HACKLEY HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- HACKLEY HOSPITAL (EIN 38-1358196)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-04
- IRS object ID
- 201131249349300028
- 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 H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-04T14:15:46-05:00 | 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 | 381358196 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HACKLEY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HACK | NameControl |
| Phone | 2317284952 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 CLINTON STREET PO BOX 3302 | AddressLine1 |
| City | MUSKEGON | City |
| State | MI | State |
| ZIP Code | 494433302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY ALLORE | Name |
| Title | CFO | Title |
| Phone | 2317284952 | Phone |
| Date Signed | 2011-05-04 | 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 | HACKLEY CORNERSTONE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY ALLORE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 CLINTON STREET PO BOX 3302 | AddressLine1 |
| City | MUSKEGON | City |
| State | MI | State |
| ZIP Code | 494433302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 154048317 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MERCY-HEALTHPARTNERS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1932 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTHCARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1498 | TotalNbrEmployees |
| Total Nbr Volunteers | 243 | TotalNbrVolunteers |
| Total Gross UBI | 2038605 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 350093 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 398201 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 150329055 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 149865988 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1479958 | InvestmentIncomePriorYear |
| Investment Income Current Year | -119649 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 771987 | OtherRevenuePriorYear |
| Other Revenue Current Year | 886489 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 149971177 | TotalRevenuePriorYear |
| Total Revenue Current Year | 151031029 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4800 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 8865 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 80426032 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 71847248 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 76891539 | OtherExpensePriorYear |
| Other Expenses Current Year | 121332348 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 157322371 | TotalExpensesPriorYear |
| Total Expenses Current Year | 193188461 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7351194 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -42157432 | RevenuesLessExpensesCY |
| Total Assets BOY | 77283624 | TotalAssetsBOY |
| Total Assets EOY | 111121536 | TotalAssetsEOY |
| Total Liabilities BOY | 127619259 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 146643884 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -50335635 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -35522348 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTHCARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 175470965 | Expense |
| Grants | 8865 | Grants |
| Revenue | 148598548 | Revenue |
| Description | HACKLEY HOSPITAL IS A 181-BED, NOT-FOR-PROFIT HOSPITAL LOCATED IN THE CITY OF MUSKEGON, MICHIGAN, WITH A 100-YEAR TRADITION OF PROVIDING QUALITY MEDICAL SERVICES TO THE POPULATION OF WESTERN MICHIGAN.HACKLEY HOSPITAL PROVIDES HEALTH CARE SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR THE ABILITY TO PAY. ALTHOUGH REIMBURSEMENT OF SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF HACKLEY HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS HAVE THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THEREFORE, IN KEEPING WITH THE HOSPITAL'S MISSION, THE COMMUNITY IS PROVIDED THE FOLLOWING:1) FREE OR SUBSIDIZED MEDICAL CARE TO INCOME-ELIGIBLE PATIENTS,2) SUBSIDIZED CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS,3) DONATED COMMUNITY HEALTH ACTIVITIES AND PROGRAMS.SEE SCHEDULE H FOR MORE INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Mission:the mission statement for the hospital is as follows:we serve together in trinity healthin the spirit of the gospelto heal body, mind, and spiritto improve the health of our communitiesand to steward the resources entrusted to us. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 175470965 | 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 | 0 | 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 | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 98 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1498 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLENN PEULER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6166853574 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1820 44TH STREET SE | AddressLine1 |
| City | KENTWOOD | City |
| State | MI | State |
| ZIP Code | 49508 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| A SCOTT LACHNIET MD | |||||||||
| TRUSTEE (THROUGH 9/09) | 2.00 | X | 0 | 0 | 0 | ||||
| MICHAEL K OLTHOFF | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DANA BRYANT | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| GREGORY C PITTMAN JD | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| SR MARY D PALASZEKRSM | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| ROGER SPOELMAN | |||||||||
| PRESIDENT AND CEO | 20.00 | X | 0 | 885116 | 88965 | X | |||
