COVENANT MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: COVENANT MEDICAL CENTER INC (EIN 42-1264647)
Tax period: 2022-07-01 to 2023-06-30
Filed: 2024-05-14
IRS object ID: 202431359349306013
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-05-14T12:20:31-05:00	ReturnTs
Tax Period End	2023-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421264647	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COVENANT MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COVE	BusinessNameControlTxt
Phone	3192728000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY HUBER	PersonNm
Person Title	VP OF FINANCE	PersonTitleTxt
Phone	3192728000	PhoneNum
Signature	2024-05-14	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TIMOTHY	PersonFirstNm
Person Last	HUBER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	RYAN MEYER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$328,876,709	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYONE.ORG/NORTHEASTIOWA/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	2712	TotalEmployeeCnt
Total Volunteers	78	TotalVolunteersCnt
Total Gross UBI	$1,932,538	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$492,307	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,347,823	PYContributionsGrantsAmt
CY Contributions Grants	$446,129	CYContributionsGrantsAmt
PY Program Service Revenue	$291,849,972	PYProgramServiceRevenueAmt
CY Program Service Revenue	$315,718,234	CYProgramServiceRevenueAmt
PY Investment Income	-$2,050,384	PYInvestmentIncomeAmt
CY Investment Income	$805,635	CYInvestmentIncomeAmt
PY Other Revenue	$26,964,473	PYOtherRevenueAmt
CY Other Revenue	$11,871,982	CYOtherRevenueAmt
PY Total Revenue	$319,111,884	PYTotalRevenueAmt
CY Total Revenue	$328,841,980	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,800	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,251	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$178,421,487	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$179,539,051	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$156,935,994	PYOtherExpensesAmt
CY Other Expenses	$156,279,730	CYOtherExpensesAmt
PY Total Expenses	$335,364,281	PYTotalExpensesAmt
CY Total Expenses	$335,820,032	CYTotalExpensesAmt
PY Revenues Less Expenses	-$16,252,397	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,978,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$232,340,664	TotalAssetsBOYAmt
Total Assets EOY	$225,227,682	TotalAssetsEOYAmt
Total Liabilities BOY	$84,771,600	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$75,413,148	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$147,569,064	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$149,814,534	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE, COVENANT MEDICAL CENTER AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. COVENANT MEDICAL CENTER IS A MEMBER OF TRINITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$295,717,321	ExpenseAmt
Grant	$1,251	GrantAmt
Revenue	$320,622,646	RevenueAmt
Desc	COVENANT MEDICAL CENTER IN WATERLOO, IOWA (MERCYONE WATERLOO) IS A 366-BED, FULL-SERVICE, MULTI-SPECIALTY HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO SUPPORT THE COMMUNITY'S HEALTH CARE NEEDS. SERVICES PROVIDED INCLUDE INTENSIVE CARE; OPERATING AND RECOVERY ROOMS FOR BOTH INPATIENT AND OUTPATIENT SURGERIES AND PROCEDURES; AN ACCREDITED REHABILITATION PROGRAM SERVING INPATIENTS; ACCREDITED CANCER AND BREAST CARE CENTERS; WOMEN'S HEALTH CARE SERVICES INCLUDING OB/GYN AND MIDWIFERY, BIRTH CENTER, AND THE AREA'S ONLY LEVEL II NEONATAL INTENSIVE CARE PROGRAM; COMPREHENSIVE IMAGING AND RADIOLOGY SERVICES; LABORATORY; RESPIRATORY THERAPY; CARDIOVASCULAR SERVICES, INCLUDING GENERAL INTERVENTIONAL CARDIOLOGY AND ELECTROPHYSIOLOGY AND AN ACCREDITED CHEST PAIN CENTER; AND INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES.MERCYONE WATERLOO ALSO HAS PHYSICIAN PRACTICES WITH PRIMARY CARE AND SPECIALTY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND NUMEROUS HEALTH CARE PROFESSIONALS WHO SHARE THE COMMON GOAL OF PROVIDING QUALITY INTEGRATED HEALTH CARE SERVICES TO INDIVIDUALS THROUGHOUT NORTHEAST IOWA. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES AND SPECIALTIES:WWW.MERCYONE.ORG/LOCATION/MERCYONE-WATERLOO-MEDICAL-CENTER	Desc
Total Program Service Expenses	$295,717,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2712	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TIMOTHY HUBER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3192727607	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT RITZ
DIRECTOR; CEO MERCY HEALTH NETWORK	1.00	54.00	Yes (X)	$0	$1,923,691	$64,471
RICHARD NAYLOR DO
PHYSICIAN - ORTHOPEDICS	50.00	0.00		$1,467,750	$0	$52,460	Yes (X)
AHSAN MAQSOOD MD
PHYSICIAN - CARDIOLOGY	50.00	0.00		$1,374,513	$0	$56,103	Yes (X)
VICTOR MUJICA MD
PHYSICIAN - GASTROENTEROLOGY	50.00	0.00		$1,244,546	$0	$58,700	Yes (X)
SANGEETA SHAH MD
PHYSICIAN - NEUROLOGY	50.00	0.00		$1,070,110	$0	$58,645	Yes (X)
GARY KNUDSON MD
PHYSICIAN - ORTHOPEDICS	50.00	0.00		$1,031,690	$0	$49,449	Yes (X)
JACK DUSENBERY
DIR & PRES, MERCYONE NE IA THR 4/23	46.00	4.00	Yes (X)	$705,049	$0	$45,779		Yes (X)
MATTHEW SOJKA MD
VP, MEDICAL AFFAIRS	48.00	2.00		$460,897	$0	$43,906			Yes (X)
RACHELLE MAKINDE MD
DIRECTOR; PHYSICIAN	47.00	3.00	Yes (X)	$449,922	$0	$45,723
BRIAN BURNETT MD
DIRECTOR; PHYSICIAN	47.00	3.00	Yes (X)	$363,552	$0	$59,266
TIMOTHY HUBER
ASSISTANT TREASURER; VP OF FINANCE	47.00	3.00		$288,515	$0	$59,758		Yes (X)
KELLY RICHARDS
CHIEF NURSING OFFICER	48.00	2.00		$261,858	$0	$44,208			Yes (X)
RYAN MEYER
VP SITE ADMINISTRATOR	48.00	2.00		$13,614	$183,801	$36,058			Yes (X)
JEFFREY HALVERSON
FRMR KE; VP PHYS NETWORK THR 5/22	0.00	0.00		$139,056	$0	$15,537				Yes (X)
NANCY SCHAEFER
ASSISTANT SECRETARY; EXEC ASSISTANT	37.00	3.00		$65,485	$0	$5,395		Yes (X)
DAVID DEAVER
DIRECTOR; CHAIR	1.00	3.00	Yes (X)	$0	$0	$0		Yes (X)
SANDRA BENAK
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
TIM BOETTGER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
SHIRLEY DUNLAP
DIRECTOR THROUGH 12/22	1.00	2.00	Yes (X)	$0	$0	$0
ALAN KRUGER
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0
CASEY MCLAUGHLIN
DIRECTOR THROUGH 12/22	1.00	2.00	Yes (X)	$0	$0	$0
GREGORY SCHMITZ
DIRECTOR THROUGH 12/22	1.00	2.00	Yes (X)	$0	$0	$0
CAROL TOUSLEY
DIRECTOR	1.00	3.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,936,557	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,107,492	TotReportableCompRltdOrgAmt
Total Other Compensation	$695,458	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	261	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HALLMARK HEALTHCARE SOLUTIONS
PO BOX 22937	NEW YORK	NY	10087	MEDICAL STAFFING	$8,921,456
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING	$4,449,508
MEDICAL SOLUTIONS LLC
PO BOX 850737	MINNEAPOLIS	MN	55485	MEDICAL STAFFING	$4,341,061
GRAPETREE MEDICAL STAFFING INC
2501 BOJI BEND DR SUITE 100	MILFORD	IA	51351	MEDICAL STAFFING	$3,270,996
PETERS CONSTRUCTION COMPANY
901 BLACK HAWK ROAD	WATERLOO	IA	50701	CONSTRUCTION SERVICES	$2,521,532

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$12,375	FederatedCampaignsAmt
Related Organizations	$291,774	RelatedOrganizationsAmt
Government Grants	$96,477	GovernmentGrantsAmt
All Other Contributions	$45,503	AllOtherContributionsAmt
Total Contributions	$446,129	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$292,004,473	$291,614,460	$390,013
PHARMACY REVENUE	456110	$23,713,761	$22,171,236	$1,542,525

Field	Value	IRS element (for citing)
Total Program Service Revenue	$315,718,234	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$685,327	TotalRevenueColumnAmt
Exclusion	$685,327	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,136,062	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$34,729	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,101,333	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,101,333	TotalRevenueColumnAmt
Exclusion	$3,101,333	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$110,408	SecuritiesAmt
Other	$9,900	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$110,408	SecuritiesAmt
Other	$9,900	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,308	TotalRevenueColumnAmt
Exclusion	$120,308	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER OPERATING REVENUE	622110	$6,836,950	$6,836,950
CAFETERIA REVENUE	722514	$1,933,699		$1,933,699

Field	Value	IRS element (for citing)
Other Revenue Total	$8,770,649	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$328,841,980	TotalRevenueColumnAmt
Related Or Exempt Func Income	$320,622,646	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,932,538	UnrelatedBusinessRevenueAmt
Exclusion	$5,840,667	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,251	TotalAmt
Program Services	$1,251	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,915,617	TotalAmt
Program Services	$918,463	ProgramServicesAmt
Management And General	$1,997,154	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$311,363	TotalAmt
Program Services	$156,770	ProgramServicesAmt
Management And General	$154,593	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$145,373,918	TotalAmt
Program Services	$140,059,450	ProgramServicesAmt
Management And General	$5,314,468	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,535,950	TotalAmt
Program Services	$6,296,506	ProgramServicesAmt
Management And General	$239,444	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,433,589	TotalAmt
Program Services	$14,797,985	ProgramServicesAmt
Management And General	$635,604	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,968,614	TotalAmt
Program Services	$8,511,609	ProgramServicesAmt
Management And General	$457,005	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$161,175	TotalAmt
Management And General	$161,175	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$43,519	TotalAmt
Management And General	$43,519	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,761,594	TotalAmt
Program Services	$25,683,050	ProgramServicesAmt
Management And General	$12,078,544	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,597	TotalAmt
Program Services	$6,597	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,537,118	TotalAmt
