GOTTLIEB MEMORIAL HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GOTTLIEB MEMORIAL HOSPITAL (EIN 36-2379649)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349300913
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T07:40:06-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362379649 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOTTLIEB MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOTT | BusinessNameControlTxt |
| Phone | 7086813200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 W NORTH AVE | AddressLine1Txt |
| City | MELROSE PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60160 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BLAINE PETERSEN | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Phone | 7086813200 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LORI PRICE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 W NORTH AVE | AddressLine1Txt |
| City | MELROSE PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60160 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $135,973,563 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GOTTLIEBHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1230 | TotalEmployeeCnt |
| Total Volunteers | 190 | TotalVolunteersCnt |
| Total Gross UBI | $33,016 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $152,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $132,674 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $124,752,095 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $130,097,606 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$108,248 | PYInvestmentIncomeAmt |
| CY Investment Income | $486,579 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,136,008 | PYOtherRevenueAmt |
| CY Other Revenue | $4,116,096 | CYOtherRevenueAmt |
| PY Total Revenue | $145,932,755 | PYTotalRevenueAmt |
| CY Total Revenue | $134,832,955 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,655 | 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 | $58,672,452 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,019,378 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,645,322 | PYOtherExpensesAmt |
| CY Other Expenses | $72,956,517 | CYOtherExpensesAmt |
| PY Total Expenses | $138,321,429 | PYTotalExpensesAmt |
| CY Total Expenses | $132,975,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,611,326 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,857,060 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $181,036,359 | TotalAssetsBOYAmt |
| Total Assets EOY | $190,834,194 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $107,879,910 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $95,465,032 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $73,156,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,369,162 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE, LOYOLA UNIVERSITY HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.GOTTLIEB MEMORIAL HOSPITAL IS A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM AND TRINITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $127,672,391 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $132,924,631 | RevenueAmt |
| Desc | FOUNDED IN 1961, GOTTLIEB MEMORIAL HOSPITAL (GMH), LOCATED IN MELROSE PARK, ILLINOIS, IS A 254 BED ACUTE CARE NOT-FOR-PROFIT, COMMUNITY HOSPITAL THAT OFFERS EMERGENCY, INPATIENT AND OUTPATIENT MEDICAL SERVICES. GMH, WHICH IS PART OF LOYOLA UNIVERSITY HEALTH SYSTEM, PROVIDES VITAL HEALTH CARE SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK, TO PATIENTS IN VARIOUS SETTINGS INCLUDING CARDIOVASCULAR /THORACIC, OBSTETRICS, ORTHOPAEDICS, MEDICAL IMAGING, GASTROENTEROLOGY, UROLOGY, HOME CARE AND HOSPICE, TRANSITIONAL CARE, AND ADULT DAY CARE SERVICES. THE HOSPITAL CAMPUS INCLUDES AN EMERGENCY DEPT. AND LEVEL II TRAUMA CENTER WITH HELIPORT, WOUND CARE AND HYPERBARIC MEDICINE CENTER, SLEEP LAB AND DIAGNOSTIC CENTER, BIRTH CENTER, AND THE MARJORIE G. WEINBERG CANCER CENTER.DURING FISCAL YEAR 2017, GMH PROVIDED OVER 43,000 DAYS OF HEALTH CARE SERVICES AND OVER 62,000 OUTPATIENT VISITS TO THE COMMUNITY.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: HTTP://WWW.GOTTLIEBHOSPITAL.ORG/ | Desc |
| Total Program Service Expenses | $127,672,391 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 176 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1230 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLAINE PETERSEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7082164252 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2160 SOUTH FIRST AVENUE | AddressLine1Txt |
| City | MAYWOOD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 601533328 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LARRY GOLDBERG | ||||||||||
| DIRECTOR; CEO | 10.00 | 45.00 | Yes (X) | Yes (X) | $0 | $1,265,728 | $31,887 | |||
| MARC SCHWARTZ | ||||||||||
| DIRECTOR; CHAIR | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOY CUNNINGHAM | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| OMAR DUQUE | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT FLANIGAN MD | ||||||||||
| DIRECTOR THR 12/16; LUMC PHYSICIAN | 2.00 | 48.00 | Yes (X) | $0 | $458,168 | $27,354 | ||||
| LORI HEALEY | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| SALLY JEFFCOAT | ||||||||||
| DIRECTOR; TRINITY EVP WEST/MIDWEST | 2.00 | 53.00 | Yes (X) | $0 | $1,396,522 | $41,561 | ||||
| STEPHEN RAY MITCHELL MD | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUAN MORENO | ||||||||||
| DIRECTOR AS OF 1/17 | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| REV JOHN O'CALLAGHAN SJ | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| RONALD POTKUL MD | ||||||||||
| DIRECTOR; LUMC PHYSICIAN | 2.00 | 48.00 | Yes (X) | $0 | $750,424 | $42,815 | ||||
| BRIAN PROCTOR DO | ||||||||||
| DIRECTOR; GMH COMMITTEE CHAIR | 8.00 | 3.00 | Yes (X) | $25,000 | $0 | $0 | ||||
| WILLIAM SMALL MD | ||||||||||
| DIRECTOR AS OF 1/17; LUMC PROFESSOR | 2.00 | 48.00 | Yes (X) | $0 | $615,176 | $32,603 | ||||
| JOAN STEADMAN CSC | ||||||||||
| DIRECTOR | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEITH VESELIK MD | ||||||||||
| DIRECTOR; MEDICAL DIRECTOR | 2.00 | 48.00 | Yes (X) | $0 | $344,354 | $41,216 | ||||
| JACK WEINBERG | ||||||||||
| DIRECTOR THROUGH 12/16 | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| LORI PRICE | ||||||||||
| PRESIDENT | 48.00 | 2.00 | Yes (X) | $0 | $569,018 | $45,428 | ||||
| BLAINE PETERSEN | ||||||||||
| TREASURER; LUMC EVP & CFO | 10.00 | 40.00 | Yes (X) | $0 | $740,604 | $37,239 | ||||
| DANIEL ISACKSEN | ||||||||||
| ASSISTANT TREAS.; LUMC SVP FINANCE | 10.00 | 40.00 | Yes (X) | $0 | $403,520 | $31,345 | ||||
| JILL RAPPIS | ||||||||||
| SECRETARY; LUMC VP GEN CNSL | 2.00 | 48.00 | Yes (X) | $0 | $402,465 | $61,406 | ||||
| MARIA PEKAR | ||||||||||
| ASST SECRETARY; LUMC ASSOC GEN CNSL | 2.00 | 48.00 | Yes (X) | $0 | $262,484 | $60,444 | ||||
| DAVID HECHT MD MS MBA | ||||||||||
| EVP, CLINICAL AFFAIRS | 15.00 | 40.00 | Yes (X) | $0 | $697,644 | $31,069 | ||||
| ALAN GOLDBERG | ||||||||||
| VP, ADMIN SERVICES THROUGH 4/17 | 50.00 | 0.00 | $192,331 | $0 | $29,613 | Yes (X) | ||||
| BERNARD GAWNE JR | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $299,188 | $0 | $25,924 | Yes (X) | ||||
| GINGER HOOK | ||||||||||
| VP CHIEF NURSING OFFICER | 50.00 | 0.00 | $256,867 | $0 | $31,542 | Yes (X) | ||||
| SANDRA SWANSON | ||||||||||
| ADMIN DIR PERIOP/PERINATAL SVCS | 50.00 | 0.00 | $199,722 | $0 | $60,879 | Yes (X) | ||||
| EWA BOGACZ | ||||||||||
| CRITICAL CARE RN | 50.00 | 0.00 | $160,556 | $0 | $12,397 | Yes (X) | ||||
| ELIZABETH MCLAIN | ||||||||||
| CRITICAL CARE RN | 50.00 | 0.00 | $149,989 | $0 | $16,902 | Yes (X) | ||||
| YOLANDA COLEMAN | ||||||||||
| DIRECTOR OF NURSING | 50.00 | 0.00 | $149,924 | $0 | $17,657 | Yes (X) | ||||
| DANIEL HALE | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $534,994 | $6,972 | Yes (X) | ||||
| BENJAMIN CARTER | ||||||||||
| FORMER OFFICER; TRINITY EVP, CFO | 0.00 | 55.00 | $0 | $1,306,307 | $48,877 | Yes (X) | ||||
| RICHARD O'CONNELL | ||||||||||
| FORMER KE; EVP EAST GROUP THR 11/16 | 0.00 | 55.00 | $0 | $1,545,409 | $47,362 | Yes (X) | ||||
| DONNA HALINSKI | ||||||||||
| FORMER OFFICER; VP CLINICAL AFFRS | 0.00 | 50.00 | $0 | $309,384 | $75,039 | Yes (X) | ||||
| AJAY SIAL | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $517,244 | $300,951 | Yes (X) | ||||
| ELLYN CHIN | ||||||||||
| FORMER OFFICER; VP PAYOR STRATEGIES | 0.00 | 50.00 | $0 | $310,405 | $51,187 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,433,577 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,429,850 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,209,669 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GEORGE SOLLITT CONSTRUCTION CO | |||||
| 790 N CENTRAL AVE | WOODDALE | IL | 60191 | CONSTRUCTION SERVICES | $2,428,833 |
| MIDWEST ANES HBRJ LLC | |||||
| 40 SHUMAN BLVD | NAPERVILLE | IL | 60563 | MEDICAL SERVICES | $958,999 |
| SELECT REHABILITATION | |||||
| 2600 COMPASS RD | GLENVIEW | IL | 60026 | MEDICAL SERVICES | $934,596 |
| ENCOMPASS PHYSICIANS LLC | |||||
| 1121 LAKE COOK RD SUITE M | DEERFIELD | IL | 60015 | MEDICAL SERVICES | $917,020 |
| ANGELICA CORPORATION | |||||
| PO BOX 846777 | LOS ANGELES | CA | 90084 | LAUNDRY/LINEN SERVICES | $766,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $13,695 | FundraisingAmt |
| All Other Contributions | $118,979 | AllOtherContributionsAmt |
| Total Contributions | $132,674 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $125,774,987 | $125,774,987 | |
| LABORATORY REVENUE | 621500 | $4,322,619 | $4,298,901 | $23,718 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $130,097,606 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $259,974 | TotalRevenueColumnAmt |
| Exclusion | $259,974 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,993,338 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,018,155 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $975,183 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $975,183 | TotalRevenueColumnAmt |
| Exclusion | $975,183 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213,605 | SecuritiesAmt |
| Other | $13,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213,605 | SecuritiesAmt |
| Other | $13,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $226,605 | TotalRevenueColumnAmt |
