CAPITAL HEALTH LIFE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL HEALTH LIFE INC (EIN 22-2797282)
- Tax period
- 2022-07-01 to 2022-12-31
- Filed
- 2024-08-27
- IRS object ID
- 202442409349300314
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-27T08:39:53-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222797282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPITAL HEALTH LIFE INC (FKA LIFE ST | BusinessNameLine1Txt |
| Business Name Line2 | FRANCIS CORPORATION) | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAPI | BusinessNameControlTxt |
| Phone | 6095995433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7500 K JOHNSON BOULEVARD | AddressLine1Txt |
| City | BORDENTOWN | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08505 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANE FLEMING | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6095995433 | PhoneNum |
| Signature | 2024-08-27 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | AL MAGHAZEHE PHD FACHE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 BRUNSWICK AVENUE | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08638 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,301,341 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAPITALHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES FOR THE ELDERLY | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $740 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,585,468 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,301,341 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$22,594 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,394 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,650 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $30,572,264 | PYTotalRevenueAmt |
| CY Total Revenue | $15,292,947 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,848,185 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,886,686 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,118,513 | PYOtherExpensesAmt |
| CY Other Expenses | $7,988,924 | CYOtherExpensesAmt |
| PY Total Expenses | $26,966,698 | PYTotalExpensesAmt |
| CY Total Expenses | $11,875,610 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,605,566 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,417,337 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,939,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,204,807 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,607,987 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,782,594 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,668,740 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $422,213 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE POPULATIONS WE SERVE IN URBAN AND SUBURBAN COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,635,409 | ExpenseAmt |
| Revenue | $15,301,341 | RevenueAmt |
| Desc | CAPITAL HEALTH LIFE, A "PACE" PROGRAM, IS LOCATED IN BORDENTOWN, NJ IN THE GREATER TRENTON, NJ AREA. CAPITAL HEALTH LIFE PROVIDES COMPASSIONATE, SENSITIVE CARE TO SENIORS WHO REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THIS UNIQUE PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE) PROVIDES COMPREHENSIVE, CUSTOMIZED CARE PLANS TO MEET THE MEDICAL NEEDS OF EACH PARTICIPANT AND ALLOWS THEM TO LIVE SAFELY AT HOME. THE PROGRAM IS ADMINISTERED FROM A LIFE CENTER. THE INTEGRATED CARE PROVIDED BY THE LIFE CENTER INCLUDES ALL MEDICAL, NURSING, SOCIAL AND BEHAVIORAL SERVICES, SUCH AS ADULT DAY CARE, MEDICATION, TRANSPORTATION TO AND FROM THE LIFE CENTER, MEDICAL EQUIPMENT AND SUPPLIES, NUTRITION, OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES, LAB WORK, X-RAYS, AND MORE. ON DECEMBER 21, 2022 CAPITAL HEALTH ASSUMED RESPONSIBILITY FOR HEALTH CARE SERVICES PREVIOUSLY PROVIDED BY THE ST. FRANCIS HEALTH SYSTEM. THE LIFE PROGRAM, HAS BEEN RENAMED CAPITAL HEALTH LIFE AND REMAINS OPEN IN ITS BORDENTOWN LOCATION. ASSISTED LIVING PROGRAM PATIENTS CONTINUE TO RECEIVE CARE AS THEY DID PRIOR TO THE TRANSITION.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION: WWW.CAPITALHEALTH.ORG/MEDICAL-SERVICES/LIVING-INDEPENDENTLY-FOR-ELDERS | Desc |
| Total Program Service Expenses | $9,635,409 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | 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 | 0 | OperateHospitalInd |
| 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 | 0 | 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 188 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | SHANE FLEMING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6093946029 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 BRUNSWICK AVENUE | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08638 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