Program Services	$2,153,961	ProgramServicesAmt
Management And General	$383,157	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,616,821	TotalAmt
Program Services	$6,961,320	ProgramServicesAmt
Management And General	$655,501	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$166,966	TotalAmt
Program Services	$155,738	ProgramServicesAmt
Management And General	$11,228	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$542,575	TotalAmt
Program Services	$541,796	ProgramServicesAmt
Management And General	$779	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,063,795	TotalAmt
Program Services	$9,252,498	ProgramServicesAmt
Management And General	$811,297	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$59,075	TotalAmt
Program Services	$59,075	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXP	$62,694,958	$62,694,958
I/C PURCHASED SERVICES	$20,956,827	$4,471,745	$16,485,082
BAD DEBT EXPENSE	$7,789,241	$7,789,241
EQUIPMENT MAINTENANCE	$3,440,784	$3,412,966	$27,818

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,438,685	TotalAmt
Program Services	$1,792,342	ProgramServicesAmt
Management And General	$646,343	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,820,032	TotalAmt
Program Services	$295,717,321	ProgramServicesAmt
Management And General	$40,102,711	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$57,314,118	BOYAmt
EOY	$24,000,498	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$33,499,147	BOYAmt
EOY	$38,382,094	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,540,702	BOYAmt
EOY	$2,500,660	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$90,325	BOYAmt
EOY	$82,703	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$125,833,905	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,078,630	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$107,908,104	BOYAmt
EOY	$117,755,275	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$27,350,837	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$6,849,176	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$30,988,268	BOYAmt
EOY	$8,306,439	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$232,340,664	BOYAmt
EOY	$225,227,682	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$56,829,810	BOYAmt
EOY	$42,706,837	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,889,881	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,051,909	BOYAmt
EOY	$32,706,311	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$84,771,600	BOYAmt
EOY	$75,413,148	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$147,220,796	BOYAmt
EOY	$149,430,167	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$348,268	BOYAmt
EOY	$384,367	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$147,569,064	BOYAmt
EOY	$149,814,534	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$232,340,664	BOYAmt
EOY	$225,227,682	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,978,052	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$283,563	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,939,959	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$25,300	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$25,300	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	COVENANT MEDICAL CENTER (MERCYONE WATERLOO) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCYONE WATERLOO WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,874,610	OtherCostOrOtherBasisAmt
Book Value	$9,874,610	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$89,304,620	OtherCostOrOtherBasisAmt
Depreciation	$3,660,786	DepreciationAmt
Book Value	$85,643,834	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,604,675	OtherCostOrOtherBasisAmt
Depreciation	$4,417,844	DepreciationAmt
Book Value	$22,186,831	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,000	OtherCostOrOtherBasisAmt
Book Value	$50,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$117,755,275	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
457B PLAN LIABILITIES	$18,097,474
ASSET RETIREMENT OBLIGATION	$1,989,718
INTERCOMPANY OTHER LIABILITIES	$6,959,939
INTERCOMPANY ACCOUNTS PAYABLE	$3,091,017
OPERATING LEASE LIABILITIES	$2,543,042
OTHER CURRENT LIABILITIES	$25,121

Field	Value	IRS element (for citing)
Total Liability	$32,706,311	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,627,111	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,627,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,233,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,243,539	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,989,801	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,860,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,243,539	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,616,912	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	37406	PersonsServedCnt
Total Community Benefit Expns	$830,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$818,452	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	977	PersonsServedCnt
Total Community Benefit Expns	$3,723,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,310	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,721,276	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1010	PersonsServedCnt
Total Community Benefit Expns	$913,836	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$913,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	2295	PersonsServedCnt
Total Community Benefit Expns	$48,470	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,470	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	41688	PersonsServedCnt
Total Community Benefit Expns	$5,516,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,502,034	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	41688	PersonsServedCnt
Total Community Benefit Expns	$59,377,095	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,258,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,118,946	NetCommunityBenefitExpnsAmt
Total Expense	0.04610	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$14,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$16,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,789,241	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$48,978,117	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$54,503,863	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,525,746	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE WATERLOO MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50702	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCYONE.ORG	WebsiteAddressTxt
State License	070137H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE WATERLOO MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 3J: N/ALINE 3E:COVENANT MEDICAL CENTER (MERCYONE WATERLOO) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: - MENTAL HEALTH- HEALTH EQUITY- HEALTHY EATING/FOOD INSECURITY- EMERGING HEALTH ISSUES
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 5: MERCYONE WATERLOO WORKED WITH BLACK HAWK COUNTY PUBLIC HEALTH USING THE MAPP PROCESS (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) IN A COMMUNITY-WIDE STRATEGIC PLANNING PROCESS FOR IMPROVING PUBLIC HEALTH, AS WELL AS AN ACTION-ORIENTED PROCESS TO HELP COMMUNITIES PRIORITIZE PUBLIC HEALTH ISSUES, IDENTIFY RESOURCES FOR ADDRESSING ISSUES, AND TAKE ACTION. THE ASSESSMENT PROCESS WAS A COLLABORATION BETWEEN MERCYONE WATERLOO MEDICAL CENTER, MERCYONE CEDAR FALLS MEDICAL CENTER, BLACK HAWK COUNTY PUBLIC HEALTH DEPARTMENT, UNITYPOINT HEALTH - ALLEN HOSPITAL, PEOPLE'S COMMUNITY HEALTH CARE, UNIVERSITY OF NORTHERN IOWA, AND SEVERAL AREA ORGANIZATIONS AND AGENCIES.FINDINGS FROM THE 2020 BLACK HAWK COUNTY PUBLIC HEALTH'S CHNA AND RESULTING PRIORITY ISSUES OF MENTAL HEALTH AND TRAUMA, HEALTHY BEHAVIORS AND SYSTEMS THINKING WERE USED AS THE STARTING POINT FOR THE UPDATE. THE INITIAL COMMUNITY NEEDS SURVEY IN 2020 CONSISTED OF 41 QUESTIONS AND WAS ADMINISTERED IN MULTIPLE WAYS. AN ONLINE VERSION USING SURVEY MONKEY WAS DISTRIBUTED THROUGH SOCIAL MEDIA ACCOUNTS AND VARIOUS ORGANIZATION WEBSITES. PAPER VERSIONS OF THE SURVEY WERE DISTRIBUTED THROUGH SELECTED COMMUNITY CHURCHES IN ORDER TO OBTAIN ADDITIONAL RESPONSES FROM UNDER-REPRESENTED COMMUNITY MEMBERS. IN-PERSON INTERVIEWS WERE CONDUCTED BY EMBARC STAFF. EMBARC IS A GRASS-ROOTS, COMMUNITY-BASED, NON-PROFIT ORGANIZATION FOUNDED BY REFUGEES, FOR REFUGEES. A TOTAL OF 1,621 SURVEYS WERE RECORDED USING THESE THREE METHODS. THE COVID-19 PANDEMIC IMPACTED THE LEVEL OF IMPLEMENTATION OF THE PRIORITY ISSUE ACTION PLAN AND RESULTS. THE TEAM ALSO RECOGNIZED THAT COLLABORATING TO BRING TRANSFORMATIONAL CHANGE DOES NOT FULLY HAPPEN IN A SINGLE THREE-YEAR CYCLE. APPLYING A HEALTH EQUITY LENS REQUIRES AN INVESTMENT IN DEEPENING AND BROADENING THE PARTNERSHIPS THAT GUIDE THE STRUCTURE OF THE COMMUNITY HEALTH IMPROVEMENT PROCESS. IN ADDITION, THE FOUNDATIONAL PRINCIPLES OF THE MAPP PROCESS WERE EVOLVING TO REFLECT THE GUIDED VALUES OF EQUITY, INCLUSION, TRUSTED RELATIONSHIPS, COMMUNITY POWER, STRATEGIC COLLABORATION AND ALIGNMENT, AND DATA- AND COMMUNITY-INFORMED ACTION. DUE TO THE ABOVE-MENTIONED FACTORS, THE BLACK HAWK COUNTY COMMUNITY HEALTH IMPROVEMENT STEERING COMMITTEE DECIDED THAT THE 2022 CHNA WOULD UPDATE THE QUANTITATIVE DATA AS WELL AS OBTAIN FEEDBACK ON THE PRIORITY ISSUES THAT AFFECT HEALTHY LIVING AND THE IMPACTS OF THE COVID-19 PANDEMIC.BLACK HAWK COUNTY PUBLIC HEALTH WAS INSTRUMENTAL IN ASSISTING IN THE DATA COLLECTION AND SURVEY FOR THIS NEW THREE-YEAR REPORTING CYCLE. THEY SHARED A FACT SHEET THROUGHOUT THE COMMUNITY, SUMMARIZING THE UPDATED CHNA BETWEEN JUNE 1 AND JUNE 13, 2022, ALONG WITH A REQUEST TO COMPLETE A SURVEY GIVING INPUT ON HOW THE COMMUNITY'S HEALTH HAS CHANGED OVER THE PAST THREE YEARS AND HOW THE COVID-19 PANDEMIC IMPACTED HEALTH PRIORITIES. MERCYONE SHARED THE SURVEY ON THEIR LOCAL FACEBOOK PAGE ON JUNE 11, 2022, ENCOURAGING BLACK HAWK COUNTY RESIDENTS AS WELL AS EMPLOYEES TO PARTICIPATE, FOR A TOTAL OF 315 RECORDED RESPONSES. IN ADDITION, BLACK HAWK COUNTY PUBLIC HEALTH HELD FIVE DIFFERENT FOCUS GROUPS DURING AUGUST AND SEPTEMBER 2022, COLLECTING ADDITIONAL DATA FROM THE FOLLOWING GROUPS: BLACK/AFRICAN AMERICAN, BURMESE, CONGOLESE, HISPANIC/LATINX AND RURAL.
