SAINT ALPHONSUS MEDICAL CENTER NAMPA INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SAINT ALPHONSUS MEDICAL CENTER NAMPA INC (EIN 82-0200896)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201231369349300903
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T07:15:28-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820200896 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 2084635589 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 836866008 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | B LANNIE CHECKETTS | Name |
| Title | CFO | Title |
| Phone | 2084635589 | Phone |
| Date Signed | 2012-05-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KARL KEELER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 836866008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 88902423 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCYNAMPA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2007 | YearFormation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | HEALTHCARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 654 | TotalNbrEmployees |
| Total Nbr Volunteers | 165 | TotalNbrVolunteers |
| Total Gross UBI | 447488 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -73760 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 466156 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 182503 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 83611033 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84560967 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1260169 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1811133 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2108541 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2307657 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 87445899 | TotalRevenuePriorYear |
| Total Revenue Current Year | 88862260 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 18725 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 89733 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33011632 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32485462 | 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 | 51722604 | OtherExpensePriorYear |
| Other Expenses Current Year | 51325229 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 84752961 | TotalExpensesPriorYear |
| Total Expenses Current Year | 83900424 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2692938 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4961836 | RevenuesLessExpensesCY |
| Total Assets BOY | 73050318 | TotalAssetsBOY |
| Total Assets EOY | 88986955 | TotalAssetsEOY |
| Total Liabilities BOY | 11405781 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17704535 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 61644537 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 71282420 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 72268453 | Expense |
| Grants | 89733 | Grants |
| Revenue | 85228927 | Revenue |
| Description | SINCE 1917 WHEN THE SISTERS OF MERCY BEGAN PROVIDING CARE TO THE NAMPA, IDAHO COMMUNITY, SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS BEEN COMMITTED TO THE PROVISION OF QUALITY HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS THE ONLY CATHOLIC HOSPITAL TO SERVE THE NAMPA COMMUNITY. IT IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT HOSPITAL.SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS A 152-BED ACUTE CARE HOSPITAL SERVING THE NEEDS OF THE GREATER NAMPA AREA. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. OPERATES A 24-HOUR EMERGENCY ROOM 365 DAYS PER YEAR. THE EMERGENCY ROOM IS OPEN TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS AN OPEN MEDICAL STAFF, PARTICIPATES IN MEDICARE AND MEDICAID, AND HAS AN ACTIVE CHARITY CARE PROGRAM.SEE SCHEDULE H FOR MORE INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THE MISSION STATEMENT FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA,INC. IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 72268453 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 654 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 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 | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | B LANNIE CHECKETTS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2084635589 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 83686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (43 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 |
|---|---|---|---|---|---|---|---|---|
| B LANNIE CHECKETTS | ||||||||
| TRUSTEE THRU 12/10; CFO | 49.00 | X | X | 290066 | 0 | 28199 | ||
| BRENT LLOYD | ||||||||
| CHAIR AS OF 1/11 | 2.00 | X | X | 0 | 0 | 0 | ||
| GEORGE JUETTEN | ||||||||
| VICE-CHAIR AS OF 1/11 | 2.00 | X | X | 0 | 0 | 0 | ||
| NATALIE RAYNOR | ||||||||
| SECRETARY THRU 12/10 | 50.00 | X | X | 56011 | 0 | 19098 | ||
| JEFF AGENBROAD | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| STEVE BROCATO | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| LYNDA CLARK | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| ADEBAYO CROWNSON MD | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 186046 | 32275 | |||
| SR SHARON FORD RSM | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| RONALD GRAVES | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| MARTI HALES | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| LYNN HARRIS | ||||||||
| TRUSTEE AS OF 5/11 | 2.00 | X | 0 | 0 | 0 | |||
| KENNETH HART | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| STUART HARTLEY | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| DUSTAN HUGHES MD | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| RANDALL HUTCHINGS | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| SALLY JEFFCOAT | ||||||||
| TRUSTEE; SYS PRES & CEO | 2.00 | X | X | 0 | 680947 | 100231 | ||
| NED KERR | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| J RICHARD O'CONNELL | ||||||||
| TRUSTEE, TRINITY EVP, COO HOSP NTWKS | 2.00 | X | 0 | 761373 | 137960 | |||
| KAYE O'RIORDAN | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| SR RITA PARKS | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| DOLORES PREISINGER | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| SR SHARLET WAGNER CSC | ||||||||
| TRUSTEE AS OF 1/11 | 2.00 | X | 0 | 0 | 0 | |||
| JON WAGNILD MD | ||||||||
| TRUSTEE AS OF 3/11 | 2.00 | X | 0 | 0 | 0 | |||
| CHARLES WHITE | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| PAM WHITE | ||||||||