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 | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BENJAMIN CARTER | ||||||||
| TRUSTEE THR 12/22,TRINITY EVP & COO | 1.00 | 54.00 | Yes (X) | $0 | $2,758,940 | $98,795 | ||
| DANIEL MOEN | ||||||||
| TRUSTEE, SFMC PRES & CEO THR 12/22 | 1.00 | 54.00 | Yes (X) | $0 | $684,723 | $71,788 | Yes (X) | |
| C JAMES ROMANO MD | ||||||||
| CHIEF MEDICAL OFFICER THROUGH 12/22 | 1.00 | 49.00 | $0 | $675,648 | $42,683 | Yes (X) | ||
| DAVID DAFILOU | ||||||||
| TRUSTEE AT 12/22; CAPITAL HEALTH CPO | 1.00 | 54.00 | Yes (X) | $0 | $637,658 | $37,184 | ||
| ERIC SCHWARTZ MD | ||||||||
| TRUSTEE AT 12/22;CAPITAL HEALTH PHYS | 1.00 | 54.00 | Yes (X) | $0 | $557,703 | $37,053 | ||
| CATHERINE MIKUS | ||||||||
| SECY THR2/22;TRINITY MID-ATLANTIC VP | 1.00 | 49.00 | $0 | $485,120 | $58,053 | Yes (X) | ||
| MARK KELLY | ||||||||
| TREA, SFMC VP OF FIN & CFO THR 12/22 | 1.00 | 49.00 | $0 | $364,537 | $45,380 | Yes (X) | ||
| CHRISTOPHER WAACK | ||||||||
| TRUSTEE AT 12/22;CAPITAL HEALTH CNSL | 1.00 | 54.00 | Yes (X) | $0 | $354,176 | $31,818 | Yes (X) | |
| RACHEL LIEBMAN | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | 0.00 | $0 | $305,520 | $19,507 | Yes (X) | ||
| SUGANTHINI UMAKANTHAN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $0 | $253,004 | $42,789 | Yes (X) | ||
| LISA ZAVORSKI | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | $0 | $171,442 | $30,123 | Yes (X) | ||
| HEATHER LAUGHLAND | ||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $0 | $151,154 | $19,808 | Yes (X) | ||
| MARGARET NUCERO-SCHRADER | ||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $0 | $150,364 | $7,854 | Yes (X) | ||
| ALIREZA MAGHAZEHE | ||||||||
| TTEE AT 12/22;CAPITAL HLTH PRES/CEO | 1.00 | 54.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SHANE FLEMING | ||||||||
| TRUSTEE AT 12/22; CAPITAL HEALTH CFO | 1.00 | 54.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOSEPH YOUNGBLOOD II PHD | ||||||||
| TRUSTEE, CHAIR THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARY GEARY | ||||||||
| TRUSTEE, VICE CHAIR THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BRIAN BENNETT | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SAMUEL FRISBY | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LILLIAN HARRINGTON MPF | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ZAKARIA MANIYA | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MONSIGNOR WALTER NOLAN | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN WOODS | ||||||||
| TRUSTEE THROUGH 12/22 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,549,989 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $542,835 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| PHARMASTAR | |||||
| 2503 N HILLCREST PARKWAY | ALTOONA | WI | 54720 | PHARMACY MANAGEMENT SERVICES | $3,519,621 |
| HAMILTON CONTINUING CARE CENTER | |||||
| 1059 EDINBURG | HAMILTON | NJ | 08690 | HEALTH CARE SERVICES | $1,251,621 |
| HAMILTON GROVE HEALTHCARE | |||||
| 2300 HAMILTON AVE | HAMILTON | NJ | 08619 | HEALTH CARE SERVICES | $1,122,004 |
| CAPITAL HEALTH SYSTEM | |||||
| 750 BRUNSWICK AVE | TRENTON | NJ | 08638 | HEALTH CARE SERVICES | $675,752 |
| RIVERSIDE NURSING & REHABILITATION CENTE | |||||
| 325 JERSEY ST | TRENTON | NJ | 08611 | HEALTH CARE SERVICES | $451,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PACE CAPITATION REVENUE | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $15,301,341 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,301,341 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,301,341 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,394 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$8,394 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,394 | TotalRevenueColumnAmt |
| Exclusion | -$8,394 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,292,947 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,301,341 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$8,394 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,916,930 | TotalAmt |
| Program Services | $2,801,726 | ProgramServicesAmt |
| Management And General | $115,204 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,936 | TotalAmt |
| Program Services | $734,725 | ProgramServicesAmt |
| Management And General | $30,211 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,820 | TotalAmt |