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 6A: MERCYONE WATERLOO CONDUCTED THE CHNA WITH UNITYPOINT HEALTH - ALLEN HOSPITAL AND MERCYONE CEDAR FALLS.
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 6B: MERCYONE WATERLOO CONDUCTED THE CHNA WITH THE FOLLOWING ORGANIZATIONS: PEOPLE'S COMMUNITY HEALTH CLINIC, BLACK HAWK COUNTY HEALTH DEPARTMENT, CEDAR VALLEY UNITED WAY, AND THE UNIVERSITY OF NORTHERN IOWA.
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 11: MENTAL HEALTH: MERCYONE WATERLOO PARTICIPATED IN THE CEDAR VALLEY COALITION ON SUICIDE PREVENTION AND SUPPORT. THE COMMUNITY HEALTH IMPROVEMENT PLANNING CORE TEAM, CONSISTING OF BLACK HAWK COUNTY PUBLIC HEALTH, PEOPLE'S COMMUNITY HEALTH CLINIC, UNITYPOINT HEALTH - ALLEN HOSPITAL, AND MERCYONE WATERLOO AND CEDAR FALLS MEDICAL CENTERS, WILL CONTINUE TO IDENTIFY WAYS THAT THEY CAN COLLABORATIVELY REDUCE THE STIGMA ASSOCIATED WITH SEEKING MENTAL HEALTH SERVICES AND INCREASE THE PERCEPTION THAT SEEKING MENTAL HEALTH SERVICES IS POSITIVE AND HEALTH-ENHANCING. THE CORE TEAM WILL IDENTIFY ONE INITIATIVE TO COLLABORATIVELY ADDRESS MENTAL HEALTH WITHIN THE COMMUNITY. THREE NEW PSYCHIATRIC NURSE PRACTITIONERS WERE HIRED IN FY23 TO BUILD ACCESS IN OUTPATIENT SERVICES. IN ADDITION, ANOTHER THERAPIST HAS BEEN HIRED FOR OUTPATIENT PSYCHIATRIC CARE IN WATERLOO. MERCYONE WATERLOO HAS ONE KNOWN TRAINED 'MAKE IT OK' AMBASSADOR. HEALTH EQUITY: MERCYONE WATERLOO PARTICIPATED IN SEVERAL COMMUNITY-BASED EVENTS WHERE INFORMATION WAS PROVIDED TO RESIDENTS ON THE ON-LINE COMMUNITY DIRECTORY, FIND HELP. MERCYONE WATERLOO COMMUNITY HEALTH WORKERS (CHW'S) HAVE MET JOINTLY WITH MERCYONE CEDAR FALLS AND UNITYPOINT CHW'S TO COLLABORATE AND SHARE INFORMATION. MERCYONE WATERLOO CHW'S PARTICIPATED IN THE PUBLIC HEALTH WEEK COMMUNITY RECEPTION, ORGANIZED BY BLACK HAWK COUNTY PUBLIC HEALTH, AND THE 'ADVANCING EQUITY IN THE CEDAR VALLEY' CONFERENCE. MERCYONE WATERLOO PARTNERED WITH BLACK HAWK COUNTY PUBLIC HEALTH AND THE CARE FOR YOURSELF PROGRAM TO OFFER FREE MAMMOGRAMS IN OCTOBER FOR WOMEN AGES FORTY AND OLDER WHO HAD COST BARRIERS TO RECEIVING THEIR YEARLY MAMMOGRAM. THIS EVENT OFFERED EXTENDED MAMMOGRAM HOURS TO HELP REDUCE BARRIERS. A TOTAL OF 19 WOMEN WERE PROVIDED FREE MAMMOGRAMS, 11 OF WHOM REQUIRED PROVIDER VISITS. HEALTHY EATING/FOOD INSECURITY:MERCYONE WATERLOO PARTNERED WITH UNI-CEEE FOR THE VEGGIE VOUCHER PROGRAM. MERCYONE CONTRIBUTES RESTRICTED FINANCIAL FUNDING ANNUALLY AND HAS BEEN A HOST SITE IN DISTRIBUTION OF THE VOUCHERS TO PATIENTS WHO MEET THE CRITERIA FOR FOOD INSECURITY. THE CHW'S HAVE BEEN INSTRUMENTAL IN LEADING THIS PROJECT WITHIN THE HOSPITAL, RESULTING IN AN INCREASE IN THE REDEMPTION RATE IN FY23. MERCYONE WATERLOO DID NOT DIRECTLY ADDRESS ALL OF THE NEEDS IDENTIFIED IN THIS CHNA CYCLE DUE TO COMPETING PRIORITIES, LACK OF RESOURCES, AND OTHER AGENCIES AND ORGANIZATIONS ALREADY ADDRESSING THESE ISSUES. FOR THIS REASON, THE CATEGORY OF EMERGING HEALTH ISSUES (GUN VIOLENCE, INFLATION, EDUCATION, STD'S, COVID-19, AND HEALTH CARE COSTS/ACCESS) WAS NOT ADDRESSED IN FY23.
MERCYONE WATERLOO MEDICAL CENTER	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: ACCOUNTS DISCHARGED THROUGH BANKRUPTCY AND PATIENTS DETERMINED TO BE ELIGIBLE FOR IOWA MEDICAID.
PART V, SECTION B, LINE 7A:	WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/
PART V, SECTION B, LINE 9:	AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
PART V, SECTION B, LINE 10A:	WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING/
PART V, SECTION B, LINE 16A:	WWW.MERCYONE.ORG/NORTHEASTIOWA/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B:	WWW.MERCYONE.ORG/NORTHEASTIOWA/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16C:	WWW.MERCYONE.ORG/NORTHEASTIOWA/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	60	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (60 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MERCYONE KIMBALL OUTPATIENT PHYSICAL & O
2101 KIMBALL AVENUE	WATERLOO	IA	50702	OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY
2 - MERCYONE WATERLOO HEMATOLOGYONCOLOGY
200 EAST RIDGEWAY AVENUE SUITE 400	WATERLOO	IA	50702	OUTPATIENT HEMATOLOGY AND ONCOLOGY SERVICES
3 - MERCYONE WATERLOO SLEEP LAB
2710 ST FRANCIS DRIVE SUITE 409	WATERLOO	IA	50702	OUTPATIENT SLEEP DISORDER DIAGNOSTICS
4 - MERCYONE WATERLOO NEUROSURGERY
2710 ST FRANCIS DRIVE SUITE 110	WATERLOO	IA	50702	OP NEURO SURGERY OP PAIN MANAGEMENT OP X-RAY SERVICES
5 - MERCYONE WATERLOO NEUROLOGY
2710 ST FRANCIS DRIVE SUITE 201	WATERLOO	IA	50702	OUTPATIENT CLINIC NEUROLOGY SERVICES
6 - MERCYONE WATERLOO URGENT CARE
2710 ST FRANCIS DRIVE SUITE 111	WATERLOO	IA	50702	OUTPATIENT CLINIC
7 - MERCYONE WATERLOO FAMILY MEDICINE
2710 ST FRANCIS DRIVE SUITE 210	WATERLOO	IA	50702	OP FAMILY PRACTICE,GYNECOLOGY, PODIATRY,LABORATORY SERVICES
8 - MERCYONE WATERLOO ORTHOPEDICS CARE
2710 ST FRANCIS DRIVE SUITE 319	WATERLOO	IA	50702	OUTPATIENT CLINIC ORTHOPEDIC SERVICES
9 - MERCYONE WATERLOO HEART CARE
2710 ST FRANCIS DRIVE SUITE 320	WATERLOO	IA	50702	OUTPATIENT CLINIC CARDIOLOGY SERVICES
10 - MERCYONE WATERLOO PULMONARY CARE
2710 ST FRANCIS DRIVE SUITE 402	WATERLOO	IA	50702	OUTPATIENT CLINIC PULMONOLOGY SERVICES
11 - MERCYONE WATERLOO GENERAL SURGERY
2710 ST FRANCIS DRIVE SUITE 410	WATERLOO	IA	50702	OP GENERAL SURGERY, WOUND CARE, VASCULAR ERY SERVICES
12 - MERCYONE WATERLOO ENTALLERGY CARE
2710 ST FRANCIS DRIVE SUITE 411	WATERLOO	IA	50702	OUTPATIENT CLINIC - EAR, NOSE & THROAT AND ALLERGY SERVICES
13 - MERCYONE WATERLOO PEDIATRICS CARE
2710 ST FRANCIS DRIVE SUITE 510A	WATERLOO	IA	50702	OP NEPHROLOGY, PODIATRY, AND PEDIATRIC SERVICES
14 - MERCYONE WATERLOO OBGYN
432 KING DRIVE	WATERLOO	IA	50702	OUTPATIENT MAMMOGRAPHY IMAGING SERVICES
15 - MERCYONE WATERLOO BEHAVIORAL HEALTH CARE
2750 ST FRANCIS DRIVE	WATERLOO	IA	50702	OUTPATIENT CLINIC - PSYCHIATRY SERVICES
16 - MERCYONE CEDAR FALLS BEHAVIORAL HEALTH C
2802 ORCHARD DRIVE	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - PSYCHIATRY SERVICES
17 - MERCYONE BLUEBELL ROAD
226 BLUEBELL ROAD SUITE CC	CEDAR FALLS	IA	50613	OP FAMILY PRACTICE, PSYCHIATRY, PODIATRY, GYNECOLOGY SERVICES
18 - MERCYONE BLUEBELL ROAD STE OPT
226 BLUEBELL ROAD SUITE OPT	CEDAR FALLS	IA	50613	OP PHYSICAL THERAPY,OCCUPATIONAL HEALTH,RADIOLOGY SERVICES
19 - MERCYONE WATERLOO PHYSICAL MEDICINE & RE
