SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS INC (EIN 35-1142669)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-03
IRS object ID
201811239349300646
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-03T10:08:55-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351142669EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOSEPH REGIONAL MEDICALBusinessNameLine1Txt
Business Name Line2CENTER - PLYMOUTH CAMPUS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAINBusinessNameControlTxt
Phone5749363181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 670AddressLine1Txt
CityPLYMOUTHCityNm
State AbbreviationINStateAbbreviationCd
ZIP465639366ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN HIGDONPersonNm
Person TitleCFOPersonTitleTxt
Phone5749363181PhoneNum
Signature2018-05-03SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address170.232.227.252IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-05-03IPDt
IP Tm10:08:38IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id29E163B212FF32246D5C7FFF8D40785F24745F20AtSubmissionCreationDeviceId
At Submission Filing Device Id18E15B76DD68E3E95DA4CEAEDBAE9AF3AFA56F71AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER KARAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 670AddressLine1Txt
CityPLYMOUTHCityNm
State AbbreviationINStateAbbreviationCd
ZIP465639366ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$61,282,352GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SJMED.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND HOSPITAL SERVICESActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee450TotalEmployeeCnt
Total Volunteers107TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$558,769PYContributionsGrantsAmt
CY Contributions Grants$418,041CYContributionsGrantsAmt
PY Program Service Revenue$57,477,150PYProgramServiceRevenueAmt
CY Program Service Revenue$58,976,800CYProgramServiceRevenueAmt
PY Investment Income$35,525PYInvestmentIncomeAmt
CY Investment Income$1,015,687CYInvestmentIncomeAmt
PY Other Revenue$843,478PYOtherRevenueAmt
CY Other Revenue$871,824CYOtherRevenueAmt
PY Total Revenue$58,914,922PYTotalRevenueAmt
CY Total Revenue$61,282,352CYTotalRevenueAmt
PY Grants And Similar Paid$50,706PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$39,281CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,962,860PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,170,956CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,112,054PYOtherExpensesAmt
CY Other Expenses$35,528,650CYOtherExpensesAmt
PY Total Expenses$53,125,620PYTotalExpensesAmt
CY Total Expenses$56,738,887CYTotalExpensesAmt
PY Revenues Less Expenses$5,789,302PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,543,465CYRevenuesLessExpensesAmt
Total Assets BOY$73,543,057TotalAssetsBOYAmt
Total Assets EOY$81,770,950TotalAssetsEOYAmt
Total Liabilities BOY$12,441,898TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,464,880TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,101,159NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$69,306,070NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE, SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS (SJRMC-PLYMOUTH) IS A MEMBER OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. AND TRINITY HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$54,047,118ExpenseAmt
Grant$39,281GrantAmt
Revenue$59,140,810RevenueAmt
DescSJRMC-PLYMOUTH LOCATED IN PLYMOUTH, INDIANA, HAS BEEN SERVING THE MARSHALL COUNTY AREA SINCE 1983. SJRMC-PLYMOUTH IS AN ACUTE CARE HOSPITAL, WHICH IS LICENSED FOR 45 BEDS, AND OFFERS A WIDE RANGE OF SPECIALTY SERVICES AND AN EMERGENCY DEPARTMENT. ATTACHED TO THE HOSPITAL IS A MEDICAL OFFICE BUILDING THAT HOUSES PHYSICIAN OFFICES AND OTHER MEDICAL AND ANCILLARY SERVICES.IN FY17 THE HOSPITAL PROVIDED 5,821 PATIENT DAYS OF HEALTH CARE SERVICES TO THE COMMUNITY.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SJMED.COM/PLYMOUTH-MEDICAL-CENTERDesc
Total Program Service Expenses$54,047,118TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document116IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee450EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNE NOETHEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5743354655PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1707 EAST CEDAR STREETAddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP466172000ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LORETTA SCHMIDT
DIR & PRES THRU 2/17; CNO AT 3/1755.000.00Yes (X)Yes (X)$0$207,306$30,185
CHRISTOPHER KARAM
PRES SJRMC-SB;PRES SJRMC-PLY AT 3/1720.0035.00Yes (X)Yes (X)$0$304,791$40,455
CHAD TOWNER
DIR, PRES & CEO SJHS AS OF 10/1610.0045.00Yes (X)Yes (X)$0$94,996$19,547
ALBERT GUTIERREZ
DIR; PRES & CEO SJHS THR 9/1610.0045.00Yes (X)Yes (X)$0$856,706$48,133
FRANCIS ELLERT
DIRECTOR & TREASURER THROUGH 12/162.000.00Yes (X)Yes (X)$0$0$0
LOUISE MASON
DIRECTOR & CHAIR THROUGH 03/172.000.00Yes (X)Yes (X)$0$0$0
MARY ALICE BOWLER CSC
DIRECTOR THROUGH 12/162.000.00Yes (X)$0$0$0
DEAN COLVIN
DIRECTOR; INTERIM CHAIR AS OF 01/172.000.00Yes (X)$0$0$0
DALE CRAMER
DIRECTOR AS OF 1/172.000.00Yes (X)$0$0$0
RANDY DANIELSON
DIRECTOR2.000.00Yes (X)$0$0$0
THOMAS FLYNN
DIRECTOR2.000.00Yes (X)$0$0$0
CAROLE LANGHAUSER PHJC
DIRECTOR AS OF 1/172.000.00Yes (X)$0$0$0
KATHY LINTNER
DIRECTOR THROUGH 12/162.000.00Yes (X)$0$0$0
CRAIG MILLER MD
DIRECTOR AS OF 1/172.0048.00Yes (X)$0$579,457$42,591
DANA NEER
DIRECTOR AS OF 1/172.000.00Yes (X)$0$0$0
TOD STILLSON MD
DIRECTOR THROUGH 12/162.0048.00Yes (X)$0$0$0
DAN TYREE
DIRECTOR2.000.00Yes (X)$0$0$0
JASON SCHULTZ
SECRETARY; SJRMC GENERAL COUNSEL10.0040.00Yes (X)$0$192,450$17,149
JANICE DUNN
CFO SJHS THROUGH 01/1710.0040.00Yes (X)$0$357,731$31,178
KEVIN HIGDON
RHM CFO SJHS AS OF 5/1710.0040.00Yes (X)$0$0$0
ROBERT SINK
INTERIM CFO SJHS 1/17-4/17; VP FIN10.0040.00Yes (X)$0$180,947$26,048
STEPHEN ANDERSON MD
CMO10.0040.00$0$369,940$32,452Yes (X)
TAMMY AWALD
CNO/COO THRU 6/1710.0040.00$167,714$0$20,032Yes (X)
HOSAM NASRI KHAYAL MD
PHYSICIAN50.000.00$325,647$0$34,174Yes (X)
JULIE HANUS
PHARMACIST40.000.00$124,908$0$16,442Yes (X)
SUZANNE RISNER
DIRECTOR SURGICAL SERVICES40.000.00$113,695$0$8,854Yes (X)
BETTY VIRGINIA WHITEMAN
CLINICAL CODING SPECIALIST III40.000.00$109,059$0$6,563Yes (X)
GLENN MAENHOUT
RN40.000.00$108,976$0$17,359Yes (X)
KENNETH HALL
FORMER KEY EMPLOYEE: CNO THRU 10/1610.0040.00$0$226,697$41,611Yes (X)
KURT MEYER
FORMER KEY EMPLOYEE;CHRO SJRMC10.0040.00$0$271,834$28,502Yes (X)
RICHARD O'CONNELL
FORMER KE; TRINITY EVP THR 10/160.0055.00$0$1,545,409$47,362Yes (X)
LORI PRICE
FORMER OFFICER & DIRECTOR; PRES GOTT0.0055.00$0$569,018$45,428Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$949,999TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,757,282TotReportableCompRltdOrgAmt
Total Other Compensation$554,065TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN466011098HEALTH CARE SERVICES$1,153,908
GREAT LAKES ANESTHESIA PC
500 N NAPPANEE STE 11-8ELKHARTIN46514HEALTH CARE SERVICES$996,747
M NIZAR ORFAHLI MD FCCP LLC
1031 DEER CLIFF CTFORT WAYNEIN46804HEALTH CARE SERVICES$568,219
PACE MEDICAL STAFFING INC
1719 HOLLISTON TRAILFORT WAYNEIN46825HEALTH CARE SERVICES$494,607
ELKHART EMERGENCY PHYSICIANS
600 EAST BLVDELKHARTIN46514HEALTH CARE SERVICES$437,527
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$418,041RelatedOrganizationsAmt
Total Contributions$418,041TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SVC REVDesc
Business622110BusinessCd
Total Revenue Column$58,976,800TotalRevenueColumnAmt
Related Or Exempt Func Income$58,976,800RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$58,976,800TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$483,507TotalRevenueColumnAmt
Exclusion$483,507ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$491,415RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$491,415RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$491,415TotalRevenueColumnAmt
Exclusion$491,415ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$532,180OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$532,180OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$532,180TotalRevenueColumnAmt
Exclusion$532,180ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$216,399$216,399
OTHER RELATED REVENUE622110$164,010$164,010
FieldValueIRS element (for citing)
Other Revenue Total$380,409OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,282,352TotalRevenueColumnAmt
Related Or Exempt Func Income$59,140,810RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,723,501ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$39,281TotalAmt
Program Services$39,281ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$437,657TotalAmt
Management And General$437,657ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,825,412TotalAmt
Program Services$17,107,682ProgramServicesAmt
Management And General$717,730ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$655,236TotalAmt
Program Services$635,420ProgramServicesAmt
Management And General$19,816ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,408,375TotalAmt
Program Services$1,363,169ProgramServicesAmt
Management And General$45,206ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$844,276TotalAmt
Program Services$793,586ProgramServicesAmt
Management And General$50,690ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$217,691TotalAmt
Program Services$204,621ProgramServicesAmt
Management And General$13,070ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$61,557TotalAmt