| Exclusion | $226,605 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $78,750 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $13,695 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $70,145 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,605 | TotalRevenueColumnAmt |
| Exclusion | $8,605 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $92,127 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $51,808 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,319 | TotalRevenueColumnAmt |
| Exclusion | $40,319 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| OTHER REVENUE | 622110 | $2,405,928 | $2,396,630 | $9,298 | |
| GOV'T SUBSIDY - EHR | 622110 | $454,113 | $454,113 | ||
| CAFETERIA REVENUE | 722514 | $231,948 | $231,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,091,989 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134,832,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,924,631 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $33,016 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,742,634 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186,502 | TotalAmt |
| Program Services | $25,000 | ProgramServicesAmt |
| Management And General | $1,161,502 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,219,281 | TotalAmt |
| Program Services | $48,323,473 | ProgramServicesAmt |
| Management And General | $1,895,808 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,527,281 | TotalAmt |
| Program Services | $1,474,450 | ProgramServicesAmt |
| Management And General | $52,831 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,491,132 | TotalAmt |
| Program Services | $3,349,933 | ProgramServicesAmt |
| Management And General | $141,199 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,595,182 | TotalAmt |
| Program Services | $3,388,016 | ProgramServicesAmt |
| Management And General | $207,166 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,860 | TotalAmt |
| Management And General | $48,860 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,520 | TotalAmt |
| Management And General | $6,520 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,235 | TotalAmt |
| Management And General | $31,235 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,502,902 | TotalAmt |
| Program Services | $10,132,785 | ProgramServicesAmt |
| Management And General | $370,117 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,396 | TotalAmt |
| Program Services | $273,662 | ProgramServicesAmt |
| Management And General | $16,734 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,013 | TotalAmt |
| Program Services | $559,784 | ProgramServicesAmt |
| Management And General | $34,229 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,101 | TotalAmt |
| Program Services | $299,771 | ProgramServicesAmt |
| Management And General | $18,330 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,850,295 | TotalAmt |
| Program Services | $3,628,429 | ProgramServicesAmt |
| Management And General | $221,866 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,190 | TotalAmt |
| Program Services | $40,701 | ProgramServicesAmt |
| Management And General | $2,489 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,508 | TotalAmt |
| Program Services | $90,947 | ProgramServicesAmt |
| Management And General | $5,561 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,930 | TotalAmt |
| Program Services | $590,930 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,830,054 | TotalAmt |
| Program Services | $9,263,615 | ProgramServicesAmt |
| Management And General | $566,439 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,998,179 | TotalAmt |
| Program Services | $2,825,414 | ProgramServicesAmt |
| Management And General | $172,765 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $21,447,836 | $21,447,836 | |
| BAD DEBT | $10,329,038 | $10,329,038 | |
| HOSPITAL PROVIDER TAX | $5,907,073 | $5,907,073 | |
| EQUIPMENT MAINTENANCE | $3,336,293 | $3,144,045 | $192,248 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,735,094 | TotalAmt |
| Program Services | $2,577,489 | ProgramServicesAmt |
| Management And General | $157,605 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,975,895 | TotalAmt |
| Program Services | $127,672,391 | ProgramServicesAmt |
| Management And General | $5,303,504 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,545,612 | BOYAmt |
| EOY | $6,504,935 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,541 | BOYAmt |
| EOY | $442,675 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,985,619 | BOYAmt |
| EOY | $18,845,900 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,353 | BOYAmt |
| EOY | $371,078 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,816,000 | BOYAmt |
| EOY | $3,397,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,862 | BOYAmt |
| EOY | $123,409 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $130,268,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,063,834 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,564,610 | BOYAmt |
| EOY | $82,204,884 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,564,682 | BOYAmt |
| EOY | $10,340,575 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,189,458 | BOYAmt |
| EOY | $9,102,326 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,627,622 | BOYAmt |
| EOY | $59,501,412 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,036,359 | BOYAmt |
| EOY | $190,834,194 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,859,016 | BOYAmt |
| EOY | $24,539,370 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $17,541 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $238,811 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,020,894 | BOYAmt |
| EOY | $70,669,310 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,879,910 | BOYAmt |
| EOY | $95,465,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,836,092 | BOYAmt |
| EOY | $94,926,487 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,357 | BOYAmt |
| EOY | $442,675 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,156,449 | BOYAmt |
| EOY | $95,369,162 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,036,359 | BOYAmt |
| EOY | $190,834,194 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,857,060 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,789,797 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $18,565,856 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $32,133 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $32,133 | 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 | GOTTLIEB MEMORIAL HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED GOTTLIEB MEMORIAL HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,500,000 | OtherCostOrOtherBasisAmt |
| Book Value | $12,500,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,761,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,417,770 | DepreciationAmt |
| Book Value | $47,343,939 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,962,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,646,064 | DepreciationAmt |
| Book Value | $20,316,140 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,044,805 | OtherCostOrOtherBasisAmt |
| Book Value | $2,044,805 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $82,204,884 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $58,512,512 |
| MISCELLANEOUS RECEIVABLES | $829,408 |
| INVESTMENT IN UNCONSOLIDATED AFFILIATES | $105,000 |
| OTHER CURRENT ASSETS | $54,492 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $59,501,412 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $49,500,085 |
| LONG-TERM ASSET RETIREMENT OBLIGATION (FIN 47) | $496,355 |
| OTHER CURRENT LIABILITIES | $124,618 |
| OTHER LONG-TERM LIABILITIES | $1,324,059 |
| INTERCOMPANY NOTES PAYABLE | $16,470,294 |
| DEFERRED COMPENSATION LIABILITY | $76,250 |
| INTERCOMPANY OTHER LIABILITIES | $2,677,649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,669,310 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EMERALD BALL | Event1Nm |
| Gross Receipts Event1 | $92,445 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $13,695 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $78,750 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $62,235 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $5,660 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,250 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $92,445 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $13,695 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $78,750 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $62,235 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,660 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,250 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $70,145 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $8,605 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,038,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,038,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,583,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,104,106 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,479,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,621,507 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,104,106 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,517,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 2581 | PersonsServedCnt |
| Total Community Benefit Expns | $155,581 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $155,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 14 | PersonsServedCnt |
| Total Community Benefit Expns | $275,131 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $275,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 630 | PersonsServedCnt |
| Total Community Benefit Expns | $307,307 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $307,307 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 3225 | PersonsServedCnt |
| Total Community Benefit Expns | $738,019 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $738,019 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 3225 | PersonsServedCnt |
