SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC (EIN 82-0200895)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201331339349302703
Schema version
2011v1.5
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)
Timestamp2013-05-13T12:11:03-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN820200895EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSAINNameControl
Phone2083672121Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11055 NORTH CURTIS ROADAddressLine1
CityBOISECity
StateIDState
ZIP Code83706ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBLAINE PETERSONName
TitleCFO, ST ALPHONSUS HEALTH SYSTMTitle
Phone2083672121Phone
Date Signed2013-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSALLY JEFFCOATNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11055 NORTH CURTIS ROADAddressLine1
CityBOISECity
StateIDState
ZIP Code83706ZIPCode
FieldValueIRS element (for citing)
Gross Receipts517102130GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.SARMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileIDStateLegalDomicile
Activity Or Mission DescriptionHEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees4107TotalNbrEmployees
Total Nbr Volunteers3172TotalNbrVolunteers
Total Gross UBI12452TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2676617ContributionsGrantsPriorYear
Contributions Grants Current Year2319894ContributionsGrantsCurrentYear
Program Service Revenue Prior Year491985879ProgramServiceRevenuePriorYear
Program Service Revenue CY499046264ProgramServiceRevenueCY
Investment Income Prior Year8733371InvestmentIncomePriorYear
Investment Income Current Year5667095InvestmentIncomeCurrentYear
Other Revenue Prior Year6386801OtherRevenuePriorYear
Other Revenue Current Year8819959OtherRevenueCurrentYear
Total Revenue Prior Year509782668TotalRevenuePriorYear
Total Revenue Current Year515853212TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year903155GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY579057GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year228588769SalariesEtcPriorYear
Salaries Etc Current Year216875695SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1079319TotalFundrsngExpCurrentYear
Other Expense Prior Year269003649OtherExpensePriorYear
Other Expenses Current Year266202018OtherExpensesCurrentYear
Total Expenses Prior Year498495573TotalExpensesPriorYear
Total Expenses Current Year483656770TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11287095RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32196442RevenuesLessExpensesCY
Total Assets BOY588441049TotalAssetsBOY
Total Assets EOY631742977TotalAssetsEOY
Total Liabilities BOY271096178TotalLiabilitiesBOY
Total Liabilities EOY295262732TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY317344871NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY336480245NetAssetsOrFundBalancesEOY
Mission DescriptionHEALTHCARE SERVICES - SEE LINE 4 AND SCHEDULE H FOR ADDITIONAL INFORMATIONMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense419590268Expense
Grants579057Grants
Revenue505777327Revenue
DescriptionSAINT ALPHONSUS REGIONAL MEDICAL CENTER, A NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES AN ACUTE CARE HOSPITAL IN BOISE, IDAHO. THE HOSPITAL PROVIDES SERVICES TO RESIDENTS OF THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL IS A MEMBER OF TRINITY HEALTH, AN INDIANA NOT-FOR-PROFIT CORPORATION SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH. FOR MORE INFORMATION ON SPECIFIC SERVICES PROVIDED, PLEASE SEE SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S WEBSITE AT WWW.SARMC.ORG. THE MISSION STATEMENT OF THE HOSPITAL IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELDescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.Description
FieldValueIRS element (for citing)
Total Program Service Expense419590268TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4107NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRENT CHERNE CONTROLLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2083677192TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11055 NORTH CURTIS ROADAddressLine1
CityBOISECity
StateIDState
ZIP Code83706ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SALLY JEFFCOAT