| SR MYRA BERGMAN RSM | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| FRANK BEDNAREK | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DAVID DORA DO | |||||||||
| TRUSTEE | 2.00 | X | 0 | 185280 | 46996 | ||||
| MARK FAZAKERLEY | |||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | X | |||
| T BRUCE FOX | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| MICHAEL GLUHANICH | |||||||||
| SECRETARY & TREASURER | 2.00 | X | 0 | 0 | 0 | X | |||
| YOUSIF HAMATI MD | |||||||||
| TRUSTEE | 2.00 | X | 0 | 14400 | 0 | ||||
| CAMILLE S JOURDEN-MARK | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| PHILIP MCCORKLE | |||||||||
| TRUSTEE | 2.00 | X | 0 | 989470 | 200681 | ||||
| GREGORY LOOMIS | |||||||||
| MERCY HLTH PARTNERS COO | 20.00 | 0 | 359088 | 49144 | X | ||||
| GARY ALLORE | |||||||||
| MERCY HLTH PARTNERS CFO | 20.00 | 0 | 303730 | 30144 | X | ||||
| JEFFREY ALEXANDER | |||||||||
| MHP VP INTEG SERVICES | 20.00 | 0 | 285891 | 27803 | X | ||||
| JOSEPH SWEDISH | |||||||||
| TRINITY HEALTH PRES & CEO | 2.00 | 0 | 3023292 | 798303 | X | ||||
| MICHAEL SLUBOWSKI | |||||||||
| TRINITY PRES HLTH & HOSP NTWKS | 2.00 | 0 | 1617841 | 154389 | X | ||||
| KEDRICK ADKINS | |||||||||
| TRINITY PRES INTEG SVCS | 2.00 | 0 | 1453695 | 130171 | X | ||||
| F REMINGTON SPRAGUE | |||||||||
| VP PRIMARY CARE SVCS | 20.00 | 0 | 419837 | 51499 | X | ||||
| MARY BOYD | |||||||||
| MHP CHIEF DEV OFFICER | 20.00 | 0 | 317053 | 25378 | X | ||||
| KIMBERLY MAGUIRE | |||||||||
| MHP VP PATIENT CARE | 20.00 | 0 | 233916 | 33597 | X | ||||
| J RICHARD OCONNELL | |||||||||
| TRINITY PRES HOSP NETWORK | 2.00 | 0 | 495143 | 11123 | X | ||||
| JOHN M RATCHFORD | |||||||||
| PHYS., ADMINISTRATION | 50.00 | 317532 | 0 | 40702 | X | ||||
| BRUCE OLSON MD | |||||||||
| PHYSICIAN/V.CHF OF STAFF | 50.00 | 310607 | 0 | 39994 | X | ||||
| CHARLES FELDT | |||||||||
| PHYS., WORKPLACE HEALTH | 50.00 | 206187 | 0 | 31158 | X | ||||
| JOSEPH RAFFERTY | |||||||||
| DIRECTOR, DENTAL SVCS | 50.00 | 177921 | 0 | 28213 | X | ||||
| RONI DEVLIN | |||||||||
| PHYSICIAN | 50.00 | 168166 | 0 | 11333 | X | ||||
| GORDON MUDLER | |||||||||
| FORMER CEO | 0.00 | 419776 | 0 | 353096 | X | ||||
| DAVID GINGRAS | |||||||||
| FORMER VP SUBSIDIARIES | 0.00 | 258789 | 0 | 179327 | X | ||||
| RON HAASE | |||||||||
| FORMER VP HUMAN RESOURCES | 0.00 | 150296 | 0 | 4486 | X | ||||
| MARY TOBIN | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | 57195 | 332 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2009274 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10583752 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2336502 | TotalOtherCompensation |
| Number Individuals GT100 K | 35 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCKESSON INFORMATION SOLUTIONS | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | INFORMATION SYSTEMS SERVICES | 1476884 |
| PINE REST CHRISTIAN MENTAL HEALTH SVCS | |||||
| PO BOX 165 | GRAND RAPIDS | MI | 49501 | HEALTH CARE SERVICES | 758695 |
| TOWERS WATSON | |||||
| 1079 SOLUTIONS CTR | CHICAGO | IL | 60677 | PENSION SERVICES | 653087 |
| SECURITAS SECURITY SERVICES INC | |||||
| PO BOX 403412 | ATLANTA | GA | 30384 | SECURITY SERVICES | 594855 |
| WEST MI SHARED HOSPITAL LAUNDRY | |||||
| PO BOX 1134 | GRAND RAPIDS | MI | 49501 | LAUNDRY SERVICES | 461518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Government Grants | 339943 | GovernmentGrants |
| All Other Contributions | 58258 | AllOtherContributions |
| Noncash Contributions | 12025 | NoncashContributions |
| Total Contributions | 398201 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | 147827383 | 147827383 | |
| REFERENCE LAB | 621500 | 2038605 | 2038605 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 149865988 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1308239 | TotalRevenueColumn |
| Exclusion | $1,308,239 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1115966 | Real |
| Personal | 122800 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1366373 | Real |
| Personal | 76523 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -250407 | Real |
| Personal | 46277 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -204130 | TotalRevenueColumn |
| Exclusion | -$204,130 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 146504 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 342028 | Securities |
| Other | 1232364 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -342028 | Securities |
| Other | -1085860 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1427888 | TotalRevenueColumn |
| Exclusion | -$1,427,888 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 319454 | TotalRevenueColumn |
| Exclusion | $319,454 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 771165 | TotalRevenueColumn |
| Related Or Exempt Function Income | 771165 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1090619 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151031029 | TotalRevenueColumn |
| Related Or Exempt Function Income | 148598548 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2038605 | UnrelatedBusinessRevenue |
| Exclusion | -$4,325 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8865 | Total |
| Program Services | 8865 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61853 | Total |
| Program Services | 61853 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52522701 | Total |
| Program Services | 48191336 | ProgramServices |
| Management And General | 4331365 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5304622 | Total |
| Program Services | 4867337 | ProgramServices |
| Management And General | 437285 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10017059 | Total |
| Program Services | 9191605 | ProgramServices |