| Total Community Benefit Expns | $25,359,526 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,104,106 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,255,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,329,038 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,235,794 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $45,575,425 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $660,369 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 GOTTLIEB WEST TOWNS PHO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL CONTRACT SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00290 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49710 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOTTLIEB MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 W NORTH AVE | AddressLine1Txt |
| City | MELROSE PARK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60160 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GOTTLIEBHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 0005793 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | INCLUDING OUTPATIENT SERVICES | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOTTLIEB MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: BEGINNING IN MARCH 2015, GOTTLIEB MEMORIAL HOSPITAL (GMH), A MEMBER OF LOYOLA UNIVERSITY HEALTH SYSTEM (LUHS), PARTICIPATED IN A COLLABORATIVE OF HOSPITALS IN CHICAGO AND SUBURBAN COOK COUNTY TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICC), HOSPITALS, COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS COLLABORATIVELY GATHERED DATA AND INPUT THROUGH A COMMUNITY SURVEY AND A SERIES OF FOCUS GROUPS. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE PROCESS FACILITATOR AND BACKBONE ORGANIZATION FOR THE COLLABORATIVE CHNA AND IMPLEMENTATION PLANNING PROCESS. IPHI AND PARTNERS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING, PARTNERSHIPS, AND STRATEGIC ALIGNMENT OF IMPLEMENTATION, WHICH WILL FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT IN THE FUTURE. THE COLLABORATIVE DIVIDED COOK COUNTY INTO THREE REGIONS, OF WHICH THE GMH CHNA (WEST SUBURBAN COOK COUNTY) WAS INCLUDED WITHIN THE CENTRAL REGION. SEVEN NONPROFIT HOSPITALS, ONE PUBLIC HOSPITAL, THREE HEALTH DEPARTMENTS, AND APPROXIMATELY 30 COMMUNITY STAKEHOLDERS PARTNERED ON THE CHNA FOR THE CENTRAL REGION. HEALTH DEPARTMENTS WERE KEY PARTNERS IN LEADING THE COLLABORATIVE AND CONDUCTING THE CHNA. THE PARTICIPATING HEALTH DEPARTMENTS IN THE CENTRAL REGION WERE THE CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND OAK PARK DEPARTMENT OF PUBLIC HEALTH. THE HICC IS FOCUSED ON COMMUNITY-ENGAGED ASSESSMENT, PLANNING, AND IMPLEMENTATION. STAKEHOLDERS AND COMMUNITY PARTNERS WERE INVOLVED IN MULTIPLE WAYS THROUGHOUT THE ASSESSMENT PROCESS, BOTH IN TERMS OF COMMUNITY INPUT DATA AND AS DECISION-MAKING PARTNERS. AVENUES FOR ENGAGEMENT IN THE CENTRAL REGION CHNA INCLUDED: STAKEHOLDER ADVISORY TEAM, HOSPITALS' COMMUNITY ADVISORY GROUPS, DATA COLLECTION (COMMUNITY INPUT THROUGH SURVEY AND FOCUS GROUPS), AND ACTION PLANNING FOR STRATEGIC PRIORITIES (STARTED IN SUMMER 2016). BETWEEN MARCH AND MAY 2016, IPHI WORKED WITH THE PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS IN THE CENTRAL REGION OF COOK COUNTY (I.E., CENTRAL LEADERSHIP TEAM) TO IDENTIFY AND INVITE COMMUNITY STAKEHOLDERS TO PARTICIPATE AS MEMBERS OF THE STAKEHOLDER ADVISORY TEAM. THE STAKEHOLDER ADVISORY TEAM MEMBERS BROUGHT DIVERSE PERSPECTIVES AND EXPERTISE, AND REPRESENTED POPULATIONS AFFECTED BY HEALTH INEQUITIES INCLUDING DIVERSE RACIAL AND ETHNIC GROUPS, IMMIGRANTS AND REFUGEES, OLDER ADULTS, YOUTH, HOMELESS INDIVIDUALS, UNEMPLOYED, UNINSURED, AND VETERANS. THE CENTRAL STAKEHOLDER ADVISORY TEAM INCLUDED REPRESENTATIVES OF DIVERSE COMMUNITY ORGANIZATIONS FROM ACROSS THE WEST SIDE OF CHICAGO AND WEST COOK SUBURBS. THE ORGANIZATIONS REPRESENTED ON THE CENTRAL STAKEHOLDER ADVISORY TEAM INCLUDED: AGE OPTIONS, AGING CARE CONNECTIONS, AMERICAN CANCER SOCIETY, CASA CENTRAL, CATHOLIC CHARITIES, CHICAGO POLICE DEPARTMENT - 14TH DISTRICT, CHICAGO PUBLIC SCHOOLS, COMMUNITYHEALTH, DIABETES EMPOWERMENT CENTER, HEALTHCARE ALTERNATIVES SYSTEMS, HOUSING FORWARD, INFANT WELFARE-OAK PARK/THE CHILDREN'S CLINIC, INTERFAITH LEADERSHIP PROJECT, LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE, METROPOLITAN PLANNING COUNCIL, MILE SQUARE HEALTH CENTER, PCC WELLNESS, PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (PLCC), PROVISO TOWNSHIP MENTAL HEALTH COMMISSION, RESPIRATORY HEALTH ASSOCIATION, SAINT ANTHONY'S HOSPITAL, WEST 40 INTERMEDIATE SERVICE CENTER, WEST COOK YMCA, WEST HUMBOLDT PARK DEVELOPMENT COUNCIL, WEST SIDE HEALTH AUTHORITY, AND WICKER PARK BUCKTOWN CHAMBER OF COMMERCE. MEMBERS OF THE STAKEHOLDER ADVISORY TEAM WERE VERY IMPORTANT PARTNERS IN THE CHNA AND IMPLEMENTATION PLANNING PROCESS AND CONTRIBUTED IN SOME OF THE FOLLOWING WAYS: PARTICIPATED IN A SERIES OF 8-10 MEETINGS BETWEEN MAY 2015 AND AUGUST 2016; PROVIDED INPUT ON ASSESSMENT DESIGN, INCLUDING DATA INDICATORS, SURVEYS, FOCUS GROUPS, AND ASSET MAPPING; FACILITATED THE PARTICIPATION OF COMMUNITY MEMBERS TO PROVIDE INPUT THROUGH SURVEYS AND FOCUS GROUPS; REVIEWED ASSESSMENT DATA, ASSISTED WITH DEVELOPING FINDINGS, AND IDENTIFIED PRIORITY STRATEGIC ISSUES; AND JOINED AN ACTION TEAM TO HELP SHAPE IMPLEMENTATION STRATEGIES. THE HICC ORGANIZED 23 FOCUS GROUPS THROUGHOUT CHICAGO AND SUBURBAN COOK COUNTY BETWEEN OCTOBER 2015 AND MARCH 2016, INCLUDING SEVEN FOCUS GROUPS IN THE CENTRAL REGION. THE GOAL OF THE FOCUS GROUPS WAS TO UNDERSTAND THE NEEDS, ASSETS, AND POTENTIAL RESOURCES IN VARIOUS COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY AND TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. THE FOCUS GROUP FINDINGS WERE AN INTEGRAL COMPONENT OF DATA IN THE CHNA, AND THE HOSPITALS AND THEIR PARTNERS IN THE HICC FOCUSED ON HEARING FROM COMMUNITY REPRESENTATIVES WHO HAVE DIRECT KNOWLEDGE AND EXPERIENCE RELATED TO THE HEALTH INEQUITIES IN OUR REGION. MEMBERS OF THE REGIONAL LEADERSHIP TEAM AND STAKEHOLDER ADVISORY TEAM HOSTED THE FOCUS GROUPS AND RECRUITED FOCUS GROUP PARTICIPANTS, WITH AN INTENTIONAL APPROACH TO INCLUDE A DIVERSE RANGE OF COMMUNITIES AND SERVICE PROVIDERS. RECRUITERS SPECIFICALLY SOUGHT OUT PARTICIPANTS WHO BELONG TO OR INTERACT WITH POPULATIONS SUCH AS RACIAL OR ETHNIC MINORITIES, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS, AND YOUNG ADULTS. HOST ORGANIZATIONS INCLUDED: CASA CENTRAL, CATHOLIC CHARITIES, HOUSING FORWARD, NATIONAL ALLIANCE FOR THE EMPOWERMENT OF THE FORMERLY INCARCERATED (NAEFI), NORWEGIAN AMERICAN HOSPITAL, PRESENCE SAINT MARY AND ELIZABETH CENTER, AND QUINN COMMUNITY CENTER. ADDITIONALLY, BY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 1,200 IN THE CENTRAL REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN, AND ARABIC.LUHS CONTINUED ITS MEMBERSHIP AND PARTICIPATION ON THE STEERING COMMITTEE OF HICC. THE STEERING COMMITTEE IDENTIFIES OPPORTUNITIES AND COLLABORATIVE EFFORTS TO ADDRESS THE FOCUS AREAS DEVELOPED THROUGH THE CHNA PROCESS. |
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6A: OTHER HOSPITALS THAT PARTICIPATED IN THE CHNA INCLUDED LOYOLA UNIVERSITY MEDICAL CENTER (LUMC), NORWEGIAN AMERICAN HOSPITAL, PRESENCE SAINT MARY AND ELIZABETH MEDICAL CENTER, RML SPECIALTY HOSPITALS, RUSH (INCLUDING RUSH UNIVERSITY MEDICAL CENTER AND RUSH OAK PARK), AND STROGER HOSPITAL OF COOK COUNTY. |
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 6B: ORGANIZATIONS, OTHER THAN HOSPITAL FACILITIES, THAT PARTICIPATED IN THE CHNA INCLUDED AGE OPTIONS, AGING CARE CONNECTIONS, AMERICAN CANCER SOCIETY, CASA CENTRAL, CATHOLIC CHARITIES, CHICAGO POLICE DEPARTMENT - 14TH DISTRICT, CHICAGO PUBLIC SCHOOLS, COMMUNITYHEALTH, DIABETES EMPOWERMENT CENTER, HEALTHCARE ALTERNATIVES SYSTEMS, HOUSING FORWARD, INFANT WELFARE-OAK PARK/THE CHILDREN'S CLINIC, INTERFAITH LEADERSHIP PROJECT, LOYOLA UNIVERSITY STRITCH SCHOOL OF MEDICINE, METROPOLITAN PLANNING COUNCIL, MILE SQUARE HEALTH CENTER, PCC WELLNESS, PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (PLCC), PROVISO TOWNSHIP MENTAL HEALTH COMMISSION, RESPIRATORY HEALTH ASSOCIATION, SAINT ANTHONY'S HOSPITAL, WEST 40 INTERMEDIATE SERVICE CENTER, WEST COOK YMCA, WEST HUMBOLDT PARK DEVELOPMENT COUNCIL, WEST SIDE HEALTH AUTHORITY, WICKER PARK BUCKTOWN CHAMBER OF COMMERCE. |
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 7D: IN ADDITION TO MAKING THE CHNA AVAILABLE AT THE HOSPITAL AND ON THE WEBSITE, COPIES OF THE CHNA WERE EMAILED TO ALL STEERING COMMITTEE MEMBERS. |
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: BASED ON THE DATA AND FEEDBACK GATHERED THROUGH THE CHNA PROCESS, THE HICC CAME TO A CONSENSUS ON FOUR FOCUS AREAS THAT TOUCH AND CUT ACROSS THE THREE REGIONS IN COOK COUNTY: 1) IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH, WHILE REDUCING SOCIAL AND ECONOMIC INEQUITIES; 2) IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE; 3) PREVENTING AND REDUCING CHRONIC DISEASE, WITH A FOCUS ON RISK FACTORS - NUTRITION, PHYSICAL ACTIVITY AND TOBACCO; AND 4) INCREASING ACCESS TO CARE AND COMMUNITY SERVICES. THE RECOMMENDATION OF THE COLLABORATIVE IS THAT ALL PARTICIPATING HOSPITALS INCLUDE FOCUS AREA #1 AS A PRIORITY WITHIN THEIR SPECIFIC CHNA AREA. AFTER REVIEW AND CONSULTATION WITH ITS COMMUNITY PARTNERS, GMH IS COMMITTED TO WORKING TO DEVELOP STRATEGIES AND PROGRAMS THAT WILL ADDRESS AND FOCUS ON SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, CHRONIC DISEASE PREVENTION, AND ACCESS TO CARE. THROUGH COLLABORATION WITH ITS COMMUNITY PARTNERS AS WELL AS OTHER HEALTH PROVIDERS, GMH HAS SUPPORTED INITIATIVES THAT ADDRESS THE UNDERLYING ISSUES THAT CUT ACROSS THESE FOCUS AREAS. TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, GMH (AS PART OF LUHS) THROUGH ITS COMMUNITY COALITION SUPPORTED EFFORTS ON THE STATE AND LOCAL LEVELS TO ADOPT TOBACCO 21 POLICIES. TO ADDRESS CHRONIC DISEASE PREVENTION, GMH OFFERED FREE SPACE TO AREA FAMILIES PARTICIPATING IN THE GMH/LUHS/YMCA HEALTHY WEIGHT AND YOUR CHILD PROGRAM THAT TEACHES CHILDREN AND THEIR CAREGIVERS ABOUT HEALTHY LIVING AND EXERCISE. LUHS ALSO PROVIDED SCHOLARSHIP FUNDS TO THIS PROGRAM SO THAT FAMILIES DID NOT GET TURNED AWAY DUE TO LACK OF RESOURCES. GMH ALSO CONDUCTED VARIOUS HEALTH SCREENINGS AND COMMUNITY COALITION OUTREACH ACTIVITIES IN THE SERVICE AREA THROUGHOUT THE YEAR.GMH ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. GMH WILL NOT ALLOCATE SIGNIFICANT RESOURCES TO ADDRESS MENTAL AND BEHAVIORAL HEALTH ISSUES DUE TO LIMITED PROGRAMS AND RESOURCES. GMH WILL CONTINUE TO WORK WITH AREA PROVIDERS AND SUPPORT INITIATIVES DEVELOPED BY THE HICC AS APPROPRIATE TO GMH'S MISSION AND RESOURCES. |