PRESIDENT & CEO15.00XX068853692426
GEORGE JUETTEN
VICE CHAIR THROUGH 12/11; CHAIR1.00XX000
BRENT LLOYD
CHAIR THROUGH 12/11; TRUSTEE1.00XX000
J RICHARD O'CONNELL
TRUSTEE; TRIN EVP & COO HOSP NTWKS3.00X0943237118221
KAYE O'RIORDAN
TRUSTEE1.00X000
STEVE BROCATO
TRUSTEE THROUGH 11/111.00X000
SR SHARLET WAGNER CSC
TRUSTEE1.00X000
SR SHARON FORD RSM
TRUSTEE1.00X000
KENNETH HART
TRUSTEE1.00X000
RONALD GRAVES
TRUSTEE1.00X000
VICTOR YAMAMOTO
TRUSTEE1.00X000
JON WAGNILD MD
TRUSTEE1.00X000
LYNN HARRIS
TRUSTEE1.00X000
MIKE REULING
TRUSTEE1.00X000
MATT SHIRTCLIFF
TRUSTEE AS OF 1/121.00X000
STEPHANIE WESTERMEIER
SECRETARY; VP & GEN CNSL45.00X027422538872
BLAINE PETERSEN
TREASURER AND SYSTEM CFO5.00X041549040858
JOSEPH SWEDISH
TRINITY HEALTH PRES & CEO2.0005186660576202X
KEDRICK ADKINS
TRINITY HEALTH PRES INTEGRATED SVCS2.0001405226117120X
MICHAEL MURPHY
TRINITY EVP, HLTH NTWKS THROUGH 4/122.00047437075538X
RODNEY REIDER
COO41.00038453244250X
JANELLE G REILLY
CHIEF STRATEGY OFFICER THROUGH 2/1225.00036050035844X
JAMES POLK
SAHS, CHIEF QUALITY OFFICER25.00034564951765X
KENNETH FRY
CFO50.0012212418835048607X
JEAN BASOM
VP DEVELOPMENT50.00019842578378X
CHRISTIAN ZIMMERMAN MD
PHYSICIAN-NEUROSURGERY50.001834197094158X
MICHAEL COUGHLIN MD
PHYSICIAN-ORTHOPEDICS50.00947581046966X
STEPHEN JONES MD
PHYSICIAN-THORACIC SURGEON50.00927209078546X
STEPHEN FALL MD
PHYSICIAN-THORACIC SURGEON50.00676147081097X
MARK G PARENT MD
PHYSICIAN-CARDIOLOGY50.00674981039565X
MICHAEL SLUBOWSKI
FORMER KEY EMPLOYEE0.0001508381101X
KAREN HODGE
FORMER KEY EMPLOYEE0.000224028137187X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5182239TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11240066TotalReportableCompFrmRltdOrgs
Total Other Compensation1796701TotalOtherCompensation
Number Individuals GT100 K238NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABILITATION MANAGEMENT ASSOCIATES INC
901 N CURTIS 204BOISEID83706REHABILITATION SERVICES6998144
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603BOISEID83702RADIOLOGY SERVICES3490409
BOISE ANESTHESIA PA
PO BOX 5641PORTLANDOR97228ANESTHESIA SERVICES1864736
KREIZENBECK CONTRUCTORS
11724 WEST EXECUTIVE DRIVEBOISEID83713CONSTRUCTION SERVICES1630278
TREASURE VALLEY LABORATORY
PO BOX 2693SPOKANEWA99220LABORATORY SERVICES1608577
FieldValueIRS element (for citing)
Number Of Contractors GT100 K102NumberOfContractorsGT100K
Fundraising Events469042FundraisingEvents
Related Organizations170439RelatedOrganizations
Government Grants527053GovernmentGrants
All Other Contributions1153360AllOtherContributions
Noncash Contributions118080NoncashContributions
Total Contributions2319894TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SVC REV900099497665818497665818
INTERCO. ALLOCATION90009913804461380446
FieldValueIRS element (for citing)
Total Program Service Revenue499046264TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3536399TotalRevenueColumn
Exclusion$3,536,399ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real362786Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real362786Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column362786TotalRevenueColumn
Exclusion$362,786ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2801220Securities
Other108624Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other779148Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2801220Securities
Other-670524Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2130696TotalRevenueColumn
Exclusion$2,130,696ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events469669GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events469042CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses469670FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-1TotalRevenueColumn
Exclusion-$1ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming11822GrossIncomeGaming
Gaming Direct Expenses100GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column11722TotalRevenueColumn
Exclusion$11,722ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID HIT90009925173012517301
CAFETERIA REVENUE9000991701937$1,701,937
BIO-MEDICAL REPAIR8110001245212452

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4213762TotalRevenueColumn