| Management And General | 825454 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3941013 | Total |
| Program Services | 3517570 | ProgramServices |
| Management And General | 423443 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2438 | Total |
| Program Services | 375 | ProgramServices |
| Management And General | 2063 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25444 | Total |
| Management And General | 25444 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6750 | Total |
| Management And General | 6750 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10247341 | Total |
| Program Services | 8411295 | ProgramServices |
| Management And General | 1836046 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3936 | Total |
| Program Services | 3936 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23433393 | Total |
| Program Services | 22429050 | ProgramServices |
| Management And General | 1004343 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5058124 | Total |
| Program Services | 13617 | ProgramServices |
| Management And General | 5044507 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3801161 | Total |
| Program Services | 3257243 | ProgramServices |
| Management And General | 543918 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63861 | Total |
| Program Services | 34255 | ProgramServices |
| Management And General | 29606 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25166 | Total |
| Program Services | 5551 | ProgramServices |
| Management And General | 19615 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2364992 | Total |
| Program Services | 2364992 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6603465 | Total |
| Program Services | 4420107 | ProgramServices |
| Management And General | 2183358 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2383747 | Total |
| Program Services | 2382296 | ProgramServices |
| Management And General | 1451 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PENSION PLAN CURTAILMNT | 46298335 | 46298335 | |
| BAD DEBT | 7678690 | 7678690 | |
| INTERCO PURCHASED SVCS | 5144944 | 4152096 | 992848 |
| HOSPITAL PROVIDER TAXES | 4539958 | 4539958 | |
| UBI TAXES | 17704 | 7704 | 10000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3632899 | Total |
| Program Services | 3632899 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193188461 | Total |
| Program Services | 175470965 | ProgramServices |
| Management And General | 17717496 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4818016 | BOY |
| EOY | 2051937 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25721 | BOY |
| EOY | 25897 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45000 | BOY |
| EOY | 45000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14714559 | BOY |
| EOY | 14607369 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71832 | BOY |
| EOY | 23309 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2055194 | BOY |
| EOY | 1911890 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1735614 | BOY |
| EOY | 856319 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 150331436 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 118808773 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28113508 | BOY |
| EOY | 31522663 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11610654 | BOY |
| EOY | 33879914 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4777325 | BOY |
| EOY | 13654792 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169854 | BOY |
| EOY | 156127 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9146347 | BOY |
| EOY | 12386319 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77283624 | BOY |
| EOY | 111121536 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16975008 | BOY |
| EOY | 17054884 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 15014 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110644251 | BOY |
| EOY | 129573986 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127619259 | BOY |
| EOY | 146643884 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -52586567 | BOY |
| EOY | -37856656 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 777623 | BOY |
| EOY | 698303 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1473309 | BOY |
| EOY | 1636005 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -50335635 | BOY |
| EOY | -35522348 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77283624 | BOY |
| EOY | 111121536 | 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 | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $2,905 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 2905 | 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 | HACKLEY HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO A NATIONAL HEALTH CARE ORGANIZATION, WHERE THE ORGANIZATION HAS PROVIDED HACKLEY HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1473309 | BeginningOfYearBalance |
| Contributions | 2600 | Contributions |
| Investment Earnings Or Losses | 160096 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1636005 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1472499 | BeginningOfYearBalance |
| Contributions | 810 | Contributions |
| End Of Year Balance | 1473309 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5148000 | OtherCostOrOtherBasis |
| Book Value | 5148000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75041404 | OtherCostOrOtherBasis |
| Depreciation | 59579365 | Depreciation |
| Book Value | 15462039 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63338847 | OtherCostOrOtherBasis |
| Depreciation | 56552974 | Depreciation |
| Book Value | 6785873 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6803185 | OtherCostOrOtherBasis |