| Program Services | $196,321 | ProgramServicesAmt |
| Management And General | $8,499 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700 | TotalAmt |
| Management And General | $700 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,919,882 | TotalAmt |
| Program Services | $3,161,025 | ProgramServicesAmt |
| Management And General | $758,857 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,279 | TotalAmt |
| Program Services | $133 | ProgramServicesAmt |
| Management And General | $13,146 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,633 | TotalAmt |
| Program Services | $100,666 | ProgramServicesAmt |
| Management And General | $24,967 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,929 | TotalAmt |
| Program Services | $68,324 | ProgramServicesAmt |
| Management And General | $189,605 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,972 | TotalAmt |
| Program Services | $58,554 | ProgramServicesAmt |
| Management And General | $35,418 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,570 | TotalAmt |
| Program Services | $110,570 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,196 | TotalAmt |
| Program Services | $50,196 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,342 | TotalAmt |
| Program Services | $9,174 | ProgramServicesAmt |
| Management And General | $12,168 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,236,817 | $2,236,817 | |
| RESTRUCTURING OR PENSIO | $612,458 | $612,458 | |
| I/C PURCHASED SERVICES | $437,648 | $437,648 | |
| EQUIPMENT MAINTENANCE | $96,500 | $96,500 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,998 | TotalAmt |
| Program Services | $10,678 | ProgramServicesAmt |
| Management And General | $1,320 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,875,610 | TotalAmt |
| Program Services | $9,635,409 | ProgramServicesAmt |
| Management And General | $2,240,201 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,707 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,283,020 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,535 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $645,903 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $423,342 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,196 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $373,146 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,715,476 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,810,317 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,212 | BOYAmt |
| EOY | $902,738 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,939,247 | BOYAmt |
| EOY | $3,204,807 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,265,594 | BOYAmt |
| EOY | $1,633,414 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,187 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,837,206 | BOYAmt |
| EOY | $1,149,180 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,607,987 | BOYAmt |
| EOY | $2,782,594 | 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 | -$5,668,740 | BOYAmt |
| EOY | $422,213 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,668,740 | BOYAmt |
| EOY | $422,213 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,939,247 | BOYAmt |
| EOY | $3,204,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,417,337 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$525 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,674,141 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $740 | CurrentTaxYearMinus1YearAmt |
| Total | $1,940 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,746,763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,443,329 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,952,814 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,594,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,301,341 | CurrentTaxYearAmt |
| Total | $141,038,365 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,747,263 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,443,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,952,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,594,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,301,341 | CurrentTaxYearAmt |
| Total | $141,040,305 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $141,040,305 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,747,263 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,443,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,952,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,594,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,301,341 | CurrentTaxYearAmt |