Management And General$61,557ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,681,931TotalAmt
Program Services$7,220,710ProgramServicesAmt
Management And General$461,221ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,678TotalAmt
Program Services$10,037ProgramServicesAmt
Management And General$641ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$661,308TotalAmt
Program Services$621,603ProgramServicesAmt
Management And General$39,705ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$122,210TotalAmt
Program Services$114,873ProgramServicesAmt
Management And General$7,337ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,448,320TotalAmt
Program Services$1,361,363ProgramServicesAmt
Management And General$86,957ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,277TotalAmt
Program Services$35,039ProgramServicesAmt
Management And General$2,238ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34,925TotalAmt
Program Services$32,828ProgramServicesAmt
Management And General$2,097ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$236,949TotalAmt
Program Services$236,949ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,601,810TotalAmt
Program Services$3,385,558ProgramServicesAmt
Management And General$216,252ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$683,820TotalAmt
Program Services$642,764ProgramServicesAmt
Management And General$41,056ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERCO. PURCHASED SVCS$7,746,395$7,281,303$465,092
BAD DEBT EXPENSE$5,986,322$5,986,322
MEDICAL SUPPLIES$5,083,994$5,083,994
HOSPITAL PROVIDER TAX$1,522,925$1,522,925

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$390,538TotalAmt
Program Services$367,091ProgramServicesAmt
Management And General$23,447ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,738,887TotalAmt
Program Services$54,047,118ProgramServicesAmt
Management And General$2,691,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,276,980BOYAmt
EOY$1,269,670EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,701,212BOYAmt
EOY$8,599,270EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,018,214BOYAmt
EOY$915,349EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,379BOYAmt
EOY$50,837EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,221,874LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,344,398LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,829,955BOYAmt
EOY$26,877,476EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,073,429BOYAmt
EOY$23,179,104EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$17,285,686BOYAmt
EOY$20,468,047EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$310,202BOYAmt
EOY$411,197EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,543,057BOYAmt
EOY$81,770,950EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,747,057BOYAmt
EOY$3,361,256EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$22,680BOYAmt
EOY$23,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$363,593EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,672,161BOYAmt
EOY$8,717,031EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,441,898BOYAmt
EOY$12,464,880EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,101,159BOYAmt
EOY$69,306,070EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,101,159BOYAmt
EOY$69,306,070EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,543,057BOYAmt
EOY$81,770,950EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,543,465ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,643,961NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$17,485OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$477,930OtherCostOrOtherBasisAmt
Book Value$477,930BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,115,991OtherCostOrOtherBasisAmt
Depreciation$27,736,296DepreciationAmt
Book Value$16,379,695BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,227,692OtherCostOrOtherBasisAmt
Depreciation$16,608,102DepreciationAmt
Book Value$9,619,590BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$400,261OtherCostOrOtherBasisAmt
Book Value$400,261BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,877,476TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES$9,145,297F
EQUITY METHOD INVESTMENTS$6,967,846F
HEDGE FUNDS$4,354,904F
FieldValueIRS element (for citing)
Total Book Value Securities$20,468,047TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMPENSATION LIABILITY$98,115
INTERCOMPANY NOTES PAYABLE$6,011,289
INTERCOMPANY ACCOUNTS PAYABLE$2,535,627
OTHER LT LIABILITIES$72,000
FieldValueIRS element (for citing)
Total Liability$8,717,031TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationENDOWMENTS HELD BY THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. FOR THE BENEFIT OF SJRMC-PLYMOUTH ARE REPORTED ON THE FORM 990 OF THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served169PersonsServedCnt
Total Community Benefit Expns$814,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$814,176NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served6533PersonsServedCnt
Total Community Benefit Expns$9,351,643TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,381,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,969,906NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served6702PersonsServedCnt
Total Community Benefit Expns$10,165,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,381,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,784,082NetCommunityBenefitExpnsAmt
Total Expense0.07450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served3622PersonsServedCnt
Total Community Benefit Expns$222,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$275DirectOffsettingRevenueAmt
Net Community Benefit Expns$222,681NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$3,479TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,321NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served8253PersonsServedCnt
Total Community Benefit Expns$958,931TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,682DirectOffsettingRevenueAmt
Net Community Benefit Expns$617,249NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$250DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,751NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served11876PersonsServedCnt
Total Community Benefit Expns$1,195,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$343,365DirectOffsettingRevenueAmt
Net Community Benefit Expns$852,002NetCommunityBenefitExpnsAmt
Total Expense0.01680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served18578PersonsServedCnt
Total Community Benefit Expns$11,361,186TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,725,102DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,636,084NetCommunityBenefitExpnsAmt
Total Expense0.09130TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$19,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,552NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$500DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$26,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,052NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,986,322BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,739,667ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,917,653CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,177,986MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOSEPH REG MED CENTER-PLYMOUTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11915 LAKE AVENUEAddressLine1Txt
CityPLYMOUTHCityNm
State AbbreviationINStateAbbreviationCd
ZIP46563ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SJMED.COM/PLYMOUTH-CAMPUSWebsiteAddressTxt
State License16-005070-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT JOSEPH REG MED CENTER- PLYMOUTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 7FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 7FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 7FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART V, SECTION B, LINE 5: DURING THE MONTHS OF SEPTEMBER THROUGH NOVEMBER OF 2014, COMMUNITY FOCUS GROUPS WERE USED TO GATHER INPUT FROM PEOPLE REPRESENTING THE COMMUNITY SERVED FOR THE RECENT CHNA. THE FOCUS GROUP PARTICIPANTS WERE ASKED A SERIES OF QUESTIONS ABOUT TOPICS CRITICAL TO THE VARIOUS MEMBERS OF THE COMMUNITY. THE IMPORTANT ISSUES IDENTIFIED BY THE SURVEY TAKERS WERE: MENTAL HEALTH, TRANSPORTATION AND ACCESS, AS WELL AS IMPROVED USE OF THE EXISTING COMMUNITY RESOURCE CENTER IN MARSHALL COUNTY.EXAMPLES OF THE PARTICIPANTS INCLUDED: YOUNG PROFESSIONALS, SENIORS, CLINICS, BUSINESS LEADERS IN PLYMOUTH, EXPECTANT & NEW MOTHERS, VETERANS, AND LATINO COMMUNITY LEADERS. THE FOCUS GROUPS WERE ASKED TO DISCUSS ISSUES THAT HAD BEEN IDENTIFIED AS IMPORTANT BY SAINT JOSEPH REGIONAL MEDICAL CENTER (SJRMC).COMMUNITY BENEFIT COUNCIL MET TO DISCUSS HOW TO IMPROVE THE THREE DEFINED AREAS. AFTER DISCUSSION, ACTION PLANS WERE DEVELOPED, APPROVED, AND BUDGETED.
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN COLLABORATION WITH SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC.
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE FOLLOWING COLLABORATING ORGANIZATIONS: MARSHALL COUNTY COMMUNITY RESOURCE CENTER, MARSHALL COUNTY NEIGHBORHOOD CENTER, WOMEN'S CARE CENTER, CULVER BOYS & GIRLS CLUB, MARSHALL COUNTY COUNCIL ON AGING, MARSHALL COUNTY HEALTH DEPARTMENT, AND MARSHALL-STARKE DEVELOPMENT CENTER, BOWEN CENTER AND PURDUE EXTENSION.
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART V, SECTION B, LINE 7D: ALL FOCUS GROUP MEMBERS AND COMMUNITY BENEFIT COUNCIL MEMBERS RECEIVED A PRINTED OR E-MAILED COPY OF THE COMPLETE CHNA.