| Depreciation | 2676434 | Depreciation |
| Book Value | 4126751 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31522663 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 7184384 | F |
| ABSOLUTE RETURN STRATEGY FUNDS | 6470408 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 13654792 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 639119 |
| INTERCOMPANY RECEIVABLES | 11544326 |
| MISCELLANEOUS RECEIVABLES | 202874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 12386319 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG TERM LIABILITIES | $722,189 |
| INTERCOMPANY NOTES PAYABLE | $98,916,195 |
| INTERCOMPANY ACCOUNTS PAYABLE | $29,027,652 |
| OTHER CURRENT LIABILITIES | $907,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 129573986 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | SOME OF HACKLEY HOSPITAL'S ENDOWMENT FUNDS ARE FOR PATIENT RELATED PURPOSES. OTHER HACKLEY ENDOWMENT FUNDS ARE FOR NURSING EDUCATION AND TRAINING. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | HACKLEY HOSPITAL 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 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 |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 8472 | PersonsServed |
| Total Community Benefit Expense | 4073468 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25926 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4047542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 57908 | PersonsServed |
| Total Community Benefit Expense | 27088007 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20577873 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6510134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03510 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 3962 | PersonsServed |
| Total Community Benefit Expense | 2407813 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1718739 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 689074 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00370 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 70342 | PersonsServed |
| Total Community Benefit Expense | 33569288 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22322538 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11246750 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 7497 | PersonsServed |
| Total Community Benefit Expense | 126662 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 126662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 39 | PersonsServed |
| Total Community Benefit Expense | 8195 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 74 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 74 | 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 |
| Total Community Benefit Expense | 14883 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 14883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 7536 | PersonsServed |
| Total Community Benefit Expense | 149814 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 149814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 23 | NumberOfActivitiesOrPrograms |
| Persons Served | 77878 | PersonsServed |
| Total Community Benefit Expense | 33719102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22322538 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11396564 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06140 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1052 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1052 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 1052 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1052 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $3,125,033 | BadDebtExpenseAmount |
| Amount Attributable To | 312503 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 34575180 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 48836011 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14260831 | 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 V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| MERCY HEALTH PARTNERS HACKLEY CAMPUS | |||||||
| 1700 CLINTON AVE | MUSKEGON | MI | 49442 | X | X | X | |
| MERCY HEALTH PARTNERS LAKES CAMPUS | |||||||
| 6401 PRAIRIE ST | NORTON SHORES | MI | 49444 | OUTPATIENT SERVICES, LAB | |||
| MERCY HEALTH PARTNERS LAKES CAMPUS (CON | |||||||
| 6401 PRAIRIE ST | NORTON SHORES | MI | 49444 | URGENT CARE, REHAB, IMAGING | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Part I, Line 6a: HACKLEY HOSPITAL 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, HACKLEY HOSPITAL WILL BE INCLUDING a copy of its most recently filed schedule H on both trinity health's WEBSITE AS WELL AS MERCY HEALTH PARTNER'S WEBSITE (WWW.MERCY-HEALTHPARTNERS.ORG). | 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, $7,678,690, 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: HACKLEY HOSPITAL is included in the consolidated financial statements of Trinity Health. The following is the text of the allowance for doubtful accounts footnote from those statements: "Substantially all of the corporation's receivables are related to providing healthcare services to patients. Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. The corporation's estimate for its allowance for doubtful accounts is based upon management's assessment of historical and expected net collections by payor."Costing methodology for lines 2 and 3: Amounts are calculated on line 2 using a cost to charge ratio methodology.Any discounts provided or payments made to a particular patient account are applied to that patient account prior to any bad debt write-off and are thus not included in bad debt expense. As a result of the payment and adjustment activity being posted to bad debt accounts, we are able to report bad debt expense net of these transactions.A BAD DEBT to Charity Reclass was conducted at two of the Western Michigan Region TRINITY HEALTH ORGANIZATIONS. Based on data returned from Collection Agencies, which was validated through electronic means (iSolutions), amounts that had been written off to Bad Debt were re-classed to Charity due to patient's inability to pay that would meet Presumptive Charity Criteria. Selected returned accounts were cases where there was no payment within 90 days of placement with the agency.As iSolutions data was not available for HACKLEY HOSPITAL, we assume approximately 10% of the amounts written-off to Bad Debt would have qualified for Charity based on similar findings within the region.WHILE CURRENT OPERATIONS ATTEMPT TO IDENTIFY THOSE CASES THAT WILL QUALIFY FOR CHARITY OR UNCOMPENSTATED CARE, IT IS ASSUMED THAT APPROXIMATELY 10% OF THE REMAINING BAD DEBT AMOUNT MAY ALSO QUALIFY AS CHARITY. | 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, HACKLEY HOSPITAL 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: THE ORGANIZATION'S collection policy contains the criteria for financial assistance, and contains the following verbiage for arrangements with outside collection agencies: The agreement must define the standards and scope of practices to be used by outside collection agents acting on behalf of the MINISTRY ORGANIZATION, all of which must be in compliance with this policy. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: NEEDS ASSESSMENT - HACKLEY HOSPITAL (Mercy Health Partners-Hackley Campus) 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 Mercy Health Partners' 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 Mercy Health Partners 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 Mercy Health Partners 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 Mercy Health Partners community needs assessment is current as of June, 2009. The community needs assessment was conducted with the assistance of outside experts including Peter J. Sartorius, Development and Planning Manager, MCHP; Christine Robere, President, United Way of the Lakeshore; Kenneth Kraus, Health Officer, Muskegon County Public Health; Paula Kelson, Projects Coordinator, Community Mental Health Services of Muskegon County; Jennifer Bailey, Provider Network Manager, Lakeshore Health Network; Joan Vanover, Community Benefit Coordinator, Mercy Health Partners; Helen Sherman, Office Assistant, MCHP; and Gerald L. Adams, Focus Group and Forum Facilitator, Project Consultant. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HEALTH PARTNERS-HACKLEY CAMPUS IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE- BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, MERCY HEALTH PARTNERS-HACKLEY CAMPUS 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 OBLIGATIONSMERCY HEALTH PARTNERS-HACKLEY CAMPUS EFFECTIVELY COMMUNICATES 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.MERCY HEALTH PARTNERS-HACKLEY CAMPUS OFFERS IN-PERSON SUPPORT WITH FINANCIAL COUNSELORS, CASHIERS AND THE MUSKEGON COMMUNITY HEALTH PROJECT (A PART OF MERCY HEALTH PARTNERS). ANY REGISTRAR CAN MAKE A CONNECTION TO PATIENTS. MERCY HEALTH PARTNERS-HACKLEY CAMPUS PUBLISHES THE PHONE NUMBERS FOR OUR CALL-IN SUPPORT, AND SHARED SERVICES ALSO PROVIDES PHONE SUPPORT. MERCY HEALTH PARTNERS-HACKLEY CAMPUS HAS AN EXTERNAL VENDOR, MEDASSIST, AND WE ALSO WORK WITH DEPARTMENT OF HEALTH SERVICES STAFF.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. MERCY HEALTH PARTNERS-HACKLEY CAMPUS UTILIZES AN EXTERNAL VENDOR AS AN EXTENSION OF HOSPITAL 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.MERCY HEALTH PARTNERS-HACKLEY CAMPUS 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 THE PUBLICATION OF PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS; POSTING OF NOTICES IN PUBLIC REGISTRATION AREAS, INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS; HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON OUR CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO ACCESS HEALTH, INC., AMERICAN RED CROSS, BENSON DRUGS, CATHOLIC CHARITIES OF WEST MICHIGAN, CITY OF MUSKEGON, CITY OF MUSKEGON HEIGHTS, COMMUNITY ACCESS LINE OF THE LAKESHORE, COMMUNITY MENTAL HEALTH SERVICES OF MUSKEGON COUNTY, COOPERATING CHURCHES, DISABILITY CONNECTION OF WEST MICHIGAN, EVERY WOMAN'S PLACE, GOODWILL INDUSTRIES, HACKLEY COMMUNITY CARE CENTER, HACKLEY PHARMACIES, LIFE COUNSELING, LIONS CLUBS OF MUSKEGON COUNTY, MISSION FOR AREA PEOPLE, MUSKEGON COUNTY PUBLIC HEALTH, MUSKEGON COUNTY DEPT. OF HUMAN SERVICES/FAMILY RESOURCE CENTERS, MUSKEGON FAMILY CARE, MUSKEGON/OCEANA MICHIGAN WORKS!, THE SALVATION ARMY, SENIOR RESOURCES, URBAN LEAGUE, WESTSHORE PHARMACY, AND WEST MICHIGAN THERAPY.INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE MERCY HEALTH PARTNERS-HACKLEY CAMPUS' WEBSITE, AS WELL AS IN THE ADMISSION PACKAGE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVED BY OUR HOSPITAL.MERCY HEALTH PARTNERS-HACKLEY CAMPUS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY HEALTH PARTNERS-HACKLEY CAMPUS MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. MERCY HEALTH PARTNERS-HACKLEY CAMPUS 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. MERCY HEALTH PARTNERS-HACKLEY CAMPUS' FRONTLINE REGISTRATION ASSOCIATES, CASHIERS AND THE MUSKEGON COMMUNITY HEALTH PROJECT RECEIVE TRAINING ON MAKING A CONNECTION TO A FINANCIAL COUNSELOR. