SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (EIN 82-0200895)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201101369349303605
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T11:39:32-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	820200895	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	SAIN	NameControl
Phone	2083672121	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1055 NORTH CURTIS ROAD	AddressLine1
City	BOISE	City
State	ID	State
ZIP Code	83706	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KENNETH FRY	Name
Title	CHIEF FINANCIAL OFFICER	Title
Phone	2083672121	Phone
Date Signed	2011-05-16	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	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	KENNETH FRY	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1055 NORTH CURTIS ROAD	AddressLine1
City	BOISE	City
State	ID	State
ZIP Code	83706	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	457023867	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	www.sarmc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1958	YearFormation
State Legal Domicile	ID	StateLegalDomicile
Activity Or Mission Description	HEALTHCARE SERVICES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	3326	TotalNbrEmployees
Total Nbr Volunteers	2440	TotalNbrVolunteers
Total Gross UBI	22238	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4301522	ContributionsGrantsPriorYear
Contributions Grants Current Year	1900167	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	412804464	ProgramServiceRevenuePriorYear
Program Service Revenue CY	438611592	ProgramServiceRevenueCY
Investment Income Prior Year	-6384763	InvestmentIncomePriorYear
Investment Income Current Year	5602454	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5092544	OtherRevenuePriorYear
Other Revenue Current Year	3850488	OtherRevenueCurrentYear
Total Revenue Prior Year	415813767	TotalRevenuePriorYear
Total Revenue Current Year	449964701	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	500130	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	884456	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	163288999	SalariesEtcPriorYear
Salaries Etc Current Year	193960296	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1477355	TotalFundrsngExpCurrentYear
Other Expense Prior Year	229683608	OtherExpensePriorYear
Other Expenses Current Year	241355859	OtherExpensesCurrentYear
Total Expenses Prior Year	393472737	TotalExpensesPriorYear
Total Expenses Current Year	436200611	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	22341030	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13764090	RevenuesLessExpensesCY
Total Assets BOY	536356778	TotalAssetsBOY
Total Assets EOY	564591645	TotalAssetsEOY
Total Liabilities BOY	212499502	TotalLiabilitiesBOY
Total Liabilities EOY	226076616	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	323857276	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	338515029	NetAssetsOrFundBalancesEOY
Mission Description	HEALTHCARE SERVICES - SEE LINE 4 AND SCHEDULE H FOR ADDITIONAL INFORMATION	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	371575786	Expense
Grants	884456	Grants
Revenue	441950396	Revenue
Description	SAINT ALPHONSUS REGIONAL MEDICAL CENTER, A NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES AN ACUTE CARE HOSPITAL IN BOISE, IDAHO. THE HOSPITAL PROVIDES SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL IS A MEMBER OF TRINITY HEALTH, AN INDIANA NOT-FOR-PROFIT CORPORATION SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH. FOR MORE INFORMATION ON SPECIFIC SERVICES PROVIDED, PLEASE SEE SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S WEBSITE AT www.sarmc.org. The Mission statement of the Hospital is as follows:We serve together in Trinity Healthin the spirit of the Gospel	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	to heal body, mind, and spiritto improve the health of our communitiesand to steward the resources entrusted to us.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	371575786	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
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	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	615	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3326	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RYAN SPEAS CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2083677192	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6600 EMERALD ST	AddressLine1
City	BOISE	City
State	ID	State
ZIP Code	83706	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 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
BRENT LLOYD
CHAIR	1.00	X	X	4200	0	0
DIANA NICHOLSON
VICE CHAIR	1.00	X	X	1400	0	0
SEVERINA HAWS
SECRETARY/TREASURER	1.00	X	X	0	0	0
SALLY JEFFCOAT
PRES. & CEO	50.00	X	X	0	411969	35688
JANELLE G REILLY
COO	50.00		X	0	417029	35902
KENNETH FRY
CFO	50.00		X	0	335242	44373
MICHAEL SLUBOWSKI
TRUSTEE THRU 12/09; TH PRES HEALTH	3.00	X		0	1617841	154389	X
J RICHARD O'CONNELL
TRUSTEE AS OF 1/10;TH COO-HOSP NTWK	3.00	X		0	495143	11123	X
SR JEANETTE FETTIG CSC
TRUSTEE	1.00	X		0	0	0
MARK MEIER MD
TRUSTEE	1.00	X		2800	0	0
KAYE O'RIORDAN
TRUSTEE	1.00	X		1400	0	0
CHARLES WHITE
TRUSTEE	1.00	X		0	0	0
GEORGE JUETTEN
TRUSTEE	1.00	X		1400	0	0
ROBERT LOKKEN
TRUSTEE	1.00	X		0	0	0
SHAUNA WILLIAMS MD
TRUSTEE	1.00	X		24444	0	0
SR SHARLET WAGNER CSC
TRUSTEE	1.00	X		0	0	0
MARY MCFARLAND
TRUSTEE THROUGH 3/10	1.00	X		0	0	0
COYLA ANDERSON
TRUSTEE	1.00	X		0	0	0
JOSEPH SWEDISH
TRINITY HEALTH PRES & CEO	2.00			0	3023292	798303	X
KEDRICK ADKINS
TRINITY HEALTH PRES INTEG SVCS	2.00			0	1453695	130171	X
JAMES POLK
VP PHY & CLIN	50.00			0	377581	52737	X
JEAN BASOM
VP DEVELOPMENT	50.00			0	231429	99064	X
KAREN HODGE
CNO	50.00			149467	84063	63411	X
CHRISTIAN ZIMMERMAN MD
PHYSICIAN-NEUROSURGERY	50.00			1623775	0	16193		X
JEFFREY SHILT MD
PHYSICIAN-PEDIATRIC ORTHO SURGERY	50.00			704837	0	34321		X
MARK G PARENT MD
PHYSICIAN-CARDIOLOGY	50.00			695756	0	45175		X
KARL SCHULTHEISS MD
PHYSICIAN-ONCOLOGY	50.00			661769	0	39654		X
STEPHANIE B HODSON MD
PHYSICIAN-ONCOLOGY	50.00			640786	0	30258		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4512034	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	8447284	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1590762	TotalOtherCompensation
Number Individuals GT100 K	136	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
REHABILITATION MANAGEMENT ASSOCIATES INC
901 N CURTIS 204	BOISE	ID	83706	REHABILITATION SERVICES	6259898
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	bOISE	ID	83702	RADIOLOGY SERVICES	3375498
AIR METHODS
PO BOX 172892	DENVER	CO	80217	HELICOPTER SERVICES	2799578
THOMAS CUISINE MANAGEMENT
640 EAST FRANKLIN ROAD	MERIDIAN	ID	83642	HOSPITAL CAFETERIA MANAGEMENT	1960541
BOISE ANESTHESIA PA
PO BOX 5641	PORTLAND	OR	97228	ANESTHESIA SERVICES	1470177

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	89	NumberOfContractorsGT100K
Fundraising Events	406306	FundraisingEvents
Related Organizations	184637	RelatedOrganizations
Government Grants	806453	GovernmentGrants
All Other Contributions	502771	AllOtherContributions
Noncash Contributions	87390	NoncashContributions
Total Contributions	1900167	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVC REV	900099	437480734	437480734
INTERCO. ALLOCATION	900099	1130858	1130858

Field	Value	IRS element (for citing)
Total Program Service Revenue	438611592	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4873699	TotalRevenueColumn
Exclusion	$4,873,699	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	434545	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	434545	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	434545	TotalRevenueColumn
Exclusion	$434,545	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	7397456	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	299207	Securities
Other	6369494	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-299207	Securities
Other	1027962	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	728755	TotalRevenueColumn
Exclusion	$728,755	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	432227	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	406306	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	390465	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	41762	TotalRevenueColumn
Exclusion	$41,762	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	13139	GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	13139	TotalRevenueColumn
Exclusion	$13,139	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
OTHER REVENUE	900099	3338804	3338804
BIOMEDICAL REPAIR	811000	16343		16343
DAYCARE SERVICES	624410	5895		5895