| Total | $141,040,305 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $700 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $700 | 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 | CAPITAL HEALTH LIFE HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO A NATIONAL HEALTH CARE ORGANIZATION, WHERE THE ORGANIZATION HAS PROVIDED CAPITAL HEALTH LIFE WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $423,342 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,196 | DepreciationAmt |
| Book Value | $373,146 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $373,146 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT-OF-USE ASSETS | $867,238 |
| OTHER LONG TERM ASSETS | $35,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $902,738 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITIES | $867,238 |
| OTHER LT LIABILITIES | $281,942 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,149,180 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN CARTER | ||||||||||||||
| TRUSTEE THR 12/22,TRINITY EVP & COO | $0 | $1,408,317 | $0 | $910,000 | $0 | $440,623 | $0 | $18,300 | $0 | $80,495 | $0 | $2,857,735 | $0 | $0 |
| DANIEL MOEN | ||||||||||||||
| TRUSTEE, SFMC PRES & CEO THR 12/22 | $0 | $649,940 | $0 | $0 | $0 | $34,783 | $0 | $13,725 | $0 | $58,063 | $0 | $756,511 | $0 | $0 |
| C JAMES ROMANO MD | ||||||||||||||
| CHIEF MEDICAL OFFICER THROUGH 12/22 | $0 | $389,534 | $0 | $277,582 | $0 | $8,532 | $0 | $18,300 | $0 | $24,383 | $0 | $718,331 | $0 | $0 |
| DAVID DAFILOU | ||||||||||||||
| TRUSTEE AT 12/22; CAPITAL HEALTH CPO | $0 | $379,440 | $0 | $227,217 | $0 | $31,001 | $0 | $3,100 | $0 | $34,084 | $0 | $674,842 | $0 | $0 |
| ERIC SCHWARTZ MD | ||||||||||||||
| TRUSTEE AT 12/22;CAPITAL HEALTH PHYS | $0 | $393,663 | $0 | $128,716 | $0 | $35,324 | $0 | $3,100 | $0 | $33,953 | $0 | $594,756 | $0 | $0 |
| CATHERINE MIKUS | ||||||||||||||
| SECY THR2/22;TRINITY MID-ATLANTIC VP | $0 | $338,392 | $0 | $86,262 | $0 | $60,466 | $0 | $22,875 | $0 | $35,178 | $0 | $543,173 | $0 | $47,101 |
| MARK KELLY | ||||||||||||||
| TREA, SFMC VP OF FIN & CFO THR 12/22 | $0 | $247,673 | $0 | $115,236 | $0 | $1,628 | $0 | $18,300 | $0 | $27,080 | $0 | $409,917 | $0 | $0 |
| CHRISTOPHER WAACK | ||||||||||||||
| TRUSTEE AT 12/22;CAPITAL HEALTH CNSL | $0 | $274,300 | $0 | $79,237 | $0 | $639 | $0 | $3,050 | $0 | $28,768 | $0 | $385,994 | $0 | $0 |
| RACHEL LIEBMAN | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $0 | $279,156 | $0 | $26,000 | $0 | $364 | $0 | $1,545 | $0 | $17,962 | $0 | $325,027 | $0 | $0 |
| SUGANTHINI UMAKANTHAN | ||||||||||||||
| PHYSICIAN | $0 | $228,039 | $0 | $23,500 | $0 | $1,465 | $0 | $11,632 | $0 | $31,157 | $0 | $295,793 | $0 | $0 |
| LISA ZAVORSKI | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $154,170 | $0 | $16,406 | $0 | $866 | $0 | $0 | $0 | $30,123 | $0 | $201,565 | $0 | $0 |
| HEATHER LAUGHLAND | ||||||||||||||
| NURSE PRACTITIONER | $0 | $136,799 | $0 | $14,249 | $0 | $106 | $0 | $2,312 | $0 | $17,496 | $0 | $170,962 | $0 | $0 |
| MARGARET NUCERO-SCHRADER | ||||||||||||||
| NURSE PRACTITIONER | $0 | $139,567 | $0 | $8,617 | $0 | $2,180 | $0 | $6,683 | $0 | $1,171 | $0 | $158,218 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | CAPITAL HEALTH LIFE WAS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. CAPITAL HEALTH LIFE'S PRESIDENT WAS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF CAPITAL HEALTH LIFE'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM") A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPITAL HEALTH SYSTEM, INC. ("CHS"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. ACCORDINGLY, THE HOSPITAL'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISQUALIFIED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ARE INTENDED FOR THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON COMPARABILITY MARKET DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS BASED ON TAX-EXEMPT STATUS, REVENUE, LOCATION, SERVICES, AND OTHER FACTORS TO ENSURE THE EXECUTIVES' COMPENSATION IS REPRESENTATIVE OF THE EXECUTIVE TALENT MARKET AND COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES" AS REFERENCED UNDER IRS REGULATIONS. CONTEMPORANEOUS MINUTES ARE COMPILED AND APPROVED FOR ALL COMMITTEE DELIBERATIONS. THESE ARE SUPPORTED BY THE WRITTEN DOCUMENTATION OF ALL PEER AND MARKET COMPENSATION STUDIES, AS WELL AS DETAILED PERFORMANCE JUSTIFICATION USED AS THE BASIS FOR AWARDS UNDER THE ORGANIZATION'S INCENTIVE PROGRAMS. RECOGNIZING THE NEED TO