| TRUSTEE THRU 12/10 | 2.00 | X | 0 | 0 | 0 | |||
| VICTOR YAMAMOTO | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| STEPHANIE WESTERMEIER | ||||||||
| SECRETARY AS OF 1/11 | 2.00 | X | 0 | 305382 | 34635 | |||
| BLAINE PETERSEN | ||||||||
| TREAS AS OF 1/11,SYS CFO AS OF 11/10 | 2.00 | X | 0 | 39832 | 1938 | |||
| KARL KEELER | ||||||||
| PRESIDENT & CEO AS OF 9/10 | 50.00 | X | 0 | 112811 | 6011 | |||
| JOSEPH SWEDISH | ||||||||
| TRINITY PRES & CEO | 2.00 | 0 | 2853932 | 791453 | X | |||
| KEDRICK ADKINS | ||||||||
| TRINITY PRES., INTEGRATED SVCS. | 2.00 | 0 | 1160870 | 198248 | X | |||
| MICHAEL SLUBOWSKI | ||||||||
| TRIN PRES., HEALTH NTWKS UNTIL 12/10 | 2.00 | 0 | 1153164 | 271732 | X | |||
| MICHAEL MURPHY | ||||||||
| TRINITY EVP, HEALTH NTWKS | 2.00 | 0 | 539823 | 68542 | X | |||
| AUDRA PRATT | ||||||||
| CAO UNTIL 10/10 | 50.00 | 43532 | 198010 | 75050 | X | |||
| CLINTON CHILD | ||||||||
| CHIEF NURSING OFFICER | 50.00 | 215032 | 0 | 36210 | X | |||
| JANELLE REILLY | ||||||||
| SAHS CHIEF STRGY & ACCTBLE HLTH NTWK | 2.00 | 0 | 363449 | 36738 | X | |||
| JAMES POLK | ||||||||
| SAHS CHIEF QUALITY OFFICER | 2.00 | 0 | 354260 | 54343 | X | |||
| PETER ROAN MD | ||||||||
| PHYSICIAN | 50.00 | 510462 | 0 | 34167 | X | |||
| BARRY MALLARD | ||||||||
| DIRECTOR OF PHARMACY SVCS. | 50.00 | 147007 | 0 | 22757 | X | |||
| DARWIN WATERS | ||||||||
| PHARMACIST | 50.00 | 131269 | 0 | 29914 | X | |||
| ANDREW MORGAN | ||||||||
| PHARMACIST | 50.00 | 127026 | 0 | 12921 | X | |||
| TREVOR WALKER | ||||||||
| VP, HUMAN RESOURCES | 50.00 | 126592 | 0 | 18826 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1646997 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8709899 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2011248 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SOUND PHYSICIANS | |||||
| 1123 PACIFIC AVENUE | TACOMA | WA | 98402 | HEALTHCARE SERVICES | 775973 |
| ANESTHESIOLOGY CONSULTANTS ID | |||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | ANESTHESIA SERVICES | 344167 |
| ELITE SPECIALTY STAFFING INC | |||||
| 5903 FLAMINGO DRIVE | BOISE | ID | 83704 | STAFFING SERVICES | 327532 |
| APOGEE MEDICAL MGMT | |||||
| 2525 EAST CAMELBACK RD STE 1100 | PHOENIX | AZ | 85016 | HEALTHCARE SERVICES | 299632 |
| MEDICAL STAFFING NETWORK INC | |||||
| PO BOX 840416 | DALLAS | TX | 75284 | STAFFING SERVICES | 282040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 17 | NumberOfContractorsGT100K |
| Related Organizations | 13000 | RelatedOrganizations |
| Government Grants | 28914 | GovernmentGrants |
| All Other Contributions | 140589 | AllOtherContributions |
| Total Contributions | 182503 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | 84198022 | 84198022 | |
| LABORATORY REVENUE | 621500 | 362945 | 362945 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84560967 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 643891 | TotalRevenueColumn |
| Exclusion | $643,891 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 791250 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 791250 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 791250 | TotalRevenueColumn |
| Unrelated Business Revenue | 53832 | UnrelatedBusinessRevenue |
| Exclusion | $737,418 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1207405 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 40163 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1207405 | Securities |
| Other | -40163 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1167242 | TotalRevenueColumn |
| Exclusion | $1,167,242 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722100 | 452967 | 30711 | $422,256 |
| PHARMACY REVENUE | 446110 | 32535 | $32,535 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1030905 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1030905 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1516407 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88862260 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85228927 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 447488 | UnrelatedBusinessRevenue |
| Exclusion | $3,003,342 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89733 | Total |
| Program Services | 89733 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1052535 | Total |
| Management And General | 1052535 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24675568 | Total |
| Program Services | 23349016 | ProgramServices |
| Management And General | 1326552 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1516454 | Total |
| Program Services | 1408258 | ProgramServices |
| Management And General | 108196 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3206225 | Total |
| Program Services | 2986261 | ProgramServices |
| Management And General | 219964 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2034680 | Total |
| Program Services | 1653241 | ProgramServices |
| Management And General | 381439 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9037 | Total |
| Management And General | 9037 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67703 | Total |
| Management And General | 67703 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5497233 | Total |
| Program Services | 4519592 | ProgramServices |
| Management And General | 977641 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86451 | Total |
| Program Services | 1293 | ProgramServices |
| Management And General | 85158 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1801135 | Total |
| Program Services | 1358546 | ProgramServices |
| Management And General | 442589 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2079598 | Total |
| Program Services | 109029 | ProgramServices |
| Management And General | 1970569 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1154602 | Total |
| Program Services | 1152494 | ProgramServices |
| Management And General | 2108 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134615 | Total |
| Program Services | 95705 | ProgramServices |
| Management And General | 38910 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10229 | Total |
| Program Services | 9233 | ProgramServices |
| Management And General | 996 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47271 | Total |
| Program Services | 47271 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1899029 | Total |