Related Or Exempt Function Income4213762RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue8445452TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column515853212TotalRevenueColumn
Related Or Exempt Function Income505777327RelatedOrExemptFunctionIncome
Unrelated Business Revenue12452UnrelatedBusinessRevenue
Exclusion$7,743,539ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total538052Total
Program Services538052ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total41005Total
Program Services41005ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3330528Total
Management And General3330528ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total304987Total
Program Services55786ProgramServices
Management And General249201ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total179352848Total
Program Services175924869ProgramServices
Management And General3102455ManagementAndGeneral
Fundraising325524Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9859096Total
Program Services9798148ProgramServices
Management And General42820ManagementAndGeneral
Fundraising18128Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11713677Total
Program Services11448883ProgramServices
Management And General243601ManagementAndGeneral
Fundraising21193Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12314559Total
Program Services11141233ProgramServices
Management And General1150424ManagementAndGeneral
Fundraising22902Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1295212Total
Program Services1295212ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61289Total
Program Services61289ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total64097Total
Program Services2300ProgramServices
Management And General61797ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total61390Total
Management And General61390ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39467530Total
Program Services36596035ProgramServices
Management And General2632293ManagementAndGeneral
Fundraising239202Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1493446Total
Program Services691384ProgramServices
Management And General745921ManagementAndGeneral
Fundraising56141Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6764594Total
Program Services4505573ProgramServices
Management And General1986664ManagementAndGeneral
Fundraising272357Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20018821Total
Program Services334448ProgramServices
Management And General19680510ManagementAndGeneral
Fundraising3863Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9576325Total
Program Services9395016ProgramServices
Management And General178931ManagementAndGeneral
Fundraising2378Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1227717Total
Program Services1031027ProgramServices
Management And General151590ManagementAndGeneral
Fundraising45100Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1123Total
Program Services1123ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total8101140Total
Program Services8101140ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28338731Total
Program Services25220407ProgramServices
Management And General3116171ManagementAndGeneral
Fundraising2153Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3718643Total
Program Services1086300ProgramServices
Management And General2632343ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES8199004881990048
BAD DEBT2712821727128217
INTERCO. PURCHASED SVCS228506632128322829380
HOSPITAL PROVIDER TAX56948925694892

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8348140Total
Program Services7486598ProgramServices
Management And General791164ManagementAndGeneral
Fundraising70378Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total483656770Total
Program Services419590268ProgramServices
Management And General62987183ManagementAndGeneral
Fundraising1079319Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2135737BOY
EOY586794EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3579548BOY
EOY3600401EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY389843BOY
EOY238049EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69863287BOY