CONSIDER RETIREMENT PLANNING FOR ITS SENIOR MANAGEMENT AS A MEANS TO AID IN THEIR RETENTION, THE COMMITTEE MAINTAINS A FORM OF LONGTERM NON-QUALIFIED DEFERRED COMPENSATION (REFERRED TO AS THE "PERFORMANCE-BASED CAPITAL ACCUMULATION PLAN", OR "PBCAP"), WHICH IS PART OF THE CAPITAL HEALTH SYSTEM NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN. PBCAP PROVIDES THE ORGANIZATION WITH AN ADDITIONAL TOOL TO ASSIST IN THE RECRUITMENT AND RETENTION OF SENIOR MANAGEMENT WITHIN THE HIGHLY COMPETITIVE HEALTHCARE LABOR MARKET. PBCAP PROVIDES SENIOR MANAGEMENT WITH THE OPPORTUNITY TO QUALIFY FOR ANNUAL DEFERRED CONTRIBUTIONS, BASED ON ACHIEVING SPECIFIED PERFORMANCE TARGETS AND MEETING ESTABLISHED CIRCUIT BREAKERS, TO BE PAID AT A FUTURE PRE-DETERMINED DATE CONTINGENT UPON CONTINUED SERVICE WITH THE ORGANIZATION. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT AND INDEPENDENT COMPENSATION CONSULTANTS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| PART I, LINE 4B | THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $392,875 CATHERINE MIKUS - $47,970 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). THE FOLLOWING PAYOUTS FOR 2022 FOR THIS PLAN ARE INCLUDED IN COLUMN B (III) OF SCHEDULE J, PART II: DANIEL MOEN - $11,048 |
| PART I, LINE 7 | CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED INCENTIVE AWARDS DURING CALENDAR YEAR 2022, WHICH INCENTIVE AWARDS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II) AND WERE REPORTED ON EACH SUCH INDIVIDUAL'S 2022 FORM W2, BOX 5, AS TAXABLE MEDICARE WAGES. THESE INCENTIVE AWARDS WERE PAID UNDER THE CAPITAL HEALTH INCENTIVE COMPENSATION PLAN ("ICP"), APPROVED BY THE BOARD COMPENSATION COMMITTEE, AND BASED ON ACHIEVEMENT OF PREESTABLISHED SYSTEMWIDE PERFORMANCE CRITERIA AND METRICS, AS WELL AS MEETING OR EXCEEDING SPECIFIC PERFORMANCE ON "CIRCUIT BREAKERS." THE ICP PROVIDES ELIGIBLE EXECUTIVES WITH THE OPPORTUNITY TO EARN PERFORMANCE BASED COMPENSATION AND IS AN INTEGRAL COMPONENT OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PACKAGE. THE BOARD COMPENSATION COMMITTEE USES THE ICP AS A MECHANISM TO REWARD PERFORMANCE AGAINST ESTABLISHED KEY PERFORMANCE REQUIREMENTS. THE GOALS COVER FINANCIAL AND OPERATIONAL METRICS AND ARE DEFINED EACH YEAR, BASED ON THE DESIRED CONCENTRATION REQUIRED BY THE BOARD COMPENSATION COMMITTEE. THE BOARD COMPENSATION COMMITTEE UNDERTAKES A MIDYEAR REVIEW OF PERFORMANCE TOWARDS ACHIEVEMENT OF EACH GOAL, WHICH ALLOWS THE BOARD COMPENSATION COMMITTEE TO MONITOR HOW KEY PROJECTS ARE BEING HANDLED AND TO MAKE ADJUSTMENTS, IF NECESSARY. PLEASE REFER TO SCHEDULE J, PART II, COLUMN B(II) FOR THIS INFORMATION BY PERSON AND BY AMOUNT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| AMENDED FORM 990 | FORM 990 IS BEING AMENDED TO CORRECT THE TAX YEAR ENDING DATE REPORTED IN FORM 990, BOX A. THE ORIGINALLY FILED FORM 990 WAS FOR THE TAX PERIOD BEGINNING JULY 1, 2022, AND ENDING DECEMBER 31, 2022, DUE TO A CHANGE OF ACCOUNTING PERIOD AS A RESULT OF FILING FORM 1128. ALL INFORMATION REPORTED ON THE ORIGINALLY FILED FORM 990 WAS FOR THAT TAX PERIOD. THE TAX YEAR END DATE WAS INADVERTENTLY REPORTED AS JUNE 30, 2023, ON THE ORIGINAL FORM 990, WHEN IT WAS INTENDED TO BE DECEMBER 31, 2022. |
| FORM 990, PART VI, SECTION A, LINE 4 | CAPITAL HEALTH LIFE FILED AMENDED AND RESTATED CERTIFICATE OF INCORPORATION WITH STATE OF NEW JERSEY ON DECEMBER 21, 2022 AND CHANGED ITS NAME FROM LIFE ST. FRANCIS TO CAPITAL HEALTH LIFE, INC. THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION STATED THE SOLE MEMBER OF CAPITAL HEALTH LIFE SHALL BE CAPITAL HEALTH-EAST TRENTON, INC. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF CAPITAL HEALTH LIFE IS CAPITAL HEALTH-EAST TRENTON, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | CAPITAL HEALTH-EAST TRENTON IS THE SOLE MEMBER OF CAPITAL HEALTH LIFE. |
| FORM 990, PART VI, SECTION A, LINE 7B | CAPITAL HEALTH-EAST TRENTON HAS CERTAIN RESERVED POWERS AS DEFINED IN THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR CAPITAL HEALTH LIFE IS REVIEWED BY MANAGEMENT. 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 | PRIOR TO DECEMBER 20, 2022, CAPITAL HEALTH LIFE HAD 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 CAPITAL HEALTH LIFE, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF CAPITAL HEALTH LIFE 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 TRUSTEES OF CAPITAL HEALTH LIFE ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO CAPITAL HEALTH LIFE OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF CAPITAL HEALTH LIFE 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 WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF CAPITAL HEALTH LIFE. 