| Program Services | 1855847 | ProgramServices |
| Management And General | 43182 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 827688 | Total |
| Management And General | 827688 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 16726429 | 16726429 | |
| MEDICAL SUPPLIES | 12458399 | 12458399 | |
| INTERCO. PURCHASED SVCS | 4053768 | 141247 | 3912521 |
| TAXES & LICENSE FEES | 1728165 | 1701575 | 26590 |
| UBI TAXES | 30 | 30 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2743847 | Total |
| Program Services | 2605254 | ProgramServices |
| Management And General | 138593 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83900424 | Total |
| Program Services | 72268453 | ProgramServices |
| Management And General | 11631971 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 754811 | BOY |
| EOY | 111495 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1285377 | BOY |
| EOY | 1122011 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8084539 | BOY |
| EOY | 8068615 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236086 | BOY |
| EOY | 77154 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1968030 | BOY |
| EOY | 1883542 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158407 | BOY |
| EOY | 79675 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37019960 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2395223 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29730795 | BOY |
| EOY | 34624737 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18056916 | BOY |
| EOY | 17417710 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9161830 | BOY |
| EOY | 20446877 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3613527 | BOY |
| EOY | 5155139 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73050318 | BOY |
| EOY | 88986955 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9428613 | BOY |
| EOY | 15380371 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26398 | BOY |
| EOY | 7829 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1950770 | BOY |
| EOY | 2316335 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11405781 | BOY |
| EOY | 17704535 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60365024 | BOY |
| EOY | 70160409 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1274513 | BOY |
| EOY | 1117011 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5000 | BOY |
| EOY | 5000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61644537 | BOY |
| EOY | 71282420 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73050318 | BOY |
| EOY | 88986955 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4961836 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 4676047 | 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 | $4,990 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 4990 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. HAS MADE GRANTS TO OTHER ORGANIZATIONS IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5000 | BeginningOfYearBalance |
| End Of Year Balance | 5000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 5000 | Contributions |
| End Of Year Balance | 5000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 5931211 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3810233 | OtherCostOrOtherBasis |
| Book Value | 9741444 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17887255 | OtherCostOrOtherBasis |
| Depreciation | 1102036 | Depreciation |
| Book Value | 16785219 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4730568 | OtherCostOrOtherBasis |
| Depreciation | 1293187 | Depreciation |
| Book Value | 3437381 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4660693 | OtherCostOrOtherBasis |
| Book Value | 4660693 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34624737 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 2650521 | F |
| ABSOLUTE RETURN STRATEGY FUNDS | 9466147 | F |
| BOND FUND | 8330209 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 20446877 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTERCOMPANY RECEIVABLES | 2025550 |
| INVESTMENT IN ENTITIES | 161865 |
| MISCELLANEOUS RECEIVABLES | 1031703 |
| OTHER LONG-TERM ASSETS | 1936021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5155139 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES | $970,875 |
| INTERCOMPANY NOTES PAYABLE | $1,172,144 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $173,316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2316335 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | ENDOWMENT FUNDS ARE FOR THE SUPPORT OF VARIOUS MEDICAL PROGRAMS CONDUCTED BY SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| 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 | 1250 | PersonsServed |
| Total Community Benefit Expense | 2036376 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2036376 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 31 | NumberOfActivitiesOrPrograms |
| Persons Served | 3250 | PersonsServed |
| Total Community Benefit Expense | 13154156 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10637152 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2517004 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03750 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 32 | NumberOfActivitiesOrPrograms |
| Persons Served | 4500 | PersonsServed |
| Total Community Benefit Expense | 15190532 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10637152 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4553380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 20086 | PersonsServed |
| Total Community Benefit Expense | 198909 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 456 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 198453 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1500 | PersonsServed |
| Total Community Benefit Expense | 132082 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 132082 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 5968 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5968 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 141 | PersonsServed |
| Total Community Benefit Expense | 95735 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 93235 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 29 | NumberOfActivitiesOrPrograms |
| Persons Served | 21727 | PersonsServed |
| Total Community Benefit Expense | 432694 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 429738 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 61 | NumberOfActivitiesOrPrograms |
