusion	$336,414	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	563781	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1001453	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-437672	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-437672	TotalRevenueColumn
Exclusion	-$437,672	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	89077	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1717340	Securities
Other	141822	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-1717340	Securities
Other	-52745	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1770085	TotalRevenueColumn
Exclusion	-$1,770,085	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
MEDICARE/MEDICAID HIT	900099	2638820	2638820
CAFETERIA	900099	1682607		$1,682,607

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1656644	TotalRevenueColumn
Related Or Exempt Function Income	1656644	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5978071	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	288586944	TotalRevenueColumn
Related Or Exempt Function Income	286044816	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$188,736	ExclusionAmount

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	98834	Total
Program Services	98834	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	75420329	Total
Program Services	71733557	ProgramServices
Management And General	3686772	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4753572	Total
Program Services	4521255	ProgramServices
Management And General	232317	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10537931	Total
Program Services	10022798	ProgramServices
Management And General	515133	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5293071	Total
Program Services	5069354	ProgramServices
Management And General	223717	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	629672	Total
Program Services	629672	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	21242930	Total
Program Services	20893501	ProgramServices
Management And General	349429	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	77854	Total
Program Services	33563	ProgramServices
Management And General	44291	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3076670	Total
Program Services	2256426	ProgramServices
Management And General	820244	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6738	Total
Management And General	6738	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4994206	Total
Program Services	4879461	ProgramServices
Management And General	114745	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	219733	Total
Program Services	186850	ProgramServices
Management And General	32883	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	217815	Total
Program Services	183954	ProgramServices
Management And General	33861	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	13837660	Total
Program Services	13837660	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16875729	Total
Program Services	16875729	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1595798	Total
Management And General	1595798	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	45599845	45579229	20616
INTERCO. PURCHASED SVCS	43028305	780730	42247575
BAD DEBT EXPENSE	16459174	16459174
HOSPITAL PROVIDER TAX	12571217	12571217

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3051751	Total
Program Services	2440148	ProgramServices
Management And General	611603	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	279588834	Total
Program Services	229053112	ProgramServices
Management And General	50535722	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3501115	BOY
EOY	408955	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	34030378	BOY
EOY	43038788	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	559814	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6103509	BOY
EOY	6133526	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	875397	BOY
EOY	1468089	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	414177022	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	70139860	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	356583977	BOY
EOY	344037162	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12160093	BOY
EOY	9601578	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	10544204	BOY
EOY	10708034	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1650914	BOY
EOY	2143179	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	426009401	BOY
EOY	417539311	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	21556060	BOY
EOY	19292845	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	175039	BOY
EOY	150901	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	13184269	BOY
EOY	12647406	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	341060910	BOY
EOY	331941052	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	375976278	BOY
EOY	364032204	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	50033123	BOY
EOY	53507107	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	50033123	BOY