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART V, SECTION B, LINE 11: THERE IS A THREE-YEAR STRATEGIC PLAN TO ADDRESS THE THREE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. IT IS OUR INTENTION TO ADDRESS ALL THREE NEEDS: MENTAL HEALTH, TRANSPORTATION AND PROVIDER ACCESS. ALL THREE AREAS WERE ADDRESSED IN TAX YEAR 2016 WITH THE CONTINUED EMPLOYMENT OF A REGISTERED NURSE/COMMUNITY OUTREACH COORDINATOR. THE REGISTERED NURSE/COMMUNITY OUTREACH COORDINATOR IS THE LIAISON WITH THE MARSHALL COUNTY COMMUNITY AND HEALTH DEPARTMENT. THE REGISTERED NURSE/COMMUNITY OUTREACH COORDINATOR WORKED WITH THE MARSHALL COUNTY HEALTH DEPARTMENT TO IDENTIFY THE HOMELESS AND THEIR NEEDS. THE MARSHALL COUNTY COMMUNITY RESOURCE CENTER IS WHERE THE COMMUNITY COORDINATOR RN IS HOUSED TO HELP THOSE WHO ARE UNDERSERVED MEET THEIR NEEDS. ACCORDING TO TRANSPORTATION ACTION PLANS, FINANCIAL SUPPORT WAS PROVIDED TO EXISTING TRANSPORTATION PERFORMED BY THE COUNCIL ON AGING PROGRAMS. ACCORDING TO PROVIDER ACCESS ACTION PLANS, SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH CAMPUS (SJRMC-PLYMOUTH) EXPANDED THE WELLNESS INITIATIVE "THIS COUNTS", EXPANDED OUR SENIOR FIT TO MARSHALL COUNTY COUNCIL ON AGING LOCATION, PROVIDED FINANCIAL SUPPORT TO MARSHALL COUNTY NEIGHBORHOOD CENTER, INCREASED PARTICIPATION IN HEALTH FAIRS, AND PROMOTED A SAFETY NET CLINIC. WHILE BUDGETS FOR SJRMC-PLYMOUTH HAVE BEEN APPROVED, FINANCIAL CONSTRAINTS MAY LIMIT SOME OF THE ACTION ITEMS IN THE STRATEGIC PLAN. THE NUMBER OF PROVIDERS IN PLYMOUTH, INCLUDING URGENT CARE, PRIMARY CARE AND SPECIALTY, IS AN UNMET NEED AS THIS IS A RURAL COMMUNITY. OTHER UNMET NEEDS INCLUDE GRASS ROOTS FOR TRANSPORTATION. THOSE NEEDS ARE MET BY ANOTHER COMMUNITY COALITION AND WILL NOT BE SPECIFICALLY ADDRESSED BY SJRMC-PLYMOUTH.
SAINT JOSEPH REG. MED. CENTER- PLYMOUTHPART 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 HEALTHCARE 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.
FORM 990 PART V, SECTION B, LINE 7A - HOSPITAL FACILITY'S WEBSITE URL:HTTP://WWW.SJMED.COM/COMMUNITY-NEEDS-HEALTH-ASSESSMENT-2015
FORM 990 PART V, SECTION B, LINE 10 - HOSPITAL FACILITY'S WEBSITE URL:HTTP://WWW.SJMED.COM/COMMUNITY-NEEDS-HEALTH-ASSESSMENT-2015
FORM 990 PART V, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTP://SJMED.COM/FINANCIAL-ASSISTANCE
FORM 990 PART V, LINE 16B, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTP://SJMED.COM/FINANCIAL-ASSISTANCE
FORM 990 PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTP://SJMED.COM/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MEDICAL OFFICE BUILDING
2349 LAKE AVENUEPLYMOUTHIN46563VARIOUS MEDICAL OFFICES
2 - OUTPATIENT REHABILITATION
1919 LAKE AVE SUITE 111PLYMOUTHIN46563REHAB
3 - EXPRESS LAB
1919 LAKE AVE SUITE 105PLYMOUTHIN46563LAB
4 - SJHS CARDIAC REHAB
2855 MILLER RDPLYMOUTHIN46563REHAB

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:SJRMC-PLYMOUTH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF INDIANA. IN ADDITION, SJRMC-PLYMOUTH 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.IN ADDITION, SJRMC-PLYMOUTH 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, $5,986,322, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:SJRMC-PLYMOUTH STRIVES TO LIVE ITS MISSION OF SERVING THE POOR AND UNDERSERVED BY ASSISTING LOCAL ORGANIZATIONS IN CREATING PROGRAMS AIMED AT HELPING THE CITIZENS OF OUR COMMUNITY BECOME MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY AND IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY. IN TAX YEAR 2016, WE WERE ABLE TO PROVIDE SUPPORT TO OUR COMMUNITY BY DONATING TO THE BOYS & GIRLS CLUB OF MARSHALL COUNTY. SJRMC-PLYMOUTH ALSO SUPPORTED ANCILLA COLLEGE, UNITED WAY OF MARSHALL COUNTY, MARSHALL COUNTY EDC ORGANIZATION AND CULVER BOYS AND GIRLS CLUB.
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:SJRMC-PLYMOUTH 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, SJRMC-PLYMOUTH IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SJRMC-PLYMOUTH IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4:SJRMC-PLYMOUTH 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:SJRMC-PLYMOUTH DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA 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: SJRMC-PLYMOUTH 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 MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES, AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTIVE SERVICES OR ARE UNINSURED. ADDITIONALLY, SOME EMPLOYEES OF SJRMC-PLYMOUTH ARE MEMBERS OF COMMUNITY AGENCIES, SUCH AS BREAD OF LIFE AND UNITED WAY, AND DURING FISCAL YEAR 2017 OUR COMMUNITY BENEFIT COUNCIL WORKS TO ADDRESS MARSHALL COUNTY COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:SJRMC-PLYMOUTH 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, SJRMC-PLYMOUTH 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 OBLIGATIONSSJRMC-PLYMOUTH 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. SJRMC-PLYMOUTH 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. SJRMC-PLYMOUTH HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SJRMC-PLYMOUTH 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: SJRMC-PLYMOUTH SERVES THE 100,311 RESIDENTS OF INDIANA'S SOUTHERN TIER, WHICH INCLUDES MARSHALL, FULTON, STARKE AND PULASKI COUNTIES. THESE COUNTIES ARE RELATIVELY RURAL IN NATURE WITH LIGHT INDUSTRY CENTERED IN THE TOWNS OF PLYMOUTH AND BREMEN. NEARBY CULVER IS THE HOME OF CULVER ACADEMIES, WHICH ATTRACTS STUDENTS TO INDIANA FROM ALL OVER THE WORLD. THE TOTAL POPULATION FOR THE SOUTHERN TIER SERVICE AREA IS EXPECTED TO REMAIN FLAT AT -0.4% FROM 2017 THROUGH 2022. INDIVIDUALS AGE 65 AND OLDER REPRESENT 17.8% OF THE TOTAL POPULATION, AND THAT GROUP IS EXPECTED TO INCREASE 12% OVER THE NEXT FIVE YEARS.THE AVERAGE HOUSEHOLD INCOME ($58,250) IS BELOW THAT FOR THE STATES OF INDIANA, MICHIGAN AND OHIO, THOUGH IT REMAINS STABLE ACROSS THE REGION, WITH AREAS OF MARGINALLY HIGHER AFFLUENCE IN MARSHALL AND FULTON COUNTIES. AS IN MOST RURAL MIDWESTERN COMMUNITIES, THE POPULATION IS ALMOST EXCLUSIVELY (90.3%) MADE UP OF WHITE NON-HISPANIC INDIVIDUALS OF NORTHERN EUROPEAN DESCENT, ALTHOUGH THERE HAS BEEN AN INCREASE IN THE HISPANIC POPULATION OVER THE PAST TEN YEARS.IN 2015, 10.6% OF INDIVIDUALS IN MARSHALL COUNTY LIVED IN POVERTY*, WITH 11.7% OF FULTON COUNTY RESIDENTS, 14.8% OF STARKE COUNTY RESIDENTS AND 14.2% OF THOSE IN PULASKI COUNTY. IN 2015, 14.4% OF INDIANA FAMILIES LIVED IN POVERTY.THERE ARE ALSO THREE CRITICAL ACCESS HOSPITALS (CAH) IN THIS AREA - COMMUNITY HOSPITAL OF BREMEN, PULASKI MEMORIAL HOSPITAL, AND WOODLAWN HOSPITAL - AT WHICH PRIMARY CARE PROFESSIONALS WITH PRESCRIPTIVE PRIVILEGES FURNISH OUTPATIENT PRIMARY-CARE SERVICES. *HTTP://WWW.CENSUS.GOV/DID/WWW/SAIPE/DATA/STATECOUNTY/DATA/INDEX.HTML
PART VI, LINE 5:OTHER INFORMATION: SJRMC-PLYMOUTH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS. BY DOING SO, IT IS ABLE TO ENSURE THE COMMUNITY THAT HIGH QUALITY AND ACCESSIBLE CARE IS AVAILABLE IN A VARIETY OF PRIMARY AND SOME SPECIALTY CARE AREAS. REFERRALS FOR NEEDED SERVICES NOT AVAILABLE IN PLYMOUTH ARE EASILY MADE WITH SJRMC-MISHAWAKA OR OTHER LOCAL HOSPITALS.SJRMC-PLYMOUTH PRIDES ITSELF ON ITS RELATIONSHIP WITH SJRMC-MISHAWAKA, A STATE-OF-THE-ART MEDICAL CENTER THAT UTILIZES THE LATEST TECHNOLOGY, ELECTRONIC MEDICAL RECORDS, FULLY INTEGRATED MEDICAL TEAMS, AND HIGHLY TRAINED STAFF TO PROVIDE CARE THAT IS SECOND TO NONE. INTERACTION OF THE MEDICAL STAFFS, ASSOCIATES, AND ANCILLARY SERVICES ALLOWS SJRMC-PLYMOUTH TO PROVIDE ITS PATIENTS WITH THE SAME LEVEL OF CARE OFFERED THE RESIDENTS OF THE CITIES OF SOUTH BEND AND MISHAWAKA.SJRMC-PLYMOUTH BOASTS A NEW STATE-OF THE-ART EMERGENCY ROOM WHICH HAS AN EXCELLENT GROUP OF EMERGENCY DEPARTMENT PHYSICIANS AND STAFF TRAINED IN TREATING PERSONS SUFFERING FROM EMERGENT AND NON-EMERGENT CONDITIONS. SJRMC-PLYMOUTH SERVES ALL PEOPLE REGARDLESS OF ETHNICITY, GENDER, RELIGION, ABILITY TO PAY, ETC.SJRMC-PLYMOUTH IS ALSO ACTIVELY PURSUING "BABY-FRIENDLY STATUS". BABY-FRIENDLY HOSPITALS ARE HOSPITALS THAT ARE RECOGNIZED FOR ENCOURAGING BREASTFEEDING AND MOTHER/BABY BONDING, WHICH IS KNOWN TO PROVIDE HEALTH BENEFITS FOR INFANTS, CHILDREN, AND MOTHERS.SJRMC-PLYMOUTH PARTICIPATES IN MEDICARE, MEDICAID, TRICARE AND OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. THE