Field	Value	IRS element (for citing)
Total Other Revenue	3361042	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	449964701	TotalRevenueColumn
Related Or Exempt Function Income	441950396	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	22238	UnrelatedBusinessRevenue
Exclusion	$6,091,900	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	884456	Total
Program Services	884456	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2460438	Total
Management And General	2460438	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	50851	Total
Program Services	50851	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	158192723	Total
Program Services	147576285	ProgramServices
Management And General	10171059	ManagementAndGeneral
Fundraising	445379	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9187657	Total
Program Services	8667317	ProgramServices
Management And General	493977	ManagementAndGeneral
Fundraising	26363	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13502259	Total
Program Services	12512972	ProgramServices
Management And General	951204	ManagementAndGeneral
Fundraising	38083	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	10566368	Total
Program Services	9744614	ProgramServices
Management And General	793225	ManagementAndGeneral
Fundraising	28529	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1476798	Total
Program Services	1192782	ProgramServices
Management And General	284016	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1372199	Total
Program Services	243440	ProgramServices
Management And General	1128759	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	194919	Total
Program Services	10133	ProgramServices
Management And General	184786	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	44875129	Total
Program Services	38436350	ProgramServices
Management And General	6098030	ManagementAndGeneral
Fundraising	340749	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1825808	Total
Program Services	421178	ProgramServices
Management And General	1389287	ManagementAndGeneral
Fundraising	15343	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	83405063	Total
Program Services	79655333	ProgramServices
Management And General	3280407	ManagementAndGeneral
Fundraising	469323	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	19745394	Total
Program Services	1143786	ProgramServices
Management And General	18596198	ManagementAndGeneral
Fundraising	5410	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	8435916	Total
Program Services	8271436	ProgramServices
Management And General	146466	ManagementAndGeneral
Fundraising	18014	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1034551	Total
Program Services	648793	ProgramServices
Management And General	324261	ManagementAndGeneral
Fundraising	61497	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	525	Total
Program Services	525	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	6689546	Total
Program Services	6689546	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	26832902	Total
Program Services	23289708	ProgramServices
Management And General	3542761	ManagementAndGeneral
Fundraising	433	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2425284	Total
Program Services	59395	ProgramServices
Management And General	2365889	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	22985121	22985121
INTERCO. PURCHASED SVCS	7131554	39378	7092176
EQUIPMENT MAINTENANCE	5305539	5139694	165153	692
CONTRACT LABOR EXPENSE	3765426	485706	3279720
HOSPITAL PROVIDER TAX	1948123	1948123

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1906062	Total
Program Services	1478864	ProgramServices
Management And General	399658	ManagementAndGeneral
Fundraising	27540	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	436200611	Total
Program Services	371575786	ProgramServices
Management And General	63147470	ManagementAndGeneral
Fundraising	1477355	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10192322	BOY
EOY	7663251	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2783252	BOY
EOY	2111489	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2385257	BOY
EOY	676909	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	71290561	BOY
EOY	68535958	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	274823	BOY
EOY	444342	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5306820	BOY
EOY	6616014	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	546358	BOY
EOY	985208	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	450858632	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	178815914	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	281843614	BOY
EOY	272042718	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	82556472	BOY
EOY	123331106	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	47904095	BOY
EOY	48265902	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	31273204	BOY
EOY	33918748	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	536356778	BOY
EOY	564591645	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	35007416	BOY
EOY	49760199	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	348000	BOY
EOY	248000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	177144086	BOY
EOY	176068417	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	212499502	BOY
EOY	226076616	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	314389447	BOY
EOY	335200057	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9467829	BOY
EOY	3314972	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	323857276	BOY
EOY	338515029	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	536356778	BOY
EOY	564591645	EOY

Field	Value	IRS element (for citing)
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	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$18,506	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$76,125	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$122,195	OtherActivitiesAmount
Total Lobbying Expenditures IIB	216826	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	LOBBYING ACTIVITIES PERFORMED BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) INCLUDED THE RETENTION OF AN INDIVIDUAL WHO WAS PAID A RETAINER TO PERFORM THE FOLLOWING: 1. MONITOR AND REPORT ON ALL SIGNIFICANT DEVELOPMENTS IN IDAHO STATE LEGAL, LEGISLATIVE, POLICY AND REGULATORY MATTERS AFFECTING SARMC. 2. REGULARLY MEET IDAHO STATE OFFICIALS ON ISSUES OF CONTINUING CONCERN AND INTEREST TO SARMC AND REPORT THE RESULTS OF SUCH MEETINGS. 3. MONITOR ALL LEGISLATION INTRODUCED DURING EACH LEGISLATIVE SESSION, LOBBY AGAINST LEGISLATION DETERMINED TO BE ADVERSE TO SARMC AND LOBBY IN FAVOR OF ALL MATTERS OF INTEREST AND CONCERN TO SARMC DURING THE SAME LEGISLATIVE SESSION. SAINT ALPHONSUS REGIONAL MEDICAL CENTER ALSO PAYS DUES TO SEVERAL HEALTH ASSOCIATIONS WHO USE A PORTION OF THESE DUES FOR LOBBYING PURPOSES. THESE ORGANIZATIONS HAVE PROVIDED SARMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. THAT LOBBYING PORTION IS AS FOLLOWS: IDAHO HOSPITAL ASSOCIATION - $9,922; AMERICAN HOSPITAL ASSOCIATION - $4,866; CATHOLIC HOSPITAL ASSOCIATION - $3,718.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	8914610	BeginningOfYearBalance
Investment Earnings Or Losses	1704880	InvestmentEarningsOrLosses
Other Expenditures	381743	OtherExpenditures
End Of Year Balance	10237747	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11601314	BeginningOfYearBalance
Investment Earnings Or Losses	-2363278	InvestmentEarningsOrLosses
Other Expenditures	323426	OtherExpenditures
End Of Year Balance	8914610	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1284141	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	8129490	OtherCostOrOtherBasis
Book Value	9413631	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	303888585	OtherCostOrOtherBasis
Depreciation	92799313	Depreciation
Book Value	211089272	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	129975614	OtherCostOrOtherBasis
Depreciation	86016601	Depreciation
Book Value	43959013	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7580802	OtherCostOrOtherBasis
Book Value	7580802	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	272042718	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
ABSOLUTE RETURN STRATEGY FUNDS	22871097	F
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	25394805	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	48265902	TotalOfBookValueSecurities

Other Assets OtherAssets (11 entries)

DescriptionDescription	Book ValueBookValue
INTERCOMPANY NOTES RECEIVABLES	719674
OTHER RECEIVABLES	1994280
INTERCOMPANY OTHER LONG TERM ASSETS	23107175
OTHER LONG TERM PREPAID ASSET	1260000
INTERCOMPANY RECEIVABLES	2806186
INVESTMENT IN MRI MOBILE LIMITED PARTNERSHIP	617547
INVESTMENT IN HUMPHREYS DIABETES CENTER, INC.	1019816
INVESTMENT IN IMQUANT INC.	196364
INVESTMENT IN EAGLE REAL ESTATE LLC	369575
INVESTMENT IN LIFE FLIGHT NETWORK, LLC	451761
INVESTMENT IN MRI LIMITED PARTNERSHIP	1376370

Field	Value	IRS element (for citing)
Total Book Value Other Assets	33918748	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
INTERCOMPANY ACCOUNTS PAYABLE	$2,714,954
DEFERRED COMPENSATION LIABILITY	$1,513,682
ASSET RETIREMENT OBLIGATION (FIN 47)	$638,776
INTERCOMPANY NOTES PAYABLE	$171,020,799
OTHER LONG TERM LIABILITIES	$180,206