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: COMMUNITY INFORMATION - MERCY HEALTH PARTNERS-HACKLEY CAMPUS' SERVICE AREA INCLUDES MUSKEGON, OCEANA AND NEWAYGO COUNTIES, LOCATED IN CENTRAL WEST MICHIGAN, ON OR NEAR THE SHORELINE OF LAKE MICHIGAN. TOTAL POPULATION OF THE SERVICE AREA IS ABOUT 250,000 AND IS COMPRISED OF BOTH SIGNIFICANT RURAL AND URBAN AREAS. THE RURAL AREA IS CHARACTERIZED BY A CHIEFLY AGRICULTURAL, RECREATION AND TOURISM ECONOMY. THE METROPOLITAN AREA OF ABOUT 120,000 IS CENTERED AROUND THE CITY OF MUSKEGON AND IS LARGELY COMPRISED OF MANUFACTURING AND SERVICE INDUSTRIES. THE POPULATION IS GENERALLY DIVERSE WITH MANY ETHNIC AND RACIAL POPULATION SEGMENTS. THE METROPOLITAN AREA HAS A SIGNIFICANT AFRICAN-AMERICAN POPULATION, WHILE OCEANA COUNTY HAS A HIGHER CONCENTRATION OF HISPANIC RESIDENTS.MUSKEGON COUNTY IS HOME TO THE COUNTY'S MAJOR HOSPITAL SYSTEM, MERCY HEALTH PARTNERS, WHICH RECENTLY MERGED WITH HACKLEY HOSPITAL AND NOW INCLUDES FOUR CAMPUSES, INCLUDING LAKESHORE HOSPITAL IN OCEANA COUNTY.BASED ON THE 2000 CENSUS, THERE WERE 170,200 PEOPLE, 63,330 HOUSEHOLDS, AND 44,267 FAMILIES RESIDING IN THE COUNTY. THE RACIAL MAKEUP WAS APPROXIMATELY 81% CAUCASIAN, 14% BLACK AND LESS THAN 1% EACH FOR NATIVE AMERICAN, ASIAN, AND PACIFIC ISLANDER. THE MEDIAN HOUSEHOLD INCOME WAS $38,008, AND THE MEDIAN INCOME FOR A FAMILY WAS $45,710. ABOUT 9% OF FAMILIES AND 11% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING 16% OF THOSE UNDER AGE 18 AND 8% OF THOSE AGES 65 OR OVER.OCEANA COUNTY IS A RURAL COUNTY ROUGHLY 41 MILES NORTH OF MUSKEGON AND 75 MILES NORTHWEST OF GRAND RAPIDS. THE RACIAL MAKEUP ACCORDING TO THE 2000 CENSUS WAS 90% CAUCASIAN, WITH AFRICAN-AMERICAN, ASIAN, AND PACIFIC ISLANDER EACH COMPRISING LESS THAN 1% OF THE TOTAL POPULATION. ROUGHLY 12% OF THE POPULATION WAS HISPANIC OR LATINO, THE HIGHEST PERCENTAGE OF LATINOS OF ANY COUNTY IN MICHIGAN. RECENT ESTIMATES SHOW THE PERCENTAGE OF LATINOS AND AFRICAN-AMERICANS TO BE INCREASING, WHILE THE PERCENTAGE OF NON-HISPANIC WHITES IS DECREASING. THE CENSUS BUREAU ESTIMATES THE 2008 COUNTY POPULATION AT 27,598. THE AVERAGE HOUSEHOLD SIZE WAS 2.67 AND THE AVERAGE FAMILY SIZE WAS 3.09 IN 2000. MEDIAN INCOME WAS $35,307.NEWAYGO COUNTY IS HOME TO GERBER INDUSTRIES AND THE GERBER MEMORIAL HOSPITAL, LOCATED IN FREMONT. THE GEOGRAPHIC PROXIMITY OF THE TWO URBAN CENTERS RESULTS IN SOME COUNTY RESIDENTS TRAVELING TO THE MUSKEGON AREA FOR HEALTHCARE SERVICES WHILE OTHERS USE THE SERVICES AVAILABLE IN GRAND RAPIDS.BASED ON THE 2000 CENSUS, THE RACIAL MAKEUP WAS APPROXIMATELY 95% CAUCASIAN, 1% BLACK, AND LESS THAN 1% EACH FOR NATIVE AMERICAN, ASIAN, AND PACIFIC ISLANDER. THE CENSUS BUREAU ESTIMATES THE 2008 COUNTY POPULATION AT 48,897. THE MEDIAN HOUSEHOLD INCOME WAS $37,130 AND THE MEDIAN INCOME FOR A FAMILY WAS $42,498. ABOUT 9% OF FAMILIES AND 12% OF THE POPULATION WERE BELOW THE POVERTY LINE, INCLUDING APPROXIMATELY 15% OF THOSE UNDER AGE 18 AND 9% OF THOSE AGE 65 OR OVER. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: COMMUNITY BUILDING ACTIVITIES - Mercy Health Partners-Hackley conducted the following community building program, Muskegon Area Medication Disposal (MAMDP). The program included planning meetings and going into the community to collect the actual medications for disposal. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: OTHER INFORMATION - THE MAJORITY OF THE MERCY HEALTH PARTNERS-HACKLEY CAMPUS' GOVERNING BODY IS COMPRISED OF PEOPLE WHO RESIDE IN THE MERCY HEALTH PARTNERS (LAKESHORE CAMPUS, HACKLEY CAMPUS AND MERCY CAMPUS) PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS. SINCE MERCY HEALTH PARTNERS IS THE ONLY HEALTH SYSTEM IN MUSKEGON COUNTY, STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.Surplus funds are allocated to improvements in patient care, medical education and research. HOWEVER FY2010 has AGAIN not been A typical YEAR. The service area has very high rates of uninsured (Muskegon Co. 23.5%; Oceana Co. 27.6%; Newaygo Co. 12.7%), so Mercy Health Partners' focus has been on access to care. Mercy Health Partners' Health Project has been very proactive in working with medical clinics and the two FQHCs. The design of a single enrollment process has proven to make applying for assistance less cumbersome. The new form includes all information essential for determining eligibility for multiple health and human serviceS, thus streamlining the process of assisting patients to receive services. The Wheels of Mercy, a mobile unit, is taken to various areas through the three counties, providing, at the least, blood pressure, diabetes, pulmonary function, vision and cholesterol checks. Enrollment assistance into various programs is also provided. The goal is to alleviate many Emergency Department visits by screening and alerting patients to treatable problems that could escalate into life-threatening situations. Departments are aggressively involved in community programs. for instance, Outreach and Enrollment Specialists conduct health and human service eligibility screens on all uninsured patients at the time of discharge from the hospital or Emergency Department. Included in the screening is eligibility for Medicaid, SCHIP or other available health coverage, Food Assistance Program, Mercy Health Partners financial assistance, et al. Mercy Health Partners participates in the United Way Day of Caring. Also, every year, the Healthy-U event is conducted to educate the community about heart health, and provide workshops and programs at no cost. Support for events, such as the African-American Diabetes Conference, Men's Health Fair and Screening, and the Walk for Diabetes are conducted to raise funds for pharmaceutical products for people who can't afford them. Mercy Health Partners-Hackley Campus conducts extensive community-based screenings at churches and other venues around the community. Physicians volunteer their time in Doc Talks for the community; community services are provided to benefit everyone in the