EOY	53507107	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	426009401	BOY
EOY	417539311	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8998110	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5524126	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	$7,774	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	7774	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 JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC. (THE HOSPITAL) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING PURPOSES. SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3538880	OtherCostOrOtherBasis
Book Value	3538880	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	216867742	OtherCostOrOtherBasis
Depreciation	22801193	Depreciation
Book Value	194066549	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	178828604	OtherCostOrOtherBasis
Depreciation	45022007	Depreciation
Book Value	133806597	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14941796	OtherCostOrOtherBasis
Depreciation	2316660	Depreciation
Book Value	12625136	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	344037162	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DEFERRED COMPENSATION PAYABLE	$3,038,589
ASSET RETIREMENT OBLIGATION (FIN 47)	$126,630
INTERCOMPANY PAYABLES	$4,017,674
INTERCOMPANY NOTES PAYABLE	$324,758,159

Field	Value	IRS element (for citing)
Total Of Amounts	331941052	TotalOfAmounts

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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	9105	PersonsServed
Total Community Benefit Expense	7670274	TotalCommunityBenefitExpense
Net Community Benefit Expense	7670274	NetCommunityBenefitExpense
Percent Of Total Expense	0.02920	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	50	NumberOfActivitiesOrPrograms
Persons Served	38790	PersonsServed
Total Community Benefit Expense	42817181	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32656974	DirectOffsettingRevenue
Net Community Benefit Expense	10160207	NetCommunityBenefitExpense
Percent Of Total Expense	0.03860	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	30	NumberOfActivitiesOrPrograms
Persons Served	502	PersonsServed
Total Community Benefit Expense	222107	TotalCommunityBenefitExpense
Direct Offsetting Revenue	87501	DirectOffsettingRevenue
Net Community Benefit Expense	134606	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	81	NumberOfActivitiesOrPrograms
Persons Served	48397	PersonsServed
Total Community Benefit Expense	50709562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32744475	DirectOffsettingRevenue
Net Community Benefit Expense	17965087	NetCommunityBenefitExpense
Percent Of Total Expense	0.06830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	17710	PersonsServed
Total Community Benefit Expense	1332560	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17961	DirectOffsettingRevenue
Net Community Benefit Expense	1314599	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	100	PersonsServed
Total Community Benefit Expense	4387174	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2734698	DirectOffsettingRevenue
Net Community Benefit Expense	1652476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00630	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	35246	PersonsServed
Total Community Benefit Expense	6593453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3074279	DirectOffsettingRevenue
Net Community Benefit Expense	3519174	NetCommunityBenefitExpense
Percent Of Total Expense	0.01340	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	4200	PersonsServed
Total Community Benefit Expense	1300355	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3205	DirectOffsettingRevenue
Net Community Benefit Expense	1297150	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	57256	PersonsServed
Total Community Benefit Expense	13613542	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5830143	DirectOffsettingRevenue
Net Community Benefit Expense	7783399	NetCommunityBenefitExpense
Percent Of Total Expense	0.02960	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	119	NumberOfActivitiesOrPrograms
Persons Served	105653	PersonsServed
Total Community Benefit Expense	64323104	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38574618	DirectOffsettingRevenue
Net Community Benefit Expense	25748486	NetCommunityBenefitExpense
Percent Of Total Expense	0.09790	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	26542	TotalCommunityBuildingExpense
Net Community Building Expense	26542	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	22725	TotalCommunityBuildingExpense
Direct Offsetting Revenue	928	DirectOffsettingRevenue
Net Community Building Expense	21797	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	108248	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3720	DirectOffsettingRevenue
Net Community Building Expense	104528	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	6450	TotalCommunityBuildingExpense
Direct Offsetting Revenue	280	DirectOffsettingRevenue