| Persons Served | 26227 | PersonsServed |
| Total Community Benefit Expense | 15623226 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10640108 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4983118 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07430 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 380 | PersonsServed |
| Total Community Building Expense | 254 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 25 | DirectOffsettingRevenue |
| Net Community Building Expense | 229 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 143 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 143 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2694 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2694 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 80 | PersonsServed |
| Total Community Building Expense | 1187 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1187 | 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 | 243 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 243 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 1332 | PersonsServed |
| Total Community Building Expense | 70250 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 70250 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 1792 | PersonsServed |
| Total Community Building Expense | 74771 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 25 | DirectOffsettingRevenue |
| Net Community Building Expense | 74746 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $6,075,636 | BadDebtExpenseAmount |
| Amount Attributable To | 1336640 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14836856 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15971379 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1134523 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MERCY OUTPATIENT SURGERY CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | SURGICAL CARE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.60000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.40000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1512 12TH AVENUE ROAD | AddressLine1 |
| City | NAMPA | City |
| State | ID | State |
| ZIP Code | 83686 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 6A: SAINT ALPHONSUS MEDICAL CENTER - NAMPA (SAMC - NAMPA) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAMC - NAMPA INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. |
| PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. |
| PART I, L7 COL(F): THE FOLLOWING NUMBER, $16,726,429, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART II: COMMUNITY BUILDING ACTIVITIES - SAMC- NAMPA STRIVES TO MAKE THE CITIZENS OF OUR COMMUNITY MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT AND OTHER COMMUNITY DATA, WE LEARNED THAT SEVERAL AREAS CAN BENEFIT FROM OUR HEALTH CARE EXPERTISE AND MONETARY SUPPORT. PARTICIPATION IN LOCAL BOARDS AND TASK FORCES: SAINT ALPHONSUS LEADERS AND ASSOCIATES PARTICIPATE IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITIES AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE. EXAMPLES OF BOARD PARTICIPATION INCLUDE: - BOYS & GIRLS CLUBS OF CANYON COUNTY: ENHANCEMENT OF BEFORE AND AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH. THE SAINT ALPHONSUS REPRESENTATIVE SERVES ON THE STEERING COMMITTEE AND MANAGES THE DATABASE FOR THE ANNUAL FUNDRAISER AUCTION (FORMERLY COMMUNITY SALE), WHICH BRINGS IN THE BULK OF ANNUAL OPERATING FUNDS FOR THE CLUB. - COMMUNITY MENTAL HEALTH MEETINGS: A SAINT ALPHONSUS REPRESENTATIVE PARTICIPATES IN DISCUSSIONS WITH MENTAL HEALTH PROVIDERS THROUGHOUT THE COMMUNITY, TO WORK THROUGH ISSUES AND IMPROVE COORDINATION OF SERVICES. - LATINO HEALTH COALITION: THE LATINO HEALTHCARE COALITION INCLUDES MEMBERS FROM SAMC-NAMPA, CASEY FAMILY SERVICES, BOISE STATE UNIVERSITY, IDAHO HEALTH AND WELFARE, IDAHO CENTRAL DISTRICT HEALTH, THE IDAHO COMMISSION ON HISPANIC AFFAIRS, CATHOLIC CHARITIES, THE HISPANIC CULTURAL CENTER, AND OTHER INTERESTED COMMUNITY MEMBERS. THE GOALS ARE TO REMOVE BARRIERS TO HEALTH CARE SERVICES; TO INCREASE THE LATINO PATIENT'S KNOWLEDGE REGARDING ACCESS TO HEALTH CARE; AND TO EMPOWER THEM TO BE MORE ACTIVE PARTICIPANTS IN THE HEALTH CARE TREATMENT AND DECISION-MAKING. - NAMPA MINISTERIAL ASSOCIATION: LOCAL PASTORS COME TOGETHER AT SAMC-NAMPA TO LEARN ABOUT COMMUNITY ACTIVITIES AND DISCUSS HOW THEY CAN HAVE AN IMPACT ON THE LOCAL ISSUES. THEY SPONSOR ECUMENICAL SERVICES FOR THANKSGIVING, LENTEN SERVICES AND BACCALAUREATE. SAMC-NAMPA'S CHAPLAINS PARTICIPATE WITH THIS GROUP. - HEALTH EDUCATION LEADERSHIP PROGRAM (HELP): DR. ROGER CURRAN FOUNDED HELP AS A WAY TO ADDRESS THE DEPARTMENT OF LABOR'S PREDICTIONS OF FUTURE SHORTAGES OF HEALTH PROFESSIONALS. HELP PROVIDES SCHOLARSHIPS TO STUDENTS PURSUING HEALTH CARE RELATED EDUCATION. HELP RAISES FUNDS THROUGH MEMORIAL CONTRIBUTIONS AND THE ANNUAL ROGER CURRAN FUN RUN. A SAMC-NAMPA REPRESENTATIVE PARTICIPATES ON THE BOARD. - LEADERSHIP NAMPA: PROVIDES IN-DEPTH EXPOSURE TO A VARIETY OF ISSUES THAT IMPACT THE CITIZENS OF NAMPA. INTERACTION TAKES PLACE WITH COMMUNITY LEADERS VISITING A VARIETY OF ORGANIZATIONS WITHIN NAMPA GIVING PARTICIPANTS A BROADENED PERSPECTIVE OF THE CHALLENGES AND OPPORTUNITIES FACING OUR COMMUNITY. SAMC-NAMPA REPRESENTATIVES PARTICIPATE IN THE CLASS. IN ADDITION, SAMC-NAMPA HOSTS THE CLASS ONE DAY EACH YEAR. - CANYON COUNTY FESTIVAL OF TREES: SAINT ALPHONSUS REPRESENTATIVES PARTICIPATE ON THE BOARD OF DIRECTORS TO BRING THE CANYON COUNTY FESTIVAL OF TREES FUNDRAISER TO NAMPA IN SUPPORT OF THE MEALS ON WHEELS PROGRAMS FOR NAMPA, CALDWELL, GREENLEAF, MIDDLETON AND SURROUNDING AREAS. SAMC-NAMPA IS A MAJOR SPONSOR OF THE FESTIVAL. - MERCY HOUSING: PROVIDES AFFORDABLE MULTIFAMILY HOUSING ACROSS THE STATE OF IDAHO AND SAMC-NAMPA PROVIDES SUPPORT IN TERMS OF PHYSICAL IMPROVEMENTS ON MERCY HOUSING PROPERTIES (NAMPA). - DISASTER READINESS: SAMC-NAMPA REPRESENTATIVE SITS ON THE COUNTY (LEPCE) AND DISTRICT (SWDH) PLANNING TEAMS AND PARTICIPATES IN DISCUSSIONS REGARDING DISASTER READINESS. - CHARITY CARE AND FINANCIAL ASSISTANCE: SAMC-NAMPA HAS ESTABLISHED A FINANCIAL ASSISTANCE PROGRAM TO ASSIST PATIENTS WHO DO NOT HAVE INSURANCE OR OTHER RESOURCES TO COVER THE FULL COST OF NECESSARY MEDICAL CARE. - MISSION AND MINISTRY GRANT: SAMC- NAMPA, FORMERLY RECEIVED GRANT FUNDING FROM CATHOLIC HEALTH INITIATIVES. THE MONIES RECEIVED SUPPORTED TERRY REILLY HEALTH SERVICES COMMUNITY CLINIC PROVIDING FAMILY CASE MANAGEMENT; LATINO HEALTHCARE ACCESS COALITION PROVIDING HEALTHCARE RESOURCES TO LATINO FAMILIES; KINSHIP CARE OFFERING SUPPORT FOR GRANDPARENTS RAISING GRANDCHILDREN; AND IMPROVEMENTS IN CHILD SAFETY, HEALTH AND EDUCATION; AND TEEN EDUCATION FOR CHILDBIRTH AND PARENTING. |