| GOTTLIEB MEMORIAL HOSPITAL | PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 7A: | HTTPS://WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFITS |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 9: | AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 10A: | HTTPS://WWW.LOYOLAMEDICINE.ORG/ABOUT-LOYOLA/COMMUNITY-BENEFITS |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 16A: | HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 16B: | HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY |
| GOTTLIEB MEMORIAL HOSPITAL - PART V, SECTION B, LINE 16C: | HTTPS://WWW.LOYOLAMEDICINE.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE-POLICY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - GOTTLIEB HOME HEALTH & HOSPICE | ||||
| 905 W NORTH AVE | MELROSE PARK | IL | 60160 | HOME HEALTH AND HOSPICE PROGRAM |
| 2 - GOTTLIEB ADULT DAY CARE CENTER | ||||
| 555 W NORTH AVE | MELROSE PARK | IL | 60160 | ADULT DAY CARE CENTER |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | GOTTLIEB MEMORIAL HOSPITAL (GMH) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF ILLINOIS. IN ADDITION, GMH REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.GOTTLIEB MEMORIAL HOSPITAL ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. |
| PART I, LINE 7: | THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. |
| PART I, LN 7 COL(F): | THE FOLLOWING NUMBER, $10,329,038, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART III, LINE 2: | METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. |
| PART III, LINE 3: | GMH USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, GMH IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, GMH IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | GMH IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY THE HEALTH MINISTRIES AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. |
| PART III, LINE 8: | GMH DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: | THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN THE ORGANIZATION'S COLLECTION POLICY. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - GMH ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL USES PATIENT UTILIZATION DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - GMH IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, GMH HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSGMH COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. FINANCIAL ASSISTANCE APPLICATIONS WILL BE ACCEPTED UNTIL ONE YEAR AFTER THE FIRST BILLING STATEMENT TO THE PATIENT.GMH OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL.GMH HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. GMH MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - BASED IN THE WESTERN SUBURBS OF CHICAGO, GMH IS A COMMUNITY-BASED HOSPITAL LOCATED ON A 36-ACRE CAMPUS. THE HOSPITAL CAMPUS IS LOCATED IN MELROSE PARK, 14 MILES WEST OF CHICAGO'S LOOP AREA. THE HEART OF THE CAMPUS IS THE GOTTLIEB MEMORIAL HOSPITAL, A 254 LICENSED-BED FACILITY. BESIDES THE HOSPITAL, THE FOLLOWING CLINICAL SERVICES AND FACILITIES ARE LOCATED ON THE CAMPUS: LEVEL 2 TRAUMA CENTER, THE MARJORIE WEINBERG CANCER CENTER, THE WOUND CARE AND HYPERBARIC MEDICINE CENTER, SLEEP LAB AND DIAGNOSTIC CENTER, ADULT DAY CENTER, A MEDICAL OFFICE BUILDING AND THE GOTTLIEB CENTER FOR FITNESS. GMH'S CLINICAL STRENGTHS INCLUDE PRIMARY CARE, GENERAL MEDICINE, OBSTETRICS & GYNECOLOGY, CARDIOVASCULAR SERVICES, ORTHOPEDICS, NEUROSCIENCES, AND ONCOLOGY. THE CHNA SERVICE AREA IS CENTERED AROUND THE TWO CAMPUSES OF LUMC (MAYWOOD) AND GMH (MELROSE PARK) IN THE WESTERN SUBURBS OF CHICAGO. THE CHNA AREA IS COMPOSED OF A DIVERSE POPULATION OF ABOUT 540,000. HISPANICS MAKE UP THE LARGEST RACE/ETHNIC GROUPS WITH 41.1% OF THE POPULATION. WHITE NON-HISPANIC IS THE SECOND LARGEST GROUP WITH 33.7% AND AFRICAN-AMERICANS REPRESENT 21.5% OF THE CHNA POPULATION. AN INVENTORY OF HOSPITALS FOR THE CHNA SERVICE AREA INCLUDED A TOTAL OF 12 FACILITIES. GMH'S PRIMARY SERVICE AREA HAS A DIVERSE POPULATION OF OVER 388,000. OVER 14% OF THE POPULATION IS AGE 65 OR OLDER. THE AVERAGE HOUSEHOLD INCOME IS $77,861, WITH 24.4% OF HOUSEHOLDS OVER $100,000 AND 21.2% UNDER $25,000. HISPANICS ARE AMONG THE FASTEST-GROWING DEMOGRAPHIC MAKING UP 31% OF THE POPULATION.GMH SERVED 10.5% OF THE 42,903 DISCHARGED INPATIENTS FROM THIS PRIMARY SERVICE AREA IN FY17. MORE THAN 26,188 EMERGENCY DEPARTMENT VISITS WERE SEEN AT GMH. THE EMERGENCY DEPARTMENT IS A LEVEL II TRAUMA CENTER RECOGNIZED BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH AS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP). THROUGH GMH, PRE-HOSPITAL TRAINING IS PROVIDED IN THE EDUCATION AND TRAINING OF EMERGENCY MEDICAL TECHNICIANS (EMTS) AND PARAMEDICS IN NEIGHBORING COMMUNITIES. |
| PART VI, LINE 5: | OTHER INFORMATION - IN FURTHERANCE OF LUHS' TRADITION OF TEACHING, GMH SUPPORTS HOSPITAL-BASED EDUCATION AND TRAINING OF FUTURE PROFESSIONALS. GMH PROVIDED CLINICAL SUPERVISION OF PHYSICAL, SPEECH AND RESPIRATORY THERAPY STUDENTS.IN FY17, GMH PROMOTED THE HEALTH OF THE COMMUNITY THROUGH VARIOUS INITIATIVES, INCLUDING SUPPORT FOR COMMUNITY HEALTH AND SCREENING SERVICES AND A TRANSPORTATION VAN SERVICE FOR THOSE WITH NO MEANS OF TRANSPORT TO HOSPITAL DIAGNOSTIC TESTING OR ANCILLARY SERVICES. IN ADDITION, GMH PROVIDED SPACE TO A NOT-FOR-PROFIT ORGANIZATION FOR CONDUCTING A CHILDREN'S EXERCISE AND NUTRITION 8-WEEK PROGRAM, OFFERED FREE TO THE COMMUNITY AS PART OF GMH'S INITIATIVE TO ADDRESS CHILDHOOD OBESITY. GMH ALSO WORKED WITH A COMMITTEE OF AREA PROVIDERS AND AGENCIES TO HELP CONNECT SENIORS AND OTHERS WITH HEALTHCARE RESOURCES. GMH OFFERED SUPPORT GROUPS AND FREE COMMUNITY PRESENTATIONS WITH EXPERT SPEAKERS ON CARING FOR AGING FAMILY MEMBERS.ANOTHER EXAMPLE OF HOW GMH PROMOTED COMMUNITY HEALTH RELATED TO RAISING AWARENESS AND PROVIDING INFORMATION TO THE COMMUNITY FOR HEALTH-RELATED CONDITIONS: GMH AND ITS STAFF ALLERGIST JOSEPH LEIJA, MD, PROVIDED GMH'S DAILY ALLERGY COUNT (FROM APRIL THROUGH OCTOBER) FOR THE ENTIRE CHICAGOLAND. THE COUNT IS PROVIDED, AT NO COST, TO NEWS OUTLETS AND ALL CHICAGO METEOROLOGISTS. THE COUNT ALSO IS AVAILABLE ON GMH'S WEB SITE, VIA TWITTER AND BY A TELEPHONE HOTLINE EACH WEEKDAY MORNING DURING ALLERGY SEASON. IT IS A RELIED-UPON RESOURCE BY PEOPLE IN THE CHICAGO AREA WHO NEED TO DETERMINE WHETHER TO TAKE ALLERGY MEDICATION BEFORE STEPPING OUT THE DOOR IN THE MORNING.GMH CONTINUED TO ACTIVELY SUPPORT PROVISO PARTNERS FOR HEALTH (PP4H), A MULTI-SECTOR, COMMUNITY DRIVEN COALITION OF MORE THAN 25 LOCAL COMMUNITY GROUPS AND ORGANIZATIONS FOCUSED ON CREATING ENVIRONMENTS THAT PROMOTE HEALTHY LIFESTYLES. GMH LEADERS ACTIVELY PARTICIPATED ON PLANNING COMMITTEES TO IDENTIFY AND IMPLEMENT STRATEGIES TO IMPROVE CHILDHOOD NUTRITION, ACCESS TO HEALTHY FOOD, TOBACCO-FREE LIVING, AND THE BUILT ENVIRONMENT TO SUPPORT HEALTH AND WELLBEING. IN 2016, LUHS/PP4H WAS AMONG SIX COLLABORATIONS RECEIVING THE FIRST TRANSFORMING COMMUNITIES INITIATIVE GRANTS SPONSORED BY TRINITY HEALTH. AS PART OF THIS AWARD LUHS/PP4H IS ELIGIBLE TO RECEIVE UP TO $500,000 A YEAR FOR FIVE YEARS TO BE DIRECTED TOWARDS THE IMPLEMENTATION OF A SERIES OF PRE-SELECTED, PRO-HEALTH POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) INTERVENTIONS. INTERVENTIONS INCLUDE: TOBACCO 21, COMPLETE STREETS, IMPLEMENTATION OF NUTRITION STANDARDS IN EARLY CHILDHOOD SETTINGS, BREASTFEEDING POLICY ENHANCEMENT, SCHOOL BOARD POLICY TO ENHANCE PHYSICAL ACTIVITY IN SCHOOLS, AND FOOD & BEVERAGE STANDARDS/COMPETITIVE FOODS POLICIES.DURING FY17, GMH (AS PART OF LUHS) THROUGH ITS COMMUNITY COALITION PP4H, SUPPORTED EFFORTS ON THE STATE AND LOCAL LEVELS TO ADOPT TOBACCO 21 POLICIES. TOBACCO 21 ADVOCATES INCREASING THE LEGAL AGE TO PURCHASE TOBACCO PRODUCTS FROM 18 TO 21. LUHS JOINED THE TOBACCO 21 EFFORT IN ILLINOIS AND COORDINATED WITH COMMUNITY PARTNERS AND OTHERS FOR ADVOCACY OF STATE-WIDE LEGISLATION RESTRICTING SALE TO MINORS OF CIGARETTE PRODUCTS. OTHER STATEWIDE ORGANIZATIONS LUHS PARTNERED WITH INCLUDED THE ILLINOIS HOSPITAL ASSOCIATION, RESPIRATORY HEALTH ASSOCIATION, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN CANCER ASSOCIATION, AND TOBACCO FREE KIDS. INITIATIVES INCLUDED A CAMPAIGN THAT ENCOURAGED LUHS EMPLOYEES AND THE PUBLIC TO WRITE THEIR REPRESENTATIVE IN SUPPORT OF THE LEGISLATION AS WELL AS MEETINGS WITH LAWMAKERS. IN MAY 2017, THE LOCAL COMMUNITY OF MAYWOOD BECAME ONE OF SIX COOK COUNTY CITIES TO ENACT AN ORDINANCE PROHIBITING THE SALE OF TOBACCO TO THOSE UNDER 21.DURING FY17, LUHS CONTINUED TO PARTNER WITH AND SUPPORT PP4H, A COMMUNITY-BASED ORGANIZATION FOCUSED ON IMPROVING THE HEALTH STATUS OF THE DISADVANTAGED IN THE MANAGED AREA. THROUGH A TRINITY HEALTH COMMUNITY GRANT FACILITATED BY LUHS, PP4H EXPANDED THE NUMBER OF URBAN GARDENS FROM 1 TO 3. THE PRODUCE FROM THESE LOCAL GARDENS SUPPLY LOCAL CORNER STORES IN MAYWOOD FOR THE PURPOSE OF INCREASING ACCESS TO HEALTHY FOODS. |
| PART VI, LINE 6: | GMH IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - SPECIFIC COMMUNITY HEALTH AND WELL-BEING GOALS. IN FISCAL YEAR 2017, GOALS INCLUDED 1) PARTICIPATING IN LOCAL COALITION AND ADVOCACY EFFORTS AIMED AT CURBING TOBACCO USE AND PREVENTING OBESITY, 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTH CARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAMS. TRINITY HEALTH ACKNOWLEDGES THE IMPACT SOCIAL DETERMINANTS SUCH AS ADEQUATE HOUSING, SAFETY, ACCESS TO FOOD, EDUCATION, INCOME, AND HEALTH COVERAGE HAVE ON THE HEALTH OF THE COMMUNITY. IN FISCAL YEAR 2016, TRINITY HEALTH LAUNCHED THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), AWARDING EIGHT COMMUNITIES FUNDING TO IMPROVE THE HEALTH AND WELL-BEING OF THEIR COMMUNITIES IN PARTNERSHIP WITH THE LOCAL TRINITY HEALTH MEMBER HOSPITAL. THE AWARDED COMMUNITIES FOCUS ON POLICY, SYSTEM, AND ENVIRONMENTAL CHANGES THAT SPECIFICALLY IMPACT COMMUNITY IDENTIFIED NEEDS AND THAT WILL REDUCE CHILDHOOD OBESITY AND YOUTH TOBACCO USE. IN FISCAL YEAR 2017, TRINITY HEALTH INVESTED $2.7 MILLION IN TCI.AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO OUR COMMUNITIES THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND VULNERABLE, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND DEVELOPING PROGRAMS AND POLICIES TO SPECIFICALLY SUPPORT VULNERABLE POPULATIONS. ANNUALLY, THE ORGANIZATION INVESTS OVER $1.1 BILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING THE SPECIFIC NEEDS OF EACH COMMUNITY.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LARRY GOLDBERG | ||||||||||||||