3421 WEST NINTH STREET SUITE 100	WATERLOO	IA	50702	OUTPATIENT CLINIC - PSYCHIATRY SERVICES
20 - MERCYONE KIMBALL FAMILY MEDICINE
2055 KIMBALL AVE SUITE 400	WATERLOO	IA	50702	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
21 - MERCYONE CEDAR FALLS FAMILY MEDICINE
516 SOUTH DIVISION STREET SUITE 100	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
22 - MERCYONE CEDAR FALLS GENERAL SURGERY
516 SOUTH DIVISION STREET SUITE 105	CEDAR FALLS	IA	50613	OUTPATIENT PHYSICIAN CLINIC - BARIATRICS SERVICES
23 - MERCYONE CEDAR FALLS ORTHOPEDICS CARE
516 SOUTH DIVISION STREET SUITE 125	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC ORTHOPEDIC SERVICES
24 - MERCYONE CEDAR FALLS SPECIALISTS
516 SOUTH DIVISION STREET SUITE 135	CEDAR FALLS	IA	50613	OP CLINIC - ENT, ALLERGY,CARDIOLOGY, PAIN MANAGEMENT SERVICES
25 - MERCYONE DYSART FAMILY MEDICINE
501 CLARK STREET	DYSART	IA	52224	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
26 - MERCYONE EVANSDALE FAMILY MEDICINE
3562 LAFAYETTE ROAD	EVANSDALE	IA	50707	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
27 - MERCYONE FAIRBANK FAMILY MEDICINE
105 SOUTH WALNUT STREET	FAIRBANK	IA	50629	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
28 - MERCYONE GLADBROOK FAMILY MEDICINE
309 SECOND STREET	GLADBROOK	IA	50635	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
29 - MERCYONE JESUP FAMILY MEDICINE
1094 220TH STREET	JESUP	IA	50648	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
30 - MERCYONE LA PORTE CITY FAMILY MEDICINE
601 HIGHWAY 218 NORTH	LAPORTE CITY	IA	50651	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
31 - MERCYONE OELWEIN FAMILY MEDICINE
129 8TH AVENUE SE	OELWEIN	IA	50662	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
32 - MERCYONE REINBECK FAMILY MEDICINE
501 MAIN STREET	REINBECK	IA	50669	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
33 - MERCYONE TRAER FAMILY MEDICINE
200 WALNUT STREET	TRAER	IA	50675	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
34 - MERCYONE TRIPOLI FAMILIY MEDICINE
602 7TH AVENUE SW	TRIPOLI	IA	50676	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
35 - MERCYONE WAVERLY FAMILY MEDICINE
217 20TH STREET NW	WAVERLY	IA	50677	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
36 - MERCYONE ARLINGTON FAMILY MEDICINE
751 MAIN STREET	ARLINGTON	IA	50606	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
37 - MERCYONE WATERLOO HOME HEALTH CARE
2101 KIMBALL AVE SUITE 140	WATERLOO	IA	50702	HOME HEALTH CARE
38 - MERCYONE WATERLOO PAIN MANAGEMENT
2710 SAINT FRANCIS DRIVE SUITE 419	WATERLOO	IA	50702	OUTPATIENT CLINIC - PAIN MANAGEMENT
39 - MERCYONE WATERLOO INTERNAL MEDICINE
2710 SAINT FRANCIS DRIVE SUITE 300	WATERLOO	IA	50702	OUTPATIENT CLINIC - INTERNAL MEDICINE SERVICES
40 - MERCYONE CEDAR FALLS FAMILY MEDICINE SUI
516 S DIVISION ST STE 100	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
41 - MERCYONE CEDAR FALLS HEART CARE
515 COLLEGE STREET SUITE 2000	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC CARDIOLOGY SERVICES
42 - MERCYONE KIMBALL FAMILY MEDICINE
2055 KIMBALL AVENUE SUITE 330	WATERLOO	IA	50702	OUTPATIENT CLINIC
43 - MERCYONE TRAER PHYSICAL THERAPY
549 2ND STREET	TRAER	IA	50675	PHYSICAL THERAPY SERVICES
44 - MERCYONE PARKERSBURG FAMILY MEDICINE
1306 HIGHWAY 57 UNIT A	CEDAR FALLS	IA	50665	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
45 - MERCYONE WATERLOO UROLOGY CARE
3410 KIMBALL AVENUE	WATERLOO	IA	50702	OUTPATIENT CLINIC - UROLOGICAL SERVICES
46 - MERCYONE OELWEIN URGENT CARE & OCCUPATIO
201 8TH AVE SE STE 411	OELWEIN	IA	50662	OUTPATIENT CLINIC - OCCUPATIONAL HEALTH
47 - MERCYONE INDEPENDENCE FAMILY MEDICINE
2004 ENTERPRISE CT	INDEPENDENCE	IA	50644	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
48 - MERCYONE ALLISON FAMILY MEDICINE
502 LOCUST ST	ALLISON	IA	50602	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
49 - MERCYONE WATERLOO PODIATRY CARE
2710 SAINT FRANCIS DR STE 510B	WATERLOO	IA	50702	OUTPATIENT CLINIC - PODIATRY SERVICES
50 - MERCYONE WATERLOO GASTROENTEROLOGY CARE
2710 ST FRANCIS DR STE 104	WATERLOO	IA	50702	OUTPATIENT CLINIC - GASTROENTEROLOGY
51 - MERCYONE CEDAR FALLS WEIGHT LOSS CENTER
515 COLLEGE ST STE 2800	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - BARIATRICS
52 - MERCYONE WATERLOO HOME MEDICAL EQUIPMENT
441 SAN MARNAN DR	WATERLOO	IA	50702	HOME HEALTH CARE
53 - MERCYONE LA PORTE CITY PHARMACY
601 HIGHWAY 218 N	LAPORTE CITY	IA	50651	PHARMACY
54 - MERCYONE JESUP PHARMACY
1094 220TH STREET	JESUP	IA	50648	PHARMACY
55 - MERCYONE WATERLOO PHARMACY
2710 ST FRANCIS DR STE 101	WATERLOO	IA	50702	PHARMACY
56 - MERCYONE GRAND CROSSING
220 FRANKLIN STREET	WATERLOO	IA	50702	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
57 - MERCYONE WATERLOO RADIATION ONCOLOGY
200 EAST RIDGEWAY AVENUE SUITE CTC	WATERLOO	IA	50702	OUTPATIENT CANCER TREATMENT
58 - MERCYONE WAVERLY PHYSICAL THERAPY
211 20TH ST NW	WAVERLY	IA	50677	PHYSICAL THERAPY SERVICES
59 - MERCYONE EVANSDALE PHYSICAL THERAPY
110 S EVANS RD STE 110	EVANSDALE	IA	50707	PHYSICAL THERAPY SERVICES
60 - MERCYONE NEIA FAMILY MEDICAL RESIDENCY
2055 KIMBALL AVENUE SUITE 101	WATERLOO	IA	50702	FAMILY PRACTICE RESIDENCY

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	COVENANT MEDICAL CENTER (MERCYONE WATERLOO) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.MERCYONE WATERLOO ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $7,789,241, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCYONE WATERLOO OFFERED STUDENTS THE EXPERIENCE TO COME AND SHADOW DIFFERENT OCCUPATIONS AND STAFF. IN-KIND HOURS WERE CAPTURED FOR TIME SPENT WITH THE STUDENTS EDUCATING THEM AND ANSWERING QUESTIONS ON THE DIFFERENT PROFESSIONS. MERCYONE WATERLOO HOSTED A VIP SUMMER CAMP FOR MIDDLE SCHOOL AND HIGH SCHOOL YOUTH. THE 15 SCHOOL-AGED STUDENTS SPENT A WEEK AT THE HOSPITAL LEARNING ABOUT THE DIFFERENT DEPARTMENTS AND CAREER OPPORTUNITIES WITHIN A HOSPITAL SETTING, AS WELL AS PARTICIPATING IN SIMULATIONS AND DRILLS.MERCYONE WATERLOO ALSO DONATED IN-KIND TIME PARTICIPATING IN VARIOUS COALITIONS WITHIN THE COMMUNITY IN ORDER TO ADDRESS AND ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY. COALITIONS INCLUDED PEOPLE'S CLINIC QUALITY BOARD, VALLEY COALITION FOR SUICIDE PREVENTION, CEDAR VALLEY HOUSING CORPORATION, AND EXCEPTIONAL PERSON'S INC. BOARD.