| PART III, LINE 4: SAMC - NAMPA IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.REVIEW AND DISCUSSION OF COLLECTION ACCOUNTS HELPED DETERMINE THE RATIO FOR THE CALCULATION AND THE KNOWLEDGE OF THE NUMBER OF PATIENTS WHO WILL NOT COMPLY WITH SUBMITTING THE REQUIRED DOCUMENTATION THAT WOULD AFFORD THEM THE DETERMINATION OF CHARITY OR OTHER RESOURCES. |
| PART III, LINE 8: SAMC - NAMPA DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: SAMC - NAMPA'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE SAINT ALPHONSUS HEALTH SYSTEM, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY. |
| PART VI, LINE 2: NEEDS ASSESSMENT - EFFECTIVE APRIL 1, 2010, MERCY MEDICAL CENTER - NAMPA, IDAHO, HOLY ROSARY MEDICAL CENTER - ONTARIO, OREGON, AND ST. ELIZABETH HEALTH SERVICES - BAKER CITY, OREGON WERE PURCHASED BY TRINITY HEALTH. THESE HOSPITALS WERE COMBINED WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO FORM THE SAINT ALPHONSUS HEALTH SYSTEM (SAHS) TO STRENGTHEN THE CARE SERVICES AND IMPROVE THE HEALTH NEEDS OF THE COMMUNITIES.SAINT ALPHONSUS MEDICAL CENTER - NAMPA (SAMC - NAMPA), FORMERLY KNOWN AS MERCY MEDICAL CENTER, ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR SAHS STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE SAMC - NAMPA COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE COMMUNITY NEEDS ASSESSMENT PROCESS, PERFORMED JOINTLY BY SAHS AND SAMC - NAMPA, INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE SAHS COMMUNITY NEEDS ASSESSMENT IS CURRENT AS OF JUNE 2008 (WITH SEVERAL KEY AREAS UPDATED IN DECEMBER 2009), AND ACTION PLANS TO ADDRESS IDENTIFIED COMMUNITY NEEDS HAVE BEEN DEVELOPED THROUGH FY 2012. THE COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED BY SAINT ALPHONSUS STAFF AND HAS BEEN MADE AVAILABLE TO THE COMMUNITY ON OUR WEBSITE. WE ALSO HAVE SHARED COPIES WITH OTHER NONPROFIT AGENCIES, SUCH AS UNITED WAY OF TREASURE VALLEY AND THE IDAHO NONPROFIT CENTER.DURING FY11, SAINT ALPHONSUS PARTNERED WITH UNITED WAY OF TREASURE VALLEY, ST. LUKE'S HEALTH SYSTEM, AND ELKS REHABILITATION HOSPITAL TO CONDUCT A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOCUSING ON HEALTH, EDUCATION AND FINANCIAL INDEPENDENCE. ASSESSMENT WORK WAS LARGELY COMPLETED DURING FY11, AND THE PARTNERS HAVE NOW MOVED INTO THE PROCESS OF PRIORITIZING NEEDS AND CREATING AN IMPLEMENTATION PLAN. BOISE STATE UNIVERSITY SERVED AS RESEARCH PARTNER, AND UTAH FOUNDATION HAS PROVIDED TECHNICAL ASSISTANCE TO THIS PROJECT. THIS ASSESSMENT COVERED BOTH ADA AND CANYON COUNTIES. |
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAMC - NAMPA IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, SAMC - NAMPA HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSSAMC - NAMPA COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. SAMC - NAMPA HAS SIGNS POSTED IN ALL REGISTRATION AREAS AND PLASTIC TABLE TOP CARDS IN THE REGISTRATION WAITING ROOMS, NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY PATIENTS ARE OFFERED FINANCIAL ASSISTANCE FORMS. EACH PATIENT RECEIVES A BILLING BROCHURE THAT LISTS PAYMENT OPTIONS AND HOW TO APPLY FOR CHARITY CARE. PATIENTS ALSO ARE SCREENED FOR MEDICAID ELIGIBILITY, UTILIZING FINANCIAL ASSISTANCE FORMS. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.SAMC - NAMPA OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH SIGNS POSTED IN REGISTRATION AREAS, PLASTIC TABLE TOP CARDS IN REGISTRATION WAITING ROOMS AND PATIENT BROCHURES. SELF-PAY INPATIENTS AND SURGERY PATIENTS RECEIVE A VISIT FROM A FINANCIAL ACCOUNT REPRESENTATIVE WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE. SAMC - NAMPA HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAMC - NAMPA MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. THE MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. |
| PART VI, LINE 4: COMMUNITY INFORMATION - THE PRIMARY SERVICE AREA OF SAMC - NAMPA ENCOMPASSES A FIVE-COUNTY REGION OF SOUTHWEST IDAHO, INCLUDING CANYON, ADA, OWYHEE, PAYETTE AND GEM COUNTIES. AREA HOSPITAL FACILITIES INCLUDE ST. LUKE'S, IDAHO ELKS REHABILITATION CENTER, TREASURE VALLEY HOSPITAL, AND WEST VALLEY MEDICAL CENTER.SAMC - NAMPA'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE REGION HAS EXPERIENCED RAPID POPULATION GROWTH SINCE 2000. ADA COUNTY POPULATION GREW 30.4% FROM 2000-2010 WHILE CANYON COUNTY POPULATION GREW 43.7% FROM 2000-2010.WITH MEDIAN HOUSEHOLD INCOMES OF $39,457 IN CANYON COUNTY AND $53,828 IN ADA COUNTY, AREA RESIDENTS ARE WITHIN RANGE OF THE STATE MEDIAN OF $44,644. THE POVERTY LEVEL STANDS AT 18.2% IN CANYON COUNTY AND 11.8% IN ADA, COMPARED TO A STATE AVERAGE OF 14.4% AND A NATIONAL AVERAGE OF 14.3%. AS OF SEPTEMBER 2011, THE 8.5% UNEMPLOYMENT RATE WAS SLIGHTLY LOWER THAN THE STATE RATE (9%), AND THE NATIONAL RATE OF 9.1% (BUREAU OF LABOR STATISTICS). OTHER RELEVANT STATISTICS CHARACTERIZING SAMC-NAMPA'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (FROM CENSUS.GOV QUICK FACTS, 2011):TOTAL POPULATION (2010): ADA COUNTY - 392,365CANYON COUNTY - 188,923OWYHEE COUNTY - 11,526GEM COUNTY - 16,719PAYETTE COUNTY - 22,623PERCENT WHITE PERSONS NOT HISPANIC:ADA COUNTY - 86.5%CANYON COUNTY - 72.3%OWYHEE COUNTY - 68.3%GEM COUNTY - 89.1%PAYETTE COUNTY - 81.3%PERCENT HISPANIC/LATINO ORIGIN:ADA COUNTY - 7.1%CANYON COUNTY - 23.9%OWYHEE COUNTY - 25.8%GEM COUNTY - 8%PAYETTE COUNTY - 14.9%MEDIAN HOUSEHOLD INCOME (2009):ADA COUNTY - $53,828CANYON COUNTY - $39,457OWYHEE COUNTY - $33,753GEM COUNTY - $42,396PAYETTE COUNTY - $45,974PERSONS BELOW POVERTY LEVEL (2009):ADA COUNTY - 11.8%CANYON COUNTY - 18.2%OWYHEE COUNTY - 17.4%GEM COUNTY - 14.8%PAYETTE COUNTY - 15.5%MEDICALLY UNDERSERVED POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS WITHIN OUR SERVICE AREA INCLUDE A SHORTAGE OF PRIMARY CARE AND MENTAL HEALTH SERVICES.THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH & SUBSTANCE ABUSE ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES.ON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SAMC - NAMPA, WITH IMPLICATIONS FOR FUTURE PLANNING. DRAMATIC POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. THE GROWING REFUGEE POPULATION HAS GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.GROWTH IN IDAHO'S SENIOR POPULATION IS ALSO PROJECTED TO ACCELERATE, WHICH WILL REQUIRE INCREASED HEALTH CARE SPENDING. MAMMOGRAPHY RATES, THE RISING RATE OF LOW BIRTH WEIGHT BABIES, OVERWEIGHT AND OBESITY, TOBACCO USE, MENTAL HEALTH AND DRINKING/DRUG USE ARE ALSO OF GREAT CONCERN. |