Field	Value	IRS element (for citing)
Total Of Amounts	176068417	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: - PROJECTS DESIGNED TO ELEVATE THE QUALITY OF HEALTHCARE (INTERNAL GRANTS) - PROJECTS TO MEET IMMEDIATE NEEDS RELATED TO PATIENT CARE QUALITY (OPPORTUNITY GRANTS) - PROJECTS FOR HEALTH AND WELFARE-RELATED COMMUNITY BENEFIT PROJECTS THAT MEET THE NEEDS OF THE POOR AND UNDERSERVED.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	SAINT ALPHONSUS REGIONAL MEDICAL CENTER is included in the consolidated financial statements of Trinity Health. Trinity Health's financial statements for the year ended June 30, 2010 did not include a FIN 48 footnote.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	2009 FESTIVAL OF THE TREES	NameOfEvent1
Gross Receipts Event1	708776	GrossReceiptsEvent1
Charitable Contributions Event1	332222	CharitableContributionsEvent1
Gross Revenue Event1	376554	GrossRevenueEvent1
Non Cash Prizes Event1	4775	NonCashPrizesEvent1
Rent Facility Costs Event1	145513	RentFacilityCostsEvent1
Other Direct Expenses Event1	196825	OtherDirectExpensesEvent1
Name Of Event2	2010 CAPITOL CLASSIC	NameOfEvent2
Gross Receipts Event2	49666	GrossReceiptsEvent2
Charitable Contributions Event2	26946	CharitableContributionsEvent2
Gross Revenue Event2	22720	GrossRevenueEvent2
Other Direct Expenses Event2	22947	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	80091	GrossReceiptsOtherEvents
Charitable Contrib Other Events	47138	CharitableContribOtherEvents
Gross Revenue Other Events	32953	GrossRevenueOtherEvents
Non Cash Prizes Other Events	2803	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	750	RentFacilityCostsOtherEvents
Other Direct Expenses Other Events	16852	OtherDirectExpensesOtherEvents
Gross Receipts Total	838533	GrossReceiptsTotal
Charitable Contributions Total	406306	CharitableContributionsTotal
Gross Revenue Total Events	432227	GrossRevenueTotalEvents
Non Cash Prizes Total Events	7578	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	146263	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	236624	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	390465	DirectExpenseSummaryEvents
Net Income Summary	41762	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	8358	PersonsServed
Total Community Benefit Expense	10185793	TotalCommunityBenefitExpense
Net Community Benefit Expense	10185793	NetCommunityBenefitExpense
Percent Of Total Expense	0.02470	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	45055	PersonsServed
Total Community Benefit Expense	53917563	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45835249	DirectOffsettingRevenue
Net Community Benefit Expense	8082314	NetCommunityBenefitExpense
Percent Of Total Expense	0.01960	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	26	NumberOfActivitiesOrPrograms
Persons Served	53413	PersonsServed
Total Community Benefit Expense	64103356	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45835249	DirectOffsettingRevenue
Net Community Benefit Expense	18268107	NetCommunityBenefitExpense
Percent Of Total Expense	0.04430	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	96904	PersonsServed
Total Community Benefit Expense	1491855	TotalCommunityBenefitExpense
Direct Offsetting Revenue	150	DirectOffsettingRevenue
Net Community Benefit Expense	1491705	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1994	PersonsServed
Total Community Benefit Expense	2472813	TotalCommunityBenefitExpense
Net Community Benefit Expense	2472813	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	48456	PersonsServed
Total Community Benefit Expense	8109260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4010005	DirectOffsettingRevenue
Net Community Benefit Expense	4099255	NetCommunityBenefitExpense
Percent Of Total Expense	0.00990	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	50	PersonsServed
Total Community Benefit Expense	1053	TotalCommunityBenefitExpense
Net Community Benefit Expense	1053	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	2265699	TotalCommunityBenefitExpense
Net Community Benefit Expense	2265699	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Persons Served	147404	PersonsServed
Total Community Benefit Expense	14340680	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4010155	DirectOffsettingRevenue
Net Community Benefit Expense	10330525	NetCommunityBenefitExpense
Percent Of Total Expense	0.02500	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	54	NumberOfActivitiesOrPrograms
Persons Served	200817	PersonsServed
Total Community Benefit Expense	78444036	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49845404	DirectOffsettingRevenue
Net Community Benefit Expense	28598632	NetCommunityBenefitExpense
Percent Of Total Expense	0.06930	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	20000	TotalCommunityBuildingExpense
Net Community Building Expense	20000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	8026	PersonsServed
Total Community Building Expense	50045	TotalCommunityBuildingExpense
Net Community Building Expense	50045	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	184038	PersonsServed
Total Community Building Expense	105496	TotalCommunityBuildingExpense
Net Community Building Expense	105496	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	192064	PersonsServed
Total Community Building Expense	175541	TotalCommunityBuildingExpense
Net Community Building Expense	175541	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$10,743,774	BadDebtExpenseAmount
Amount Attributable To	1933879	AmountAttributableTo
Amount Reimbursed By Medicare	77657881	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	85054434	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7396553	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MRI LIMITED PARTNERSHIP
MRI DIAGNOSTICS	0.14170	0.00000	0.83050
MRI MOBILE LIMITED PARTNERSHIP
MRI DIAGNOSTICS	0.16160	0.00000	0.50380

Form990 Schedule H Part V Form990ScheduleHPartV (18 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther	Er OtherErOther
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 N CURTIS ROAD	BOISE	ID	83706	X	X	X	X
BOISE MEDICAL ARTS CENTER
999 N CURTIS ROAD	BOISE	ID	83706					AMBULATORY CLINIC
ORTHO INST & BOISE HRT CARE
1070-1071 N CURTIS ROAD	BOISE	ID	83706					EMPLOYED PHYSICIANS
MEDICAL OFFICE BUILDING
6140 W CURTISIAN	BOISE	ID	83706					SLEEP DISORDER CENTER, EMPLOYED PHYSICIANS
SAINT ALPHONSUS MERIDIAN HEALTH PLAZA
3025 W CHERRY LANE	MERIDIAN	ID	83742		X			LAB, PT, EMPLOYED PHYSICIANS	X
SAINT ALPHONSUS EAGLE HEALTH PLAZA
323 E RIVERSIDE	EAGLE	ID	83616		X		X	LAB, IMAGING, PT, EMPLOYED PHYSICIANS
FAMILY PRACTICE ASSOCIATES
6533 EMERALD ST	BOISE	ID	83704					EMPLOYED PHYSICIANS
VIEWPOINTE CLINIC
1880 W JUDITH LN	BOISE	ID	83705					EMPLOYED PHYSICIANS
BANBURY MEDICAL CENTER
12273 W MCMILLAN RD	BOISE	ID	83713					EMPLOYED PHYSICIANS
SHORELINE CLINIC
1673 W SHORELINE DR	BOISE	ID	83702					EMPLOYED PHYSICIANS
LIBERTY MEDICAL PARK
900 N LIBERTY	BOISE	ID	83704					EMPLOYED PHYSICIANS
BOISE OBSTETRICS & GYNECOLOGICAL CLINIC
5966 CURTISIAN	BOISE	ID	83704					EMPLOYED PHYSICIANS
SAINT ALPHONSUS MEDICAL BUILDING
901 N CURTIS	BOISE	ID	83706					EMPLOYED PHYSICIANS
MENTAL HEALTH SERVICES
131 N ALLUMBAUGH	BOISE	ID	83704					EMPLOYED PHYSICIANS
HARTMAN BUILDING
1075 N CURTIS RD	BOISE	ID	83706					EMPLOYED PHYSICIANS
PEDIATRIC ORTHOPEDICS
6500 W EMERALD	BOISE	ID	83704					EMPLOYED PHYSICIANS
PHYSICIANS OFFICE BUILDING
1000 N CURTIS RD	BOISE	ID	83706					EMPLOYED PHYSICIANS
ELM CLINIC
315 E ELM	CALDWELL	ID	83605					EMPLOYED PHYSICIANS