EOY71486453EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY20000BOY
EOY54858EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY417116BOY
EOY426310EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5830294BOY
EOY6530940EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY941931BOY
EOY1316268EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis463414966LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec202302722LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY263322195BOY
EOY261112244EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY112223910BOY
EOY112677102EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY95472730BOY
EOY133912202EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY34244458BOY
EOY39801356EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY588441049BOY
EOY631742977EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY59983631BOY
EOY77087175EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY211112547BOY
EOY218175557EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY271096178BOY
EOY295262732EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY313375480BOY
EOY332641795EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3969391BOY
EOY3838450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY317344871BOY
EOY336480245EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY588441049BOY
EOY631742977EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses32196442ReconcilationRevenueExpenses
Reconcilation Other Changes-13061068ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$48,879GrantsOtherOrganizationsAmount
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$66,390DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$4,785RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB120054TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationLOBBYING ACTIVITIES PERFORMED BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) INCLUDED THE RETENTION OF AN INDIVIDUAL WHO WAS PAID A RETAINER TO PERFORM THE FOLLOWING: 1. MONITOR AND REPORT ON ALL SIGNIFICANT DEVELOPMENTS IN IDAHO STATE LEGAL, LEGISLATIVE, POLICY AND REGULATORY MATTERS AFFECTING SARMC. 2. REGULARLY MEET IDAHO STATE OFFICIALS ON ISSUES OF CONTINUING CONCERN AND INTEREST TO SARMC AND REPORT THE RESULTS OF SUCH MEETINGS. 3. MONITOR ALL LEGISLATION INTRODUCED DURING EACH LEGISLATIVE SESSION, LOBBY AGAINST LEGISLATION DETERMINED TO BE ADVERSE TO SARMC AND LOBBY IN FAVOR OF ALL MATTERS OF INTEREST AND CONCERN TO SARMC DURING THE SAME LEGISLATIVE SESSION. SAINT ALPHONSUS REGIONAL MEDICAL CENTER ALSO PAYS DUES TO SEVERAL HEALTH ASSOCIATIONS WHO USE A PORTION OF THESE DUES FOR LOBBYING PURPOSES. THESE ORGANIZATIONS HAVE PROVIDED SARMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. THAT LOBBYING PORTION IS AS FOLLOWS: IDAHO HOSPITAL ASSOCIATION - $37,514; AMERICAN HOSPITAL ASSOCIATION - $5,838; CATHOLIC HOSPITAL ASSOCIATION - $5,527.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance12908822BeginningOfYearBalance
Investment Earnings Or Losses43857InvestmentEarningsOrLosses
Other Expenditures507725OtherExpenditures
End Of Year Balance12444954EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10237747BeginningOfYearBalance
Investment Earnings Or Losses3033233InvestmentEarningsOrLosses
Other Expenditures362158OtherExpenditures
End Of Year Balance12908822EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8914610BeginningOfYearBalance
Investment Earnings Or Losses1704880InvestmentEarningsOrLosses
Other Expenditures381743OtherExpenditures
End Of Year Balance10237747EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11601314BeginningOfYearBalance
Investment Earnings Or Losses-2363278InvestmentEarningsOrLosses
Other Expenditures323426OtherExpenditures
End Of Year Balance8914610EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1284141InvestmentCostOrOtherBasis
Other Cost Or Other Basis8129490OtherCostOrOtherBasis
Book Value9413631BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis307671335OtherCostOrOtherBasis
Depreciation112733208Depreciation
Book Value194938127BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126674814OtherCostOrOtherBasis
Depreciation89569514Depreciation