| PART VI, LINE 6: OTHER INFORMATION - SAINT ALPHONSUS STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS FOR AN ARRAY OF DIFFERENT CLINICAL STUDENTS. WE HAVE COMPLETED AN ASSORTMENT OF TRAINING FOR SOCIAL WORK AND PHLEBOTOMY STUDENTS, AND CNA'S, EMT'S, RT'S, PA'S AND NURSES IN THE AREAS OF OBSTETRICS AND MEDICAL/ SURGICAL, ICU AND ER. IN ADDITION, SAINT ALPHONSUS SERVES AS A KEY CLINICAL TRAINING SITE FOR STUDENTS ATTENDING BOISE STATE UNIVERSITY, IDAHO STATE UNIVERSITY, NORTHWEST NAZARENE UNIVERSITY, COLLEGE OF WESTERN IDAHO, COLLEGE OF SOUTHERN IDAHO, STEVENS-HENEGER COLLEGE, MILAN INSTITUTE, IDAHO CENTER FOR EMERGENCY TRAINING AND THE NAMPA SCHOOL DISTRICT.SAINT ALPHONSUS ALSO COLLABORATES WITH UNITED WAY OF TREASURE VALLEY TO ADDRESS COMMUNITY NEEDS IN THE AREAS OF HEALTH, EDUCATION AND INCOME. SAINT ALPHONSUS HAS AN ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS.CANCER EDUCATION & AWARENESS: SAMC-NAMPA PARTNERS WITH SUSAN G. KOMEN, AND THE SNAKE RIVER STAMPEDE - STAMPEDE FOR THE CURE, TO SUPPORT THE UNINSURED AND PROVIDE SCREENING MAMMOGRAMS. SAMC-NAMPA ALSO PARTNERS WITH THE NAMPA SCHOOL DISTRICT, AND OTHER LOCAL BUSINESSES TO PROVIDE CANCER EDUCATION AND AWARENESS. MERCY FITNESS PARK: SAMC-NAMPA MAINTAINS THE MERCY FITNESS PARK PROMOTING HEALTHY HABITS AND PROVIDING FREE ACCESS TO THE COMMUNITY. HANDS OF HOPE: A FAITH-BASED ORGANIZATION THAT SUPPLIES USED OR USEABLE MEDICAL EQUIPMENT FOR OVERSEAS MISSIONS, AND COOPERATES WITH LOCAL AGENCIES TO LOAN EQUIPMENT TO INDIVIDUALS IN NEED IN OUR COMMUNITY. SAMC-NAMPA DONATED $86,511 IN MEDICAL SUPPLIES/EQUIPMENT TO THIS ORGANIZATION DURING FY 2011. |
| PART VI, LINE 7: SAMC - NAMPA IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN NOVI, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2011, THIS INCLUDED NEARLY $453 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEMS APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| NAMPA HARVEST FESTIVAL ASSOCIATION | ||||||||||
| 16114 IDAHO CENTER BLVD STE 4 | NAMPA | ID | 83687 | 820148165 | 501(C)(4) | 12500 | SUPPORT OF THE ANNUAL SNAKE RIVER STAMPEDE | |||
| HANDS OF HOPE NORTHWEST INC | ||||||||||
| PO BOX 161 | NAMPA | ID | 83653 | 841398889 | 501(C)(3) | GENERAL SUPPORT | 86511 | BOOK | MEDICAL SUPPLIES & EQUIPMENT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY SAMC - NAMPA TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| B LANNIE CHECKETTS | |||||||||||||
| 262382 | 0 | 27282 | 0 | 402 | 0 | 10095 | 0 | 18104 | 0 | 318265 | 0 | 0 | 0 |
| ADEBAYO CROWNSON MD | |||||||||||||
| 0 | 184565 | 0 | 1392 | 0 | 89 | 0 | 7622 | 0 | 24653 | 0 | 218321 | 0 | 0 |
| SALLY JEFFCOAT | |||||||||||||
| 0 | 455371 | 0 | 163850 | 0 | 61726 | 0 | 78781 | 0 | 21450 | 0 | 781178 | 0 | 0 |
| J RICHARD O'CONNELL | |||||||||||||
| 0 | 533392 | 0 | 113794 | 0 | 114187 | 0 | 116680 | 0 | 21280 | 0 | 899333 | 0 | 0 |
| STEPHANIE WESTERMEIER | |||||||||||||
| 0 | 249155 | 0 | 55745 | 0 | 482 | 0 | 18755 | 0 | 15880 | 0 | 340017 | 0 | 0 |
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1240774 | 0 | 645161 | 0 | 967997 | 0 | 763945 | 0 | 27508 | 0 | 3645385 | 0 | 690161 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 717356 | 0 | 326029 | 0 | 117485 | 0 | 184461 | 0 | 13787 | 0 | 1359118 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 701008 | 0 | 291561 | 0 | 160595 | 0 | 246925 | 0 | 24807 | 0 | 1424896 | 0 | 42832 |
| MICHAEL MURPHY | |||||||||||||
| 0 | 343184 | 0 | 68618 | 0 | 128021 | 0 | 47238 | 0 | 21304 | 0 | 608365 | 0 | 0 |
| AUDRA PRATT | |||||||||||||
| 43532 | 138260 | 0 | 21097 | 0 | 38653 | 0 | 68164 | 0 | 6886 | 43532 | 273060 | 0 | 0 |
| CLINTON CHILD | |||||||||||||
| 192388 | 0 | 22529 | 0 | 115 | 0 | 8717 | 0 | 27493 | 0 | 251242 | 0 | 0 | 0 |
| JANELLE REILLY | |||||||||||||
| 0 | 292035 | 0 | 70445 | 0 | 969 | 0 | 20382 | 0 | 16356 | 0 | 400187 | 0 | 0 |
| JAMES POLK | |||||||||||||
| 0 | 281447 | 0 | 68676 | 0 | 4137 | 0 | 37606 | 0 | 16737 | 0 | 408603 | 0 | 0 |
| PETER ROAN MD | |||||||||||||
| 484191 | 0 | 23750 | 0 | 2521 | 0 | 14420 | 0 | 19747 | 0 | 544629 | 0 | 0 | 0 |
| BARRY MALLARD | |||||||||||||
| 146623 | 0 | 0 | 0 | 384 | 0 | 6145 | 0 | 16612 | 0 | 169764 | 0 | 0 | 0 |
| DARWIN WATERS | |||||||||||||
| 131116 | 0 | 0 | 0 | 153 | 0 | 7697 | 0 | 22217 | 0 | 161183 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINES 4A-B | ReturnReference |
| Explanation | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2010. THIS AMOUNT IS INCLUDED IN COLUMN B(III): AUDRA PRATT - $27,865 IN ADDITION, COLUMN (C) OF SCHEDULE J, PART II INCLUDES $58,517 OF SEVERANCE FOR AUDRA PRATT WHICH WAS UNPAID AS OF 12/31/10. THE $58,517 WAS PAID AND INCLUDED IN AUDRA PRATT'S TAXABLE INCOME FOR 2011. 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 2010). THE FOLLOWING ACCRUAL FOR 2010 FOR THIS PLAN IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $113,498 SALLY JEFFCOAT - $54,476 KARL KEELER - $1,586 MICHAEL MURPHY - $26,316 J. RICHARD O'CONNELL - $83,058 MICHAEL SLUBOWSKI - $136,445 JOSEPH SWEDISH - $223,342 THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2010 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $49,977 MICHAEL SLUBOWSKI - $77,185 JOSEPH SWEDISH - $511,613 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MEDNOW INC | |||
| B. LANNIE CHECKETTS, SAMC-NAMPA CFO, IS AN OFFICER OF MEDNOW, INC. | 115125 | VARIOUS TRANSACTIONS BETWEEN SAMC - NAMPA AND MEDNOW. MEDNOW IS OWNED 100% BY SAMC - NAMPA. SEE SCHEDULE R PART V FOR MORE INFORMATION. | 0 |
| BLUE CROSS OF IDAHO (BCI) | |||