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c:	IncomeBasedCriteria
Annual Community Benefit Expln	Part I, Line 6a: saint alphonsus regional medical center reports its community benefit information as part of the consolidated community benefit information reported by Trinity Health in its annual report, available at www.trinity-health.org.In addition, saint alphonsus regional medical center includes a copy of its most recently filed schedule H on both its own website and trinity health's website.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Percent Of Total Expense Expln	Part I, Line 7f: The following number, $22,985,121, 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).	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: SAINT ALPHONSUS REGIONAL MEDICAL CENTER is included in the consolidated financial statements of Trinity Health. The following is the text of the allowance for doubtful accounts footnote from 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.THE AMOUNT ON LINE 3 WAS CALCULATED BASED ON INFORMATION SUPPLIED BY NCO, OUR COLLECTION AGENCY.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: 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, sAINt alphonsus regional medical center does not believe any Medicare shortfall should be treated as community benefit.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.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: SAINT ALPHONSUS REGIONAL MEDICAL CENTER'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 SAINT ALPHONSUS REGIONAL MEDICAL CENTER, all of which must be in compliance with this policy.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: NEEDS ASSESSMENT - SAINT ALPHONSUS REGIONAL 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 SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE SAINT ALPHONSUS 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 SAINT ALPHONSUS COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES.The current Saint Alphonsus community needs assessment was finalized in June 2008 (with several key areas updated in December 2009), and action plans to address identified community needs have been developed through FISCAL YEAR 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 hard copies with other nonprofit agencies, such as United Way of Treasure Valley and the Idaho Nonprofit Center.IN ANTICIPATION OF COMPLETING A NEW STRATEGIC PLAN, A COMMUNITY NEEDS ASSESSMENT UPDATE WAS COMPLETED BY OUR BOARD'S MISSION SUBCOMMMITTEE IN DECEMBER 2009. THIS UPDATE FOCUSED ON PRIMARY CARE, MENTAL HEALTH AND THE NEEDS OF MEDICAID PATIENTS. During FY11 Saint Alphonsus will be participating in and supporting a comprehensive community needs assessment to be led by United Way of Treasure Valley, focusing on community needs relating to health, education and financial stability.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT ALPHONSUS 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 COMMUNITY.IN ACCORDANCE WITH AHA RECOMMENDATIONS, SAINT ALPHONSUS HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS:- PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS;- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS;- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS;- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER;- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONS.SAINT ALPHONSUS 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. SAINT ALPHONSUS 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.SAINT ALPHONSUS 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 PATIENT ADVOCATE WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE.SAINT ALPHONSUS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT ALPHONSUS 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.	PatientEducationAssistance
Community Information	Part VI, Line 4: COMMUNITY INFORMATION - Saint Alphonsus Regional Medical Center (SARMC) serves patients from the primary, secondary and tertiary service areas listed below:- Primary Service Area: A five-county region including Ada, Canyon, Elmore, Gem and Malheur counties. - Secondary Service Area: Payette, Twin Falls, Valley, Washington, Baker and Union Counties. - Tertiary Service Area: Adams, Blaine, Boise, Cassia, Gooding, Jerome, Minidoka, Owyhee and Elko Counties.Area hospital facilities within SARMC's primary service area include St. Luke's Boise and Meridian, Idaho Elks Rehabilitation Center, Treasure Valley Hospital, Saint Alphonsus Medical Center-Nampa, West Valley Medical Center, Elmore Medical Center, Saint Alphonsus Medical Center-Ontario, and Walter Knox Memorial Hospital.Saint Alphonsus' 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 over the past decade (from 2000-2009), with dramatic growth rates in Ada & Canyon Counties, the two largest counties in the service area:- Ada County population grew 27.8% from 2000-2009- Canyon County population grew 42% from 2000-2009THE FOLLOWING ARE RELEVANT STATISTICS FOR THE SAINT ALPHONSUS REGIONAL MEDICAL CENTER PRIMARY SERVICE AREA (FROM CENSUS.GOV QUICK FACTS, 2010):TOTAL POPULATION (2009):ADA COUNTY - 384,656CANYON COUNTY - 186,615ELMORE COUNTY - 28,820GEM COUNTY - 16,437MALHEUR COUNTY - 30,745PERCENT WHITE PERSONS NOT HISPANIC:ADA COUNTY - 87%CANYON COUNTY - 73%ELMORE COUNTY - 76%GEM COUNTY - 88%MALHEUR COUNTY - 66%PERCENT HISPANIC/LATINO ORIGIN:ADA COUNTY - 7%CANYON COUNTY - 22%ELMORE COUNTY - 15%GEM COUNTY - 9%MALHEUR COUNTY - 28%MEDIAN HOUSEHOLD INCOME:ADA COUNTY - $57,159CANYON COUNTY - $43,976ELMORE COUNTY - $47,561GEM COUNTY - $43,555MALHEUR COUNTY - $36,403PERSONS BELOW POVERTY LEVEL (2008):ADA COUNTY - 9%CANYON COUNTY - 15%ELMORE COUNTY - 14%GEM COUNTY - 15%MALHEUR COUNTY - 21%Approximately 17% of non-elderly Idaho residents lack health insurance (Kaiser Health Facts). Medically Underserved Populations and Health Professional Shortage Areas within our service area include a shortage of primary care and mental health services.The local refugee population has more than doubled since 2005; most of these individuals are of childbearing age. Approximately 3,800 refugees currently live in Ada County, with four refugee resettlement agencies in that county placing 724 new refugees in 2007. In 2008, 1,193 refugees and special immigrants arrived in Idaho, from 23 different countries, speaking 27 different languages (Idaho Office for Refugees). The region sees a high prevalence of mental health AND 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 Saint Alphonsus, 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 ISSUES of great concern.	CommunityInformation
Community Building Activities	Part VI, Line 5: COMMUNITY BUILDING ACTIVITIES - SAINT ALPHONSUS REGIONAL MEDICAL CENTER 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. THESE INCLUDE AGENCIES THAT SUPPORT ECONOMIC DEVELOPMENT AND JOB CREATION; SUPPORT THE UNINSURED; ADDRESS WELLNESS ISSUES IN THE WORKFORCE; IMPROVE END OF LIFE CARE; EDUCATE REFUGEES REGARDING CHILDBIRTH AND PARENTING; IMPROVE CHILD SAFETY, HEALTH AND EDUCATION; AND SUPPORT SUBSTANCE ABUSE DETOXIFICATION AND SOBERING SERVICES, AND CRISIS MENTAL HEALTH.Specific examples of our community building activities are described below:- Support of the Valley Initiative for Prosperity - Saint Alphonsus supported this broad-based economic development initiative (in partnership with local Chambers of Commerce and other local companies) that aimed to bring new businesses and jobs to the local community. Saint Alphonsus has invested $20,000 per year over 5 years, as part of our commitment to help our communities grow and thrive.- 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:Family Medicine Residency of Idaho: Through active participation on the board of Family Medicine Residency of Idaho, Saint Alphonsus has been able to help guide the continuing development and expansion of family medicine residency capacity in Idaho - a critical need since Idaho ranks 49th nationwide in terms of primary care physicians per capita. Through this partnership, we were also able to develop a new psychiatric residency program based in Boise THREE years ago, which over time will expand the pipeline of new psychiatrists practicing in our region, which is a health provider shortage area for mental health.Boys AND Girls Clubs of Ada County: Enhancement of before AND after-school programming for local at-risk youth, including a new location in Meridian, Idaho. Saint Alphonsus' representative on the Boys AND Girls Club board has chaired several important committees, including Strategic Planning, Programs, and the annual signature fundraising event, the Wild West Auction, which brings in the bulk of annual operating funds for the clubs. The clubs have also taken on a significant role in providing feeding programs for low income children in Ada and Canyon Counties.Health Improvement Advocacy: Saint Alphonsus has been an active participant in advocacy supporting health improvement initiatives such as:Childhood Immunizations: During the 2010 Idaho legislative session, Saint Alphonsus worked with a coalition of other stakeholders to craft a solution to the state's discontinuation of funding for immunizations for insured children. The end product was passed into law, creating a system by which insurance plans would be assessed a fee to help cover the cost of immunizations for insured children - with the immunization fund being overseen by a newly created Immunization Assessment Board. This remedied confusion and frustration that had been expressed by providers and the public following budget cutbacks the prior year. Focus is now shifting to coalition efforts to improve Idaho's low immunization rates.Idaho End of Life Coalition: Advance care planning in Idaho has been improved and streamlined. Advance Care Committee members provide professional consultation on the development of Idaho advance care legislation including revision and streamlining of the Idaho Natural Death Act (living will and durable power of attorney for health care), creation of the Health Care Directive Registry housed in the office of the Secretary of State, and the POST (Physician Orders for Scope of Treatment) - the new Idaho DNR (do not resuscitate) program. In addition, coalition committees develop initiatives to raise community awareness and encourage professional development about end-of-life issues.Workforce Health Initiative: Saint Alphonsus has provided health risk assessments to employees of local companies, followed by presentations showing the company's overall risk profile and potential interventions that may help improve the health of the workforce and contain future healthcare costs. Saint Alphonsus has facilitated numerous "Biggest Loser" type weight loss challenges that have resulted in improved employee health and presented a significant team-building opportunity at participating companies. Staff from Saint Alphonsus have provided targeted education and screenings based on the risk profiles and preferences of each participating company.	CommunityBuildingActivities
Other Information	Part VI, Line 6: OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SAINT ALPHONSUS USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY AND MEDICAL SERVICES FOR THE COMMUNITY, AND COLLABORATES WITH COMMUNITY PARTNERS AND INVESTS IN NEEDED COMMUNITY PROGRAMS SUCH AS HUMPHREYS DIABETES CENTER, FAMILY MEDICINE RESIDENCY OF IDAHO, ALLUMBAUGH HOUSE (SOBERING, DETOXIFICATION AND CRISIS MENTAL HEALTH SERVICES), HEALTH TEACHER HEALTH LITERACY CURRICULUM FOR THE BOISE SCHOOL DISTRICT, AND MATCH (A CHILDREN'S MENTAL HEALTH PROGRAM).Saint Alphonsus also collaborates with United Way of Treasure Valley to address community needs in the areas of health, education and income. Saint Alphonsus is represented on the United Way Board of Directors and the Health Vision Council. In addition, 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.SAINT ALPHONSUS STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING ANNUAL FINANCIAL SUPPORT TO THE FAMILY MEDICINE RESIDENCY OF IDAHO, PSYCHIATRIC RESIDENCY, ISU DENTAL RESIDENCY, AND THE BOISE STATE UNIVERSITY NURSING BUILDING FUND. IN ADDITION, SAINT ALPHONSUS SERVES AS A KEY CLINICAL TRAINING SITE FOR NEW PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS.Saint Alphonsus is a regional trauma center and takes a leadership role in improving systems of care for trauma patients. Trauma prevention and disaster preparedness efforts in the region are often led by staff at Saint Alphonsus, who have championed tougher seat belt and helmet laws, coordinated drunk driving prevention events in local high schools, and led in response planning for events like the Special Olympics World Winter Games. Saint Alphonsus also hosts an annual Ski & Mountain Trauma Conference to train first responders (EMS, fire, ski patrol, etc.) throughout the Northwest on best practices for trauma care in the pre-hospital setting.SAINT ALPHONSUS COORDINATES A REGIONAL TELEMEDICINE NETWORK THROUGHOUT WESTERN AND NORTHERN IDAHO AND EASTERN OREGON. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE MUCH-NEEDED SERVICES SUCH AS TELEPSYCHIATRY, STROKE CARE, CLINICAL EDUCATION AND EMERGENCY MEDICINE CONSULTATIONS TO RURAL HOSPITALS IN REMOTE LOCATIONS, OFTEN PREVENTING UNNECESSARY TRANSPORTS AND ALLOWING PATIENTS TO BE CARED FOR CLOSER TO HOME.Saint Alphonsus is governed by a Board of Trustees consisting of community members who serve in a voluntary capacity. Additional community volunteers are engaged in Board Committees such as Quality, Mission, and Planning & Finance.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: SAINT ALPHONSUS REGIONAL MEDICAL CENTER is a member organization of Trinity Health, the fourth-largest Catholic health care system 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 2010, this included nearly $456 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.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 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
COMMUNITY HEALTH CLINICS INC
211 16TH AVE NORTH	NAMPA	ID	83653	820300537	501(C)3	112546	SPONSORSHIP
GENESIS WORLD MISSION INC
215 W 35TH ST	GARDEN CITY	ID	83714	820505073	501(C)3	5600	SPONSORSHIP
ROMAN CATHOLIC DIOCESE OF BOISE
1501 S FEDERAL WAY STE 400	BOISE	ID	83705	820200748	501(C)3	5000	SPONSORSHIP
WOMEN'S AND CHILDREN'S ALLIANCE
720 W WASHINGTON ST	BOISE	ID	83702	820204464	501(C)3	5350	SPONSORSHIP
BOISE METRO CHAMBER OF COMMERCE
250 S 5TH STREET 300	BOISE	ID	83702	820100595	501(C)6	20000	SPONSORSHIP
BOYS AND GIRLS CLUB OF ADA COUNTY IDAHO INC
610 E 42ND ST	GARDEN CITY	ID	83714	820481687	501(C)3	5000	SPONSORSHIP	198	fmv	raffle basket
AMERICAN CANCER SOCIETY
2120 FIRST AVENUE NORTH	SEATTLE	WA	98109	841316555	501(C)3	7000	SPONSORSHIP
CALDWELL TREASURE VALLEY RODEO INC
PO BOX 98	CALDWELL	ID	83606	820128057	501(C)4	10000	SPONSORSHIP
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVE	DALLAS	TX	75231	135613797	501(C)3	11000	SPONSORSHIP
FAMILY ADVOCACY CENTER & EDUC SVC
417 S 6TH STREET	BOISE	ID	83702	204883532	501(C)3	15000	SPONSORSHIP
TREASURE VALLEY FAMILY YMCA
1050 WEST STATE ST	BOISE	ID	83702	820200908	501(C)3	13000	SPONSORSHIP
TREY MCINTYRE PROJECT LTD
PO BOX 2698	BOISE	ID	83701	651239526	501(C)3	5000	SPONSORSHIP
MAIN STREET MILE INC
PO BOX 6331	BOISE	ID	83707	113735163	501(C)3	18750	SPONSORSHIP
SUSAN G KOMEN BREAST CANCER FOUNDATION DBA SUSAN G KOMEN FOR THE CURE
5005 LBJ FREEWAY	DALLAS	TX	75244	751835298	501(C)3	30000	SPONSORSHIP
ST PAULS BENEVOLENT INSTITUTE
1181 SW 76TH AVE	MIAMI	FL	33144	226034713	501(C)3	405607	SPONSORSHIP
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVENUE	WHITE PLAINS	NY	10605	131846366	501(C)3	19000	SPONSORSHIP
BOISE STATE UNIVERSITY
1910 UNIVERSITY DR	BOISE	ID	83725	820290701	501(C)3	123100	SUPPORT EXPANDING NURSING PROGRAM