PART III, LINE 2:	METHODOLOGY USED FOR LINE 2 - 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.
PART III, LINE 3:	IN DETERMINING BAD DEBT AMOUNTS, MERCYONE WATERLOO USES A TWO-LEVEL SCORING PROCESS AS FOLLOWS: FIRST, FOR ANY PATIENT ACCOUNT THAT IS CATEGORIZED AS HAVING NO INSURANCE, WHEN THE AMOUNT BECOMES 60 DAYS OVERDUE OR GREATER, THE PATIENT'S ACCOUNT IS REVIEWED FOR FINANCIAL ASSISTANCE QUALIFICATION. IF THE PATIENT IS FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE, THE NECESSARY STEPS ARE TAKEN TO APPLY, AND THE NEEDED ADJUSTMENTS ARE MADE TO TREAT AS CHARITY CARE AND NOT AS BAD DEBT.A SIMILAR SCORING PROCESS IS COMPLETED FOR THOSE PATIENTS WHO DO HAVE INSURANCE, BUT AFTER 120 DAYS OR GREATER, STILL HAVE NOT PAID THE PATIENT RESPONSIBILITY PORTION. AGAIN, THESE PATIENT ACCOUNTS ARE REVIEWED FOR FINANCIAL ASSISTANCE, AND IF THEY QUALIFY, SIMILAR STEPS ARE TAKEN TO REMOVE FROM BAD DEBT.AS A RESULT OF THESE SCORING PROCEDURES, MERCYONE WATERLOO'S POSITION IS THAT NONE OF THE PATIENTS RESULTING IN UNCOLLECTIBLE ACCOUNTS WOULD HAVE QUALIFIED AS CHARITY CARE PATIENTS AS THIS DETERMINATION IS MADE AT THE TIME OF ADMISSION, OR LATER WITH THE TIMING OF THE SCORING PROCEDURES DESCRIBED ABOVE. BAD DEBT IS THEREFORE ONLY DETERMINED AT THE TIME THE AMOUNT DUE IS TRULY DETERMINED TO BE UNCOLLECTIBLE, AFTER FINANCIAL ASSISTANCE HAS BEEN DETERMINED, AND AFTER MANY MONTHS OF COLLECTION EFFORTS.ADDITIONALLY, MERCYONE WATERLOO FOLLOWS GUIDELINES ESTABLISHED BY THE CATHOLIC HEALTH ASSOCIATION AND THE IOWA HOSPITAL ASSOCIATION, WHO RECOMMEND THAT NO BAD DEBT AMOUNTS BE INCLUDED IN COMMUNITY BENEFIT AMOUNTS.FOR THESE REASONS, PART III, SECTION A, LINE 3 IS REPORTED AT ZERO.
PART III, LINE 4:	MERCYONE WATERLOO IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."
PART III, LINE 8:	MERCYONE WATERLOO DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - MERCYONE WATERLOO ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORT TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF ITS COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE WATERLOO COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE 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. 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 HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCYONE WATERLOO OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL.
PART VI, LINE 4:	COMMUNITY INFORMATION - MERCYONE WATERLOO IS LOCATED IN BLACK HAWK COUNTY. AS OF JULY 2021, IOWA HAD AN ESTIMATED POPULATION OF 3,193,079 WHILE BLACK HAWK COUNTY HAD AN ESTIMATED POPULATION OF 130,368, WHICH IS SLIGHTLY LESS THAN THE ESTIMATES ON APRIL 1, 2020, OF 131,144 (U.S. CENSUS 2021). THE POPULATION BY RACE CONSISTS OF 84.5% WHITE, 9.7% BLACK, 4.6% HISPANIC, 2.5% ASIAN, WITH 2.5% BEING TWO OR MORE RACES. NEARLY 22% OF THE POPULATION IS UNDER THE AGE OF 18 AND 17% REPRESENTS INDIVIDUALS AGED 65 OR OLDER. THE HIGH SCHOOL GRADUATION RATES ARE HIGH AT NEARLY 92%, AND 29% OF THE RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN BLACK HAWK COUNTY IS $54,774, WHILE THE MEDIAN HOUSEHOLD INCOME IN IOWA IS $64,994. MERCYONE WATERLOO AND MERCYONE CEDAR FALLS ARE TWO OF THREE MEDICAL CENTERS IN BLACK HAWK COUNTY, BOTH WITHIN A 10-MILE DISTANCE OF EACH OTHER, AND APPROXIMATELY 6-8 MILES FROM UNITYPOINT HEALTH - ALLEN HOSPITAL ON THE NORTH SIDE OF WATERLOO. BLACK HAWK COUNTY HAS A PRIMARY CARE PHYSICIAN (PCP) RATIO OF 1,060:1, COMPARED TO THE STATE'S RATIO OF 1,350:1 (RWJF 2022). THE BLACK HAWK COUNTY MENTAL HEALTH PROVIDER RATIO IS 510:1, WHICH IS SIMILAR TO THE STATE RATIO AT 570:1, BUT SIGNIFICANTLY LESS THAN THE NATIONAL RATIO OF 250:1.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH - MERCYONE WATERLOO IS A 366-BED, FULL-SERVICE, MULTI-SPECIALTY HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO SUPPORT THE COMMUNITY'S HEALTH CARE NEEDS. SERVICES INCLUDE INTENSIVE CARE; OPERATING AND RECOVERY ROOMS FOR BOTH INPATIENT AND OUTPATIENT SURGERIES AND PROCEDURES; AN ACCREDITED REHABILITATION PROGRAM SERVING INPATIENTS; ACCREDITED CANCER AND BREAST CARE CENTERS; WOMEN'S HEALTH CARE SERVICES INCLUDING OB/GYN AND MIDWIFERY, BIRTH CENTER AND THE AREA'S ONLY LEVEL II NEONATAL INTENSIVE CARE PROGRAM; COMPREHENSIVE IMAGING AND RADIOLOGY SERVICES; LABORATORY; RESPIRATORY THERAPY; CARDIOVASCULAR SERVICES, INCLUDING GENERAL INTERVENTIONAL CARDIOLOGY AND ELECTROPHYSIOLOGY AND ACCREDITED CHEST PAIN CENTER; INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES, INCLUDING THE AREA'S ONLY INPATIENT PEDIATRIC BEDS; COMPLETE EMERGENCY SERVICES INCLUDING BOTH GROUND AND AIR AMBULANCE AS NEEDED; THE ONLY COMPREHENSIVE, ACCREDITED AND MULTIDISCIPLINARY CANCER TREATMENT CENTER IN THE AREA AND THE ONLY CANCER AND REHABILITATION AND WELLNESS PROGRAM IN THE MIDWEST; HOME HEALTH SERVICE; OCCUPATIONAL HEALTH SERVICES; SPIRITUAL CARE; SOCIAL SERVICES; BOTH INPATIENT AND RETAIL PHARMACY. MERCYONE WATERLOO ALSO OFFERS TELEHEALTH SERVICES. MERCYONE WATERLOO CONTINUED TO INVEST IN ITS COMMUNITY TO ENHANCE THE HEALTH AND WELL-BEING OF RESIDENTS BY:- PROVIDING FREE TRANSPORTATION SERVICES TO THOSE IN NEED THROUGH A CARE-A-VAN PROGRAM- HOSTING BLOOD DRIVES- OFFERING DIABETES PREVENTION PROGRAM AND CLASSES- PROVIDING FIRST-AID TENTS AND SUPPORT AT LOCAL COMMUNITY EVENTS- PROVIDING ENROLLMENT ASSISTANCE IN THE SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP)- PARTICIPATING IN JUNETEENTH EVENT - PROVIDING EDUCATION ON THE COMMUNITY RESOURCE DIRECTORY, FIND HELP- PARTICIPATING IN HEALTH FAIRS- HOSTING A FOOD DRIVE FOR THE NORTHEAST IOWA FOOD BANK- BEING AN ACTIVE PARTICIPANT IN THE VEGGIE VOUCHER PROGRAM- PARTICIPATING IN THE UNITED WAY HEALTH COMMUNITY IMPACT TEAM- PROVIDING PHYSICIAN INVOLVEMENT AND PARTICIPATION IN SPEAKING EVENTS- PROVIDING AN INFLUENZA VACCINATION CLINIC- PROVIDING FREE TELEPHONE TRIAGE SERVICES THAT OFFER MEDICAL ADVICE AND ARE AVAILABLE TO THE PUBLIC 24 HOURS A DAY, SEVEN DAYS A WEEK- PARTICIPATING IN THE CEDAR VALLEY HEART WALK BY TEACHING CPR- PARTICIPATING IN THE MAY DAY SILENT AUCTION, WITH PROCEEDS GOING TO THE AMERICAN HEART ASSOCIATION- PROVIDING MEALS TO CATHOLIC WORKER HOUSE AND EMPLOYEES' VOLUNTEER TIME TO PREPARE, TRANSPORT AND SERVE MEALS - PROVIDING SEVERAL TRAININGS OPEN TO AREA HEALTH CARE PROFESSIONALS: TRENDS IN TRAUMA, EMS WINTER EDUCATION, AND SHIPHT YOUTH CONFERENCE- OFFERING A MILITARY/VETERANS PROGRAM- HAVING DRUG DROP-OFF BOXES AVAILABLE AT A PHARMACY FOR THE GENERAL PUBLIC TO DISPOSE OF MEDICATION- HAVING ADMINISTRATION SERVE ON SEVERAL LOCAL BOARDS (HAWKEYE COMMUNITY COLLEGE FOUNDATION BOARD, BOYS & GIRLS CLUB)
PART VI, LINE 6:	MERCYONE WATERLOO IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE DISMANTLE OPPRESSIVE SYSTEMS, AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2023 (FY23), TRINITY HEALTH CONTRIBUTED $1.47 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. IN ADDITION TO ANNUAL COMMUNITY BENEFIT SPENDING, TRINITY HEALTH IMPLEMENTS A SOCIALLY RESPONSIBLE INVESTING PROGRAM. AS OF THE END OF FY23, $62.7 MILLION (INCLUDING $7.0 MILLION IN NEW LENDING) WAS ALLOCATED IN THE FOLLOWING AREAS:- HOUSING: BUILDING AFFORDABLE HOUSING; IMPROVING ACCESS TO SENIOR HOUSING; AND COMBATTING HOMELESSNESS ($35.5 MILLION)- EDUCATION: SUPPORTING STUDENTS ENTERING THE HEALTH PROFESSIONS ($10.1 MILLION)- FACILITIES: BUILDING COMMUNITY FACILITIES FOR NONPROFITS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS ($9.7 MILLION)- ECONOMIC DEVELOPMENT: ENCOURAGING SMALL BUSINESS DEVELOPMENT, CREATING LOCAL JOBS AND SUPPORTING ACCESS TO HEALTHY FOODS; QUALITY CHILDCARE; AND OTHER COMMUNITY SERVICES ($7.4 MILLION)ACROSS THE SYSTEM, NEARLY 700,000 OF PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. FOR ABOUT 30% OF THOSE PATIENTS, AT LEAST ONE SOCIAL NEED WAS IDENTIFIED. TOGETHERCARE - TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, POWERED BY EPIC - HAS MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (COMMUNITYRESOURCES.TRINITY-HEALTH.ORG). COMMUNITY HEALTH