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 | QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CAPITAL HEALTH LIFE'S PRESIDENT, PRIOR TO DECEMBER 20, 2022, WAS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING PRESIDENT COMPENSATION, TRINITY HEALTH FOLLOWED A PROCESS AND POLICY THAT WAS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE PRESIDENT WERE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINED AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATION IT MADE ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFIT ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USED A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. AS OF DECEMBER 21, 2022, THE ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH SYSTEM AND AFFILIATES ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES CAPITAL HEALTH SYSTEM, INC. ("CHS"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, ARE EMPLOYED BY CHS, THE TAX-EXEMPT HOSPITAL WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF CERTAIN OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO EITHER OFFICERS AND/OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, THE HOSPITAL'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF ALL OF THE ORGANIZATION'S SENIOR MANAGEMENT AND OTHERS, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND OTHER OFFICERS OF THE ORGANIZATION, PHYSICIANS, AND ANY OTHER DISQUALIFIED PERSONS. IT ALSO REVIEWS AND APPROVES EMPLOYMENT AGREEMENTS FOR THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NONQUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF EACH SUCH INDIVIDUAL IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ARE INTENDED FOR THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE SENIOR MANAGEMENT TEAM. REBUTTAL PRESUMPTION REQUIREMENTS HAVE GUIDED THE ACTIVITIES OF THE COMMITTEE IN ALL OF ITS REVIEWS, DELIBERATIONS AND APPROVAL OF EXECUTIVE COMPENSATION ACTIONS FOR ALL OF THE COVERED EMPLOYEES AND DISQUALIFIED PERSONS. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS, EACH OF WHOM IS INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON COMPARABILITY MARKET DATA PROVIDED BY ITS INDEPENDENT COMPENSATION CONSULTANT FROM COMPARABLE HEALTHCARE AND HOSPITAL PEERS BASED ON TAX-EXEMPT STATUS, REVENUE, LOCATION, SERVICES, AND OTHER FACTORS TO ENSURE THE EXECUTIVES' COMPENSATION IS REPRESENTATIVE OF THE EXECUTIVE TALENT MARKET AND COMPARED TO WHAT IS ORDINARILY PAID FOR LIKE SERVICES BY LIKE ENTERPRISES UNDER LIKE CIRCUMSTANCES" AS REFERENCED UNDER IRS REGULATIONS. CONTEMPORANEOUS MINUTES ARE COMPILED AND APPROVED FOR ALL COMMITTEE DELIBERATIONS. THESE ARE SUPPORTED BY THE WRITTEN DOCUMENTATION OF ALL PEER AND MARKET COMPENSATION STUDIES, AS WELL AS DETAILED PERFORMANCE JUSTIFICATION USED AS THE BASIS FOR AWARDS UNDER THE ORGANIZATION'S INCENTIVE PROGRAMS. RECOGNIZING THE NEED TO CONSIDER RETIREMENT PLANNING FOR ITS SENIOR MANAGEMENT AS A MEANS TO AID IN THEIR RETENTION, THE COMMITTEE MAINTAINS A FORM OF LONGTERM NONQUALIFIED DEFERRED COMPENSATION (REFERRED TO AS THE "PERFORMANCEBASED CAPITAL ACCUMULATION PLAN", OR "PBCAP"), WHICH IS PART OF THE CAPITAL HEALTH SYSTEM NONQUALIFIED 457(F) DEFERRED COMPENSATION PLAN. PBCAP PROVIDES THE ORGANIZATION WITH AN ADDITIONAL TOOL TO ASSIST IN THE RECRUITMENT AND RETENTION OF SENIOR MANAGEMENT WITHIN THE HIGHLY COMPETITIVE HEALTHCARE LABOR MARKET. PBCAP PROVIDES SENIOR MANAGEMENT WITH THE OPPORTUNITY TO QUALIFY FOR ANNUAL DEFERRED CONTRIBUTIONS, BASED ON ACHIEVING SPECIFIED PERFORMANCE TARGETS AND MEETING ESTABLISHED CIRCUIT BREAKERS, TO BE PAID AT A FUTURE PREDETERMINED DATE CONTINGENT UPON CONTINUED SERVICE WITH THE ORGANIZATION. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT AND INDEPENDENT COMPENSATION CONSULTANTS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELFEVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| FORM 990, PART VI, SECTION A, LINE 1B: | THIS ORGANIZATION IS AN AFFILIATE WITHIN CAPITAL HEALTH, WHICH ALSO INCLUDES CAPITAL HEALTH-EAST TRENTON. ALTHOUGH THIS FEDERAL FORM 990 SHOWS NO INDEPENDENT BOARD OF DIRECTORS UNDER THE INTERNAL REVENUE SERVICE ("IRS") DEFINITION, THIS ORGANIZATION ACTS IN A CHARITABLE TAX-EXEMPT MANNER AND HAS RECEIVED ITS TAX-EXEMPT STATUS FROM THE IRS PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION'S SOLE MEMBER IS CAPITAL HEALTH-EAST TRENTON, WHOSE BOARD IS COMPRISED OF A MAJORITY OF INDEPENDENT DIRECTORS. IN ADDITION, CAPITAL HEALTH-EAST TRENTON IS CONTROLLED BY CAPITAL HEALTH WHOSE BOARD IS ALSO COMPRISED OF A MAJORITY OF INDEPENDENT DIRECTORS. |