Net Community Building Expense	6170	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	858	TotalCommunityBuildingExpense
Direct Offsetting Revenue	200	DirectOffsettingRevenue
Net Community Building Expense	658	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	160	DirectOffsettingRevenue
Net Community Building Expense	340	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	15000	TotalCommunityBuildingExpense
Net Community Building Expense	15000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Total Community Building Expense	180323	TotalCommunityBuildingExpense
Direct Offsetting Revenue	5288	DirectOffsettingRevenue
Net Community Building Expense	175035	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$5,499,268	BadDebtExpenseAmount
Amount Attributable To	549927	AmountAttributableTo
Amount Reimbursed By Medicare	72670552	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	82998136	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10327584	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST JOSEPH REG MED CTR-SOUTH BEND CAMPUS	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	5215 HOLY CROSS PARKWAY	AddressLine1
City	MISHAWAKA	City
State	IN	State
ZIP Code	46544	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
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	ST JOSEPH REGIONAL MEDICAL CENTER-SOUTH	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
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
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 V Section C Form990ScheduleHPartVSectionC

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

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
ST JOSEPH REHABILITATION INSTITUTE
60205 BODNAR BOULEVARD	MISHAWAKA	IN	46544	INPATIENT REHAB FACILITY
ELM ROAD MEDICAL CAMPUS
60101 BODNAR BLVD	MISHAWAKA	IN	46544	OUTPATIENT CLINIC, MIDWIFERY & SLEEP DISORDERS CLINICS
FAMILY MEDICINE CENTER
611 E DOUGLAS RD SUITE 407	MISHAWAKA	IN	46545	FAMILY HEALTH CENTER
4 WEST MEDICAL PAVILION
420 W FOURTH STREET	MISHAWAKA	IN	46544	OUTPAT.PHYSICIAN CLINIC
SAINT JOSEPH PEDIATRIC SPECIALTY CLINICS
611 EAST DOUGLAS RD SUITE 405	MISHAWAKA	IN	46545	PEDIATRIC SPECIALTY CLINIC
SISTER MAURA CSC BRANNICK HEALTH CENTER
326 SOUTH CHAPIN STREET	SOUTH BEND	IN	46601	OUTPATIENT CLINIC
MEDICAL IMAGING CENTER
53940 CARMICHAEL DRIVE	SOUTH BEND	IN	46635	MEDICAL IMAGING CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS 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.SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF INDIANA.IN ADDITION, SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH TRINITY HEALTH'S WEBSITE AS WELL AS SAINT JOSEPH REGIONAL MEDICAL CENTER'S WEBSITE (WWW.SJMED.COM)
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, $16,459,174, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II: COMMUNITY BUILDING ACTIVITIES - SAINT JOSEPH REGIONAL MEDICAL CENTER STRIVES TO LIVE ITS MISSION OF SERVING THOSE WHO ARE POOR AND UNDERSERVIED BY ASSISTING LOCAL ORGANIZATIONS IN THEIR EFFORTS TO MAKE THE CITIZENS OF OUR COMMUNITY MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT, WE LEARNED THAT CERTAIN TYPES OF AGENCIES COULD BENEFIT FROM OUR SUPPORT, INCLUDING THOSE THAT 1) PROVIDE MEDICAL CARE FOR THE MEDICALLY UNDER-SERVED AND/OR HOMELESS, 2) PROMOTE DIVERSITY, 3) SERVE WOMEN AND CHILDREN AND KEEP THEM SAFE, CLOTHED, FED AND EDUCATED, AND 4) WORK WITH OTHER HEALTH AND HUMAN SERVICES AGENCIES IN THE COMMUNITY TO FIND COMMON WAYS OF MEETING SOCIAL NEEDS.MOST OF THE COMMUNITY BUILDING PROGRAMS AND ORGANIZATIONS THAT SJRMC SUPPORTS SERVE LOW INCOME OR VULNERABLE POPULATIONS OR OFFER EDUCATION TO MEMBERS OF THE COMMUNITY WHO HELP THOSE POPULATIONS.OVER THE COURSE OF THE PAST YEAR, KEY CONTRIBUTIONS BY SJRMC INCLUDED:- PHYSICAL IMPROVEMENT - HANSEL CENTER RENOVATION - INSTITUTE FOR LATINO STUDIES - UNIVERSITY OF NOTRE DAME- ECONOMIC DEVELOPMENT -- CONTRIBUTED TO:- CHAMBER OF COMMERCE - ST. JOSEPH COUNTY- CHAMBER OF COMMERCE - ELKHART COUNTY - MISHAWAKA BUSINESS ASSOCIATION- LEADERSHIP DEVELOPMENT -- PROVIDED FINANCIAL SUPPORT TO:- 100 BLACK MEN OF GREATER SOUTH BEND AREA FOR MENTORING YOUNG BLACK MEN- JUNIOR ACHIEVEMENT OF MICHIANA - NAACP SOUTH BEND BRANCH- COMMUNITY SUPPORT DONATIONS TO:- MISHAWAKA EDUCATION FOUNDATION- MISHAWAKA SUMMERFEST - FESTIVAL HIGHLIGHTING THE CITY OF MISHAWAKA, SJRMC SPONSORS THE 5K RUN PORTION OF THIS EVENT. - GIRLS ON THE RUN - EDUCATION PROGRAM FOR 3RD - 5TH GRADE GIRLS ON SELF RESPECT AND HEALTHY LIVING - YWCA- BIG BROTHERS BIG SISTERS SPONSORSHIP- MARTIN LUTHER KING FOUNDATION -- EDUCATE THE COMMUNITY ABOUT DIVERSITY, WORKING TOGETHER, CREATING COMMON GOALS AND DEVELOPING A STRONG PATH TO POSITIVE OUTCOMES AND ONGOING VITALITY- WNIT - ST. MARGARET'S HOUSE - SAFE DAY HOUSE FOR HOMELESS WOMEN AND CHILDREN- ST. VINCENT DEPAUL SOCIETY- YOUTH SERVICE BUREAU- BOYS AND GIRLS CLUB- TUITION ASSISTANCE TO STUDENTS OF THE DIOCESE OF FORT WAYNE/SOUTH BEND AND ST. ANTHONY'S CHURCH- CENTER FOR THE HOMELESS - UNIVERSITY OF NOTRE DAME LATINO STUDIES AND SOCIAL SERVICES