community, such as birthing classes. All of Mercy Health Partners supports the use of facilities by non-profit organizations for meetings and support. A certain percent of earnings from the Sister Simone Fund are redirected back to community groups for projects to improve the health of the community. Medical and administrative staffs sit on community coalitions that target areas of community need, including HIV/AIDS; diabetes; childhood obesity; health disparities, asthma; alcohol, tobacco and substance abuse; and youth risk behaviors. Mercy Health Partners' also gives money to support the Community Access Line of the Lakeshore (CALL 2-1-1) information and referral phone line; Access Health, a "3-share" model community health coverage program; as well as vision services. Mercy Health Partners (all campuses) is involved with "Aligning Forces for Quality: Equity and Language Quality" to meet the Trinity Equity in Care process of determining whether inequities exist in care due to race or ethnicity. A Mercy Health Partners' collaborative has been meeting at the Lakeshore Hospital in Oceana County to build a community consensus around evaluation, planning and deployment of healthcare services to meet the needs of underserved residents of Oceana County. The committee is working on life-long prevention services/lifestyle changes. Mercy Health Partners' Lakeshore Health Network developed a Health Literacy Committee to focus on issues that emerged out of the Community Needs Assessment process. This committee is looking at how we can improve giving patients information they can understand in order to improve their health and compliance with medical protocols.In partnership with Lakeshore Health Network, the Health Project has been in development of the Muskegon Area Medication Disposal Project. A medication take-back project reduces youth access to non-prescribed medications, reduces the number of expired and potentially unsafe medications, assists law enforcement with neighborhood safety for those seeking out drugs in medicine cabinets and reduces the environmental impact on water quality. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: HACKLEY HOSPITAL 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 | 0 | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
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 HACKLEY HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | 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 (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROGER SPOELMAN | |||||||||||||
| 0 | 406506 | 0 | 367171 | 0 | 111439 | 0 | 67431 | 0 | 21534 | 0 | 974081 | 0 | 37936 |
| DAVID DORA DO | |||||||||||||
| 0 | 180649 | 0 | 0 | 0 | 4631 | 0 | 22323 | 0 | 24673 | 0 | 232276 | 0 | 0 |
| PHILIP MCCORKLE | |||||||||||||
| 0 | 417598 | 0 | 404505 | 0 | 167367 | 0 | 169919 | 0 | 30762 | 0 | 1190151 | 0 | 75751 |
| GREGORY LOOMIS | |||||||||||||
| 0 | 274331 | 0 | 54983 | 0 | 29774 | 0 | 31715 | 0 | 17429 | 0 | 408232 | 0 | 16013 |
| GARY ALLORE | |||||||||||||
| 0 | 240389 | 0 | 48380 | 0 | 14961 | 0 | 11339 | 0 | 18805 | 0 | 333874 | 0 | 0 |
| JEFFREY ALEXANDER | |||||||||||||
| 0 | 227560 | 0 | 45424 | 0 | 12907 | 0 | 14791 | 0 | 13012 | 0 | 313694 | 0 | 0 |
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1214458 | 0 | 1607837 | 0 | 200997 | 0 | 769899 | 0 | 28404 | 0 | 3821595 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 696108 | 0 | 681725 | 0 | 240008 | 0 | 125922 | 0 | 28467 | 0 | 1772230 | 0 | 94766 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 712415 | 0 | 611975 | 0 | 129305 | 0 | 117250 | 0 | 12921 | 0 | 1583866 | 0 | 0 |
| F REMINGTON SPRAGUE | |||||||||||||
| 0 | 317338 | 0 | 63017 | 0 | 39482 | 0 | 36488 | 0 | 15011 | 0 | 471336 | 0 | 22076 |
| MARY BOYD | |||||||||||||
| 0 | 249722 | 0 | 50203 | 0 | 17128 | 0 | 23073 | 0 | 2305 | 0 | 342431 | 0 | 6015 |
| KIMBERLY MAGUIRE | |||||||||||||
| 0 | 188360 | 0 | 37674 | 0 | 7882 | 0 | 18126 | 0 | 15471 | 0 | 267513 | 0 | 153 |
| J RICHARD OCONNELL | |||||||||||||
| 0 | 440925 | 0 | 0 | 0 | 54218 | 0 | 11123 | 0 | 0 | 0 | 506266 | 0 | 0 |
| JOHN M RATCHFORD | |||||||||||||
| 310716 | 0 | 0 | 0 | 6816 | 0 | 24251 | 0 | 16451 | 0 | 358234 | 0 | 0 | 0 |
| BRUCE OLSON MD | |||||||||||||
| 243997 | 0 | 65660 | 0 | 950 | 0 | 23580 | 0 | 16414 | 0 | 350601 | 0 | 0 | 0 |
| CHARLES FELDT | |||||||||||||
| 200319 | 0 | 5686 | 0 | 182 | 0 | 10939 | 0 | 20219 | 0 | 237345 | 0 | 0 | 0 |
| JOSEPH RAFFERTY | |||||||||||||
| 171128 | 0 | 0 | 0 | 6793 | 0 | 20116 | 0 | 8097 | 0 | 206134 | 0 | 0 | 0 |
| RONI DEVLIN | |||||||||||||
| 122086 | 0 | 45962 | 0 | 118 | 0 | 5599 | 0 | 5734 | 0 | 179499 | 0 | 0 | 0 |
| GORDON MUDLER | |||||||||||||
| 0 | 0 | 0 | 0 | 419776 | 0 | 345007 | 0 | 8089 | 0 | 772872 | 0 | 414008 | 0 |
| DAVID GINGRAS | |||||||||||||
| 56197 | 0 | 31170 | 0 | 171422 | 0 | 166830 | 0 | 12497 | 0 | 438116 | 0 | 0 | 0 |
| RON HAASE | |||||||||||||
| 0 | 0 | 0 | 0 | 150296 | 0 | 0 | 0 | 4486 | 0 | 154782 | 0 | 145385 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2009. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): DAVID GINGRAS - $151,850 RON HAASE - $148,846 GORDON MUDLER - $414,008 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING AMOUNTS WHICH WERE UNPAID AS OF 12/31/09. THESE AMOUNTS WERE PAID AND INCLUDED IN THE INDIVIDUALS' TAXABLE INCOME IN 2010. DAVID GINGRAS - $151,850 GORDON MUDLER - $345,007 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2009). THE FOLLOWING ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $59,584 PHILIP MCCORKLE - $125,372 MICHAEL SLUBOWSKI - $42,832 ROGER SPOELMAN - $37,116 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 INDIVIDUAL RECEIVED A TAXABLE DISTRIBUTION FROM A 457(F) PLAN DURING CALENDAR 2009. THIS AMOUNT IS INCLUDED IN COLUMN B(III): DAVID GINGRAS - $16,916 PART I, LINE 6: THE FOLLOWING BONUSES REPORTED IN COLUMN B(ii) WERE DETERMINED BASED ON THE NET EARNINGS OF THE PHYSICIAN PRACTICE DEPARTMENTS FOR WHICH EACH INDIVIDUAL WORKS, AS WELL AS THEIR PRODUCTIVITY. BRUCE OLSON - $65,660 RONI DEVLIN - $45,962 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 PHILIP MCCORKLE - $275,409 MICHAEL SLUBOWSKI - $403,918 ROGER SPOELMAN - $248,854 JOSEPH SWEDISH - $1,042,563 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| NICHOLS | |||