| FORM 990, PART VII, SECTION A, LINE 1A: | THIS ORGANIZATION IS A MEMBER OF CAPITAL HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE FOLLOWING INDIVIDUALS ARE ALSO BOARD MEMBER AND/OR OFFICER OF CAPITAL HEALTH SYSTEM INC. (EIN: 22-3548695). PLEASE REFER TO CAPITAL HEALTH SYSTEM 2022 FORM 990 FOR THEIR COMPENSATION AND BENEFITS INFORMATION: ALIREZA MAGHAZEHE, BOARD MEMBER AND OFFICER SHANE FLEMING, BOARD MEMBER AND OFFICER FORM 990, PART VII AND SCHEDULE J: BENJAMIN CARTER IS LISTED AS A DIRECTOR ON THIS FORM 990. THIS IS HIS SOLE ROLE WITH THE ORGANIZATION. HE PROVIDES NO SERVICES TO OR FOR THE ORGANIZATION AND IS NOT INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THIS ORGANIZATION. MR. CARTER IS EMPLOYED BY A RELATED ORGANIZATION AND WORKS FULL TIME IN THIS CAPACITY FOR TRINITY HEALTH, INC. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH TRINITY HEALTH (EIN: 35-1443425). TRINITY HEALTH FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. CARTER'S COMPENSATION IN EXCESS OF $1M. AL MAGHAZEHE, PH.D., FACHE AND SHANE FLEMING, CPA ARE LISTED AS DIRECTORS ON THIS FORM 990. THIS IS THEIR SOLE ROLE WITH THE ORGANIZATION. NEITHER PROVIDES ANY SERVICES TO OR FOR THE ORGANIZATION AND NEITHER ARE INVOLVED IN THE MANAGEMENT OR DAY TO DAY ACTIVITIES OF THIS ORGANIZATION. MR. MAGHAZEHE AND MR. FLEMING ARE EMPLOYED BY A RELATED ORGANIZATION AND WORK FULL TIME IN THEIR CAPACITY FOR CAPITAL HEALTH SYSTEM, INC. ACCORDINGLY THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIPS ARE WITH CAPITAL HEALTH SYSTEM, INC. (EIN: 22-3548695). CAPITAL HEALTH SYSTEM, INC. FILED A 2022 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. MAGHAZEHE 'S AND MR. FLEMING'S COMPENSATION IN EXCESS OF $1M. FORM 990, PART V LINE 2A AND PART VII HIGHEST COMPENSATED EMPLOYEES: WHILE CAPITAL HEALTH LIFE WAS A PART OF THE TRINITY HEALTH SYSTEM, IT HAD A PAYROLL STRUCTURE IN WHICH EMPLOYEES OF THE REPORTING ORGANIZATION WERE PAID DIRECTLY BY A RELATED ORGANIZATION, HOWEVER THOSE INDIVIDUALS SPENT 100% OF THEIR TIME PROVIDING SERVICES TO THE REPORTING ORGANIZATION. AS A RESULT OF THIS STRUCTURE, FORM 990, PART VI LINE 2A REPORTS 0 WHILE PART VII REPORTS HIGHEST COMPENSATED EMPLOYEES. |
| FORM 990, PART IX, LINE 11G | MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 766,297. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 766,297. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 340,301. MANAGEMENT AND GENERAL EXPENSES 758,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,099,158. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,054,427. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,054,427. |
| FORM 990, PART XI, LINE 9: | ASSET IMPAIRMENT 989,838. EQUITY TRANSFER FROM AFFILIATES 1,260,961. INHERENT CONTRIBUTION OF NA RECEIVED IN THE ACQUISITION OF ST. FRANCIS 423,342. |
| FORM 990, PART XII, LINE 2: | CAPITAL HEALTH LIFE FINANCIAL STATEMENTS FROM JULY 1 TO DECEMBER 20, 2022 WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FINANCIAL STATEMENTS FROM DECEMBER 21 TO DECEMBER 31, 2022 WERE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CAPITAL HEALTH SYSTEM, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (227 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 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 | 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 10 | 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 FRANSISCAN HEALTHCARE-IOWA INC | Yes (1) | ||
| 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) | ||
| 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) | ||
| HEART CENTER OF GREATER WATERBURY INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 830416893 | MANAGEMENT | CT | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| 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 | ||||||||||||
| 18525 WOODLAND RIDGE SUITE 200 | SPRING LAKE | MI | 49456 | 382370192 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| HOSPICE OF SIOUXLAND | ||||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 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) | ||
| 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 FRANSISCAN 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 JOSEPH 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) | ||