Book Value37105300BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19655186OtherCostOrOtherBasis
Book Value19655186BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings261112244TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES75595598F
EQUITY METHOD INVESTMENTS58316604C
FieldValueIRS element (for citing)
Total Of Book Value Securities133912202TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INTERCOMPANY NOTES RECEIVABLES810835
OTHER RECEIVABLES3082484
INTERCOMPANY OTHER LONG TERM ASSETS24993844
INTERCOMPANY RECEIVABLES7802576
INVESTMENT IN UNCONSOLIDATED AFFILIATES3111617
FieldValueIRS element (for citing)
Total Book Value Other Assets39801356TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY ACCOUNTS PAYABLE$9,645,763
DEFERRED COMPENSATION LIABILITY$3,824,508
ASSET RETIREMENT OBLIGATION (FIN 47)$734,743
INTERCOMPANY NOTES PAYABLE$203,863,641
OTHER LONG TERM LIABILITIES$106,902
FieldValueIRS element (for citing)
Total Of Amounts218175557TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: - PROJECTS DESIGNED TO ELEVATE THE QUALITY OF HEALTHCARE (INTERNAL GRANTS) - PROJECTS TO MEET IMMEDIATE NEEDS RELATED TO PATIENT CARE QUALITY (OPPORTUNITY GRANTS) - PROJECTS FOR HEALTH AND WELFARE-RELATED COMMUNITY BENEFIT PROJECTS THAT MEET THE NEEDS OF THE POOR AND UNDERSERVED.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FESTIVAL OF TREESNameOfEvent1
Gross Receipts Event1800900GrossReceiptsEvent1
Charitable Contributions Event1378243CharitableContributionsEvent1
Gross Revenue Event1422657GrossRevenueEvent1
Non Cash Prizes Event13432NonCashPrizesEvent1
Rent Facility Costs Event179684RentFacilityCostsEvent1
Food And Beverage Event170768FoodAndBeverageEvent1
Entertainment Event115305EntertainmentEvent1
Other Direct Expenses Event1253468OtherDirectExpensesEvent1
Name Of Event2CHILDRENS CLASSIC RACENameOfEvent2
Gross Receipts Event262097GrossReceiptsEvent2
Charitable Contributions Event233957CharitableContributionsEvent2
Gross Revenue Event228140GrossRevenueEvent2
Other Direct Expenses Event228140OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events75714GrossReceiptsOtherEvents
Charitable Contrib Other Events56842CharitableContribOtherEvents
Gross Revenue Other Events18872GrossRevenueOtherEvents
Non Cash Prizes Other Events311NonCashPrizesOtherEvents
Food And Beverage Other Events6902FoodAndBeverageOtherEvents
Other Direct Expenses Other Events11660OtherDirectExpensesOtherEvents
Gross Receipts Total938711GrossReceiptsTotal
Charitable Contributions Total469042CharitableContributionsTotal
Gross Revenue Total Events469669GrossRevenueTotalEvents
Non Cash Prizes Total Events3743NonCashPrizesTotalEvents
Rent Facility Costs Total Events79684RentFacilityCostsTotalEvents
Food And Beverage Total Events77670FoodAndBeverageTotalEvents
Entertainment Total Events15305EntertainmentTotalEvents
Other Direct Expenses Total Events293268OtherDirectExpensesTotalEvents
Direct Expense Summary Events469670DirectExpenseSummaryEvents
Net Income Summary-1NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served7305PersonsServed
Total Community Benefit Expense10762943TotalCommunityBenefitExpense
Net Community Benefit Expense10762943NetCommunityBenefitExpense
Percent Of Total Expense0.02360PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Persons Served30838PersonsServed
Total Community Benefit Expense73379219TotalCommunityBenefitExpense
Direct Offsetting Revenue62237387DirectOffsettingRevenue
Net Community Benefit Expense11141832NetCommunityBenefitExpense
Percent Of Total Expense0.02440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served38143PersonsServed
Total Community Benefit Expense84142162TotalCommunityBenefitExpense
Direct Offsetting Revenue62237387DirectOffsettingRevenue
Net Community Benefit Expense21904775NetCommunityBenefitExpense
Percent Of Total Expense0.04800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs10NumberOfActivitiesOrPrograms
Persons Served73064PersonsServed
Total Community Benefit Expense1809221TotalCommunityBenefitExpense
Net Community Benefit Expense1809221NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served1393PersonsServed
Total Community Benefit Expense595732TotalCommunityBenefitExpense