WORKERS (CHW'S) SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES. TRINITY HEALTH CHW'S PARTNERED WITH POPULATION HEALTH NURSES AND SOCIAL WORK CARE MANAGERS TO SERVE MEDICARE PATIENTS AT RISK FOR PREVENTABLE HOSPITALIZATIONS, RESULTING IN A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THE MEDICARE POPULATION OVERALL, AND ALSO FOR LOW-INCOME PATIENTS DUALLY ENROLLED IN MEDICARE AND MEDICAID. CHW'S ADVANCE SOCIAL AND CLINICAL CARE INTEGRATION BY ASSESSING AND ADDRESSING A PATIENT'S SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECTING THE PATIENT (AND THEIR FAMILY) TO SERVICES WITHIN THE COMMUNITY. TRINITY HEALTH PROVIDES A 40+ HOUR FOUNDATIONAL CHW AND CHRONIC DISEASE-SPECIFIC TRAINING TO TRINITY HEALTH-EMPLOYED CHW'S AND ALSO TO COMMUNITY PARTNERS THAT EMPLOY CHW'S. IN 2017, TRINITY HEALTH RECEIVED A SIX-YEAR, $8.5 MILLION GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO INCREASE THE NUMBER OF NATIONAL DIABETES PREVENTION PROGRAM (DPP) DELIVERY SITES, INCREASE PROGRAM ENROLLMENT, MAINTAIN PARTICIPATION RATES, AND INCREASE BENEFIT COVERAGE. IN ADDITION, THE GRANT WAS USED TO STANDARDIZE CLINICAL SCREENING AND DETECTION OF DIABETES. DURING THE GRANT PERIOD, TRINITY HEALTH BUILT THE NATIONAL DPP INTO ITS ELECTRONIC HEALTH RECORD SYSTEM TO MAKE IDENTIFYING PATIENTS AND ENROLLING THEM IN THE PROGRAM EASIER. SINCE SEPTEMBER 2017, OVER 6,000 PARTICIPANTS HAVE ENROLLED IN A TRINITY HEALTH NATIONAL DPP AND HAVE COLLECTIVELY LOST A TOTAL OF OVER 51,000 POUNDS.LASTLY, TRINITY HEALTH'S FY23 SHAREHOLDER ADVOCACY PRIORITIES FOCUSED ON IMPROVING CORPORATE POLICIES AND PRACTICES THAT IMPACT COMMUNITIES, WITH THE AIM OF REDUCING STRUCTURAL RACISM AND HEALTH INEQUITIES. TRINITY HEALTH, IN COLLABORATION WITH ITS PARTNERS THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY AND THE INVESTOR ENVIRONMENTAL HEALTH NETWORK, FILED SHAREHOLDER PROPOSALS AT 20 COMPANIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT RITZ
DIRECTOR; CEO MERCY HEALTH NETWORK	$0	$1,340,299	$0	$433,955	$0	$149,437	$0	$27,617	$0	$36,854	$0	$1,988,162	$0	$0
RICHARD NAYLOR DO
PHYSICIAN - ORTHOPEDICS	$1,456,447	$0	$0	$0	$11,303	$0	$22,875	$0	$29,585	$0	$1,520,210	$0	$0	$0
AHSAN MAQSOOD MD
PHYSICIAN - CARDIOLOGY	$1,371,403	$0	$0	$0	$3,110	$0	$18,300	$0	$37,803	$0	$1,430,616	$0	$0	$0
VICTOR MUJICA MD
PHYSICIAN - GASTROENTEROLOGY	$1,235,459	$0	$0	$0	$9,087	$0	$22,875	$0	$35,825	$0	$1,303,246	$0	$0	$0
SANGEETA SHAH MD
PHYSICIAN - NEUROLOGY	$1,067,372	$0	$0	$0	$2,738	$0	$18,300	$0	$40,345	$0	$1,128,755	$0	$0	$0
GARY KNUDSON MD
PHYSICIAN - ORTHOPEDICS	$1,026,069	$0	$0	$0	$5,621	$0	$22,875	$0	$26,574	$0	$1,081,139	$0	$0	$0
JACK DUSENBERY
DIR & PRES, MERCYONE NE IA THR 4/23	$569,178	$0	$120,621	$0	$15,250	$0	$18,300	$0	$27,479	$0	$750,828	$0	$0	$0
MATTHEW SOJKA MD
VP, MEDICAL AFFAIRS	$401,122	$0	$56,897	$0	$2,878	$0	$13,725	$0	$30,181	$0	$504,803	$0	$0	$0
RACHELLE MAKINDE MD
DIRECTOR; PHYSICIAN	$422,630	$0	$0	$0	$27,292	$0	$11,458	$0	$34,265	$0	$495,645	$0	$0	$0
BRIAN BURNETT MD
DIRECTOR; PHYSICIAN	$362,631	$0	$0	$0	$921	$0	$22,875	$0	$36,391	$0	$422,818	$0	$0	$0
TIMOTHY HUBER
ASSISTANT TREASURER; VP OF FINANCE	$247,137	$0	$36,164	$0	$5,214	$0	$22,697	$0	$37,061	$0	$348,273	$0	$0	$0
KELLY RICHARDS
CHIEF NURSING OFFICER	$226,422	$0	$31,841	$0	$3,595	$0	$20,047	$0	$24,161	$0	$306,066	$0	$0	$0
RYAN MEYER
VP SITE ADMINISTRATOR	$13,603	$158,902	$0	$24,770	$11	$129	$686	$8,025	$2,004	$25,343	$16,304	$217,169	$0	$0
JEFFREY HALVERSON
FRMR KE; VP PHYS NETWORK THR 5/22	$101,371	$0	$0	$0	$37,685	$0	$6,081	$0	$9,456	$0	$154,593	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	DURING THE 2022 CALENDAR YEAR, ROBERT RITZ WAS A PARTICIPANT IN THE COMMONSPIRIT HEALTH SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES. DUE TO THE "SUPER" VESTING RULES UNDER THIS PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS AGE, OR AGE AND YEARS OF SERVICE, ARE ELIGIBLE TO RECEIVE THEIR 2022 CONTRIBUTIONS IN CASH. DURING 2022, THE FOLLOWING PAYMENT WAS MADE PURSUANT TO THE SUPER VESTING RULES AND IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT RITZ - $127,049	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DENISE HUBER
FAMILY MEMBER OF TIMOTHY HUBER, OFFICER	$60,326	EMPLOYMENT ARRANGEMENT	0
MEGAN DEAVER
FAMILY MEMBER OF DAVID DEAVER, BOARD MEMBER AND OFFICER	$96,444	EMPLOYMENT ARRANGEMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF COVENANT MEDICAL CENTER (MERCYONE WATERLOO) IS WHEATON FRANCISCAN HEALTHCARE-IOWA. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	WHEATON FRANCISCAN HEALTHCARE-IOWA IS THE SOLE MEMBER OF MERCYONE WATERLOO. WHEATON FRANCISCAN HEALTHCARE-IOWA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCYONE WATERLOO.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, WHEATON FRANCISCAN HEALTHCARE-IOWA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. WHEATON FRANCISCAN HEALTHCARE-IOWA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF WHEATON FRANCISCAN HEALTHCARE-IOWA, CERTAIN POWERS ARE RESERVED TO MERCY HEALTH NETWORK. THESE INCLUDE THE AUTHORITY TO APPROVE CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY MERCY HEALTH NETWORK.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, THE FORM 990 FOR MERCYONE WATERLOO IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF 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	MERCYONE WATERLOO HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE WATERLOO. WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE WATERLOO AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. 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 PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE WATERLOO (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE WATERLOO OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE WATERLOO (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE WATERLOO. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	LINE 15A: IN ESTABLISHING THE PRESIDENT'S COMPENSATION, MERCYONE WATERLOO FOLLOWS A PROCESS WHICH INCLUDES THE FOLLOWING: USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDY, USE OF A WRITTEN EMPLOYMENT CONTRACT, AND REVIEW AND APPROVAL BY THE MERCY HEALTH NETWORK BOARD OF DIRECTORS. THIS PROCESS IS PERFORMED ANNUALLY. LINE 15B: IN ESTABLISHING OFFICER AND KEY EMPLOYEE COMPENSATION, MERCYONE WATERLOO FOLLOWS A PROCESS WHICH INCLUDES THE FOLLOWING: USE OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDY, USE OF A WRITTEN EMPLOYMENT CONTRACT, AND REVIEW AND APPROVAL BY THE PRESIDENT, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. THIS PROCESS IS PERFORMED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	MERCYONE WATERLOO 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 CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCYONE WATERLOO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MERCYONE WATERLOO'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,234,271. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,234,271. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 4,016,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,016,115. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 349,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 349,207. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,938,064. MANAGEMENT AND GENERAL EXPENSES 11,648,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,587,017. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 100,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,845. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 33,137. MANAGEMENT AND GENERAL EXPENSES 2,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,903. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 11,411. MANAGEMENT AND GENERAL EXPENSES 426,825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,236.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS FROM AFFILIATES 151,944,760. PURCHASE ACCOUNTING ADJUSTMENT DUE TO ACQUISITION BY TRINITY HEALTH SYSTEM ON SEPT 1, 2022 -143,004,801.