| NE PHYSICIAN SERVICES INC | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232497355 | HEALTH CARE SERVICES (INACTIVE) | 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 FRANSISCAN 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 7 | 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 CHILD CARE CENTER INC | ||||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD CARE SERVICES | NY | 501(C)(3) | LINE 10 | ST PETER'S HEALTH PARTNERS | 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 10 | 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 FRANSISCAN 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 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 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 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 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 | Yes (1) | ||
| BIFURCATED SYSTEM RRRG INC | ||||||||||||
| 151 MEETING ST SUITE 301 | CHARLESTON | SC | 29401 | 883919275 | SUPPORTING | SC | 501(C)(3) | 509(A)(3) | CAPITAL HEALTH SYSTEM INC | 0 | ||
| CAPITAL HEALTH FOUNDATION-EAST TRENTON INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | SUPPORTING | NJ | 501(C)(3) | 509(A)(1) | CAPITAL HEALTH-EAST TRENTON INC | 0 | ||
| CAPITAL HEALTH LIFE INC | ||||||||||||
| 7500 K JOHNSON BOULEVARD | BORDENTOWN | NJ | 08505 | 222797282 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(2) | CAPITAL HEALTH-EAST TRENTON INC | 0 | ||
| CAPITAL HEALTH MEDICAL GROUP-EAST TRENTON PA | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 832199054 | HEALTHCARE | NJ | 501(C)(3) | HOSPITAL | CAPITAL HEALTH-EAST TRENTON INC | 0 | ||
| CAPITAL HEALTH SYSTEM FOUNDATION INC | ||||||||||||
| 750 BRUNSWICK AVENUE | TRENTON | NJ | 08638 | 222230681 | SUPPORTING | NJ | 501(C)(3) | 509(A)(1) | CAPITAL HEALTH SYSTEM INC | 0 | ||
| CAPITAL HEALTHCARE INC | ||||||||||||
| 750 BRUNSWICK AVENUE | TRENTON | NJ | 08638 | 473857888 | HEALTHCARE | NJ | 501(C)(3) | 509(A)(3) | 0 | N/A | ||
| CAPITAL HEALTH-EAST TRENTON INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTHCARE | NJ | 501(C)(3) | HOSPITAL | CAPITAL HEALTH SYSTEM INC | 0 | ||
| CAPITAL HEALTH SYSTEM INC | ||||||||||||
| 750 BRUNSWICK AVENUE | TRENTON | NJ | 08638 | 223548695 | HEALTH SERVICES | NJ | 501(C)(3) | HOSPITAL | CAPITAL HEALTHCARE INC | 0 | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (50 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) |
| FRANCES WARDE MEDICAL LABORATORY | |||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | 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) |
| 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 | Yes (1) |
| 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 (48 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 | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | |||||
| 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 | PROVIDES OFFICE RENTAL SPACE | 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) | |||||
| LABORATORY ASSOCIATES OF MICHIGAN INC | ||||||||||||||
| 300 W TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382637870 | LAB SERVICES | 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) | |||||
| 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 ALPHONSUS PHYSICIANS PA | ||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | HEALTH CARE SERVICES (INACTIVE) | 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) | |||||
| BELLEVUE AVENUE MANAGEMENT INC | ||||||||||||||
| 446 BELLEVUE AVENUE | TRENTON | NJ | 08618 | 222775694 | MANAGEMENT | NJ | N/A | C | 0 | |||||
| CAPITAL REGION INSURANCE COMPANY | ||||||||||||||
| 980656385 | FINANCIAL | N/A | C | 0 | PO BOX 1085 | GRAND CAYMAN | CJ | CJ | KY1-1108 | |||||
| MERCER HOLDING CORPORATION | ||||||||||||||
| 446 BELLEVUE AVENUE | TRENTON | NJ | 08618 | 222778535 | HOLDING CO. | NJ | N/A | C | 0 | |||||
| CAPITAL HEALTH SYSTEM CONDOMINIUM ASSOC | ||||||||||||||
| 750 BRUNSWICK AVENUE | TRENTON | NJ | 08638 | 383862389 | CONDO ASSOCIATION | NJ | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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 | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MAXIS HEALTH SYSTEM | ||
| B | $800,000 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| C | $2,060,961 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $113,286 | PER BOOKS |
| TRINITY HEALTH PACE | ||
| M | $437,648 | PER BOOKS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V: | FormAndLineReferenceDesc |
| Explanation | THIS ORGANIZATION IS A MEMBER OF CAPITAL HEALTH SYSTEM AND AFFILIATES, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE CAPITAL HEALTH SYSTEM ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES. | ExplanationTxt |