Net Community Benefit Expense595732NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Persons Served3832PersonsServed
Total Community Benefit Expense2199407TotalCommunityBenefitExpense
Net Community Benefit Expense2199407NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served1PersonsServed
Total Community Benefit Expense413899TotalCommunityBenefitExpense
Net Community Benefit Expense413899NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served4481PersonsServed
Total Community Benefit Expense1944940TotalCommunityBenefitExpense
Net Community Benefit Expense1944940NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served82771PersonsServed
Total Community Benefit Expense6963199TotalCommunityBenefitExpense
Net Community Benefit Expense6963199NetCommunityBenefitExpense
Percent Of Total Expense0.01530PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs52NumberOfActivitiesOrPrograms
Persons Served120914PersonsServed
Total Community Benefit Expense91105361TotalCommunityBenefitExpense
Direct Offsetting Revenue62237387DirectOffsettingRevenue
Net Community Benefit Expense28867974NetCommunityBenefitExpense
Percent Of Total Expense0.06330PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served75PersonsServed
Total Community Building Expense60799TotalCommunityBuildingExpense
Net Community Building Expense60799NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served26PersonsServed
Total Community Building Expense77579TotalCommunityBuildingExpense
Net Community Building Expense77579NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served101PersonsServed
Total Community Building Expense138378TotalCommunityBuildingExpense
Net Community Building Expense138378NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$11,571,241BadDebtExpenseAmount
Amount Attributable To1735686AmountAttributableTo
Amount Reimbursed By Medicare77386473AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80071853CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2685380MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MRI LIMITED PARTNERSHIP
MRI DIAGNOSTICS0.141700.000000.65720
2 MRI MOBILE LIMITED PARTNERSHIP
MRI DIAGNOSTICS0.105000.000000.50380
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS REGIONAL MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11055 N CURTIS ROADAddressLine1
CityBOISECity
StateIDState
ZIP Code83706ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SAINT ALPHONSUS REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent150.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
ORTHO INST & BOISE HRT CARE
1070-1071 N CURTIS ROADBOISEID83706EMPLOYED PHYSICIANS
VIEWPOINTE CLINIC
1880 W JUDITH LANEBOISEID83705EMPLOYED PHYSICIANS

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 6A: SAINT ALPHONSUS REGIONAL MEDICAL CENTER REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, SAINT ALPHONSUS REGIONAL MEDICAL CENTER 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, L7 COL(F): THE FOLLOWING NUMBER, $27,128,217, 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 - SAINT ALPHONSUS REGIONAL MEDICAL CENTER STRIVES TO MAKE THE CITIZENS OF OUR COMMUNITY MORE PRODUCTIVE, HEALTHY MEMBERS OF SOCIETY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT AND OTHER COMMUNITY DATA, WE LEARNED THAT SEVERAL AREAS CAN BENEFIT FROM OUR HEALTH CARE EXPERTISE AND MONETARY SUPPORT. THESE INCLUDE AGENCIES THAT SUPPORT ECONOMIC DEVELOPMENT AND JOB CREATION; SUPPORT THE UNINSURED; ADDRESS WELLNESS ISSUES IN THE WORKFORCE; IMPROVE END OF LIFE CARE; EDUCATE REFUGEES REGARDING CHILDBIRTH AND PARENTING; IMPROVE CHILD SAFETY, HEALTH AND EDUCATION; AND SUPPORT SUBSTANCE ABUSE DETOXIFICATION AND SOBERING SERVICES AND CRISIS MENTAL HEALTH.SPECIFIC EXAMPLES OF OUR COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:- PARTICIPATION IN LOCAL BOARDS & TASK FORCES: SAINT ALPHONSUS LEADERS AND ASSOCIATES PARTICIPATE IN A VARIETY OF LOCAL NONPROFIT BOARDS AND TASK FORCES AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITIES AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE. EXAMPLES OF BOARD PARTICIPATION INCLUDE: - FAMILY MEDICINE RESIDENCY OF IDAHO: THROUGH ACTIVE PARTICIPATION ON THE BOARD OF FAMILY MEDICINE RESIDENCY OF