| DIRECTOR; CEO | $0 | $840,084 | $0 | $217,271 | $0 | $208,373 | $0 | $11,925 | $0 | $19,962 | $0 | $1,297,615 | $0 | $0 |
| ROBERT FLANIGAN MD | ||||||||||||||
| DIRECTOR THR 12/16; LUMC PHYSICIAN | $0 | $416,430 | $0 | $27,833 | $0 | $13,905 | $0 | $19,875 | $0 | $7,479 | $0 | $485,522 | $0 | $0 |
| SALLY JEFFCOAT | ||||||||||||||
| DIRECTOR; TRINITY EVP WEST/MIDWEST | $0 | $825,512 | $0 | $239,747 | $0 | $331,263 | $0 | $11,925 | $0 | $29,636 | $0 | $1,438,083 | $0 | $85,393 |
| RONALD POTKUL MD | ||||||||||||||
| DIRECTOR; LUMC PHYSICIAN | $0 | $689,061 | $0 | $51,842 | $0 | $9,521 | $0 | $19,875 | $0 | $22,940 | $0 | $793,239 | $0 | $0 |
| WILLIAM SMALL MD | ||||||||||||||
| DIRECTOR AS OF 1/17; LUMC PROFESSOR | $0 | $552,731 | $0 | $48,213 | $0 | $14,232 | $0 | $11,925 | $0 | $20,678 | $0 | $647,779 | $0 | $0 |
| KEITH VESELIK MD | ||||||||||||||
| DIRECTOR; MEDICAL DIRECTOR | $0 | $321,963 | $0 | $16,524 | $0 | $5,867 | $0 | $21,375 | $0 | $19,841 | $0 | $385,570 | $0 | $0 |
| LORI PRICE | ||||||||||||||
| PRESIDENT | $0 | $343,053 | $0 | $123,745 | $0 | $102,220 | $0 | $19,875 | $0 | $25,553 | $0 | $614,446 | $0 | $0 |
| BLAINE PETERSEN | ||||||||||||||
| TREASURER; LUMC EVP & CFO | $0 | $516,855 | $0 | $112,833 | $0 | $110,916 | $0 | $11,925 | $0 | $25,314 | $0 | $777,843 | $0 | $0 |
| DANIEL ISACKSEN | ||||||||||||||
| ASSISTANT TREAS.; LUMC SVP FINANCE | $0 | $367,231 | $0 | $35,821 | $0 | $468 | $0 | $7,950 | $0 | $23,395 | $0 | $434,865 | $0 | $0 |
| JILL RAPPIS | ||||||||||||||
| SECRETARY; LUMC VP GEN CNSL | $0 | $333,097 | $0 | $60,870 | $0 | $8,498 | $0 | $46,632 | $0 | $14,774 | $0 | $463,871 | $0 | $0 |
| MARIA PEKAR | ||||||||||||||
| ASST SECRETARY; LUMC ASSOC GEN CNSL | $0 | $243,219 | $0 | $18,225 | $0 | $1,040 | $0 | $38,386 | $0 | $22,058 | $0 | $322,928 | $0 | $0 |
| DAVID HECHT MD MS MBA | ||||||||||||||
| EVP, CLINICAL AFFAIRS | $0 | $596,868 | $0 | $92,406 | $0 | $8,370 | $0 | $19,875 | $0 | $11,194 | $0 | $728,713 | $0 | $0 |
| ALAN GOLDBERG | ||||||||||||||
| VP, ADMIN SERVICES THROUGH 4/17 | $169,398 | $0 | $21,054 | $0 | $1,879 | $0 | $5,527 | $0 | $24,086 | $0 | $221,944 | $0 | $0 | $0 |
| BERNARD GAWNE JR | ||||||||||||||
| CHIEF MEDICAL OFFICER | $274,175 | $0 | $20,000 | $0 | $5,013 | $0 | $11,925 | $0 | $13,999 | $0 | $325,112 | $0 | $0 | $0 |
| GINGER HOOK | ||||||||||||||
| VP CHIEF NURSING OFFICER | $224,522 | $0 | $32,033 | $0 | $312 | $0 | $15,734 | $0 | $15,808 | $0 | $288,409 | $0 | $0 | $0 |
| SANDRA SWANSON | ||||||||||||||
| ADMIN DIR PERIOP/PERINATAL SVCS | $187,071 | $0 | $11,644 | $0 | $1,007 | $0 | $43,808 | $0 | $17,071 | $0 | $260,601 | $0 | $0 | $0 |
| EWA BOGACZ | ||||||||||||||
| CRITICAL CARE RN | $160,513 | $0 | $0 | $0 | $43 | $0 | $4,827 | $0 | $7,570 | $0 | $172,953 | $0 | $0 | $0 |
| ELIZABETH MCLAIN | ||||||||||||||
| CRITICAL CARE RN | $149,903 | $0 | $0 | $0 | $86 | $0 | $9,027 | $0 | $7,875 | $0 | $166,891 | $0 | $0 | $0 |
| YOLANDA COLEMAN | ||||||||||||||
| DIRECTOR OF NURSING | $144,080 | $0 | $5,744 | $0 | $100 | $0 | $5,527 | $0 | $12,130 | $0 | $167,581 | $0 | $0 | $0 |
| DANIEL HALE | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $534,994 | $0 | $0 | $0 | $6,972 | $0 | $541,966 | $0 | $525,006 |
| BENJAMIN CARTER | ||||||||||||||
| FORMER OFFICER; TRINITY EVP, CFO | $0 | $834,329 | $0 | $239,942 | $0 | $232,036 | $0 | $11,925 | $0 | $36,952 | $0 | $1,355,184 | $0 | $0 |
| RICHARD O'CONNELL | ||||||||||||||
| FORMER KE; EVP EAST GROUP THR 11/16 | $0 | $878,773 | $0 | $258,051 | $0 | $408,585 | $0 | $11,925 | $0 | $35,437 | $0 | $1,592,771 | $0 | $112,018 |
| DONNA HALINSKI | ||||||||||||||
| FORMER OFFICER; VP CLINICAL AFFRS | $0 | $271,688 | $0 | $36,514 | $0 | $1,182 | $0 | $51,798 | $0 | $23,241 | $0 | $384,423 | $0 | $0 |
| AJAY SIAL | ||||||||||||||
| FORMER OFFICER | $0 | $54,134 | $0 | $0 | $0 | $463,110 | $0 | $281,826 | $0 | $19,125 | $0 | $818,195 | $0 | $0 |
| ELLYN CHIN | ||||||||||||||
| FORMER OFFICER; VP PAYOR STRATEGIES | $0 | $277,778 | $0 | $31,978 | $0 | $649 | $0 | $27,825 | $0 | $23,362 | $0 | $361,592 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | GOTTLIEB MEMORIAL HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOTTLIEB MEMORIAL HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF GOTTLIEB MEMORIAL HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2016. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL HALE - $525,006 AJAY SIAL - $461,855 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/16: AJAY SIAL - $281,131 (PAID IN 2017) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2016. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2016, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2016. THE FOLLOWING PAYOUTS FOR 2016 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: BENJAMIN CARTER - $206,373 LARRY GOLDBERG - $190,048 SALLY JEFFCOAT - $205,506 RICHARD O'CONNELL - $221,949 LORI PRICE - $87,315 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($265,000 FOR 2016). THE FOLLOWING PAYOUTS FOR 2016 FOR THESE PLANS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: SALLY JEFFCOAT - $92,254 RICHARD O'CONNELL - $121,018 JILL RAPPIS - $5,042 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF GOTTLIEB MEMORIAL HOSPITAL (GMH) IS LOYOLA UNIVERSITY HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | LOYOLA UNIVERSITY HEALTH SYSTEM IS THE SOLE MEMBER OF GMH. LOYOLA UNIVERSITY HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GMH. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, LOYOLA UNIVERSITY HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. LOYOLA UNIVERSITY HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR GMH IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | GMH HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF GMH, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF GMH 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 INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF GMH (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GMH OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF GMH (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF GMH. 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 | QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF GMH IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND CFO COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CFO OF GMH ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GMH IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, GMH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. GMH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN DEFERRED RETIREMENT COSTS 254,076. EQUITY TRANSFERS FROM AFFILIATES 18,311,780. |
| FORM 990, PART XII, LINE 2 | GMH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY17 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (238 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 | ||||||||||||
| 245 STATE ST 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 | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042182395 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 10 | THE MERCY HOSPITAL INC | Yes (1) | ||
| CAPITAL REGION GERIATRIC CENTER INC | ||||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141701597 | LONG TERM CARE | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| CARING PARTNERS HOME HEALTH INC | ||||||||||||
| 1200 EARHART RD | ANN ARBOR | MI | 48105 | 201681131 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | GLACIER HILLS INC | Yes (1) | ||
| CATHERINE MCAULEY HEALTH SERVICES CORP | ||||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | 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 | |||
| COLUMBUS ACQUISITION CORP | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 10 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| CRANBROOK HOSPICE CARE | ||||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | HOSPICE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| DILEY RIDGE MEDICAL CENTER | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 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) | ||
| EAST NORRITON PHYSICIANS SERVICES INC | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232515999 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | 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 SUITE 100 | DEWITT | NY | 13214 | 461051881 | PACE PROGRAM | NY | 501(C)(3) | LINE 10 | 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 | LTC (EDDY) INC | Yes (1) | ||
| FARREN CARE CENTER INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | 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 | 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 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | COMMUNITY OUTREACH | IL | 501(C)(3) | LINE 10 | GOTTLIEB MEMORIAL HOSPITAL | Yes (1) | ||
| GOTTLIEB MEMORIAL FOUNDATION | ||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 743260011 | FOUNDATION | IL | 501(C)(3) | LINE 12C, III-FI | 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 | 0 | ||
| GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC | ||||||||||||
| 945 OTTAWA AVE NW | GRAND RAPIDS | MI | 49503 | 237270669 | MEDICAL EDUCATION TRAINING PROGRAMS | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| HACKLEY LIFE COUNSELING | ||||||||||||
| 125 E SOUTHERN AVENUE | MUSKEGON | MI | 49442 | 381386362 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | MERCY HEALTH PARTNERS | 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 | ||||||||||||
| PO BOX 2153 | WATERBURY | CT | 06722 | 830416893 | MANAGEMENT | CT | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| 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 RD | 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 RD | 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 MEDICAL PROPERTIES INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650666283 | BUILDING MANAGEMENT SERVICES | FL | 501(C)(2) | N/A | HOLY CROSS HOSPITAL INC | 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) | ||