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	15	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	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 SAINT ALPHONSUS REGIONAL MEDICAL CENTER to charitable organizations are made in furtherance of the recipient organization's exempt purpose and are considered unrestricted with regard to the use of the funds. THE CONTRIBUTIONS COMMITTEE REVIEWS REQUESTS AND RECOMMENDS APPROVAL.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	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 (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SALLY JEFFCOAT
0	287778	0	40000	0	84191	0	26928	0	8760	0	447657	0	0
JANELLE G REILLY
0	314925	0	68721	0	33383	0	14964	0	20938	0	452931	0	13169
KENNETH FRY
0	257392	0	60915	0	16935	0	26226	0	18147	0	379615	0	12945
MICHAEL SLUBOWSKI
0	696108	0	681725	0	240008	0	125922	0	28467	0	1772230	0	94766
J RICHARD O'CONNELL
0	440925	0	0	0	54218	0	11123	0	0	0	506266	0	0
JOSEPH SWEDISH
0	1214458	0	1607837	0	200997	0	769899	0	28404	0	3821595	0	0
KEDRICK ADKINS
0	712415	0	611975	0	129305	0	117250	0	12921	0	1583866	0	0
JAMES POLK
0	280207	0	67096	0	30278	0	33450	0	19287	0	430318	0	0
JEAN BASOM
0	176231	0	42070	0	13128	0	82907	0	16157	0	330493	0	0
KAREN HODGE
98490	83368	35312	0	15665	695	0	56049	3997	3365	153464	143477	0	0
CHRISTIAN ZIMMERMAN MD
1203230	0	417506	0	3039	0	13447	0	2746	0	1639968	0	0	0
JEFFREY SHILT MD
642573	0	50000	0	12264	0	10391	0	23930	0	739158	0	0	0
MARK G PARENT MD
650406	0	41207	0	4143	0	21147	0	24028	0	740931	0	0	0
KARL SCHULTHEISS MD
204567	0	456771	0	431	0	22377	0	17277	0	701423	0	0	0
STEPHANIE B HODSON MD
212511	0	428088	0	187	0	12676	0	17582	0	671044	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