| MICHAEL OLTHOFF, TRUSTEE, IS ALSO A BOARD MEMBER OF NICHOLS | 156746 | PURCHASE OF CLEANING EQUIPMENT AND SUPPLIES FROM NICHOLS | 0 |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | |||
| F. REMINGTON SPRAGUE, KEY EMPLOYEE, IS TRUSTEE OF BLUE CROSS BLUE SHIELD-MI | 30933131 | NET REVENUE FROM PROVISION OF MEDICAL SERVICES | 0 |
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| PAMELA ALEXANDER | |||
| FAMILY MEMBER OF JEFFREY ALEXANDER, KEY EMPLOYEE | 61853 | EMPLOYMENT ARRANGEMENT | 0 |
| (no name) | |||
| 0 | |||
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part I, Item C | Doing Business As | MERCY HEALTH PARTNERS-WORK PLACE HEALTH MERCY HEALTH PARTNERS, HACKLEY CAMPUS |
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF HACKLEY HOSPITAL IS MERCY HEALTH PARTNERS. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| Form 990, Part VI, Section A, line 7a | MERCY HEALTH PARTNERS IS THE SOLE MEMBER OF HACKLEY HOSPITAL. MERCY HEALTH PARTNERS HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF HACKLEY HOSPITAL. | |
| Form 990, Part VI, Section A, line 7b | AS SOLE MEMBER, MERCY HEALTH PARTNERS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH PARTNERS 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 HACKLEY HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF TRUSTEES. 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 | HACKLEY HOSPITAL 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 HACKLEY HOSPITAL, 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 HACKLEY HOSPITAL'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO HACKLEY HOSPITAL 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 HACKLEY HOSPITAL IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO HACKLEY HOSPITAL. 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 HACKLEY HOSPITAL 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 HACKLEY HOSPITAL 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 | HACKLEY HOSPITAL 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, HACKLEY HOSPITAL WILL BE INCLUDING A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE as well as Mercy Health Partner's website (www.meRCY-healthpartners.org). | |
| FORM 990, PART VII, SECTION A: | Trustees: | Sr. MYRA BERGMAN, RSM is a member of the RELIGIOUS SISTERS OF MERCY. Having taken a vow of poverty, Sr. MYRA did not receive compensation for the services she provided AS VICE PRESIDENT, MISSION SERVICES FOR SAINT MARY'S HEALTH CARE (A DIVISION OF TRINITY HEALTH - MICHIGAN). Instead, a total of $185,761 was paid by TRINITY HEALTH - MICHIGAN directly to the SISTERS OF MERCY for Sr. MYRA's services. |
| CORE FORM, PART VII, SECTION A, COLUMN B: | ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: | THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 53 HOURS JEFFREY ALEXANDER - 30 HOURS GARY ALLORE - 30 HOURS MARY BOYD - 30 HOURS DAVID DORA, DO - 48 HOURS GREGORY LOOMIS - 30 HOURS KIMBERLY MAGUIRE - 30 HOURS PHILIP MCCORKLE - 48 HOURS J. RICHARD O'CONNELL - 53 HOURS MICHAEL SLUBOWSKI - 53 HOURS ROGER SPOELMAN - 30 HOURS F. REMINGTON SPRAGUE - 30 HOURS JOSEPH SWEDISH - 53 HOURS |
| CORE FORM, PART XI, LINE 2: | HACKLEY HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY10 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
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 | 1273503 | 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-ONTARIO | |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | N/A | N/A | 0 | 0 |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | N/A | 0 | 0 |
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MEDILUCENT MOB I | ||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 |
| MERCY 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 | 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 | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIANS PA | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 837061370 | 331078261 | PHYSICIANS | ID | N/A | C | ||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | ||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | ||||
| SURGERY CENTER FINANCING CORPORATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | ||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 383410377 | GRANTOR TRUST | MI | N/A | T | ||||
| 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 | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| TRINITY HEALTH - MICHIGAN | |
| L | 1101537 |
| TRINITY HEALTH CORPORATION | |
| E | 61900000 |
| TRINITY HEALTH CORPORATION | |
| C | 18000000 |
| TRINITY HEALTH CORPORATION | |
| L | 2017584 |
| TRINITY HEALTH CORPORATION | |
| Q | 2126396 |
| MERCY HEALTH PARTNERS | |
| J | 142819 |
| MERCY HEALTH PARTNERS | |
| K | 214157 |
| MERCY HEALTH PARTNERS | |
| L | 7091729 |
| MERCY HEALTH PARTNERS | |
| O | 6641932 |
| MERCY HEALTH PARTNERS | |
| Q | 877359 |
| LAKESHORE COMMUNITY HOSPITAL INC | |
| K | 230151 |
| LAKESHORE COMMUNITY HOSPITAL INC | |
| P | 78106 |
| HACKLEY VISITING NURSE SERVICES AND HOSPICE INC | |
| C | 2713577 |
| HACKLEY LIFE COUNSELING | |
| R | 68861 |
| HACKLEY PROFESSIONAL CENTER | |
| J | 232898 |