HOSPITAL ALSO OFFERS CHARITY CARE AND CARE ON A SLIDING FEE SCALE. IN KEEPING WITH ITS MISSION STATEMENT AND VALUES, SJRMC-PLYMOUTH ASSURES UNINSURED PATIENTS THAT THEY RECEIVE THE SAME HIGH QUALITY MEDICAL CARE AS THOSE WHO ARE ABLE TO PAY. FINANCIAL ASSISTANCE IS PROVIDED TO ALL WHO ARE ELIGIBLE TO RECEIVE IT. POLICIES GOVERNING SUCH ASSISTANCE ARE READILY AVAILABLE FOR STAFF AND PATIENTS ALIKE. SJRMC-PLYMOUTH SPONSORS A HEALTH CENTER THAT PROVIDES CARE FOR THE UNINSURED. STAFFED PRIMARILY BY A MID-LEVEL PRACTITIONER IN A COLLABORATIVE AGREEMENT WITH LOCAL DOCTORS, THIS HEALTH CENTER SEES A HIGHLY DIVERSE POPULATION AND OFFERS SPECIALIZED CLINICS IN CHRONIC DISEASE MANAGEMENT, COUMADIN CARE, SMOKING CESSATION, HIV/AIDS, AND SUBSTANCE ABUSE. ADVOCACY FOR VARIOUS HEALTH-RELATED ISSUES IS AT THE FOREFRONT AT SJRMC-PLYMOUTH, INCLUDING EFFORTS RELATED TO OBTAINING HEALTH CARE FOR ALL, ELIMINATING THE HEALTH CARE DISPARITIES AMONG DIVERSE POPULATIONS, AND OBTAINING AFFORDABLE PHARMACEUTICALS. SJRMC-PLYMOUTH CONTINUES TO BE THE LEADER IN FOUNDING AND FUNDING PROGRAMS THAT IMPACT THE HEALTH OF ITS COMMUNITIES, PROVIDING LOCAL SCHOOLS WITH ATHLETIC TRAINERS, AND ESTABLISHING AN URGENT CARE CENTER.VOLUNTEERS WITHIN THE SJRMC-PLYMOUTH HOSPITAL TESTIFY TO THE REPUTATION AND IMPACT OF THE HOSPITAL. WOMEN, MEN, AND YOUTH BELIEVE IN THE MISSION OF THE HOSPITAL AND ATTEST TO IT BY PROVIDING HUNDREDS OF HOURS OF SERVICE EACH YEAR. VOLUNTEERS WITH SPECIAL NEEDS ARE ALSO WELCOME TO SERVE THE HOSPITAL, ITS PHYSICIANS, STAFF AND THE PUBLIC. AS A FAITH-BASED HEALTH INSTITUTION, SJRMC-PLYMOUTH OFFERS PATIENTS, THEIR FAMILIES, AND THE BROADER COMMUNITY THE OPPORTUNITY TO ADDRESS THE SPIRITUAL NEEDS THAT ARISE AS ONE EXPERIENCES ILLNESS, CHRONIC HEALTH CONDITIONS, OR THE DYING PROCESS. THIS EXPERIENCE OF FAITH, THE PRESENCE OF A REFLECTION/PRAYER ROOM, AND FULL-TIME CHAPLAIN AFFORD EVERYONE THE CERTITUDE THAT THE WHOLE PERSON AND HIS/HER CARE ARE ADDRESSED.SJRMC-PLYMOUTH HAS A NUMBER OF CRITICAL COMMUNITY HEALTH AND WELL-BEING PROGRAMS THAT FURTHER ASSIST IN THE ENHANCEMENT OF THE HEALTH STATUS OF THE POPULATIONS IT SERVES. THROUGH THE GENEROSITY OF BENEFACTORS AND THE SAINT JOSEPH FOUNDATION, SJRMC-PLYMOUTH PARTICIPATES IN MANY OUTREACH COMMUNITY PROGRAMS AND SERVICES. SJRMC-PLYMOUTH WORKS WITH AND PROVIDES ASSISTANCE TO THE MARSHALL COUNTY COUNCIL ON AGING, MARSHALL COUNTY NEIGHBORHOOD ASSOCIATION-FOOD PANTRY, AMERICAN CANCER SOCIETY GREAT LAKES, PLYMOUTH FIRE AND EMS, AND SCHOOL ATHLETIC TRAINING PROGRAMS AT ANCILLA COLLEGE, PLYMOUTH, CULVER, AND JOHN GLENN.
PART VI, LINE 6:SJRMC-PLYMOUTH 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, AND 2) ASSESSING CAPACITY TO IDENTIFY AND SUPPORT INDIVIDUALS THAT ARE HOUSING INSECURE AND ACKNOWLEDGING OTHER BARRIERS INDIVIDUALS HAVE ACCESSING HEALTHCARE AND 3) EXPANDING ACCESS AND DELIVERY OF DIABETES PREVENTION PROGRAM. 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 STATESIN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
BOYS & GIRLS CLUB OF MARSHALL COUNTY
314 E JEFFERSON STPLYMOUTHIN46563351955489501(C)(3)$10,000BROADER COMMUNITY
CITY OF PLYMOUTH FIRE AND EMS
124 N MICHIGAN STPLYMOUTHIN46563356001166GOVERNMENTBROADER COMMUNITY$6,391COST
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS MADE BY SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LORETTA SCHMIDT
DIR & PRES THRU 2/17; CNO AT 3/17$0$185,729$0$21,324$0$253$0$8,846$0$21,339$0$237,491$0$0
CHRISTOPHER KARAM
PRES SJRMC-SB;PRES SJRMC-PLY AT 3/17$0$272,581$0$31,572$0$638$0$16,544$0$23,911$0$345,246$0$0
ALBERT GUTIERREZ
DIR; PRES & CEO SJHS THR 9/16$0$484,220$0$146,232$0$226,254$0$11,925$0$36,208$0$904,839$0$78,685
CRAIG MILLER MD
DIRECTOR AS OF 1/17$0$578,140$0$0$0$1,317$0$15,900$0$26,691$0$622,048$0$0
JASON SCHULTZ
SECRETARY; SJRMC GENERAL COUNSEL$0$179,856$0$12,467$0$127$0$9,015$0$8,134$0$209,599$0$0
JANICE DUNN
CFO SJHS THROUGH 01/17$0$304,005$0$52,382$0$1,344$0$11,925$0$19,253$0$388,909$0$0
ROBERT SINK
INTERIM CFO SJHS 1/17-4/17; VP FIN$0$162,548$0$18,074$0$325$0$12,342$0$13,706$0$206,995$0$0
STEPHEN ANDERSON MD
CMO$0$310,122$0$53,258$0$6,560$0$11,925$0$20,527$0$402,392$0$0
TAMMY AWALD
CNO/COO THRU 6/17$150,539$0$16,878$0$297$0$9,106$0$10,926$0$187,746$0$0$0
HOSAM NASRI KHAYAL MD
PHYSICIAN$324,996$0$0$0$651$0$11,925$0$22,249$0$359,821$0$0$0
KENNETH HALL
FORMER KEY EMPLOYEE: CNO THRU 10/16$0$159,855$0$33,560$0$33,282$0$17,129$0$24,482$0$268,308$0$0
KURT MEYER
FORMER KEY EMPLOYEE;CHRO SJRMC$0$231,169$0$39,710$0$955$0$12,045$0$16,457$0$300,336$0$0
RICHARD O'CONNELL
FORMER KE; TRINITY EVP THR 10/16$0$878,773$0$258,051$0$408,585$0$11,925$0$35,437$0$1,592,771$0$112,018
LORI PRICE
FORMER OFFICER & DIRECTOR; PRES GOTT$0$343,053$0$123,745$0$102,220$0$19,875$0$25,553$0$614,446$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH 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 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH'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-BTHE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2016. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KENNETH HALL - $31,018 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $7,754 OF SEVERANCE FOR KENNETH HALL WHICH WAS UNPAID AS OF 12/31/16. THE $7,754 WAS PAID AND INCLUDED IN KENNETH HALL'S TAXABLE INCOME 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: ALBERT GUTIERREZ - $113,367 RICHARD O'CONNELL - $221,949 LORI PRICE - $87,315 THE FOLLOWING ACCRUAL FOR 2016 IS INCLUDED IN COLUMN F OF FORM 990, PART VII: CHAD TOWNER - $18,375 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN 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: ALBERT GUTIERREZ - $80,681 RICHARD O'CONNELL - $121,018 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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SJRMC-PLYMOUTH IS SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ASAINT JOSEPH REGIONAL MEDICAL CENTER, INC. IS THE SOLE MEMBER OF SJRMC-PLYMOUTH. SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SJRMC-PLYMOUTH.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER, SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT JOSEPH REGIONAL MEDICAL CENTER, INC. 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 11BPRIOR TO FILING, THE FORM 990 FOR SJRMC-PLYMOUTH IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. 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 12CSJRMC-PLYMOUTH 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 SJRMC-PLYMOUTH, 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 SJRMC-PLYMOUTH 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 SJRMC-PLYMOUTH (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SJRMC-PLYMOUTH OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SJRMC-PLYMOUTH (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 SJRMC-PLYMOUTH. 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 15QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR SJRMC-PLYMOUTH'S OTHER OFFICERS AND KEY MANAGEMENT OFFICIALS 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 CFO OF SJRMC-PLYMOUTH 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 19SJRMC-PLYMOUTH 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, SJRMC-PLYMOUTH INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SJRMC-PLYMOUTH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR : PROGRAM SERVICE EXPENSES 431,319. MANAGEMENT AND GENERAL EXPENSES 27,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 458,869. MEDICAL SPECIALIST FEES : PROGRAM SERVICE EXPENSES 1,160,703. MANAGEMENT AND GENERAL EXPENSES 74,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,234,843. MISCELLANEOUS PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 1,044,224. MANAGEMENT AND GENERAL EXPENSES 66,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,110,923. CONSULTING SERVICES : PROGRAM SERVICE EXPENSES 64,774. MANAGEMENT AND GENERAL EXPENSES 4,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,911. MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 4,517,361. MANAGEMENT AND GENERAL EXPENSES 288,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,805,907. BILLING SERVICES : PROGRAM SERVICE EXPENSES 2,329. MANAGEMENT AND GENERAL EXPENSES 149. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,478.