| SALLY JEFFCOAT, TRUSTEE, SERVES ON THE BOARD OF BCI | 13212759 | PAYMENTS MADE BY BLUE CROSS OF IDAHO TO SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. FOR HEALTH CARE SERVICES PROVIDED TO BCI COVERED MEMBERS. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | KAYE O'RIORDAN, TRUSTEE, AND BRENT LLOYD, CHAIR, HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS SAINT ALPHONSUS HEALTH SYSTEM, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SAINT ALPHONSUS HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. SAINT ALPHONSUS HEALTH SYSTEM, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM, INC. MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. IS REVIEWED BY SENIOR MANAGEMENT. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC. (SAMC - NAMPA) HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF SAMC - NAMPA, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAMC - NAMPA'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAMC - NAMPA OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF SAMC - NAMPA IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAMC - NAMPA. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF SAMC - NAMPA ON AN ANNUAL BASIS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAMC - NAMPA ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| SAMC - NAMPA IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAMC - NAMPA INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: | 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 B. LANNIE CHECKETTS - 1 HOUR ADEBAYO CROWNSON - 48 HOURS SALLY JEFFCOAT - 48 HOURS MICHAEL MURPHY - 53 HOURS J. RICHARD O'CONNELL - 53 HOURS BLAINE PETERSEN - 48 HOURS JAMES POLK - 48 HOURS JANELLE REILLY - 48 HOURS MICHAEL SLUBOWSKI - 53 HOURS JOSEPH SWEDISH - 53 HOURS STEPHANIE WESTERMEIER - 48 HOURS | FORM 990, PART VII, SECTION A, LINE 1, COLUMN B: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 2,208,076. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS: 15,153. GAIN ON SALE, DIVESTITURES: 2,303,547. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES: 149,271. TOTAL TO FORM 990, PART XI, LINE 5: 4,676,047. | FORM 990, PART XI, LINE 5: |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA, INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. | FORM 990, PART XII, LINE 2: | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA ADDITIONALLY, THE FORMER NAME OF SAINT ALPHONSUS MEDICAL CENTER-NAMPA, INC. WAS MERCY MEDICAL CENTER. THIS NAME CHANGE WAS EFFECTIVE NOVEMBER 17, 2010. | FORM 990, PAGE 1, DOING BUSINESS AS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (93 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 | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 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 | |
| BATTLE CREEK HEALTH SYSTEM | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | 0 | |
| BATTLE CREEK HEALTH SYSTEM AUXILIARY | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 383355520 | SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION | MI | 501(C)(3) | 11, TYPE I | BATTLE CREEK HEALTH SYSTEM | 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 | |
| CAPITAL PARK FAMILY HEALTH CENTER INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311387838 | OPERATION OF A FEDERALLY QUALIFIED HEALTH CENTER (FORMERLY) | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 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 | |
| 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 INC | 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 | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| HOLY ROSARY MEDICAL CENTER FOUNDATION | |||||||||||
| 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 | |
| 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 | |
| LIFESPAN INC | |||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | 9 | BATTLE CREEK 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 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 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 HOSP & HEALTH SERVICES OF DETROITMARSHALL PARK HEALTH SERVICES INC | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 381562325 | SUPPORTS MALPRACTICE CONTINGENCIES OF CLOSED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 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 MEDICAL CENTER FOUNDATION INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 1 | |
| 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 PAVILION OF BATTLE CREEK | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382783350 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 9 | BATTLE CREEK HEALTH SYSTEM | 0 | |
| MERCY PHYSICIAN GROUP INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 208192593 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 1 | |
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382719605 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 11, TYPE II | TRINITY CONTINUING CARE SERVICES INC | 0 | |
| MIDWEST MEDFLIGHT | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | AEROMEDICAL TRANSPORT | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MOUNT CARMEL CARE CONTINUUM SERVICES CORP | |||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311126211 | COOPERATIVE HOSPITAL SERVICE ORGANIZATION | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL COLLEGE OF NURSING | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | 2 | MOUNT CARMEL HEALTH | 0 | |
| MOUNT CARMEL HEALTH | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH PLAN INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO FOR SENIORS | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH SYSTEM | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | OH | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | 11, TYPE I | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HOME CARE LLC | |||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | PROVIDE HOME HEALTH CARE SERVICES | OH | 501(C)(3) | 9 | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | |||||||||||
| 7333 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 870790288 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MRI MOBILE SERVICES OF WEST MICHIGAN | |||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | 0 | |
| OAKLAND MERCY HOSPITAL | |||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| OAKLAND MERCY HOSPITAL FOUNDATION | |||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | SUPPORTS SERVICES OF RELATED HOSPITAL | NE | 501(C)(3) | 11, TYPE III-FI | OAKLAND MERCY HOSPITAL | 0 | |
| PORT HURON MERCY FAMILY CARE INC | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL MED TEAM | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | MEDICAL CARE, TRANSPORTATION AND EDUCATION | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL OFFICE CORPORATION | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | SAINT AGNES MEDICAL CENTER | 0 | |