CERTAIN BOARD MEMBERS RECEIVED BOARD RECOGNITION FEES IN CALENDAR 2009. THESE AMOUNTS WERE INCLUDED ON A 1099-MISC, ALONG WITH A GROSS-UP TO COVER TAXES ON THE FEE. ONE BOARD MEMBER WAS PROVIDED WITH REIMBURSEMENT OF COMPANION TRAVEL EXPENSES IN CALENDAR 2009. THE EXPENSES WERE INCLUDED ON A 1099-MISC.

Part I, Line 4a

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 2009). THE FOLLOWING ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $59,584 SALLY JEFFCOAT - $13,299 MICHAEL SLUBOWSKI - $42,832 JOSEPH SWEDISH - $249,263 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2009 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $38,675 MICHAEL SLUBOWSKI - $55,733 JOSEPH SWEDISH - $493,225 PART I, LINE 4B: THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F): CHRISTIAN ZIMMERMAN, MD JEFFREY SHILT, MD MARK G. PARENT, MD KARL SCHULTHEISS, MD STEPHANIE B. HODSON, MD NONE OF THE ABOVE INDIVIDUALS HAD 457(F) DEFERRALS IN CALENDAR 2009. Part II, Column B (ii): The following individuals received amounts in 2009 from a long-term incentive plan (LTIP). Participants in the LTIP (CEOs and certain Trinity executives) were eligible to receive a payment under the plan only if certain patient loyalty improvement targets were achieved by the end of a three-year period (FY07 through FY09). The following LTIP amounts are included in Schedule J, Part II, Column B(ii): KEDRICK ADKINS - $337,826 MICHAEL SLUBOWSKI - $403,918 JOSEPH SWEDISH - $1,042,563

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	JEFFREY SHILT MD	NamePerson
Loan From Organization	X	LoanFromOrganization
Original Principal	$50,000	OriginalPrincipalAmount
Balance Due	28333	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	28333	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
REGENCE BLUE SHIELD OF IDAHO (RBSI)
MARY MCFARLAND, BOARD TRUSTEE, ALSO SERVES ON THE BOARD OF RBSI	52549155	PAYMENTS MADE BY REGENCE BLUE SHIELD OF IDAHO TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. FOR HEALTH CARE SERVICES PROVIDED TO RBSI COVERED MEMBERS.	0
BLUE CROSS OF IDAHO (BCI)
SALLY JEFFCOAT, CEO, ALSO SERVES ON THE BOARD OF BCI	74010707	PAYMENTS MADE BY BLUE CROSS OF IDAHO TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. FOR HEALTH CARE SERVICES PROVIDED TO BCI COVERED MEMBERS.	0
ETHAN FRY
FAMILY MEMBER OF KENNETH FRY, KEY EMPLOYEE	50851	EMPLOYMENT ARRANGEMENT	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	3350	NoncashContribsRptdF990
Method Of Determining Revenues	OPINION OF EXPERTS	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	340	NoncashContribsRptdF990
Method Of Determining Revenues	OPINION OF EXPERTS	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	7281	NoncashContribsRptdF990
Method Of Determining Revenues	OPINION OF EXPERTS	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	7	NumberOfContributions
Noncash Contribs Rptd F990	6662	NoncashContribsRptdF990
Method Of Determining Revenues	OPINION OF EXPERTS	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	10356	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	5492	NoncashContribsRptdF990
Method Of Determining Revenues	OPINION OF EXPERTS	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	ENTERTAINMENT	25	5721	COST
X	GIFT CERTIFICATES	23	2630	COST
X	CONSULTING SERVICES	1	23928	COST
X	PRINTING SERVICES	4	5095	COST
X	RENTAL EQUIPMENT	6	3785	COST
X	ADVERTISING	2	12500	COST
X	CELL PHONE SERVICES	1	250	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Third Party Use:	Identifier
Return Reference	Part I, Line 32b:	ReturnReference
Explanation	THE REPORTING ENTITY HAS USED THIRD PARTIES TO PROCESS OR SELL NON-CASH CONTRIBUTIONS WHEN SPECIFIC EXPERTISE IS WARRANTED. WHERE AN EXPERT APPRAISAL IS NECESSARY, A THIRD PARTY APPRAISER WILL BE ENGAGED. OCCASIONALLY THE SERVICES OF AN AGENT ARE ENGAGED TO SELL NON-CASH CONTRIBUTIONS THAT WILL NOT BE USED BY THE REPORTING ENTITY.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 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. CHARLES WHITE, TRUSTEE, AND KAYE O'RIORDAN, TRUSTEE, HAVE A BUSINESS RELATIONSHIP. CHARLES WHITE, TRUSTEE, AND BRENT LLOYD, CHAIR, HAVE A BUSINESS RELATIONSHIP.
Form 990, Part VI, Section A, line 4	EFFECTIVE APRIL 1, 2010, THE ARTICLES OF INCORPORATION OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. WERE AMENDED TO CHANGE THE SOLE MEMBER OF THE CORPORATION. SEE LINE 7A FOR MORE INFORMATION. EFFECTIVE MAY 13, 2010, THE BYLAWS WERE AMENDED TO REFLECT THAT THE BOARD OF TRUSTEES SHALL INCLUDE (I) AT LEAST ONE REPRESENTATIVE OF THE NEW CORPORATE MEMBER, DESIGNATED BY THE CORPORATE MEMBER (WHO SHALL SERVE EX OFFICIO WITH VOTE) AND (II) THE PRESIDENT OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. (WHO SHALL SERVE EX OFFICIO WITH VOTE), AND (III) MEMBERS OF THE COMMUNITY. IN ADDITION, A CONFIDENTIALITY SECTION AND A CONFLICT OF INTEREST SECTION WERE ADDED TO THE BYLAWS.
Form 990, Part VI, Section A, line 6	TRINITY HEALTH CORPORATION WAS THE SOLE MEMBER OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. UNTIL MARCH 31, 2010. EFFECTIVE APRIL 1, 2010, SAINT ALPHONSUS HEALTH SYSTEM BECAME ITS SOLE MEMBER. (TRINITY HEALTH CORPORATION IS IN TURN THE SOLE MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM.) SEE LINE 7 FOR ADDITIONAL INFORMATION.
Form 990, Part VI, Section A, line 7a	AS SOLE MEMBER OF THE CORPORATION, SAINT ALPHONSUS HEALTH SYSTEM (AND PREVIOUS TO APRIL 1, 2010, TRINITY HEALTH CORPORATION) HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC.
Form 990, Part VI, Section A, line 7b	AS SOLE MEMBER OF THE CORPORATION, SAINT ALPHONSUS HEALTH SYSTEM (AND PREVIOUS TO APRIL 1, 2010, TRINITY HEALTH CORPORATION) MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM (AND PREVIOUSLY, TRINITY HEALTH CORPORATION) MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
Form 990, Part VI, Section B, line 11	PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE OF SAINT ALPHONSUS HEALTH SYSTEM. (SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION.) THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
Form 990, Part VI, Section B, line 12c	SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. has adopted a conflict of interest policy which contains the elements in the model conflict of interest policy issued by the IRS. It applies to all Interested persons of SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC., which includes trustees, principal officers and executives, and members of committees with board designated powers. Interested persons are required to act at all times in a manner consistent with SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC.'S charitable purpose and service to the community and to avoid conflicts of interest. Interested persons are required to make full disclosure to SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. of any financial or business interests that might result in or have the appearance of a conflict of interest. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The board of trustees of SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. is responsible for the review and approval of transactions with interested persons, including determining that such transactions are fair and reasonable to SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are reviewed with the board of trustees of SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. on an annual basis.
Form 990, Part VI, Section B, line 15	Trinity Health follows a process and policy that is intended to mirror the IRC Section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of certain officers and key management officials of SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. are reviewed at least annually by the Trinity Health Board or the Trinity Health Human Resources and Compensation Committee (HRCC) of the Board, authorized to act on behalf of the Board with respect to certain compensation matters. As part of its review process, the HRCC retains an independent firm experienced in compensation and benefit matters for not-for-profit healthcare organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements.
Form 990, Part VI, Section C, line 19	SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
FORM 990, PART VII, SECTION A, LINE 1, COLUMN B	THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 53 HOURS KENNETH FRY - 5 HOURS SALLY JEFFCOAT - 5 HOURS J. RICHARD O'CONNELL - 52 HOURS JANELLE REILLY - 5 HOURS MICHAEL SLUBOWSKI - 52 HOURS JOSEPH SWEDISH - 53 HOURS	ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART VII, SECTION A, LINE 1:	DR. SHAUNA WILLIAMS, BOARD TRUSTEE, PROVIDED SERVICES TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. AS AN INDEPENDENT CONTRACTOR. THE AMOUNT SHOWN ON PART VII, SECTION A, LINE 1, REPRESENTS FEES FOR INDEPENDENT CONTRACTOR SERVICES, NOT BOARD FEES.	DIRECTORS/TRUSTEES OR OFFICERS
FORM 990, PART VII, SECTION A, LINE 1:	SR. JEANETTE FETTIG, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. JEANETTE FETTIG DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. INSTEAD, A TOTAL OF $2,000 WAS PAID BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. JEANETTE FETTIG'S SERVICES.	DIRECTORS/TRUSTEES OR OFFICERS
Form 990, Part XI, Line 2:	SAINT ALPHONSUS REGIONAL MEDICAL CENTER's financial statements were included in the FY10 consolidated financial statements of Trinity Health, which were audited by an independent public accounting firm.
FORM 990, PART I, DOING BUSINESS AS:	SAINT ALPHONSUS FOUNDATION, SAINT ALPHONSUS LIFE FLIGHT, IDAHO NEUROLOGICAL INSTITUTE, IDAHO ORTHOPAEDIC INSTITUTE, IDAHO REHABILITATION AND PAIN CENTER, SAINT ALPHONSUS BREAST CARE CENTER, SAINT ALPHONSUS CANCER TREATMENT CENTER, SAINT ALPHONSUS CANCER CARE CENTER, SAINT ALPHONSUS SLEEP DISORDERS CENTER, SAINT ALPHONSUS PRIMARY STROKE CENTER, SAINT ALPHONSUS MEDICAL GROUP, SAINT ALPHONSUS EXPRESS CARE