FORM 990, PART XI, LINE 9:OTHER TRANSACTIONS 17,485.
FORM 990, PART XII, LINE 2:SJRMC-PLYMOUTH'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY17 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:SAINT JOSEPH HEALTH CENTER SAINT JOSEPH HOSPITAL CLINIC-PLYMOUTH SAINT JOSEPH WOUND CARE CENTER SAINT JOSEPH SLEEP LAB MARSHALL COUNTY PULMONOLOGY CLINIC SAINT JOSEPH HEALTH SYSEM SLEEP DISORDER CENTER - PLYMOUTH PRE-SURGICAL/ANESTHESIA CARE CLINIC INTEGRATED CARE CLINIC

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (238 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269PALM HARBORFL34684581492325GRANT MAKINGFL501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREETHARTFORDCT06105061450170HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277HEALTH CARE AND HOSPITAL SERVICESIA501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307FOUNDATIONIA501(C)(3)LINE 12A, IBAUM HARMON MERCY HOSPITALYes (1)
BEECHWOOD INC
2212 BURDETT AVETROYNY12180141651563TITLE HOLDING COMPANYNY501(C)(2)N/ALTC (EDDY) INCYes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREETPITTSBURGHPA15219251436685HOMELESS SHELTERPA501(C)(3)LINE 7PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
BRIGHTSIDE INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040042182395HEALTH CARE SERVICESMA501(C)(3)LINE 10THE MERCY HOSPITAL INCYes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141701597LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
CARING PARTNERS HOME HEALTH INC
1200 EARHART RDANN ARBORMI48105201681131HOME HEALTH SERVICESMI501(C)(3)LINE 10GLACIER HILLS INCYes (1)
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173HEALTH CARE SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAYLIVONIAMI48152GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM501(C)(3)LINE 10VTN/A
COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUENEWARKNJ07102262616342INACTIVE ENTITYNJ501(C)(3)LINE 10SAINT MICHAEL'S MEDICAL CENTERYes (1)
CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102TROYMI48098383320699HOSPICE SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3MOUNT CARMEL HEALTH SYSTEMYes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVEDUBUQUEIA52001262227941FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271FOUNDATIONIA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
EAST NORRITON PHYSICIANS SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232515999HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000TROYNY12180141818568HOME HEALTH SERVICESNY501(C)(3)LINE 3LTC (EDDY) INCYes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214461051881PACE PROGRAMNY501(C)(3)LINE 10ST JOSEPH'S HEALTH INCYes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVEMALTANY12020141795732HOME HEALTH SERVICESNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
FARREN CARE CENTER INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040042501711LONG TERM CAREMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500WILMINGTONDE19805223008680LONG TERM CARE (INACTIVE)DE501(C)(3)LINE 10ST FRANCIS HOSPITALYes (1)
GLACIER HILLS FOUNDATION
1200 EARHART RDANN ARBORMI48105208072723FOUNDATIONMI501(C)(3)LINE 12A, IGLACIER HILLS INCYes (1)
GLACIER HILLS INC
1200 EARHART RDANN ARBORMI48105381891500SENIOR LIVING COMMUNITYMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVENISKAYUNANY12309141794150SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTH CARE SERVICESMI501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAYGREENSBOROGA30642261720984HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852COMMUNITY OUTREACHIL501(C)(3)LINE 10GOTTLIEB MEMORIAL HOSPITALYes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVEMELROSE PARKIL60160743260011FOUNDATIONIL501(C)(3)LINE 12C, III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
945 OTTAWA AVE NWGRAND RAPIDSMI49503237270669MEDICAL EDUCATION TRAINING PROGRAMSMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUEMUSKEGONMI49442381386362HEALTH CARE SERVICESMI501(C)(3)LINE 10MERCY HEALTH PARTNERSYes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840SENIOR LIVING COMMUNITYNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HEART CENTER OF GREATER WATERBURY INC
PO BOX 2153WATERBURYCT06722830416893MANAGEMENTCT501(C)(3)LINE 12A, I0N/A
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVETROYNY12180141725101LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48152521945054LONG TERM CAREMD501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN RDSILVER SPRINGMD20910208428450FOUNDATIONMD501(C)(3)LINE 7HOLY CROSS HEALTH INCYes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN RDSILVER SPRINGMD20910520738041HEALTH CARE AND HOSPITAL SERVICESMD501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791028HEALTH CARE AND HOSPITAL SERVICESFL501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308650666283BUILDING MANAGEMENT SERVICESFL501(C)(2)N/AHOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308465421068HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308812531495HEALTH CARE SERVICESFL501(C)(3)LINE 10HOLY CROSS HOSPITAL INCYes (1)
HOME & COMMUNITY HEALTH SERVICES INC
114 WOODLAND STREETHARTFORDCT06105810723591HOME HEALTH SERVICESCT501(C)(3)LINE 10TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000TROYNY12180141514867HOME HEALTH SERVICESNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA50401421173708HOSPICE SERVICESIA501(C)(3)LINE 10MERCY HEALTH SERVICES-IOWA CORPYes (1)
HOSPICE OF SIOUXLAND
4300 HAMILTON BLVDSIOUX CITYIA51104383320710HOSPICE SERVICESIA501(C)(3)LINE 12A, I0N/A
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
JOHNSON HEALTH CARE INC
114 WOODLAND STREETHARTFORDCT06105810709903HEALTH CARE SERVICESCT501(C)(3)LINE 10TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105475676956HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
JOHNSON MEMORIAL MEDICAL CENTER INC
114 WOODLAND STREETHARTFORDCT06105810696923HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12B, IITRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232519529HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232571699HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUEPENNSAUKENNJ08109261854750PACE PROGRAMNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
7TH AND CLAYTON STREETSWILMINGTONDE19805452569214PACE PROGRAMDE501(C)(3)LINE 10ST FRANCIS HOSPITALYes (1)
LIFE ST FRANCIS CORPORATION
1435 LIBERTY STREETHAMILTONNJ08629222797282PACE PROGRAMNJ501(C)(3)LINE 10ST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVESOUTHERN PINESNC28387272159847PACE PROGRAMNC501(C)(3)LINE 3ST JOSEPH OF THE PINES INCYes (1)
LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047262976184PACE PROGRAMPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
LOURDES ANCILLARY SERVICES
1600 HADDON AVENUECAMDENNJ08103222568525VOLUNTEER SERVICE AUXILIARYNJ501(C)(3)LINE 12B, IIOUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUECAMDENNJ08103274357794HEALTH CARE SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROADWILLINGBORONJ08046223612265HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVEMELROSE PARKIL60160474147171TRANSPORATION SERVICESIL501(C)(3)LINE 10LOYOLA UNIVERSITY MEDICAL CENTERYes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3LOYOLA UNIVERSITY HEALTH SYSTEMYes (1)
LTC (EDDY) INC
2212 BURDETT AVETROYNY12180222564710MANAGEMENT SERVICES FOR LONG TERM CARENY501(C)(3)LINE 12B, IIST PETER'S HEALTH PARTNERSYes (1)
MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE STE 100NEWTOWN SQUAREPA19073240711230HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 10MAXIS HEALTH SYSTEMYes (1)
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705HOME HEALTH SERVICES (INACTIVE)IA501(C)(3)LINE 12A, IMERCY HEALTH SERVICES-IOWA CORPYes (1)
MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE STE 100NEWTOWN SQUAREPA19073911940902HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)PA501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
MCAULEY CENTER INC
275 STEELE ROADWEST HARTFORDCT06117061058086SENIOR LIVING COMMUNITYCT501(C)(3)LINE 10MERCY COMMUNITY HEALTH INCYes (1)
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTH CARE SERVICES (INACTIVE)MI501(C)(3)LINE 3CATHERINE MCAULEY HEALTH SERVICES CORPYes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUEPITTSBURGHPA15213943436142GRANT MAKINGPA501(C)(3)LINE 12B, IIPITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVDALBANYNY12204141338457HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102TROYMI48098383320698HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY AMICARE HOME HEALTHCARE PORT HURON
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152383320701HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY CARE FOUNDATION
424 DECATUR STREETATLANTAGA30312581448522FOUNDATIONGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428231352191HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUEWEST HARTFORDCT06117061492707HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12B, IITRINITY CONTINUING CARE SERVICESYes (1)
MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325059HOME HEALTH SERVICESPA501(C)(3)LINE 10MERCY HOME HEALTH SERVICESYes (1)
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350FOUNDATIONIL501(C)(3)LINE 7MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREETMUSKEGONMI49440383321856HOSPICE & HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232829864FOUNDATIONPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH NETWORK INC
1111 6TH AVENUEDES MOINESIA50314421478417HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTDE501(C)(3)LINE 12B, II0N/A
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVDMUSKEGONMI49444382589966HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH-MICHIGANYes (1)
MERCY HEALTH PLAN
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428222483605MEDICAID MANAGED CARE PLANPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232212638HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUETUPPER LAKENY12986150532211HEALTH CARE AND HOSPITAL SERVICES (INACTIVE)NY501(C)(3)LINE 3MERCY UIHLEIN HEALTH CORPORATIONYes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH STCLINTONIA52732421316126FOUNDATIONIA501(C)(3)LINE 70N/A
MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064231352099HOME HEALTH SERVICESPA501(C)(3)LINE 10MERCY HOME HEALTH SERVICESYes (1)
MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310SPRINGFIELDPA19064232325058MANAGEMENT SERVICES FOR HOME HEALTHPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTH CARE AND HOSPITAL SERVICESIL501(C)(3)LINE 3MERCY HEALTH SYSTEM OF CHICAGOYes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
1820 44TH ST SEKENTWOODMI49508203357131FOUNDATIONMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAYFT LAUDERDALEFL33308590791034HEALTH CARE SERVICES (INACTIVE)FL501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREETPITTSBURGHPA15233251604115COMMUNITY OUTREACHPA501(C)(3)LINE 10PITTSBURGH MERCY HEALTH SYSTEM INCYes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957MOBILEAL36670273163002PACE PROGRAMAL501(C)(3)LINE 3TRINITY HEALTH PACEYes (1)
MERCY LIFE INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040453086711PACE PROGRAMMA501(C)(3)LINE 3SISTERS OF PROVIDENCE CARE CENTERS INCYes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232627944HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA52732421336618HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA50401421229151FOUNDATIONIA501(C)(3)LINE 7MERCY HEALTH SERVICES-IOWA CORPYes (1)
MERCY MEDICAL CORPORATION
PO BOX 7957MOBILEAL36670636002215PACE PROGRAMAL501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
MERCY MEDICAL GROUP INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040454884805HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY PHYSICIAN NETWORK
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428461187365MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONSPA501(C)(3)LINE 12B, IIMERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY SENIOR CARE INC
424 DECATUR STREETATLANTAGA30312581366508COMMUNITY OUTREACHGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREETATLANTAGA30312272046353TITLE HOLDING COMPANYGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI48333382719605LONG TERM CAREMI501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
MERCY SPECIALIST PHYSICIANS INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040264033168HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428231396763HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
MERCY UIHLEIN HEALTH CORPORATION
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUARENY19073161535133HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)NY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
MISSION HEALTH CORPORATION
37595 SEVEN MILE ROADLIVONIAMI48152383181557BUILDING MANAGEMENT SERVICESDE501(C)(3)LINE 12A, I0N/A
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)LINE 2MOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMOOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTH CARE AND HOSPITAL SERVICESOH501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966FOUNDATIONOH501(C)(3)LINE 12A, IMOUNT CARMEL HEALTH SYSTEMYes (1)
MOUNT CARMEL HOME CARE LLC
501 WEST SCHROCK ROADWESTERVILLEOH43081262729300HOME HEALTH SERVICESOH501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
500 BLUE HILLS AVENUEHARTFORDCT06112222584082FOUNDATIONCT501(C)(3)LINE 12C, III-FI0N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREETHARTFORDCT06105061422973HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
MOUNT ST JOSEPH
7 HIGHTOWER STREETWATERVILLEME04901010274998LONG TERM CAREME501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 44TH STREETKENTWOODMI49508383073745HEALTH CARE SERVICES (INACTIVE)MI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918COMMUNITY OUTREACHMI501(C)(3)LINE 7MERCY HEALTH PARTNERSYes (1)
NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUEPHILADELPHIAPA19152232300951FOUNDATIONPA501(C)(3)LINE 12A, INAZARETH HOSPITALYes (1)
NAZARETH HOSPITAL
2601 HOLME AVENUEPHILADELPHIAPA19152232794121HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428203261266HEALTH CARE SERVICESPA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
NE PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232497355HEALTH CARE SERVICES (INACTIVE)PA501(C)(3)LINE 3MERCY PHYSICIAN NETWORKYes (1)
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTH CARE AND HOSPITAL SERVICESNE501(C)(3)LINE 3MERCY HEALTH SERVICES-IOWA CORPYes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345FOUNDATIONNE501(C)(3)LINE 12A, IOAKLAND MERCY HOSPITALYes (1)
ONE THOUSAND CORPORATION
114 WOODLAND STREETHARTFORDCT06105060922325BUILDING MANAGEMENT SERVICESCT501(C)(2)N/ASAINT FRANCIS HOSPITAL AND MEDICAL CENTERYes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
6150 EAST BROAD STREETCOLUMBUSOH43213311654603COOPERATIVE HEALTH CARE DELIVERY SYSTEMOH501(C)(3)LINE 12A, I0N/A
OUR LADY OF LOURDES HEALTH CARE SERVICES INC
1600 HADDON AVENUECAMDENNJ08103222568528HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNJ501(C)(3)LINE 12B, IIMAXIS HEALTH SYSTEMYes (1)
OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUECAMDENNJ08103222351960FOUNDATIONNJ501(C)(3)LINE 7OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUECAMDENNJ08103210635001HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3OUR LADY OF LOURDES HEALTH CARE SERVICESYes (1)
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANEGUILDERLANDNY12084141743506LONG TERM CARENY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040454208896HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUEPITTSBURGHPA15213251464211HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTPA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREETANN ARBORMI48104202020239HEALTH CARE SERVICESMI501(C)(3)LINE 10TRINITY HEALTH-MICHIGANYes (1)
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI49442382638284HEALTH CARE SERVICESMI501(C)(3)LINE 10MERCY HEALTH PARTNERSYes (1)
RIVERBEND MEDICAL GROUP INC
271 CAREW STSPRINGFIELDMA01104811807730HEALTH CARE SERVICESMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUESYRACUSENY13203271763712HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTH CARE AND HOSPITAL SERVICESCA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTH CARE SERVICESCA501(C)(3)LINE 12A, ISAINT AGNES MEDICAL CENTERYes (1)
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011BUILDING MANAGEMENT SERVICESID501(C)(3)LINE 10SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978HEALTH CARE SYSTEM SUPPORTID501(C)(3)LINE 12A, ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INCYes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER - BAKER CITYYes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560FOUNDATIONOR501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREETONTARIOOR97914943059469VOLUNTEER SERVICE AUXILIARYOR501(C)(3)LINE 10SAINT ALPHONSUS MEDICAL CENTER-ONTARIOYes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814271790052HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256FOUNDATIONID501(C)(3)LINE 7SAINT ALPHONSUS MEDICAL CENTER-NAMPAYes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROADNAMPAID83686820200896HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914271789847HEALTH CARE AND HOSPITAL SERVICESOR501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTH CARE AND HOSPITAL SERVICESID501(C)(3)LINE 3SAINT ALPHONSUS HEALTH SYSTEM INCYes (1)
SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREETHARTFORDCT06105451994612HEALTH CARE SERVICESCT501(C)(3)LINE 12B, IITRINITY HEALTH OF NEW ENGLAND PNO INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREETHARTFORDCT06105060646813HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREETHARTFORDCT06105061008255FOUNDATIONCT501(C)(3)LINE 12B, IISAINT FRANCIS HOSPITAL AND MEDICAL CENTERYes (1)
SAINT JAMES CARE INC