PART III, LINE 4: SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS 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.A BAD DEBT TO CHARITY RECLASS WAS CONDUCTED AT TWO RELATED TRINITY ORGANIZATIONS. BASED ON DATA RETURNED FROM COLLECTION AGENCIES, WHICH WAS VALIDATED THROUGH ELECTRONIC MEANS (ISOLUTIONS), AMOUNTS THAT HAD BEEN WRITTEN OFF TO BAD DEBT WERE RE-CLASSED TO CHARITY DUE TO PATIENT'S INABILITY TO PAY THAT WOULD MEET PRESUMPTIVE CHARITY CRITERIA. SELECTED RETURNED ACCOUNTS WERE CASES WHERE THERE WAS NO PAYMENT WITHIN 90 DAYS OF PLACEMENT WITH THE AGENCY.AS ISOLUTIONS DATA WAS NOT AVAILABLE FOR THE SJRMC FACILITIES, WE ASSUME APPROXIMATELY 10% OF THE AMOUNTS WRITTEN-OFF TO BAD DEBT WOULD HAVE QUALIFIED FOR CHARITY BASED ON SIMILAR FINDINGS WITHIN THE REGION. WHILE CURRENT OPERATIONS ATTEMPT TO IDENTIFY THOSE CASES THAT WILL QUALIFY FOR CHARITY OR UNCOMPENSATED CARE, IT IS ASSUMED THAT APPROXIMATELY 10% OF THE REMAINING BAD DEBT AMOUNT MAY ALSO QUALIFY AS CHARITY.
PART III, LINE 8: SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B: THE ORGANIZATION'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 MINISTRY ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY.
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL (FPL) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOMES ABOVE 150% BUT NOT EXCEEDING 400% OF THE FPL RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.	ST. JOSEPH REGIONAL MEDICAL CENTER-SOUTH
PART VI, LINE 2: NEEDS ASSESSMENT - SAINT JOSEPH REGIONAL MEDICAL CENTER/SOUTH BEND PERFORMS A COMMUNITY NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, AS REQUIRED. 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 SAINT JOSEPH REGIONAL MEDICAL CENTER'S (SJRMC) 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. IT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE SJRMC 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 SJRMC CHNA PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELP SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. 2026 SURVEYS - TAKEN ELECTRONICALLY, IN-PERSON, AND ON PAPER - HAVE BEEN RECEIVED AND PROCESSED, AND TEN (10) FOCUS GROUPS HAVE BEEN CONDUCTED, WHICH CONCLUDED THE DATA COLLECTION PHASE OF OUR CHNA, SO AS TO SURFACE CRITICAL INFORMATION LEADING TO THE DEVELOPMENT OF 14 ACTION PLANS BASED ON COMMUNITY INPUT. THESE ACTION PLANS WILL SERVE AS AN UNDERPINNING OF SJRMC'S STRATEGIC PLAN THROUGH 2015. THE ACTION PLANS WILL BE MONITORED AND EVALUATED BY THE SJRMC BOARD OF TRUSTEES, THE SJRMC COMMUNITY BENEFITS COUNCIL AND AD HOC COMMITTEES, WITH THE FINAL REPORT COMPLETED MAY, 2012.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SJRMC IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THOSE WHO ARE POOR AND 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, SJRMC 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 OBLIGATIONSSJRMC PROVIDES EFFECTIVE COMMUNICATIONS 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. SJRMC RECOGNIZES THE MANY CHALLENGES THAT FACE ITS UNINSURED AND UNDERINSURED PATIENTS WHEN APPLYING FOR STATE AND FEDERAL PROGRAMS TO HELP WITH HEALTHCARE EXPENSES. THEREFORE, SJRMC ESTABLISHED THE ELIGIBILITY ASSISTANCE DEPARTMENT THAT UTILIZES A SOCIAL SERVICE APPROACH WITH A COMMITMENT TO PATIENT DIGNITY, COMPASSION, INTEGRITY AND PATIENT-CENTERED CARE. HIGHLY TRAINED SPECIALISTS WHO KNOW AND UNDERSTAND THE DIFFERENT REQUIREMENTS FOR MANY LOCAL, STATE AND FEDERAL PROGRAMS STAFF THE ELIGIBILITY ASSISTANCE DEPARTMENT. ONCE IT IS DETERMINED THAT A PATIENT QUALIFIES FOR A PROGRAM, AN ELIGIBILITY SPECIALIST IS ASSIGNED TO THE PATIENT'S CASE. THE ELIGIBILITY SPECIALIST WORKS WITH THE PATIENT'S PROVIDERS, DEPARTMENT OF CARE MANAGEMENT, AND ALL APPROPRIATE STATE, AND FEDERAL AGENCIES WHILE NAVIGATING THE PATIENT THROUGH PROCESSES. FINANCIAL COUNSELORS, IN CONJUNCTION WITH THE ELIGIBILITY ASSISTANCE DEPARTMENT, MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING 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.SJRMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED INDIVIDUALS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH VARIOUS MEANS, WHICH INCLUDE, BUT ARE NOT LIMITED TO, PATIENT BROCHURES, MESSAGES INCLUDED ON PATIENT BILLS, NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO THE INDIANA DIVISION OF FAMILY RESOURCES, UNITED WAY, THE LOCAL CHAPTER OF THE AMERICAN RED CROSS, THE AREA COUNCIL ON AGING, LOCAL PRIVATE AND PUBLIC SCHOOLS AND OTHER COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE AND IN THE DEPARTMENT ADMISSION PACKAGES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVICED BY THE HOSPITAL. SJRMC HAS ESTABLISHED A WRITTEN POLICY FOR BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SJRMC 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. SJRMC 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. ALL OF THE AFOREMENTIONED STAFF RECEIVE TRAINING ON TRINITY HEALTH'S MISSION, VISION AND CORE VALUES. THIS ALLOWS THE ASSOCIATES TO OFFER FINANCIAL ASSISTANCE TO PATIENTS WITH COMPASSION AND INTEGRITY, WHILE MAINTAINING THE PATIENT'S DIGNITY.