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CLR Investments LLC
120 W HARRIS ST	CADILLAC	MI	49601	320008631	Real estate rental & development	MI	19827	175469	Trinity Health-Michigan
Saint Agnes Home Health and Hospice LLC
17410 COLLEGE PARKWAY STE 150	LIVONIA	MI	48152	382621935	Provide home health services	CA	9367604	1116725	Trinity Home Health Services Inc
Saint Mary's Pharmacy LLC
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	383404443	Pharmacy	MI	0	0	Trinity Health-Michigan
Mount Carmel HealthProviders Two LLC
6150 E BROAD STREET	COLUMBUS	OH	43213	201983271	MEDICAL SERVICES	OH	0	0	MOUNT CARMEL HEALTH PROVIDERS INC
PATHWAY HOSPICE LLC
1050 SW 3RD AVE SUITE 1600	ONTARIO	OR	97914	931310235	HOSPICE CARE	OR	262248	1512716	SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
TRINITY HEALTH-WARDE LAB LLC
34605 W TWELVE MILE ROAD	FARMINGTON HILLS	MI	48331	272681908	REAL ESTATE RENTAL	DE	0	0	TRINITY HEALTH - MICHIGAN
MOUNT CARMEL HEALTH PROVIDERS III LLC
10 West Broad St Ste 2100	COLUMBUS	OH	43215	204145781	MEDICAL SERVICES	OH	1741059	6043	MOUNT CARMEL HEALTH PROVIDERS INC

Form990 Schedule R Part II Form990ScheduleRPartII (90 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	Direct Controlling Entity NADirectControllingEntityNA
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
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
BATTLE CREEK HEALTH SYSTEM
300 NORTH AVENUE	BATTLE CREEK	MI	49016	382776791	HEALTHCARE SERVICES	MI	501(C)(3)	3	TRINITY HEALTH - MICHIGAN
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
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
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
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
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
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
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
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
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
Hackley Hospital
1700 CLINTON ST PO BOX 3302	MUSKEGON	MI	494433302	381358196	HEALTHCARE SERVICES	MI	501(C)(3)	3	Mercy Health Partners
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
Hackley Life Counseling
1352 TERRACE ST	MUSKEGON	MI	494423545	381386362	Counseling, education, and support	MI	501(C)(3)	9	Mercy Health Partners
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
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
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
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
Holy Cross Medical Center
27870 CABOT DRIVE	NOVI	MI	483772920	951985442	HEALTHCARE SERVICES (FORMERLY)	CA	501(C)(3)	3	Trinity Health Corporation
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
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
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
HPCN
1675 LEAHY STREET	MUSKEGON	MI	49442	300207909	HEALTHCARE SERVICES	MI	501(C)(3)	11, TYPE II	Mercy Health Partners
Lakeshore Community Hospital Inc
72 S STATE STREET	SHELBY	MI	494551228	382549295	Acute healthcare services	MI	501(C)(3)	3	Mercy Health Partners
Lifespan Inc
166 EAST GOODALE AVE	BATTLE CREEK	MI	490372728	383298476	Provide hospice health services	MI	501(C)(3)	9	Battle Creek Health System
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
McAuley Clinic Corporation
PO BOX 992	ANN ARBOR	MI	48106	382561013	HEALTHCARE SERVICES (FORMERLY)	MI	501(C)(3)	3	Catherine McAuley Health Services Corp
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
Mercy Amicare Home Healthcare Port Huron
2540 16TH STREET	PORT HURON	MI	48060	383320701	Provide home health care services	MI	501(C)(3)	11, TYPE I	Trinity Home Health Services Inc
Mercy Community Physicians
363 FREMONT ST	BATTLE CREEK	MI	49017	264252468	HEALTHCARE SERVICES	MI	501(C)(3)	3	Battle Creek Health System
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
Mercy Health Partners
1415 LEAHY STREET	MUSKEGON	MI	49442	382589966	Healthcare system support	MI	501(C)(3)	11, TYPE I	Trinity Health-Michigan
Mercy Health Services - Iowa Corp
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTHCARE SERVICES	DE	501(C)(3)	3	Trinity Health-Michigan
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
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
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
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
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
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
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
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
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
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
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
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
Midwest Medflight
1300 VICTORS WAY	ANN ARBOR	MI	48108	382684671	Aeromedical transport	MI	501(C)(3)	9	Trinity Health-Michigan
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
Mount Carmel College of Nursing
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311308555	College of nursing	OH	501(C)(3)	2	Mount Carmel Health
Mount Carmel Health
6150 EAST BROAD STREET	COLUMBUS	OH	43213	314379602	HEALTHCARE SERVICES	OH	501(C)(3)	3	Mount Carmel Health System
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
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
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
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
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
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
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
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
Oakland Mercy Hospital
601 EAST 2ND STREET	OAKLAND	NE	68045	208072234	HEALTHCARE SERVICES	NE	501(C)(3)	3	Mercy Health Services-Iowa Corp
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
Professional Med Team
965 FORK STREET	MUSKEGON	MI	494423257	382638284	Medical care, transportation and education	MI	501(C)(3)	9	Trinity Health-Michigan
Professional Office Corporation
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTHCARE SERVICES	CA	501(C)(3)	11, TYPE I	Saint Agnes Medical Center
Saint Agnes Medical Center
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTHCARE SERVICES	CA	501(C)(3)	3	Trinity Health Corporation
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
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
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
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
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
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
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
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
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
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
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
Saint Mary's Amicare Home Healthcare
1430 MONROE NW	GRAND RAPIDS	MI	48905	383320700	Provide home health care services	MI	501(C)(3)	11, TYPE I	Trinity Home Health Services Inc
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
St Alphonsus Regional Medical Center
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	Healthcare services	ID	501(C)(3)	3	Trinity Health Corporation
St John's Health System
27870 CABOT DRIVE	NOVI	MI	483772920	350877584	HEALTHCARE SERVICES (FORMERLY)	IN	501(C)(3)	3	Trinity Health Corporation
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
St Ann's Hospital
500 SOUTH CLEVELAND AVE	WESTERVILLE	OH	43081	314412701	HEALTHCARE SERVICES	OH	501(C)(3)	3	Mount Carmel Health System
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
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
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
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
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
Trinity Health - Michigan
27870 CABOT DRIVE	NOVI	MI	483772920	382113393	HEALTHCARE SERVICES	MI	501(C)(3)	3	Trinity Health Corporation
Trinity Health Corporation
27870 CABOT DRIVE	NOVI	MI	483772920	351443425	Healthcare system management and support	IN	501(C)(3)	11, TYPE I		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
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
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