| HOME & COMMUNITY HEALTH SERVICES INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 810723591 | HOME HEALTH SERVICES | CT | 501(C)(3) | LINE 10 | TRINITY HEALTH OF NEW ENGLAND CORP 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 SIOUXLAND | ||||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| JOHNSON HEALTH CARE INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 810709903 | HEALTH CARE SERVICES | CT | 501(C)(3) | LINE 10 | TRINITY HEALTH OF NEW ENGLAND CORP INC | 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) | ||
| JOHNSON MEMORIAL MEDICAL CENTER INC | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 810696923 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | CT | 501(C)(3) | LINE 12B, II | 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) | ||
| LANGHORNE PHYSICIAN SERVICES INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | HEALTH CARE SERVICES | 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 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LIFE AT ST FRANCIS HEALTHCARE INC | ||||||||||||
| 7TH AND CLAYTON STREETS | WILMINGTON | DE | 19805 | 452569214 | PACE PROGRAM | DE | 501(C)(3) | LINE 10 | ST FRANCIS HOSPITAL | Yes (1) | ||
| LIFE ST FRANCIS CORPORATION | ||||||||||||
| 1435 LIBERTY STREET | HAMILTON | NJ | 08629 | 222797282 | PACE PROGRAM | NJ | 501(C)(3) | LINE 10 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| LIFE ST JOSEPH OF THE PINES INC | ||||||||||||
| 100 GOSSMAN DRIVE | SOUTHERN PINES | NC | 28387 | 272159847 | PACE PROGRAM | NC | 501(C)(3) | LINE 3 | ST JOSEPH OF THE PINES INC | Yes (1) | ||
| LIFE ST MARY | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 262976184 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | ST MARY MEDICAL CENTER | Yes (1) | ||
| LOURDES ANCILLARY SERVICES | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568525 | VOLUNTEER SERVICE AUXILIARY | NJ | 501(C)(3) | LINE 12B, II | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES CARDIOLOGY SERVICES PC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 274357794 | HEALTH CARE SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOURDES MEDICAL CENTER OF BURLINGTON COUNTY | ||||||||||||
| 218 SUNSET ROAD | WILLINGBORO | NJ | 08046 | 223612265 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| LOYOLA MEDICINE TRANSPORT LLC | ||||||||||||
| 905 W NORTH AVE | MELROSE PARK | IL | 60160 | 474147171 | TRANSPORATION 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) | ||
| MARIAN COMMUNITY HOSPITAL | ||||||||||||
| 3805 WEST CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 240711230 | HEALTH CARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 10 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| MARIAN HOME HEALTHCARE | ||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | HOME HEALTH SERVICES (INACTIVE) | IA | 501(C)(3) | LINE 12A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| MAXIS HEALTH SYSTEM | ||||||||||||
| 3805 WEST CHESTER PIKE STE 100 | NEWTOWN SQUARE | PA | 19073 | 911940902 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | 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 CLINIC CORPORATION | ||||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTH CARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | 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) | ||
| MEMORIAL HOSPITAL ALBANY NY | ||||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE OAKLAND | ||||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320698 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY AMICARE HOME HEALTHCARE PORT HURON | ||||||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 383320701 | HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY CARE FOUNDATION | ||||||||||||
| 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 | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 231352191 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | 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 | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325059 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY FOUNDATION INC | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 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 | HOSPICE & HOME HEALTH SERVICES | MI | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232829864 | FOUNDATION | PA | 501(C)(3) | LINE 12B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HEALTH NETWORK INC | ||||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421478417 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | DE | 501(C)(3) | LINE 12B, II | 0 | N/A | ||
| 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 | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 222483605 | MEDICAID MANAGED CARE PLAN | PA | 501(C)(3) | LINE 12B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | 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 | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363163327 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232212638 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | PA | 501(C)(3) | LINE 12C, III-FI | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE CENTER | ||||||||||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 150532211 | HEALTH CARE AND HOSPITAL SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (1) | ||
| MERCY HEALTHCARE FOUNDATION - CLINTON | ||||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FOUNDATION | IA | 501(C)(3) | LINE 7 | 0 | N/A | ||
| MERCY HOME HEALTH | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 231352099 | HOME HEALTH SERVICES | PA | 501(C)(3) | LINE 10 | MERCY HOME HEALTH SERVICES | Yes (1) | ||
| MERCY HOME HEALTH SERVICES | ||||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325058 | MANAGEMENT SERVICES FOR HOME HEALTH | PA | 501(C)(3) | LINE 12B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY HOSPITAL AND MEDICAL CENTER | ||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 362170152 | HEALTH CARE AND HOSPITAL SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | ||
| MERCY HOSPITAL CADILLAC FOUNDATION | ||||||||||||
| 1820 44TH ST SE | KENTWOOD | MI | 49508 | 203357131 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MERCY HOSPITAL INC | ||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791034 | HEALTH CARE SERVICES (INACTIVE) | FL | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | 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 3 | TRINITY HEALTH PACE | Yes (1) | ||
| MERCY LIFE INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 453086711 | PACE PROGRAM | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE CARE CENTERS INC | Yes (1) | ||
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232627944 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | 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 - 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 CORPORATION | ||||||||||||
| PO BOX 7957 | MOBILE | AL | 36670 | 636002215 | PACE PROGRAM | AL | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MERCY MEDICAL GROUP INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454884805 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY PHYSICIAN NETWORK | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 461187365 | MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS | PA | 501(C)(3) | LINE 12B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | 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 | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 264033168 | HEALTH CARE SERVICES | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| MERCY SUBURBAN HOSPITAL | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 231396763 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| MERCY UIHLEIN HEALTH CORPORATION | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | NY | 19073 | 161535133 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MISSION HEALTH CORPORATION | ||||||||||||
| 37595 SEVEN MILE ROAD | LIVONIA | MI | 48152 | 383181557 | BUILDING MANAGEMENT SERVICES | DE | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| MOUNT CARMEL COLLEGE OF NURSING | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | LINE 2 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH INSURANCE COMPANY | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH PLAN INC | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTH CARE AND HOSPITAL SERVICES | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | FOUNDATION | OH | 501(C)(3) | LINE 12A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | ||
| MOUNT CARMEL HOME CARE LLC | ||||||||||||
| 501 WEST SCHROCK ROAD | WESTERVILLE | OH | 43081 | 262729300 | HOME HEALTH SERVICES | OH | 501(C)(3) | LINE 10 | TRINITY HOME HEALTH SERVICES | Yes (1) | ||
| MOUNT SINAI HOSPITAL FOUNDATION INC | ||||||||||||
| 500 BLUE HILLS AVENUE | HARTFORD | CT | 06112 | 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 | ||||||||||||
| 7 HIGHTOWER STREET | WATERVILLE | ME | 04901 | 010274998 | LONG TERM CARE | ME | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | ||
| MRI MOBILE SERVICES OF WEST MICHIGAN | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | HEALTH CARE SERVICES (INACTIVE) | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH-MICHIGAN | Yes (1) | ||
| MUSKEGON COMMUNITY HEALTH PROJECT | ||||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | COMMUNITY OUTREACH | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | ||
| NAZARETH HEALTH CARE FOUNDATION | ||||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FOUNDATION | PA | 501(C)(3) | LINE 12A, I | NAZARETH HOSPITAL | Yes (1) | ||
| NAZARETH HOSPITAL | ||||||||||||
| 2601 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232794121 | HEALTH CARE AND HOSPITAL SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| NAZARETH PHYSICIAN SERVICES INC | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 203261266 | HEALTH CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| NE PHYSICIAN SERVICES INC | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232497355 | HEALTH CARE SERVICES (INACTIVE) | PA | 501(C)(3) | LINE 3 | MERCY PHYSICIAN NETWORK | Yes (1) | ||
| OAKLAND MERCY HOSPITAL | ||||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTH CARE AND HOSPITAL SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | ||