PART VI, LINE 4: COMMUNITY INFORMATION - SAINT JOSEPH REGIONAL MEDICAL CENTER SERVES 961,412 PEOPLE IN A DIVERSE NINE-COUNTY MARKET IN INDIANA AND MICHIGAN AT TWO HOSPITAL CAMPUSES, ONE IN MISHAWAKA AND ONE IN PLYMOUTH. THE PRIMARY SERVICE AREA INCLUDES ST. JOSEPH, MARSHALL, AND ELKHART COUNTIES IN INDIANA AND BERRIEN COUNTY, MICHIGAN, WHILE THE SECONDARY SERVICE AREA ENCOMPASSES FULTON, LAPORTE, PULASKI AND STARKE COUNTIES IN INDIANA AND CASS COUNTY, MICHIGAN.COUNTIES ARE GENERALLY SUBURBAN OR RURAL IN NATURE, WITH THE EXCEPTION OF URBAN CITY-CENTERS IN ELKHART AND SOUTH BEND, THE FOURTH LARGEST CITY IN INDIANA. THE REGION OFFERS DIVERSITY, A STABLE ECONOMY AND A FAMILY-FRIENDLY ENVIRONMENT, ALL WITHIN CLOSE PROXIMITY OF CHICAGO. OUR REGION INCLUDES A VARIETY OF QUALITY EDUCATION OPPORTUNITIES, INCLUDING BOTH PUBLIC AND PRIVATE SCHOOLS FROM PRESCHOOL THROUGH HIGH SCHOOL. THOSE PURSUING A HIGHER LEVEL OF EDUCATION HAVE SEVERAL OPTIONS, INCLUDING THE UNIVERSITY OF NOTRE DAME, INDIANA UNIVERSITY AT SOUTH BEND, ST. MARY'S COLLEGE, HOLY CROSS COLLEGE, ANCILLA COLLEGE, BETHEL COLLEGE, INDIANA TECH AND IVY TECH STATE COLLEGE. OTHER HOSPITALS IN THE PRIMARY SERVICE AREA INCLUDE MEMORIAL HOSPITAL OF SOUTH BEND, ELKHART GENERAL HOSPITAL AND GOSHEN GENERAL HOSPITAL TO THE EAST, IN ELKHART COUNTY. HOSPITALS LOCATED IN THE SECONDARY SERVICE AREA INCLUDE LAPORTE HOSPITAL AND SAINT ANTHONY MEMORIAL HOSPITAL TO THE WEST IN LAPORTE COUNTY, AND TO THE SOUTH, WOODLAWN HOSPITAL IN ROCHESTER, STARKE MEMORIAL IN STARKE COUNTY, AND PULASKI MEMORIAL IN WINAMAC.TOTAL POPULATION FOR THE NINE COUNTY SERVICE AREA IS ONLY EXPECTED TO GROW 0.4% FROM 2012 THROUGH 2017. COMPARED TO THE STATE OF INDIANA, THE NINE COUNTY AREA HAS A LOWER PROJECTED POPULATION GROWTH, A HIGHER MEDIAN AGE AND THE GREATEST DECLINE IN FEMALES OF CHILD BEARING AGE 15-44 AT 2.7%. THE POPULATION AGED 65 AND OLDER REPRESENTS 13.6% OF THE TOTAL POPULATION, AND IS EXPECTED TO INCREASE 1.3% OVER THE NEXT FIVE YEARS. MEDIAN HOUSEHOLD INCOME IS BELOW THE RATE FOR THE STATES OF INDIANA, MICHIGAN AND OHIO AS WELL AS THE USA. TWENTY-FIVE PERCENT OF THE POPULATION IN THE AREA EARN AN ANNUAL SALARY BELOW $30,000. BOTH THE PRIMARY AND SECONDARY SERVICES AREAS HAVE EXPERIENCED STAGNANT POPULATION GROWTH OVER THE PAST DECADE. THE ONLY POCKET OF GROWTH IN ST. JOSEPH COUNTY IS IN THE SOUTHEAST QUADRANT. MEDIAN HOUSEHOLD INCOME IS FAIRLY STABLE ACROSS THE REGION, WITH AREAS OF HIGHEST AFFLUENCE IN THE GRANGER ZIP CODE AND PORTIONS OF ELKHART COUNTY.UNEMPLOYMENT HAS DECLINED 17% IN THE NINE COUNTY MARKET SINCE OCTOBER 2011. THE CURRENT RATE IS HIGHER THAN THE INDIANA RATE OF 7.4% AND THE NATIONAL AVERAGE OF 7.5% FOR OCTOBER 2012 THE MOST RECENT DATA AVAILABLE. MOODY'S RATES INDIANA AS RECOVERING. EDUCATION, HEALTHCARE, AND GOVERNMENT ARE THE MAJOR EMPLOYERS IN THE LOCAL ECONOMY.ESTIMATES OF THE UNINSURED IN THE SEVEN INDIANA COUNTIES IN THIS SERVICE AREA IS 91,759, RANGING FROM 14.5% IN FULTON COUNTY TO 16.5% IN ELKHART COUNTY; IN THE THREE MICHIGAN COUNTIES SERVED THE ESTIMATE OF UNINSURED IS 232,203, RANGING FROM 10.3% IN CASS COUNTY TO 14.4% IN BERRIEN COUNTY.THE TARGETED SERVICE AREA INCLUDES SEVERAL MEDICALLY UNDERSERVED AREAS (MUA) AND MEDICALLY UNDERSERVED POPULATIONS (MUP). IN INDIANA, THESE INCLUDE PORTIONS OF ELKHART COUNTY, LAPORTE COUNTY, AND ST. JOSEPH COUNTY. IN MICHIGAN, THEY INCLUDE PORTIONS OF BERRIEN COUNTY, CASS COUNTY, AND ST. JOSEPH COUNTY.THERE ARE ALSO THREE CRITICAL ACCESS HOSPITALS (CAH) - COMMUNITY HOSPITAL OF BREMEN, PULASKI MEMORIAL HOSPITAL, AND WOODLAWN HOSPITAL - AT WHICH PRIMARY CARE PROFESSIONALS WITH PRESCRIPTIVE PRIVILEGES FURNISH OUTPATIENT PRIMARY-CARE SERVICES.ACCORDING TO THE U.S. CENSUS BUREAU, 10.1% OF FAMILIES IN THE STATE OF INDIANA LIVED IN POVERTY. THE STATE OF MICHIGAN'S PERCENTAGE WAS LOWER, AT 8.2%. SJRMC SERVES A LARGE MEDICAID POPULATION ACROSS MANY DELIVERY SITES, MOST OF WHICH ARE LOCATED IN ST. JOSEPH COUNTY. INPATIENT MEDICAID POPULATION SERVED BY SJRMC MISHAWAKA CAMPUS EQUALS 20% OF THE HOSPITAL'S TOTAL OVERALL. WHEN SPECIFIC SERVICES LIKE OBSTETRICS AND NEONATOLOGY ARE CONSIDERED, THE PERCENTAGE INCREASES TO 56-72% OF THE TOTAL DISCHARGES FOR THE RESPECTIVE SERVICE LINE. AS IN MOST MIDWESTERN COMMUNITIES, THE NINE-COUNTY SERVICE AREA POPULATION IS LARGELY MADE UP OF WHITE NON-HISPANIC INDIVIDUALS OF NORTHERN EUROPEAN DESCENT. HOWEVER, THE REGION OF NORTHERN INDIANA AND SOUTHWESTERN MICHIGAN HAS SEEN AN INCREASE IN THE HISPANIC POPULATION OVER THE PAST TEN YEARS. THE REPRESENTATION OF HISPANIC POPULATION IN THIS AREA IS LIKELY TO BE UNDERSTATED. THE NINE-COUNTY SERVICE AREA POPULATION TENDS TO SUFFER FROM THE SAME CHRONIC HEALTH PROBLEMS AS THE REST OF THE NATION. DISEASES WITH THE HIGHEST INCIDENCE RATES TEND TO BE HEART DISEASE, CANCER AND DIABETES IN VARIOUS DEGREES. SMOKING PREVALENCE IN INDIANA IS QUITE HIGH COMPARED TO THE NATIONAL RATES.