| SAINT AGNES MEDICAL CENTER | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| SAINT ALPHONSUS BUILDING COMPANY INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS DIVERSIFIED CARE INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | |||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 1 | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE SERVICES | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | |||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | |||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 466341935 | 350868157 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER 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 AUXILIARY OF MARSHALL COUNTY | |||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(3) | 11, TYPE II | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | 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 DORAN FOUNDATION CO SAINT MARY'S HEALTH CARE | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 7 | TRINITY HEALTH-MICHIGAN | 0 | |
| ST JOHN'S HEALTH SYSTEM | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 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 | |
| ST ELIZABETH HEALTH CARE FOUNDATION | |||||||||||
| 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 | |
| ST JOSEPH'S MEDICAL CENTER AUXILIARY | |||||||||||
| 801 E LASALLE AVE PO BOX 1935 | SOUTH BEND | IN | 466341935 | 356033285 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | 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 | |
| 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 | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH CORPORATION | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | 11, TYPE I | 0 | N/A | |
| TRINITY HEALTH INTERNATIONAL | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 421253527 | HEALTHCARE TRAINING AND SUPPORT SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH WELFARE BENEFIT TRUST | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 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 (31 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 | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING SERVICES OF BATTLE CREEK | ||||||||||||||
| 5352 BECKLEY ROAD STE A | BATTLE CREEK | MI | 49015 | 204594297 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | N/A | 0 | 0 | 0.00000 | |||
| HAWARDEN COMMUNITY CLINIC LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| IDAHO GYNONCOLOGY SERVICES LLC | ||||||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| INTERMOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | PROVIDE IMAGING SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| MERCY OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | RELATED | 0 | 1 | 0.60000 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | -194216 | 63079 | |
| MICHIANA HEALTH INFORMATION NETWORK LLC | ||||||||||||||
| 215 WEST MADISON STREET | SOUTH BEND | IN | 46601 | 352050128 | COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY | IN | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| ROSENBERG & BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC) | ||||||||||||||
| 855 M STREET TENTH FLOOR | FRESNO | CA | 93721 | 202673839 | MEDICAL OFFICE BUILDING RENTAL | CA | N/A | N/A | 0 | 0 | 0.00000 | |||
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| TAMARACK MEDICAL CLINIC LLC | ||||||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| 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 | 0.00000 | |||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH VENTURES INC | ||||||||||||||||
| 565 W WESTERN AVE | MUSKEGON | MI | 49440 | 383522260 | SOFTWARE MARKETING | MI | 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 | ||||||||
| INTEGRATED HEALTH ASSOCIATES INC | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383126920 | MEDICAL MANAGEMENT | 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 | ||||||||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | MEDICAL SERVICES | MI | N/A | C | ||||||||
| MARYLAND CARE GROUP INC | ||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | ||||||||
| MEDNOW INC | ||||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | C | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | -186710 | 1931365 | 1.00000 | |||||
| MERCY COMMUNITY PHYSICIANS | ||||||||||||||||
| 363 FREMONT STREET | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | N/A | C | ||||||||
| MERCY MEDICAL SERVICES | ||||||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | ||||||||
| MICHIGAN PHYSICIAN SERVICES | ||||||||||||||||
| 44405 WOODWARD AVENUE H-5 | PONTIAC | MI | 48341 | 383293125 | PHYSICIAN SERVICES | MI | 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 HORIZONS CORP | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311177652 | MEDICAL SERVICES/RENT | 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 | ||||||||
| PRIMARY CARE NETWORK OF OHIO INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311422486 | HEALTH MANAGEMENT SERVICES | OH | N/A | C | ||||||||
| PRIORITY PLUS OF CALIFORNIA | ||||||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL 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 | ||||||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 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 | 0 | 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 | 0 | 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 (17 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| L | 283867 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| O | 2520323 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| A | 35213 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| K | 228805 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| L | 3734687 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| O | 3217116 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | 52859 | PER BOOKS |
| MEDNOW INC | ||
| K | 89355 | PER BOOKS |
| MEDNOW INC | ||
| A | 9092 | PER BOOKS |
| MERCY OUTPATIENT SURGERY CENTER LLC | ||
| K | 280381 | PER BOOKS |
| MERCY OUTPATIENT SURGERY CENTER LLC | ||
| A | 56076 | PER BOOKS |
| MERCY PHYSICIAN GROUP INC | ||
| A | 31569 | PER BOOKS |
| MERCY PHYSICIAN GROUP INC | ||
| K | 299172 | PER BOOKS |
| MERCY PHYSICIAN GROUP INC | ||
| O | 211503 | PER BOOKS |
| MERCY PHYSICIAN GROUP INC | ||
| P | 212387 | PER BOOKS |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||
| K | 55866 | PER BOOKS |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | ||
| L | 322083 | PER BOOKS |