111 CENTRAL AVENUENEWARKNJ07102262616230INACTIVE ENTITYNJ501(C)(3)LINE 10SAINT MICHAEL'S MEDICAL CENTERYes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAYLIVONIAMI48152473129127PACE PROGRAMIN501(C)(3)LINE 7TRINITY HEALTH PACEYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670PLYMOUTHIN46563351142669HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545350868157HEALTH CARE AND HOSPITAL SERVICESIN501(C)(3)LINE 3SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563VOLUNTEER SERVICE AUXILIARYIN501(C)(3)LINE 12B, IISAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INCYes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545351568821HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREETATLANTAGA30312581744848HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTGA501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREETATLANTAGA30312581752700HEALTH CARE SERVICESGA501(C)(3)LINE 7SAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI48333311040468SENIOR LIVING COMMUNITYIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICES - INDIANA INCYes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120GRAND RAPIDSMI49505383320700HOME HEALTH SERVICESMI501(C)(3)LINE 10TRINITY HOME HEALTH SERVICESYes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602FOUNDATIONMI501(C)(3)LINE 7TRINITY HEALTH-MICHIGANYes (1)
SAINT MARY'S HOSPITAL FOUNDATION INC
56 FRANKLIN STREETWATERBURYCT06706222528400FOUNDATIONCT501(C)(3)LINE 7SAINT MARY'S HOSPITAL INCYes (1)
SAINT MARY'S HOSPITAL INC
56 FRANKLIN STREETWATERBURYCT06706060646844HEALTH CARE AND HOSPITAL SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
SAINT MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUENEWARKNJ07102223311976FOUNDATIONNJ501(C)(3)LINE 12A, ISAINT MICHAEL'S MEDICAL CENTERYes (1)
SAINT MICHAEL'S MEDICAL CENTER INC
111 CENTRAL AVENUENEWARKNJ07102262616046HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3MAXIS HEALTH SYSTEMYes (1)
SAMARITAN CHILD CARE CENTER INC
2215 BURDETT AVETROYNY12180141710225CHILD CARE SERVICESNY501(C)(3)LINE 10ST PETER'S HEALTH PARTNERSYes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVETROYNY12180141338544HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SENIOR CARE CONNECTION INC
504 STATE STSCHENECTADYNY12305141708754PACE PROGRAMNY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUETROYNY12180141505031VOLUNTEER SERVICE AUXILIARYNY501(C)(3)LINE 10SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVDCLIFTON PARKNY12065141756230LONG TERM CARENY501(C)(3)LINE 10SETON HEALTH SYSTEM INCYes (1)
SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUETROYNY12180222345416FOUNDATIONNY501(C)(3)LINE 12A, ISETON HEALTH SYSTEM INCYes (1)
SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUETROYNY12180141776186HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SISTERS OF PROVIDENCE CARE CENTERS INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040222541103LONG TERM CAREMA501(C)(3)LINE 3THE MERCY HOSPITAL INCYes (1)
SISTERS OF PROVIDENCE HEALTH SYSTEM INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040043398374HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTMA501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREETATLANTAGA30312472299757HEALTH CARE SYSTEM SUPPORTGA501(C)(3)LINE 12B, IISAINT JOSEPH'S HEALTH SYSTEM INCYes (1)
ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232840137PACE PROGRAMPA501(C)(3)LINE 3MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIAYes (1)
ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET SUITE 100CONSHOHOCKENPA19428232415137FOUNDATIONPA501(C)(3)LINE 12A, IST AGNES CONTINUING CARE CENTERYes (1)
ST FRANCIS FOUNDATION
PO BOX 2500WILMINGTONDE19805510374158FOUNDATIONDE501(C)(3)LINE 12A, IST FRANCIS HOSPITALYes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500WILMINGTONDE19805510064326HEALTH CARE AND HOSPITAL SERVICESDE501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUETRENTONNJ08629521025476FOUNDATIONNJ501(C)(3)LINE 7ST FRANCIS MEDICAL CENTER TRENTON NJYes (1)
ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUETRENTONNJ08629223431049HEALTH CARE AND HOSPITAL SERVICESNJ501(C)(3)LINE 3MAXIS HEALTH SYSTEMYes (1)
ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREETHORNELLNY14843223127184HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)NY501(C)(3)LINE 12A, ITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVEPONTIACMI48341352356789FOUNDATIONMI501(C)(3)LINE 12A, ITRINITY HEALTH-MICHIGANYes (1)
ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVESOUTHERN PINESNC28387560694200LONG TERM CARENC501(C)(3)LINE 3TRINITY CONTINUING CARE SERVICESYes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUESYRACUSENY13203202497520COLLEGE OF NURSINGNY501(C)(3)LINE 2ST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUESYRACUSENY13203237219294BUILDING MANAGEMENT SERVICESNY501(C)(3)LINE 12B, IIST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUESYRACUSENY13203474754987HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUESYRACUSENY13203150532254HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUESYRACUSENY13203222149775FOUNDATIONNY501(C)(3)LINE 12A, IST JOSEPH'S HEALTH INCYes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUESYRACUSENY13203273899821HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVENUESYRACUSENY13203161516863HEALTH CARE SERVICESNY501(C)(3)LINE 12A, IST JOSEPH'S HOSPITAL HEALTH CENTERYes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047461827502TITLE HOLDING COMPANYPA501(C)(2)N/AST MARY MEDICAL CENTERYes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047465354512HEALTH CARE SERVICESPA501(C)(3)LINE 10ST MARY MEDICAL CENTERYes (1)
ST MARY HOME INCORPORATED
2021 ALBANY AVENUEWEST HARTFORDCT06117060646843LONG TERM CARECT501(C)(3)LINE 3MERCY COMMUNITY HEALTH INCYes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047231913910HEALTH CARE AND HOSPITAL SERVICESPA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232567468FOUNDATIONPA501(C)(3)LINE 7ST MARY MEDICAL CENTERYes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREETATHENSGA30606582544232FOUNDATIONGA501(C)(3)LINE 12A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREETATHENSGA30606811660088FOUNDATIONGA501(C)(3)LINE 12A, IST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREETATHENSGA30606580566223HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREETATHENSGA30606020576648SENIOR LIVING COMMUNITYGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREETATHENSGA30606261858563HEALTH CARE SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAYLAVONIAGA30553473752176HEALTH CARE AND HOSPITAL SERVICESGA501(C)(3)LINE 3ST MARY'S HEALTH CARE SYSTEM INCYes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVDALBANYNY12208453570715HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTNY501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVDALBANYNY12208461177336HEALTH CARE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVDALBANYNY12208141348692HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVDALBANYNY12208222262982FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVESCHENECTADYNY12308141338386HEALTH CARE AND HOSPITAL SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVESCHENECTADYNY12308222505127FOUNDATIONNY501(C)(3)LINE 12A, ISUNNYVIEW HOSPITAL AND REHABILITATION CENTERYes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RDALBANYNY12205222692940FOUNDATIONNY501(C)(3)LINE 7THE COMMUNITY HOSPICE INCYes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RDALBANYNY12205141608921HOSPICE SERVICESNY501(C)(3)LINE 3ST PETER'S HEALTH PARTNERSYes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
707 EAST CEDAR STREETSOUTH BENDIN46617351654543FOUNDATIONIN501(C)(3)LINE 7SAINT JOSEPH REGIONAL MEDICAL CENTER INCYes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVETROYNY12180222570478LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA STCOHOESNY12047141793885LONG TERM CARENY501(C)(3)LINE 10LTC (EDDY) INCYes (1)
THE MERCY HOSPITAL INC
1221 MAIN STREET SUITE 213HOLYOKEMA01040043398280HEALTH CARE AND HOSPITAL SERVICESMA501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
THE NORTHEAST HEALTH FOUNDATION INC
310 SOUTH MANNING BLVDALBANYNY12208222743478FOUNDATIONNY501(C)(3)LINE 7ST PETER'S HEALTH PARTNERSYes (1)
THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC
114 WOODLAND STREETHARTFORDCT06105060660403VOLUNTEER SERVICE AUXILIARYCT501(C)(3)LINE 12B, II0N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVERPORT HURONMI48060382485700HEALTH CARE SERVICESMI501(C)(3)LINE 12A, I0N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI48333382559656LONG TERM CAREMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184FARMINGTON HILLSMI48333930907047LONG TERM CAREIN501(C)(3)LINE 10TRINITY CONTINUING CARE SERVICESYes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTH CARE AND HOSPITAL SERVICESMI501(C)(3)LINE 3TRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)LINE 12B, IICATHOLIC HEALTH MINISTRIESYes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAYLIVONIAMI48152475244984PACE PROGRAMPA501(C)(3)LINE 10TRINITY HEALTH PACEYes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREETHARTFORDCT06105061491191HEALTH CARE SYSTEM MANAGEMENT AND SUPPORTCT501(C)(3)LINE 12C, III-FITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREETHARTFORDCT06105061450168HEALTH CARE SERVICESCT501(C)(3)LINE 3TRINITY HEALTH OF NEW ENGLAND CORP INCYes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAYLIVONIAMI48152473073124PACE PROGRAMMI501(C)(3)LINE 12B, IITRINITY HEALTH CORPORATIONYes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCEMI501(C)(9)N/ATRINITY HEALTH CORPORATIONYes (1)