PART VI, LINE 5: OTHER INFORMATION - SJRMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. BY DOING SO, IT IS ABLE TO ENSURE THAT HIGH QUALITY AND EASILY ACCESSIBLE CARE IS AVAILABLE IN A VARIETY OF PRIMARY AND SPECIALTY CARE AREAS.SJRMC PRIDES ITSELF ON HAVING A NEW, STATE-OF-THE-ART MEDICAL CENTER THAT UTILIZES THE LATEST TECHNOLOGY, ELECTRONIC MEDICAL RECORDS, FULLY INTEGRATED MEDICAL TEAMS AND HIGHLY TRAINED STAFF TO PROVIDE CARE THAT IS SECOND TO NONE. RESIDENCY PROGRAMS IN FAMILY PRACTICE, PODIATRY, AND PHARMACY, AS WELL AS CLINICAL EDUCATION FOR NURSES AND ANCILLARY STAFF PROVIDE ONGOING EDUCATION AND A "LABORATORY FOR LEARNING." SEVERAL NURSING SCHOOLS UTILIZE SJRMC FOR THE CLINICAL COMPONENT OF THEIR NURSING EDUCATION. PARTICIPATING IN BOTH AN INTERNAL AND EXTERNAL REVIEW BOARD, SJRMC KEEPS PACE WITH THE EVER-GROWING COMPLEXITY OF HEALTH CARE AND PROVIDES LEADERSHIP IN AREAS SPECIFIC TO THE NEEDS OF ITS PATIENTS.WHILE NOT CONSIDERED "THE" TRAUMA CENTER FOR THE AREAS IT SERVES, SJRMC DOES HAVE AN EXCELLENT GROUP OF EMERGENCY DEPARTMENT PHYSICIANS AND STAFF TRAINED IN TREATING PERSONS SUFFERING FROM EMERGENT AND NON-EMERGENT CONDITIONS. SERVING ALL PEOPLE REGARDLESS OF ETHNICITY, GENDER, RELIGION, ABILITY TO PAY ETC, THE EMERGENCY DEPARTMENT HAS OVER 30 TREATMENT ROOMS AS WELL AS TRAUMA ROOMS AND HIGH-INTENSITY TREATMENT ROOMS.SJRMC PARTICIPATES IN MEDICARE, MEDICAID, CHAMPUS, TRICARE AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS, AND OFFERS CHARITY CARE AND CARE ON A SLIDING FEE SCALE. IN KEEPING WITH ITS MISSION STATEMENT AND VALUES, SJRMC ASSURES UNINSURED PATIENTS THAT THEY RECEIVE THE SAME HIGH QUALITY MEDICAL CARE AS THOSE WHO HAVE THE ABILITY TO PAY. FINANCIAL ASSISTANCE IS PROVIDED TO ALL WHO ARE ELIGIBLE TO RECEIVE IT. POLICIES GOVERNING SUCH ASSISTANCE ARE READILY AVAILABLE FOR STAFF AND PATIENTS ALIKE. SJRMC SPONSORS A HEALTH CENTER THAT PROVIDES CARE TO ALL INSURED, UNDER-INSURED, AND UNINSURED PATIENTS. IT ALSO FULLY SUBSIDIZES A HEALTH CENTER SPECIFICALLY FOR THE UNINSURED. STAFFED BY DOCTORS WHO VOLUNTEER THEIR TIME AND SKILLS, THIS HEALTH CENTER SERVES A HIGHLY DIVERSE POPULATION AND OFFERS SPECIALIZED CLINICS IN CHRONIC DISEASE MANAGEMENT, COUMADIN CARE, SMOKING CESSATION, HIV/AIDS, AND SUBSTANCE ABUSE. A MOBILE MEDICAL UNIT PROVIDES DIGITAL MAMMOGRAPHY IN OUTLYING AREAS WHERE SERVICES ARE DIFFICULT TO OBTAIN. ONE OF THE AREAS IS COMPOSED OF ONE OF THE COUNTRY'S LARGEST AMISH POPULATIONS.ADVOCACY FOR VARIOUS HEALTH-RELATED ISSUES IS AT THE FOREFRONT AT SJRMC, INCLUDING EFFORTS RELATED TO OBTAINING HEALTH CARE FOR ALL, ELIMINATING THE HEALTH CARE DISPARITIES AMONG DIVERSE POPULATIONS AND OBTAINING AFFORDABLE PHARMACEUTICALS. SJRMC CONTINUES TO BE THE LEADER IN FOUNDING AND FUNDING PROGRAMS THAT IMPACT THE HEALTH OF ITS COMMUNITIES, PROVIDING LOCAL SCHOOLS WITH ATHLETIC TRAINERS, AND SCHOOL HEALTH NURSES.VOLUNTEERS WITHIN THE SJRMC/SOUTH BEND HOSPITAL TESTIFY TO THE REPUTATION AND IMPACT OF THE HOSPITAL. WOMEN, MEN, AND YOUTH BELIEVE IN THE MISSION OF THE HOSPITAL AND ATTEST TO IT BY PROVIDING HUNDREDS OF HOURS OF SERVICE EACH YEAR. VOLUNTEERS WITH SPECIAL NEEDS ARE ALSO WELCOME TO SERVE THE HOSPITAL, ITS PHYSICIANS, STAFF AND THE PUBLIC. AS A FAITH-BASED HEALTH INSTITUTION, SJRMC OFFERS PATIENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THE OPPORTUNITY TO ADDRESS THE SPIRITUAL NEEDS THAT ARISE AS ONE EXPERIENCES ILLNESS, CHRONIC HEALTH CONDITIONS, OR THE DYING PROCESS. THIS EXPERIENCE OF FAITH, THE PRESENCE OF CHRISTIAN, JEWISH AND MUSLIM PRAYER/REFLECTION ROOMS, AND FULL-TIME CERTIFIED CHAPLAINS AFFORD EVERYONE WITH THE CERTITUDE THAT THE WHOLE PERSON AND HIS/HER CARE ARE ADDRESSED.SJRMC HAS A NUMBER OF CRITICAL OUTREACH PROGRAMS THAT FURTHER ASSIST IN THE ENHANCEMENT OF THE HEALTH STATUS OF THE POPULATIONS IT SERVES. THROUGH THE GENEROSITY OF BENEFACTORS AND THE SAINT JOSEPH FOUNDATION, SJRMC PARTICIPATES IN MANY OUTREACH COMMUNITY PROGRAMS AND SERVICES:THE WOMEN'S TASK FORCE (WOMEN SURVIVORS OF VARIOUS FORMS OF CANCER)- PROVIDES MAMMOGRAMS AND PAP TESTS FOR THOSE UNABLE TO AFFORD THEMTHE COMMUNITY HEALTH PARTNERS OF SOUTH BEND, INC.