| OAKLAND MERCY HOSPITAL FOUNDATION | ||||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | FOUNDATION | NE | 501(C)(3) | LINE 12A, I | OAKLAND MERCY HOSPITAL | Yes (1) | ||
| ONE THOUSAND CORPORATION | ||||||||||||
| 114 WOODLAND STREET | HARTFORD | CT | 06105 | 060922325 | BUILDING MANAGEMENT SERVICES | CT | 501(C)(2) | N/A | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | Yes (1) | ||
| OSUMOUNT CARMEL HEALTH ALLIANCE | ||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311654603 | COOPERATIVE HEALTH CARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 12A, I | 0 | N/A | ||
| OUR LADY OF LOURDES HEALTH CARE SERVICES INC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568528 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | NJ | 501(C)(3) | LINE 12B, II | MAXIS HEALTH SYSTEM | Yes (1) | ||
| OUR LADY OF LOURDES HEALTH FOUNDATION INC | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222351960 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| OUR LADY OF LOURDES MEDICAL CENTER | ||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 210635001 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | ||
| OUR LADY OF MERCY LIFE CENTER | ||||||||||||
| 2 MERCYCARE LANE | GUILDERLAND | NY | 12084 | 141743506 | LONG TERM CARE | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | ||
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 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 | ||||||||||||
| 271 CAREW ST | SPRINGFIELD | MA | 01104 | 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 BUILDING COMPANY INC | ||||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | BUILDING MANAGEMENT SERVICES | ID | 501(C)(3) | LINE 10 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 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 | 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 | 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 | 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 | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | FOUNDATION | ID | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | Yes (1) | ||
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | ||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 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 | ||||||||||||
| 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 12B, II | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | Yes (1) | ||
| SAINT JAMES CARE INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616230 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 10 | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| SAINT JOSEPH PACE INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 473129127 | PACE PROGRAM | IN | 501(C)(3) | LINE 7 | 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 PLYMOUTH AUXILIARY INC | ||||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | VOLUNTEER SERVICE AUXILIARY | IN | 501(C)(3) | LINE 12B, II | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS 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 12B, II | 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'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 | ||||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06706 | 222528400 | FOUNDATION | CT | 501(C)(3) | LINE 7 | SAINT MARY'S HOSPITAL INC | Yes (1) | ||
| SAINT MARY'S HOSPITAL INC | ||||||||||||
| 56 FRANKLIN STREET | WATERBURY | CT | 06706 | 060646844 | HEALTH CARE AND HOSPITAL SERVICES | CT | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| SAINT MICHAEL'S FOUNDATION INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223311976 | FOUNDATION | NJ | 501(C)(3) | LINE 12A, I | SAINT MICHAEL'S MEDICAL CENTER | Yes (1) | ||
| SAINT MICHAEL'S MEDICAL CENTER INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616046 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | 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) | ||
| SENIOR CARE CONNECTION INC | ||||||||||||
| 504 STATE ST | SCHENECTADY | NY | 12305 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 10 | LTC (EDDY) INC | Yes (1) | ||
| SETON AUXILIARY INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141505031 | VOLUNTEER SERVICE AUXILIARY | NY | 501(C)(3) | LINE 10 | SETON HEALTH SYSTEM 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 | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH FOUNDATION INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 222345416 | FOUNDATION | NY | 501(C)(3) | LINE 12A, I | SETON HEALTH SYSTEM INC | Yes (1) | ||
| SETON HEALTH SYSTEM INC | ||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141776186 | HEALTH CARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| SISTERS OF PROVIDENCE CARE CENTERS INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | THE MERCY HOSPITAL INC | Yes (1) | ||
| SISTERS OF PROVIDENCE HEALTH SYSTEM INC | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398374 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | MA | 501(C)(3) | LINE 12B, II | TRINITY HEALTH CORPORATION | 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 AGNES CONTINUING CARE CENTER | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232840137 | PACE PROGRAM | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | ||
| ST AGNES CONTINUING CARE CENTER FOUNDATION | ||||||||||||
| ONE WEST ELM STREET SUITE 100 | CONSHOHOCKEN | PA | 19428 | 232415137 | FOUNDATION | PA | 501(C)(3) | LINE 12A, I | ST AGNES CONTINUING CARE CENTER | Yes (1) | ||
| ST FRANCIS FOUNDATION | ||||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 12A, I | ST FRANCIS HOSPITAL | 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 CORPORATION | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | ||
| ST FRANCIS MEDICAL CENTER TRENTON NJ | ||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HEALTH CARE AND HOSPITAL SERVICES | NJ | 501(C)(3) | LINE 3 | MAXIS HEALTH SYSTEM | Yes (1) | ||
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 223127184 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) | NY | 501(C)(3) | LINE 12A, I | TRINITY HEALTH CORPORATION | Yes (1) | ||
| ST JOSEPH MERCY OAKLAND FOUNDATION | ||||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | 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 3 | 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 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 12B, II | 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 12A, I | 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 | ||||||||||||
| 301 PROSPECT AVENUE | SYRACUSE | NY | 13203 | 161516863 | HEALTH CARE SERVICES | NY | 501(C)(3) | LINE 12A, I | ST JOSEPH'S HOSPITAL HEALTH CENTER | 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 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) | ||
| 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 CORPORATION | Yes (1) | ||
| ST MARY MEDICAL CENTER FOUNDATION INC | ||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232567468 | FOUNDATION | PA | 501(C)(3) | LINE 7 | ST MARY MEDICAL CENTER | Yes (1) | ||
| ST MARY'S FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FOUNDATION | GA | 501(C)(3) | LINE 12A, I | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | ||
| ST MARY'S GOOD SAMARITAN FOUNDATION INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 811660088 | FOUNDATION | GA | 501(C)(3) | LINE 12A, I | ST MARY'S HEALTH CARE SYSTEM 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 CORPORATION | Yes (1) | ||
| ST MARY'S HIGHLAND HILLS INC | ||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | SENIOR LIVING COMMUNITY | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM 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 | ST MARY'S HEALTH CARE SYSTEM 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 | ST MARY'S HEALTH CARE SYSTEM 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 AVE | 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 12A, I | SUNNYVIEW HOSPITAL AND REHABILITATION CENTER | 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 | ||||||||||||
| 707 EAST CEDAR STREET | 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 | ||||||||||||
| 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398280 | HEALTH CARE AND HOSPITAL SERVICES | MA | 501(C)(3) | LINE 3 | TRINITY HEALTH OF NEW ENGLAND CORP INC | Yes (1) | ||
| THE NORTHEAST HEALTH FOUNDATION INC | ||||||||||||
| 310 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222743478 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH PARTNERS | Yes (1) | ||
| THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC | ||||||||||||
| 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 INC | ||||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | LONG TERM CARE | IN | 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 LIFE PENNSYLVANIA INC | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 475244984 | PACE PROGRAM | PA | 501(C)(3) | LINE 10 | TRINITY HEALTH PACE | 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 12C, III-FI | TRINITY HEALTH CORPORATION | 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 PACE | ||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 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 | ||||||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 382621935 | MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM | MI | 501(C)(3) | LINE 10 | TRINITY HEALTH CORPORATION | Yes (1) | ||
| UIHLEIN MERCY CENTER | ||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 150532190 | HEALTH CARE SERVICES (INACTIVE) | NY | 501(C)(3) | LINE 3 | MERCY UIHLEIN HEALTH CORPORATION | Yes (1) | ||
| UNIVERSITY HEIGHTS PROPERTY COMPANY INC | ||||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223100162 | TITLE HOLDING COMPANY | NJ | 501(C)(2) | N/A | SAINT MICHAEL'S MEDICAL CENTER | 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) | ||
| WESTSHORE HEALTH NETWORK | ||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | HEALTH NETWORK | MI | 501(C)(4) | N/A | MERCY HEALTH PARTNERS | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (47 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | |||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A |
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| CATHERINE HORAN BUILDING ASSOCIATES LP | |||||||
| 1221 MAIN STREET SUITE 105 | HOLYOKE | MA | 01040 | 042723429 | PROPERTY MANAGEMENT | MA | N/A |