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	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
ADVENT REHABILITATION LLC
560 FIFTH ST NW STE 404	GRAND RAPIDS	MI	49504	383306673	REHABILITATION THERAPY SERVICES	MI	N/A	N/A	0	0
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
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
CCH LABORATORY
775 SOUTH MAIN STREET	CHELSEA	MI	48118	382910400	LABORATORY	MI	N/A	N/A	0	0
CENTRAL OHIO SLEEP MEDICINE LTD
5955 EAST BROAD ST	COLUMBUS	OH	43213	311701029	SLEEP MEDICINE SERVICES	OH	N/A	N/A	0	0
CLINTON IMAGING SERVICES LLC
1410 NORTH 4TH ST	CLINTON	IA	52732	412044739	MRI DIAGNOSTIC SERVICES	IA	N/A	N/A	0	0
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A	N/A	0	0
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROAD	ANN ARBOR	MI	48104	382648446	LABORATORY	MI	N/A	N/A	0	0
FRESNO IMAGING CENTER
1303 E HERNDON AVE	FRESNO	CA	93720	770363563	DIAGNOSTIC IMAGING	CA	N/A	N/A	0	0
HAWARDEN COMMUNITY CLINIC LLC
1122 AVENUE L	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A	N/A	0	0
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RD	BOISE	ID	83706	202975807	PROVIDE GYN ONCOLOGY SERVICES	ID		RELATED	0	1	ST ALPHONSUS REGIONAL MEDICAL CENTER	-110358	100765
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A	N/A	0	0
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A	N/A	0	0
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311392994	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MEDILUCENT MOB I
793 W STATE STREET	COLUMBUS	OH	43222	204911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A	N/A	0	0
MERCY OUTPATIENT SURGERY CENTER LLC
1512 12TH AVENUE ROAD	NAMPA	ID	83686	841380439	OUTPATIENT SURGERY	ID	N/A	N/A	0	0
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREET	SOUTH BEND	IN	46601	352050128	COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY	IN	N/A	N/A	0	0
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311369473	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUE	FORT GRATIOT	MI	48059	300136708	OUTPATIENT SURGERY CENTER	MI	N/A	N/A	0	0
PLAZA SURGICAL CENTER
PO BOX 27230	FRESNO	CA	93729	371463357	AMBULATORY SURGERY	CA	N/A	N/A	0	0
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311531135	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102	BOISE	ID	83706	510483218	PHARMACY	ID	N/A	N/A	0	0
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A	N/A	0	0
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	RADIATION ONCOLOGY	ID	N/A	N/A	0	0
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
TAMARACK MEDICAL CLINIC LLC
610 VILLAGE DRIVE	DONNELLY	ID	83615	201637921	OUTPATIENT MEDICAL SERVICES	ID	N/A	N/A	0	0
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREET	COLUMBUS	OH	43222	311784409	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	N/A	0	0
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/IMAGING	MI	N/A	N/A	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (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	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
GENERAL HEALTHCORP VENTURES INC
1820-44TH STREET	KENTWOOD	MI	49508	382533165	MEDICAL SERVICES	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 ORTHOTICS & PROSTHETICS
1415 LEAHY ST	MUSKEGON	MI	49442	382999815	HEALTHCARE SERVICES	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
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992	ANN ARBOR	MI	48106	382475644	PROVIDES OFFICE RENTAL SPACE	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	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 PHYSICIAN SERVICES INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820477852	PHYSICIAN CLINICS	ID		C	ST ALPHONSUS REGIONAL MEDICAL CENTER	4511807	1.00000
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROAD	BOISE	ID	837061370	331078261	PHYSICIANS	ID		C	ST ALPHONSUS REGIONAL MEDICAL CENTER	-108499	1.00000
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
TRINITY HEALTH SELF-INSURANCE PLAN
27870 CABOT DRIVE	NOVI	MI	483772920	386742154	GRANTOR TRUST	MI	N/A	T
TRINITY HEALTH SELF-INSURED WORKERS' COMPENSATION FUND
27870 CABOT DRIVE	NOVI	MI	483772920	386742157	GRANTOR TRUST	MI	N/A	T
VENZKE INSURANCE COMPANY LTD
				980453602	PROVISION OF INSURANCE COVERAGE		N/A	C				PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
WESTSHORE HEALTH NETWORK
1820 44TH STREET	KENTWOOD	MI	49508	383280200	PHYSICIAN HOSPITAL ORGANIZATION	MI	N/A	C
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY ST	MUSKEGON	MI	49442	383112035	OCCUPATIONAL HEALTH	MI	N/A	C

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
SAINT ALPHONSUS PHYSICIAN SERVICES INC
K	455659
SAINT ALPHONSUS PHYSICIAN SERVICES INC
P	92730
SAINT ALPHONSUS PHYSICIANS PA
P	158730
SAINT ALPHONSUS PHYSICIAN SERVICES INC
R	4910432
TRINITY HEALTH CORPORATION
C	163943
TRINITY HEALTH CORPORATION
L	24277384
TRINITY HEALTH CORPORATION
O	25675481
TRINITY HEALTH CORPORATION
P	346699
TRINITY HEALTH CORPORATION
Q	7888317
MOUNT CARMEL HEALTH SYSTEM
L	131979
ST ALPHONSUS CALDWELL CANCER CTR LLC
K	442558
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
K	547079
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
K	455617
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
L	67942
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
K	275927
SAINT ALPHONSUS PHYSICIANS PA
R	55369