- BENDIX FAMILY PHYSICIANS (A HEALTH CENTER JOINTLY ESTABLISHED BY SJRMC AND MEMORIAL HOSPITAL) PROVIDES CARE AND HEALTH EDUCATION IN A DECLARED MEDICALLY UNDERSERVED AREA- VOLUNTEER PHYSICIAN NETWORK - PRIMARY CARE PROVIDERS AND SPECIALISTS CARING FOR THOSE UNABLE TO PAY OR ARE ON SLIDING FEE SCALEOUTREACH PROGRAMS FOCUSING ON:- CHRONIC DISEASE- NUTRITION- EXERCISE- SMOKING CESSATION- HEALTH FAIRS- COLLABORATION WITH OTHER AREA HEALTH CARE PROVIDERS TO ASSIST AND CARE FOR THE UNDERSERVED POPULATIONSJRMC PROVIDED IN-KIND DONATIONS TO MANY AGENCIES INCLUDING THE FOLLOWING:- COMPUTERS TO LOCAL NON-PROFIT AGENCIES- MEDICAL SUPPLIES AND DRUGS TO MISSION TRIPS- LUNCHES TO HOPE MINISTRIES - COMPUTERS AND PRINTERS TO HEALTHLINC FQHC- PRINTING SERVICES FOR LOCAL NON-PROFIT AGENCIESSJRMC MADE SIGNIFICANT CONTRIBUTIONS TO:- UNITED WAY - AMERICAN HEART ASSOCIATION- RIVERBEND CANCER SERVICES- SUSAN G. KOMEN- HOLTZ CHARITABLE FOUNDATION - LOGAN INC. (CENTER FOR PEOPLE WITH DISABILITIES)- DIOCESE OF FORT WAYNE/SOUTH BEND- WOMEN'S CARE CENTER- MARCH OF DIMES- REAL SERVICES - HANNAH'S HOUSE (HOME FOR PREGNANT WOMEN) - IU SCHOOL OF MEDICINE- BRIDGE OF HOPE - ST. JOSEPH- LA CASA DE AMISTAD - COMMUNITY CENTER FOR LATINO MEMBERS
PART VI, LINE 6: SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS 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, PROVIDE HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH TO THE ELDERLY. IN FISCAL YEAR 2012, THIS INCLUDED OVER $615 MILLION IN SUCH COMMUNITY BENEFITS. 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.
IN	REPORTS FILED WITH STATES	PART VI, LINE 7

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
ALBERT GUTIERREZ
0	426838	0	101795	0	67343	0	51113	0	19385	0	666474	0	0
ROBERT CASALOU
0	401427	0	123058	0	55857	0	51578	0	25017	0	656937	0	0
ROBERT DEVEY TATUM LLC
0	110744	0	0	0	0	0	0	0	0	0	110744	0	0
AARON AUSTIN
0	217904	0	70370	0	27991	0	19276	0	18699	0	354240	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
RICHARD O'CONNELL
0	571942	0	230946	0	140349	0	85919	0	32302	0	1061458	0	0
MICHAEL MURPHY
0	402598	0	0	0	71772	0	48365	0	27173	0	549908	0	0
PAUL E MILLER MD
352525	0	0	0	804	0	12250	0	18526	0	384105	0	0	0
THOMAS PERUMPILLYKADAN VARIED MD
327887	0	0	0	516	0	21038	0	17185	0	366626	0	0	0
KHALEELUR REHMAN ZACKARIYA MD
305829	0	0	0	279	0	7350	0	13626	0	327084	0	0	0
SUNDAY OSUNNUGA MD
301837	0	0	0	397	0	20755	0	8200	0	331189	0	0	0
F MONCRIEF DOBSON MD
294859	0	0	0	1295	0	29210	0	13481	0	338845	0	0	0
RICHARD KORMAN
0	99951	0	0	0	23721	0	10037	0	9981	0	143690	0	0
NANCY R HELLYER
0	0	0	0	0	187702	0	0	0	8110	0	195812	0	187702
TERRY L HECK
0	50066	0	20000	0	226676	0	55579	0	12842	0	365163	0	0
LORI PRICE
0	240308	0	0	0	353	0	31291	0	8172	0	280124	0	0
MARSHA KING
0	79863	0	30720	0	123834	0	50463	0	13220	0	298100	0	0
MICHAEL SLUBOWSKI
0	13394	0	0	0	137444	0	500	0	601	0	151939	0	136445

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS' 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 JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS' CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2011. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): TERRY L. HECK - $198,819 NANCY R. HELLYER - $187,921 MARSHA KING - $104,409 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS WHICH WERE UNPAID AS OF 12/31/11: TERRY L. HECK - $43,643 MARSHA KING - $32,403 BOTH OF THESE AMOUNTS WILL BE PAID AND INCLUDED IN 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 ROBERT CASALOU - $39,328 ALBERT GUTIERREZ - $38,863 MICHAEL MURPHY - $27,513 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.