| CENTENNIAL SURGUNIT LLC | |||||||
| 502 CENTENNIAL BLVD SUITE 1 | VOORHEES | NJ | 08043 | 223580847 | HEALTH CARE SERVICES | NJ | N/A |
| CENTER FOR DIGESTIVE CARE LLC | |||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A |
| CENTRAL NEW JERSEY HEART SERVICES LLC | |||||||
| PO BOX 148 | BAYONNE | NJ | 07002 | 208525458 | CARDIAC PROGRAM | NJ | N/A |
| CLINTON IMAGING SERVICES LLC | |||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A |
| DIAGNOSTIC IMAGING OF SOUTHBURY LLC | |||||||
| 385 MAIN STREET SOUTH | SOUTHBURY | CT | 06488 | 061487582 | IMAGING CENTER | CT | N/A |
| FOREST PARK IMAGING LLC | |||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A |
| FRANCES WARDE MEDICAL LABORATORY | |||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A |
| GATEWAY HEALTH PLAN LP | |||||||
| 444 LIBERTY AVE SUITE 2100 | PITTSBURGH | PA | 15222 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A |
| GREATER HARTFORD LITHOTRIPSY LLC | |||||||
| 144 WOODLAND ST | HARTFORD | CT | 06105 | 061578891 | LITHOTRIPSY SERVICES | CT | N/A |
| HAWARDEN REGIONAL HEALTH CLINICS LLC | |||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A |
| IDAHO ASC HOLDINGS LLC | |||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 364729605 | HOLDING COMPANY FOR AMBULATORY SURGERY | ID | N/A |
| INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC | |||||||
| 14 COLUMBIA CIRCLE DRIVE | ALBANY | NY | 12203 | 465676066 | ACCOUNTABLE CARE ORGANIZATION | NY | N/A |
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | |||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 364119522 | SURGICAL SERVICES | IL | N/A |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | |||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A |
| MASON CITY AMBULATORY SURGERY CENTER LLC | |||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A |
| MCE MOB IV LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| MDRMRI TECHNICAL SERVICES LLC | |||||||
| 5640 EAST TAFT ROAD 3770 | SYRACUSE | NY | 13220 | 161590982 | MRI SERVICES | NY | N/A |
| MEDILUCENT MOB I | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| MEDWORKS LLC | |||||||
| 375 EAST CEDAR STREET | NEWINGTON | CT | 06111 | 061490483 | REHABILITATION SERVICES | CT | N/A |
| MERCY ADVANCED MRI LLC | |||||||
| 2525 SOUTH MICHIGAN AVE | CHICAGO | IL | 60616 | 262116721 | SUBLEASE MRI EQUIPMENT | IL | N/A |
| MERCY HEART CTR OP SERVICES LLC | |||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A |
| MERCYMANOR PARTNERSHIP | |||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A |
| MERCYUSP HEALTH VENTURES LLC | |||||||
| 15305 DALLAS PARKWAY STE 1600 LB 28 | ADDISON | TX | 75001 | 471290300 | OUTPATIENT SURGERY | IA | N/A |
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| NAUGATUCK VALLEY MRI LIMITED PARTNERSHIP | |||||||
| 1389 WEST MAIN ST | WATERBURY | CT | 06708 | 061239526 | IMAGING CENTER | CT | N/A |
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | |||||||
| C/O NAZARETH HOSP 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A |
| OSWEGO HEALTH HOME CARE LLC | |||||||
| 113 SCHUYLER STREET | FULTON | NY | 13069 | 472463736 | HOME HEALTH CARE | NY | N/A |
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | |||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A |
| RADISSON SJH PROPERTIES LLC | |||||||
| 5000 CAMPUSWOOD DRIVE SUITE 100 | EAST SYRACUSE | NY | 13057 | 461892799 | MEDICAL OFFICE BUILDING | NY | N/A |
| SARMED OUTPATIENT PHARMACY LLC | |||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A |
| SIXTY FOURTH STREET LLC | |||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A |
| SJLS LLC | |||||||
| 7650 SE 27TH ST STE 200 | MERCER ISLAND | WA | 98040 | 201796650 | DIALYSIS SERVICES | NY | N/A |
| SJV MANAGEMENT LLC | |||||||
| 200 CENTURY PKWY STE 200E | MOUNT LAUREL | NJ | 08054 | 202273476 | RADIOLOGY | NJ | N/A |
| SMMC MOB II LP | |||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 364559869 | INVESTMENT AND OPERATION OF A MEDICAL BUILDING | PA | N/A |
| ST AGNES LONG-TERM INTENSIVE CARE LLP | |||||||
| C/O MHS ONE WEST ELM ST STE 100 | CONSHOHOCKEN | PA | 19428 | 200984882 | LONG TERM INTENSIVE CARE | PA | N/A |
| ST ALPHONSUS CALDWELL CANCER CTR LLC | |||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | HEALTH CARE SERVICES | ID | N/A |
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | |||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A |
| ST JOSEPH'S IMAGING ASSOCIATES PLLC | |||||||
| 104 UNION AVE SUITE 905 | SYRACUSE | NY | 13203 | 161104293 | RADIOLOGY SERVICES | NY | N/A |
| ST MARY REHABILITATION HOSPITAL LLP | |||||||
| 680 SOUTH FORTH STREET | LOUISVILLE | KY | 40202 | 273938747 | HEALTH CARE SERVICES | DE | N/A |
| ST PETER'S AMBULATORY SURGERY CENTER LLC | |||||||
| 1375 WASHINGTON AVENUE STE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A |
| TAMARACK MEDICAL CLINIC LLC | |||||||
| 402 LAKE CASCADE PARKWAY | CASCADE | ID | 83611 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A |
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | |||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232871206 | OUTPATIENT SURGERY | PA | N/A |
| TRINITY HEALTH PARTNERS LLC | |||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 472798085 | POPULATION HEALTH MANAGEMENT | DE | N/A |
| WOODLAND IMAGING CENTER LLC | |||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/ IMAGING | MI | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (54 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MANAGEMENT SERVICES CORPORATION INC | |||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141668024 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| CARBONDALE PHYSICIANS' SERVICES INC | |||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232365077 | PHARMACY | PA | N/A | C | Yes (1) | ||||
| CATHERINE HORAN BUILDING CORP | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||
| CHESTNUT RISK SERVICES LTD | |||||||||||||
| INSURANCE | N/A | C | Yes (1) | 11 VICTORIA STREET | HAMILTON | BD | BD | ||||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043128890 | MEDICAL SERVICES | MA | 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 | |||||||||||||
| 56 FRANKLIN ST | WATERBURY | CT | 06706 | 061470493 | PHYSICIAN OFFICE | CT | N/A | C | Yes (1) | ||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||
| HEF INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383086401 | OFFICE STAFFING | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH MANAGEMENT INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||
| HACKLEY HEALTHCARE EQUIPMENT CORP | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||
| HACKLEY PROFESSIONAL PHARMACY INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 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) | ||||
| HEALTH MANAGEMENT SERVICES ORG INC | |||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223366580 | MEDICAL ADMINISTRATION | NJ | N/A | C | Yes (1) | ||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | |||||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 521986562 | HOME CARE SERVICES | MD | 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) | ||||
| LANGHORNE SERVICES II INC | |||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 253795549 | 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) | ||||
| LIFECARE PHYSICIANS PC | |||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 261649038 | HEALTH CARE SERVICES | NJ | N/A | C | Yes (1) | ||||
| LOURDES MEDICAL ASSOCIATES PA | |||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223361862 | MEDICAL SERVICES | NJ | N/A | C | Yes (1) | ||||
| LOURDES URGENT CARE SERVICES PC | |||||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 464188202 | URGENT CARE CENTER | NJ | 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) | ||||
| MCMC EASTWICK INC | |||||||||||||
| C/O MHS ONE WEST ELM STREET STE 100 | CONSHOHOCKEN | PA | 19428 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||
| MEDNOW INC | |||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| MERCY HOME CARE INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 043317426 | HEALTH CARE SERVICES | MA | N/A | C | Yes (1) | ||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 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) | ||||
| MERCY SERVICES CORPORATION | |||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227348 | DORMANT | IL | N/A | C | Yes (1) | ||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 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 STE 4312 | 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) | ||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||
| SJM PROPERTIES INC | |||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 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 | |||||||||||||
| 2209 GENESEE STREET | UTICA | NY | 13501 | 161540486 | MEDICAL SERVICES | NY | N/A | C | Yes (1) | ||||
| ST MARY'S HIGHLAND HILLS VILLAGE INC | |||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582276801 | ASSISTED LIVING | GA | N/A | C | Yes (1) | ||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||
| 1233 MAIN STREET | HOLYOKE | MA | 01040 | 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) | ||||
| TRI-HOSPITAL MRI CENTER | |||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | HEALTH CARE SERVICES | MI | N/A | C | Yes (1) | ||||
| TRINITY ASSURANCE LTD | |||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 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) | ||||
| WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382700166 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||
| WORKPLACE HEALTH OF GRAND HAVEN INC | |||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LOYOLA UNIVERSITY MEDICAL CENTER | ||
| L | $627,405 | PER BOOKS |
| LOYOLA UNIVERSITY MEDICAL CENTER | ||
| M | $1,203,259 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES | ||
| L | $88,000 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| C | $18,311,780 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $1,503,110 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $4,923,905 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | $1,650,784 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $641,514 | PER BOOKS |
| TRINITY CONTINUING CARE SERVICES | ||
| M | $241,774 | PER BOOKS |