FORM 990, PART XII, LINE 2	MERCYONE WATERLOO'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	ARROWHEAD MEDICAL CENTER COVENANT CLINIC COVENANT CLINIC EAP COVENANT FAMILY PHARMACY COVENANT HOME HEALTH COVENANT HOME MEDICAL COVENANT OCCUPATIONAL HEALTH COVENANT WELLNESS CENTER JESUP PHARMACY LAPORTE CITY PHARMACY MERCYONE ARLINGTON FAMILY MEDICINE MERCYONE MEDICAL GROUP-NORTHEAST IOWA MERCYONE NORTHEAST IOWA CENTRALIZED CREDENTIALS VERIFICATION ORG MERCYONE NORTHEAST IOWA CLINIC MERCYONE WATERLOO MEDICAL CENTER OCCUPATIONAL MEDICINE & WELLNESS WELLNESS SERVICES

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (229 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	272491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	421500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUE	PRIMGHAR	IA	51245	262973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET	PITTSBURGH	PA	15219	251436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
114 WOODLAND STREET	HARTFORD	CT	06105	042182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes (1)
CAPITAL HEALTH FOUNDATION-EAST TRENTON INC
601 HAMILTON AVENUE	TRENTON	NJ	08629	521025476	FOUNDATION	NJ	501(C)(3)	LINE 7	CAPITAL HEALTH-EAST TRENTON INC	Yes (1)
CAPITAL HEALTH LIFE INC
7500 K JOHNSON BOULEVARD	BORDENTOWN	NJ	08505	222797282	PACE PROGRAM	NJ	501(C)(3)	LINE 10	CAPITAL HEALTH-EAST TRENTON INC	Yes (1)
CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA
601 HAMILTON AVENUE	TRENTON	NJ	08629	832199054	HEALTH CARE SERVICES	NJ	501(C)(3)	LINE 3	CAPITAL HEALTH-EAST TRENTON INC	Yes (1)
CAPITAL HEALTH-EAST TRENTON INC
601 HAMILTON AVENUE	TRENTON	NJ	08629	223431049	HEALTH CARE AND HOSPITAL SERVICES	NJ	501(C)(3)	LINE 3	MAXIS HEALTH SYSTEM	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
5315 ELLIOTT DR 102	YPSILANTI	MI	48197	382507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST SW	ELKADER	IA	52043	420818642	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY COMMUNITY HOSPITAL GROUP LLC	Yes (1)
COVENANT FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(C)(3)	LINE 7	COVENANT MEDICAL CENTER INC	Yes (1)
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421264647	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	0
DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	342032340	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE	DEWITT	NY	13214	461051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	FOUNDATION	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE BENEFIT TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUE	ALEDO	IL	61231	454475683	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (IL)	Yes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RD	ANN ARBOR	MI	48105	208072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes (1)
GLACIER HILLS INC
1200 EARHART RD	ANN ARBOR	MI	48105	381891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HEARTWOOD LODGE TRINITY HEALTH (FKA NORTH OTTAWA CARE CENTER)
18525 WOODLAND RIDGE	SPRING LAKE	MI	49456	382602971	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 9184	FARMINGTON HILLS	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	520738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	812531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	832256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF NORTH OTTAWA COMMUNITY INC
1027 SOUTH BEACON BLVD	GRAND HAVEN	MI	49417	382370192	HOSPICE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
HOSPICE OF SIOUXLAND
230 NEBRASKA STREET	SIOUX CITY	IA	51103	383320710	HOSPICE SERVICES	IA	501(C)(3)	LINE 12A, I		0		N/A
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48105	383316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	475676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET	WILMINGTON	DE	19801	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD	FAYETTEVILLE	NC	28304	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST MARY
2500 NORTHGATE ROAD	TREVOSE	PA	19053	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE	MELROSE PARK	IL	60160	474147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY	LIVONIA	MI	48152	911940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
275 STEELE ROAD	WEST HARTFORD	CT	06117	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MEDIC EMS
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 12C, III-FI		0		N/A
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I	MERCY FOUNDATION OF DES MOINES IA	Yes (1)
MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE	CHICAGO	IL	60653	853904921	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100	NEWTOWN SQUARE	PA	19073	231352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 10	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COLLEGE OF HEALTH SCIENCES
1111 6TH AVENUE	DES MOINES	IA	50314	421511682	COLLEGE OF HEALTH SCIENCE	IA	501(C)(3)	LINE 2	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	061492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION OF DES MOINES IA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FOUNDATION	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE ACCT DEPT	MAYWOOD	IL	60153	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREET	MUSKEGON	MI	49440	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH NETWORK INC
1449 NW 128TH ST BLDG 5 SUITE 200	CLIVE	IA	50325	421478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD	MUSKEGON	MI	49444	382589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH PLAN
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	222483605	MEDICAID MANAGED CARE PLAN	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes (1)
MERCY HOME HEALTH
20555 VICTOR PARKWAY	LIVONIA	MI	48152	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	362170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	203357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SE	OELWEIN	IA	50662	421178403	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
MERCY LIFE
1930 SOUTH BROAD STREET	PHILADELPHIA	PA	19145	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 10	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957	MOBILE	AL	36670	273163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLE	WEST SPRINGFIELD	MA	01089	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE E	NEWTON	IA	50208	421470935	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET	SIOUX CITY	IA	51102	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184	FARMINGTON HILLS	MI	48333	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	873948434	MEDICARE HMO	CT	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222584082	FOUNDATION	CT	501(C)(3)	LINE 12C, III-FI		0		N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	061422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
MOUNT ST JOSEPH
20555 VICTOR PARKWAY	LIVONIA	MI	48152	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210	MUSKEGON	MI	49442	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232794121	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	203261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	386088836	FUNDRAISING	MI	501(C)(3)	LINE 12D, III-O		0		N/A
NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	TITLE HOLDING COMPANY	IA	501(C)(2)	N/A	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
OAKLAND MERCY HOSPITAL
PO BOX 203	SIOUX CITY	IA	51102	208072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
PO BOX 203	SIOUX CITY	IA	51102	311678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 12A, I		0		N/A
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	454208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUE	PITTSBURGH	PA	15213	251464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	811807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	271763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD	BOISE	ID	83706	943028978	HEALTH CARE SYSTEM SUPPORT	ID	501(C)(3)	LINE 12A, I	SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD	BOISE	ID	83706	271929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET	ONTARIO	OR	97914	943059469	VOLUNTEER SERVICE AUXILIARY	OR	501(C)(3)	LINE 10	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	261737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	820200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS RD	BOISE	ID	83706	820200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	451994612	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF NEW ENGLAND PNO INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670	PLYMOUTH	IN	46563	351142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 10	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES-INDIANA INC	Yes (1)
SAINT MARY HOME INCORPORATED
2021 ALBANY AVENUE	WEST HARTFORD	CT	06117	060646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120	GRAND RAPIDS	MI	49505	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	060646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(C)(3)	LINE 7	SARTORI MEMORIAL HOSPITAL INC	Yes (1)
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROAD	SCHENECTADY	NY	12303	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SIOUXLAND PARAMEDICS INC
PO BOX 3349	SIOUX CITY	IA	51102	421185707	MEDICAL TRANSPORTATION SERVICES	IA	501(C)(3)	LINE 12A, I		0		N/A
SISTERS OF PROVIDENCE CARE CENTERS INC
114 WOODLAND STREET	HARTFORD	CT	06105	222541103	LONG TERM CARE	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	223127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST	CHELSEA	MI	48118	824757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE	SOUTHERN PINES	NC	28387	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE	SYRACUSE	NY	13203	202497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S HEALTH AT HOME INC
7246 JANUS PARK	LIVERPOOL	NY	13088	871012253	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	237219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	474754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE	SYRACUSE	NY	13203	150532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	222149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	273899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	161516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	811660088	FOUNDATION	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HOSPITAL INC (FKA ST MARY'S HEALTH CARE SYSTEM INC)