TRINITY HOME HEALTH SERVICES
17410 COLLEGE PARKWAY STE 150LIVONIAMI48152382621935MANAGEMENT SERVICES FOR HOME HEALTH SYSTEMMI501(C)(3)LINE 10TRINITY HEALTH CORPORATIONYes (1)
UIHLEIN MERCY CENTER
3805 WEST CHESTER PIKE SUITE 100NEWTOWN SQUAREPA19073150532190HEALTH CARE SERVICES (INACTIVE)NY501(C)(3)LINE 3MERCY UIHLEIN HEALTH CORPORATIONYes (1)
UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUENEWARKNJ07102223100162TITLE HOLDING COMPANYNJ501(C)(2)N/ASAINT MICHAEL'S MEDICAL CENTERYes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVDALBANYNY12208141438749LONG TERM CARENY501(C)(3)LINE 3ST PETER'S HOSPITALYes (1)
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Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/A
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311608125MEDICAL OFFICE BUILDING RENTALOHN/A
CATHERINE HORAN BUILDING ASSOCIATES LP
1221 MAIN STREET SUITE 105HOLYOKEMA01040042723429PROPERTY MANAGEMENTMAN/A
CENTENNIAL SURGUNIT LLC
502 CENTENNIAL BLVD SUITE 1VOORHEESNJ08043223580847HEALTH CARE SERVICESNJN/A
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/A
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PO BOX 148BAYONNENJ07002208525458CARDIAC PROGRAMNJN/A
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202MOLINEIL61265412044739MRI DIAGNOSTIC SERVICESIAN/A
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTHSOUTHBURYCT06488061487582IMAGING CENTERCTN/A
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/A
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/A
GATEWAY HEALTH PLAN LP
444 LIBERTY AVE SUITE 2100PITTSBURGHPA15222251691945MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATIONPAN/A
GREATER HARTFORD LITHOTRIPSY LLC
144 WOODLAND STHARTFORDCT06105061578891LITHOTRIPSY SERVICESCTN/A
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/A
IDAHO ASC HOLDINGS LLC
1055 N CURTIS ROADBOISEID83706364729605HOLDING COMPANY FOR AMBULATORY SURGERYIDN/A
INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC
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LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209364119522SURGICAL SERVICESILN/A
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/A
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/A
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222421544707MEDICAL OFFICE BUILDING RENTALOHN/A
MDRMRI TECHNICAL SERVICES LLC
5640 EAST TAFT ROAD 3770SYRACUSENY13220161590982MRI SERVICESNYN/A
MEDILUCENT MOB I
793 W STATE STREETCOLUMBUSOH43222204911370MEDICAL OFFICE BUILDING RENTALOHN/A
MEDWORKS LLC
375 EAST CEDAR STREETNEWINGTONCT06111061490483REHABILITATION SERVICESCTN/A
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616262116721SUBLEASE MRI EQUIPMENTILN/A
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/A
MERCYMANOR PARTNERSHIP
PO BOX 10086TOLEDOOH43699521931012NURSING HOMEPAN/A
MERCYUSP HEALTH VENTURES LLC
15305 DALLAS PARKWAY STE 1600 LB 28ADDISONTX75001471290300OUTPATIENT SURGERYIAN/A
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311369473MEDICAL OFFICE BUILDING RENTALOHN/A
NAUGATUCK VALLEY MRI LIMITED PARTNERSHIP
1389 WEST MAIN STWATERBURYCT06708061239526IMAGING CENTERCTN/A
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
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999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/A
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/A
SJLS LLC
7650 SE 27TH ST STE 200MERCER ISLANDWA98040201796650DIALYSIS SERVICESNYN/A
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200 CENTURY PKWY STE 200EMOUNT LAURELNJ08054202273476RADIOLOGYNJN/A
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047364559869INVESTMENT AND OPERATION OF A MEDICAL BUILDINGPAN/A
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3123 MEDICAL DRCALDWELLID83605820526861HEALTH CARE SERVICESIDN/A
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311603660MEDICAL OFFICE BUILDING RENTALOHN/A
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905SYRACUSENY13203161104293RADIOLOGY SERVICESNYN/A
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680 SOUTH FORTH STREETLOUISVILLEKY40202273938747HEALTH CARE SERVICESDEN/A
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1375 WASHINGTON AVENUE STE 201ALBANYNY12206460463892OUTPATIENT SURGERYNYN/A
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1203 LANGHORNE-NEWTOWN ROADLANGHORNEPA19047232871206OUTPATIENT SURGERYPAN/A
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Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (54 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
AFFILIATED MANAGEMENT SERVICES CORPORATION INC
1300 MASSACHUSETTS AVENUETROYNY12180141668024REAL ESTATENYN/ACYes (1)
CARBONDALE PHYSICIANS' SERVICES INC
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CATHERINE HORAN BUILDING CORP
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CHESTNUT RISK SERVICES LTD
INSURANCEN/ACYes (1)11 VICTORIA STREETHAMILTONBDBD
DIVERSIFIED COMMUNITY SERVICES INC
1233 MAIN STREETHOLYOKEMA01040043128890MEDICAL SERVICESMAN/ACYes (1)
FHS SERVICES INC
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FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214202991688MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161236354MEDICAL SERVICESNYN/ACYes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100DEWITTNY13214161351193MANAGEMENT SERVICESNYN/ACYes (1)
FRANKLIN MEDICAL GROUP PC
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GOTTLIEB MANAGEMENT SERVICES INC
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HEF INC
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HACKLEY HEALTH MANAGEMENT INC
1820 44TH STREET SEKENTWOODMI49508382961814WEIGHT MANAGEMENTMIN/ACYes (1)
HACKLEY HEALTH VENTURES INC
1820 44TH STREET SEKENTWOODMI49508382589959OTHER MEDICAL SERVICESMIN/ACYes (1)
HACKLEY HEALTHCARE EQUIPMENT CORP
1820 44TH STREET SEKENTWOODMI49508382578569HOME MEDICAL EQUIPMENTMIN/ACYes (1)
HACKLEY PROFESSIONAL PHARMACY INC
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HEALTH CARE MANAGEMENT ADMINISTRATORS INC
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HEALTH MANAGEMENT SERVICES ORG INC
500 GROVE STREET SUITE 100HADDON HEIGHTSNJ08035223366580MEDICAL ADMINISTRATIONNJN/ACYes (1)
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HURON ARBOR CORPORATION
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LIFECARE PHYSICIANS PC
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1055 NORTH CURTIS ROADBOISEID83706820524649ACCOUNTABLE CARE ORGANIZATIONIDN/ACYes (1)
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2212 BURDETT AVENUETROYNY12180141607244REAL ESTATENYN/ACYes (1)
SJM PROPERTIES INC
411 CANISTEO STREETHORNELLNY14843161294991PROPERTY HOLDINGSNYN/ACYes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
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SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545474763735PROPERTY HOLDINGSINN/ACYes (1)
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2209 GENESEE STREETUTICANY13501161540486MEDICAL SERVICESNYN/ACYes (1)
ST MARY'S HIGHLAND HILLS VILLAGE INC
1230 BAXTER STREETATHENSGA30606582276801ASSISTED LIVINGGAN/ACYes (1)
SYSTEM COORDINATED SERVICES INC
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THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/ACYes (1)
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUEFORT GRATIOTMI48054382884297HEALTH CARE SERVICESMIN/ACYes (1)
TRINITY ASSURANCE LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACYes (1)PO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAYLIVONIAMI48152473794666ACCOUNTABLE CARE ORGANIZATIONDEN/ACYes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/ATYes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 9184FARMINGTON HILLSMI48333371572595SENIOR SERVICESPAN/ACYes (1)
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1820 44TH STREET SEKENTWOODMI49508382700166CONDOMINIUM ASSOCIATIONMIN/ACYes (1)
WORKPLACE HEALTH OF GRAND HAVEN INC
1820 44TH STREET SEKENTWOODMI49508383112035OCCUPATIONAL HEALTHMIN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
K$140,167PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
L$62,500PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
M$7,687,431PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
P$805,807PER BOOKS
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
Q$116,365PER BOOKS
TRINITY HEALTH CORPORATION
R$233,325PER BOOKS
TRINITY HEALTH CORPORATION
M$61,557PER BOOKS
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
C$418,041PER BOOKS

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