PART III	PART II: ROBERT DEVEY - THE AMOUNT LISTED IN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY SAINT JOSEPH REGIONAL MEDICAL CENTER (SJRMC) TO TATUM, LLC FOR MR. DEVEY'S SERVICES AS INTERIM CFO OF SJRMC (MR. DEVEY IS AN EMPLOYEE OF TATUM, LLC AND RECEIVES A FORM W-2 FROM THEM). SJRMC DOES NOT KNOW HOW MUCH MR. DEVEY RECEIVED AS WAGES FROM HIS EMPLOYER, TATUM, LLC, IN CALENDAR 2011.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ERICA AUSTIN
FAMILY MEMBER OF AARON AUSTIN, KEY EMPLOYEE	59654	EMPLOYMENT ARRANGEMENT	0
ELM ROAD MOB II LLC
ROBERT CLEMENCY, DIR., HAS A GREATER THAN 5% INDIRECT INT IN ELM ROAD MOB	1606474	SJRMC - SOUTH BEND CAMPUS LEASES SPACE FROM ELM ROAD MOB II	0
LISA AUSTIN
FAMILY MEMBER OF AARON AUSTIN, KEY EMPLOYEE	14734	EMPLOYMENT ARRANGEMENT	0
ELLEN BRUNEEL
FAMILY MEMBER OF JOHN ROSENTHAL, OFFICER	24447	EMPLOYMENT ARRANGEMENT	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	JANICE DUNN, CFO, AND ABRAHAM MARCUS, BOARD CHAIR, HAVE A BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 3	TRINITY HEALTH AND SAINT JOSEPH REGIONAL MEDICAL CENTER (THE PARENT OF SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS) HAVE CONTRACTED WITH TATUM, LLC FOR THE PROVISION OF INTERIM CFO SERVICES FOR SAINT JOSEPH REGIONAL MEDICAL CENTER AND ITS SUBSIDIARIES. SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. IS SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. IS THE SOLE MEMBER OF SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT JOSEPH REGIONAL MEDICAL CENTER, 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 JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC., WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15	TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AS WELL AS SAINT JOSEPH REGIONAL MEDICAL CENTER'S WEBSITE (WWW.SJMED.COM)
CORE FORM, 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 AARON AUSTIN - 40 HOURS ROBERT CASALOU - 48 HOURS ROBERT DEVEY - 40 HOURS JANICE DUNN - 40 HOURS ALBERT GUTIERREZ - 40 HOURS MICHAEL MURPHY - 53 HOURS RICHARD O'CONNELL - 53 HOURS LORI PRICE - 50 HOURS JASON SCHULTZ - 40 HOURS JOSEPH SWEDISH - 53 HOURS	ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -524,126. EQUITY TRANSFERS TO AFFILIATES: -5,000,000. TOTAL TO FORM 990, PART XI, LINE 5: -5,524,126.	CHANGES IN NET ASSETS OR FUND BALANCES:
CORE FORM, PART XII, LINE 2:	SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, 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, PART I, DOING BUSINESS AS:	ELM ROAD OCCUPATIONAL HEALTH, ELM ROAD SLEEP DISORDER CENTER, ELM ROAD OUTPATIENT THERAPY/INDUSTRIAL REHABILITATION, HEALTHY FAMILY CENTER, MIDWIFERY OF MICHIANA, MOBILE MEDICAL UNIT, OCCUPATIONAL HEALTH, SR. MAURA BRANNICK HEALTH CENTER, SAINT JOSEPH REGIONAL MEDICAL CENTER, SJRMC REHABILITATION INSTITUTE, SAINT JOSEPH REGIONAL MEDICAL CENTER REHABILITATION INSTITUTE, SAINT JOSEPH REHABILITATION INSTITUTE, ASSOCIATES IN FAMILY MEDICINE, SAINT JOSEPH PODIATRIC RESIDENCY CLINIC, FAMILY MEDICINE CENTER OF SJRMC, SAINT JOSEPH REGIONAL MEDICAL CENTER SPORTS MEDICINE INSTITUTE, SR. MAURA BRANNICK DENTAL 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	0
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	483339184	382719605	PROVIDES LONG-TERM CARE FOR THE ELDERLY	MI	501(C)(3)	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	0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	261737256	SUPPORT THE SERVICES OF RELATED HOSPITAL	ID	501(C)(3)	7	SAINT ALPHONSUS MEDICAL CENTER-NAMPA	0
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	1
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	356033285	HOSPITAL SERVICE AUXILIARY	IN	501(C)(4)	N/A	SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND	1
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
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	N/A	N/A	0	0
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
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	N/A	C
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	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
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 (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
A	16793	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
B	5000000	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
J	264528	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
K	82075	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
L	42706962	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
O	5603195	PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
P	1504605	PER BOOKS
MOUNT CARMEL HEALTH SYSTEM
L	778761	PER BOOKS
TRINITY HEALTH CORPORATION
Q	15142948	PER BOOKS
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
C	2351068	PER BOOKS