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY	LAVONIA	GA	30553	473752176	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE	SCHENECTADY	NY	12308	141338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	203018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 12C, III-FI	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD	ALBANY	NY	12205	222692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RD	ALBANY	NY	12205	141608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
707 EAST CEDAR STREET STE 100	SOUTH BEND	IN	46617	351654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MERCY HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	043398280	HEALTH CARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12B, II		0		N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I		0		N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 9184	FARMINGTON HILLS	MI	48333	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 9184	FARMINGTON HILLS	MI	48333	824005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET	ATHENS	GA	30606	880878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	383330803	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	475244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	833546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE
PO BOX 9184	FARMINGTON HILLS	MI	48333	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREET	ALEXANDRIA	LA	71302	923433625	PACE PROGRAM	LA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAY	GAITHERSBURG	MD	20877	923450659	PACE PROGRAM	MD	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLE	PENSACOLA	FL	32505	922940854	PACE PROGRAM	FL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 9184	FARMINGTON HILLS	MI	48333	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IA	501(C)(3)	LINE 12C, III-FI	MERCY HEALTH NETWORK INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (53 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ADVENT REHABILITATION LLC
625 KENMOOR AVE SE SUITE 100	GRAND RAPIDS	MI	49546	383306673	REHABILITATION THERAPY SERVICES	MI	N/A	0	Yes (1)
BH VENTURE ONE LP
905 WATSON STREET	PITTSBURGH	PA	15219	384098074	REAL ESTATE	PA	N/A	0	Yes (1)
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	48213	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A	0	0
CENTRAL NEW JERSEY HEART SERVICES LLC
45 SAPPHIRE DRIVE	PRINCETON	NJ	08550	208525458	CARDIAC PROGRAM	NJ	N/A	0	0
CLINTON IMAGING SERVICES LLC
1410 N 4TH STREET	CLINTON	IA	52732	412044739	MRI DIAGNOSTIC SERVICES	IA	N/A	0	0
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	URGENT CARE CENTER	LA	N/A	0	Yes (1)
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061487582	IMAGING CENTER	CT	N/A	0	Yes (1)
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVE	LATHAM	NY	12110	833542382	MEDICAL SERVICES	NY	N/A	0	Yes (1)
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A	0	Yes (1)
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	N/A	0	0
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	473785124	DIAGNOSTIC IMAGING CENTER	IL	N/A	0	Yes (1)
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	N/A	0	Yes (1)
HAWARDEN REGIONAL HEALTH CLINICS LLC
1111 11TH ST	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A	0	Yes (1)
HURON GASTRO ENDOSCOPY CENTER LLC
5300 ELLIOTT DR	YPSILANTI	MI	48197	853580801	MEDICAL SERVICES	MI	N/A	0	0
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	IMAGING CENTER	ID	N/A	0	Yes (1)
LAKE CHARLES URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	272272979	URGENT CARE CENTER	LA	N/A	0	Yes (1)
LARSON CENTER LLP
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	N/A	0	Yes (1)
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	300951534	URGENT CARE CENTER	DE	N/A	0	Yes (1)
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
569 BROOKWOOD VILLAGE901	BIRMINGHAM	AL	35209	364119522	SURGICAL SERVICES	IL	N/A	0	Yes (1)
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A	0	Yes (1)
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A	0	Yes (1)
MCE MOB IV LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
MEDILUCENT MOB I
6150 EAST BROAD STREET	COLUMBUS	OH	43213	204911370	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
MEDWORKS LLC
375 EAST CEDAR STREET	NEWINGTON	CT	06111	061490483	REHABILITATION SERVICES	CT	N/A	0	0
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A	0	0
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	814437201	HEALTH CARE SERVICES	IA	N/A	0	0
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA	N/A	0	Yes (1)
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	471290300	OUTPATIENT SURGERY	IA	N/A	0	0
MERCYONE - HFH HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	854007472	MEDICAL EQUIPMENT SALES	IA	N/A	0	0
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061239526	IMAGING CENTER	CT	N/A	0	0
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA	N/A	0	Yes (1)
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL	N/A	0	Yes (1)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	URGENT CARE CENTERS	DE	N/A	0	0
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364038505	OFFICE BUILDING RENTAL	IL	N/A	0	Yes (1)
RADISSON SJH PROPERTIES LLC
100 MADISON STREET SUITE 1200	SYRACUSE	NY	13202	461892799	MEDICAL OFFICE BUILDING	NY	N/A	0	Yes (1)
RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	451772383	URGENT CARE CENTER	LA	N/A	0	Yes (1)
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	843522377	OUTPATIENT SURGERY	CA	N/A	0	0
SAINT AGNESUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	364896811	MEDICAL SERVICES	CA	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	0	0
SJLS LLC
920 WINTER ST	WALTHAM	MA	02451	201796650	DIALYSIS SERVICES	NY	N/A	0	0
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A	0	0
ST AGNES LONG-TERM INTENSIVE CARE LLP
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	200984882	LONG TERM INTENSIVE CARE	PA	N/A	0	Yes (1)
ST ALPHONSUS CALDWELL CANCER CENTER LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	HEALTH CARE SERVICES	ID	N/A	0	Yes (1)
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	43213	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905	SYRACUSE	NY	13203	161104293	RADIOLOGY SERVICES	NY	N/A	0	Yes (1)
ST MARY REHABILITATION HOSPITAL LLP
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	273938747	HEALTH CARE SERVICES	DE	N/A	0	0
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY	N/A	0	Yes (1)
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	272871206	OUTPATIENT SURGERY	PA	N/A	0	Yes (1)
THPH URGENT CARE LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	852464958	URGENT CARE CENTERS	DE	N/A	0	0
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE SUITE 100	CLIVE	IA	50325	205345295	OUTPATIENT SURGERY	IA	N/A	0	0
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DR	ANN ARBOR	MI	48106	760820959	RADIOLOGY/ IMAGING	MI	N/A	0	0
WOODLAND PARTNERS REAL ESTATE LLC
129 WOODLAND STREET	HARTFORD	CT	06105	833371094	REAL ESTATE	CT	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CATHERINE HORAN BUILDING CORPORATION
114 WOODLAND STREET	HARTFORD	CT	06105	042938160	BUILDING MANAGEMENT	MA	N/A	C	Yes (1)
CENTRAL VALLEY HEALTH PLAN INC
1303 E HERNDON AVE	FRESNO	CA	93720	611846844	HEALTH INSURANCE	CA	N/A	C	Yes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	Yes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	272995699	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	202991688	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161236354	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161351193	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
FRANKLIN MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061470493	PHYSICIAN OFFICE	CT	N/A	C	Yes (1)
GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	863949369	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161450960	HEALTH CARE MANAGEMENT	NY	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR	ANN ARBOR	MI	48106	382475644	OFFICE RENTAL	MI	N/A	C	Yes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	263795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
MACNEAL HEALTH PROVIDERS INC
750 PASQUINELLI DRIVE SUITE 216	WESTMONT	IL	60059	363361297	MEDICAL SERVICES	IL	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521815313	HEALTH CARE HOLDING	MD	N/A	C	Yes (1)
MAXIS HEALTH TRENTON INC
20555 VICTOR PKWY	LIVONIA	MI	48152	884267557	PROPERTY HOLDINGS	NJ	N/A	C	Yes (1)
MCMC EASTWICK INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MEDNOW INC
4300 E FLAMINGO AVE	NAMPA	ID	83687	820389927	MEDICAL SERVICES	ID	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
801 5TH STREET	SIOUX CITY	IA	51101	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	SELF-INSURANCE		N/A	C	Yes (1)	PO BOX 1051 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
MOUNT CARMEL HEALTH PROVIDERS INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061384686	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061432373	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT JOSEPH'S MCAULEY PARK I LLC
424 DECATUR ST	ATLANTA	GA	30312	880592157	PROPERTY MANAGEMENT	GA	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061232868	PROPERTY MANAGEMENT	CT	N/A	C	Yes (1)
SJM PROPERTIES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVE	SYRACUSE	NY	13203	454164964	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	474763735	PROPERTY HOLDINGS	IN	N/A	C	Yes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161540486	MEDICAL SERVICES	NY	N/A	C	Yes (1)
SYNANON INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	382715568	URGENT CARE	MI	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	042938161	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	Yes (1)
TRINITY ASSURANCE LTD
				980453602	SELF-INSURANCE		N/A	C	Yes (1)	PO BOX 1159 GRAND CAYMAN	GRAND CAYMAN	CJ	CJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)
WORKPLACE HEALTH OF GRAND HAVEN INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	383112035	OCCUPATIONAL HEALTH	MI	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CATHOLIC HEALTH INITIATIVES - IOWA CORP
M	$75,862	PER BOOKS
COVENANT FOUNDATION INC
B	$94,852	PER BOOKS
COVENANT FOUNDATION INC
C	$291,774	PER BOOKS
MOUNT CARMEL HEALTH PLAN
L	$159,433	PER BOOKS
SARTORI MEMORIAL HOSPITAL INC
K	$260,493	PER BOOKS
SARTORI MEMORIAL HOSPITAL INC
Q	$137,640	PER BOOKS
TRINITY HEALTH CORPORATION
C	$152,144,903	PER BOOKS
TRINITY HEALTH CORPORATION
M	$171,593	PER BOOKS
TRINITY HEALTH CORPORATION
Q	$1,249,235	PER BOOKS
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
A	$2,845	PER BOOKS
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
B	$105,291	PER BOOKS
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
M	$20,678,931	PER BOOKS
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
Q	$477,129	PER BOOKS