IDAHO, SAINT ALPHONSUS HAS BEEN ABLE TO HELP GUIDE THE CONTINUING DEVELOPMENT AND EXPANSION OF FAMILY MEDICINE RESIDENCY CAPACITY IN IDAHO - A CRITICAL NEED SINCE IDAHO RANKS 49TH NATIONWIDE IN TERMS OF PRIMARY CARE PHYSICIANS PER CAPITA. THROUGH THIS PARTNERSHIP, WE WERE ALSO ABLE TO DEVELOP A NEW PSYCHIATRIC RESIDENCY PROGRAM BASED IN BOISE, WHICH OVER TIME WILL EXPAND THE PIPELINE OF NEW PSYCHIATRISTS PRACTICING IN OUR REGION, WHICH IS A HEALTH PROVIDER SHORTAGE AREA FOR MENTAL HEALTH. - BOYS & GIRLS CLUBS OF ADA COUNTY: ENHANCEMENT OF BEFORE & AFTER-SCHOOL PROGRAMMING FOR LOCAL AT-RISK YOUTH, INCLUDING A NEW LOCATION IN MERIDIAN, IDAHO. SAINT ALPHONSUS' REPRESENTATIVE ON THE BOYS & GIRLS CLUB BOARD HAS CHAIRED SEVERAL IMPORTANT COMMITTEES, INCLUDING STRATEGIC PLANNING, PROGRAMS, AND THE ANNUAL FUNDRAISER AUCTION, WHICH BRINGS IN THE BULK OF ANNUAL OPERATING FUNDS FOR THE CLUBS. UNDER OUR GUIDANCE, OUR LOCAL CLUBS HAVE ALSO TAKEN ON A SIGNIFICANT ROLE IN PROVIDING MEALS FOR LOW INCOME CHILDREN IN ADA AND CANYON COUNTIES AND HAVE RECEIVED NATIONAL AWARDS FOR THEIR NUTRITION PROGRAMMING. - COMMUNITY MENTAL HEALTH MEETINGS: A SAINT ALPHONSUS REPRESENTATIVE PARTICIPATES IN DISCUSSIONS WITH MENTAL HEALTH PROVIDERS THROUGHOUT THE COMMUNITY, TO WORK THROUGH ISSUES AND IMPROVE COORDINATION OF SERVICES. -REFUGEE RESOURCE STEERING COMMITTEE: SAINT ALPHONSUS PARTICIPATES IN ONGOING COLLABORATION AND STRATEGIC PLANNING AMONG COMMUNITY LEADERS WITH THE PRIMARY GOAL OF STRENGTHENING SUPPORTS FOR REFUGEE RESETTLEMENT IN THE GREATER BOISE AREA. A SECONDARY GOAL OF THE PROCESS IS TO BETTER INFORM ALL PERSONS INVOLVED ABOUT THE PRINCIPLES AND PRACTICES OF REFUGEE RESETTLEMENT, ESPECIALLY AS THEY ARE APPLIED TO THE LARGER COMMUNITY OF BOISE. THE STEERING COMMITTEE IS MADE UP OF COMMUNITY LEADERS ADDRESSING NEEDS AND RESOURCES RELATED TO TRANSPORTATION, EDUCATION, HOUSING, EMPLOYMENT, HEALTH, AND SOCIAL INTEGRATION. THEY MEET TO BETTER DEFINE THE NEEDS AND TO RECOMMEND RESOURCES AND STRATEGIES FOR IMPROVING SERVICES AND OPPORTUNITIES FOR REFUGEES.HEALTH IMPROVEMENT ADVOCACY: SAINT ALPHONSUS HAS BEEN AN ACTIVE PARTICIPANT IN ADVOCACY SUPPORTING HEALTH IMPROVEMENT INITIATIVES SUCH AS: - HEALTH INSURANCE EXCHANGE:SAINT ALPHONSUS JOINED A COALITION OF BUSINESS AND HEALTH ORGANIZATIONS TO SUPPORT CREATION OF A STATE-BASED HEALTH INSURANCE EXCHANGE IN THE STATE OF IDAHO, TO HELP INCREASE THE NUMBER OF IDAHOANS WHO CAN ACCESS AFFORDABLE HEALTH INSURANCE. AS OF YET, IDAHO ELECTED OFFICIALS HAVE NOT DECIDED WHAT TYPE OF EXCHANGE IDAHO WILL HAVE. - TOBACCO PREVENTION:SAINT ALPHONSUS HAS COLLABORATED WITH PUBLIC HEALTH AND PROVIDER GROUPS TO ADVOCATE FOR RAISING THE TOBACCO TAX IN IDAHO, TO HELP DECREASE THE PERCENTAGE OF YOUTH WHO BEGIN SMOKING. OVER THE PAST COUPLE YEARS, LEGISLATION HAS BEEN DRAFTED AND TAKEN BEFORE THE LEGISLATURE, BUT NO LEGISLATION HAS BEEN PASSED YET. IN THE MEANWHILE, THIS COALITION HAS FOCUSED EFFORTS ON LOCAL CITY ORDINANCES AS A WAY TO IMPROVE SMOKE-FREE POLICIES AND DECREASE THE BURDEN OF TOBACCO-RELATED ILLNESS. - SUICIDE HOTLINE:IDAHO HAS THE 4TH HIGHEST SUICIDE RATE IN THE NATION, YET FOR THE PAST 5 YEARS HAS BEEN THE ONLY STATE WITHOUT ITS OWN SUICIDE HOTLINE. SAINT ALPHONSUS HELPED COORDINATE EFFORTS TO BRING TOGETHER PUBLIC AND PRIVATE PARTNERS TO ESTABLISH A HOTLINE IN IDAHO. THESE EFFORTS WERE SUCCESSFUL, WITH THE FIRST TWO YEARS OF OPERATING FUNDS BEING SUCCESSFULLY RAISED, AN OPERATOR BROUGHT ON BOARD, AND THE HOTLINE COMMENCED OPERATION IN NOVEMBER 2012.
PART III, LINE 4: SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.THE AMOUNT ON LINE 3 IS AN ESTIMATE OF PATIENTS WHO WERE SENT TO COLLECTION AGENCIES BUT WOULD LIKELY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF THEY HAD PROVIDED DOCUMENTATION OF THEIR FINANCIAL SITUATION IN RESPONSE TO OUR COMMUNICATIONS.
PART III, LINE 8: SAINT ALPHONSUS MEDICAL CENTER 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 HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.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: SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF SAINT ALPHONSUS HEALTH SYSTEM, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY.
PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 400% RECEIVE A DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED ON A GRADUATED SCALE. A MINIMUM DISCOUNT OF 20% IS PROVIDED TO UNINSURED PATIENTS BETWEEN 300% TO 400% OF FPG. THIS DISCOUNT IS IN THE RANGE OF WHAT SAINT ALPHONSUS REGIONAL MEDICAL CENTER HAS NEGOTIATED WITH PAYERS WHO DO NOT HAVE AN EXCLUSIVE ARRANGEMENT WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER AND PROVIDE NO PATIENT INCENTIVES OR NO UTILIZATION MANAGEMENT.SAINT ALPHONSUS REGIONAL MEDICAL CENTER
PART VI, LINE 2: NEEDS ASSESSMENT - SAINT ALPHONSUS REGIONAL MEDICAL CENTER ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE SAINT ALPHONSUS COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE SAINT ALPHONSUS COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. DURING FY12, SAINT ALPHONSUS PARTNERED WITH UNITED WAY OF TREASURE VALLEY, ST. LUKE'S HEALTH SYSTEM, ELKS REHABILITATION HOSPITAL, AND TREASURE VALLEY HEALTH PARTNERSHIP, TO CONDUCT A COMPREHENSIVE COMMUNITY NEEDS ASSESSMENT FOCUSING ON HEALTH, EDUCATION AND FINANCIAL INDEPENDENCE. ASSESSMENT WORK WAS THEN COMPLETED DURING FY12, AND THE PARTNERS HAVE PRIORITIZED AND CREATED AN IMPLEMENTATION PLAN. IMPLEMENTATION ACTIVITIES ARE ONGOING. BOISE STATE UNIVERSITY SERVED AS RESEARCH PARTNER, AND UTAH FOUNDATION HAS PROVIDED TECHNICAL ASSISTANCE TO THIS PROJECT.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT ALPHONSUS IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- IMPROVING IDENTIFICATION OF THOSE ELIGIBLE FOR FINANCIAL ASSISTANCE- 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, SAINT ALPHONSUS 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 OBLIGATIONSSAINT ALPHONSUS 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. SAINT ALPHONSUS HAS SIGNS POSTED IN ALL REGISTRATION AREAS AND PLASTIC TABLE TOP CARDS IN THE REGISTRATION WAITING ROOMS, NOTIFYING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL SELF-PAY PATIENTS ARE OFFERED FINANCIAL ASSISTANCE FORMS. EACH PATIENT RECEIVES A BILLING BROCHURE THAT LISTS PAYMENT OPTIONS AND HOW TO APPLY FOR CHARITY CARE. PATIENTS ALSO ARE SCREENED FOR MEDICAID ELIGIBILITY, UTILIZING FINANCIAL ASSISTANCE FORMS. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.SAINT ALPHONSUS 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 SIGNS POSTED IN REGISTRATION AREAS, PLASTIC TABLE TOP CARDS IN REGISTRATION WAITING ROOMS AND PATIENT BROCHURES. SELF-PAY INPATIENTS AND SURGERY PATIENTS RECEIVE A VISIT FROM A PATIENT ADVOCATE WHO ASSISTS THEM IN COMPLETING FINANCIAL ASSISTANCE FORMS FOR COUNTY INDIGENT ASSISTANCE, MEDICAID, SOCIAL SECURITY AND HOSPITAL CHARITY CARE. SAINT ALPHONSUS ALSO ASSISTS PATIENTS WITH THE NEW PCIP (PRE-EXISTING INSURANCE) WHICH IS NEW WITH HEALTHCARE REFORM. STAFF HELP PATIENTS APPLY FOR PCIP, AS WELL AS ASSIST WITH THE PREMIUM IF NEED BE. SAINT ALPHONSUS HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. SAINT ALPHONSUS 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. THE MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.
PART VI, LINE 4: COMMUNITY INFORMATION - SAINT ALPHONSUS REGIONAL MEDICAL CENTER SERVES PATIENTS FROM THE PRIMARY, SECONDARY AND TERTIARY SERVICE AREAS LISTED BELOW:- PRIMARY SERVICE AREA (75% OF DISCHARGES): A FIVE-COUNTY REGION INCLUDING ADA, CANYON- SECONDARY SERVICE AREA (75-95% OF DISCHARGES): BOISE, GEM, MALHEUR, ELMORE, PAYETTE, OWYHEE, BAKER AND UNION COUNTIES - TERTIARY SERVICE AREA (90-95% OF DISCHARGES): TWIN FALLS, VALLEY, WASHINGTON, ADAMS, BLAINE, CASSIA, GOODING AND JEROME COUNTIESAREA HOSPITAL FACILITIES WITHIN SARMC'S PRIMARY SERVICE AREA INCLUDE ST. LUKE'S BOISE AND MERIDIAN, IDAHO ELKS REHABILITATION CENTER, TREASURE VALLEY HOSPITAL, SAINT ALPHONSUS MEDICAL CENTER-NAMPA, WEST VALLEY MEDICAL CENTER, SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY, GRANDE RONDE AND WALTER KNOX MEMORIAL HOSPITAL.SAINT ALPHONSUS' PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY RUGGED MOUNTAINOUS TERRAIN AND DESERT. THE REGION HAS EXPERIENCED RAPID POPULATION GROWTH OVER THE PAST DECADE (FROM 2000-2010), WITH DRAMATIC GROWTH RATES IN ADA & CANYON COUNTIES, THE TWO LARGEST COUNTIES IN THE SERVICE AREA:- ADA COUNTY POPULATION GREW 30.4% FROM 2000-2010. POPULATION IS EXPECTED TO GROW BY 9% FROM 2012-2017- CANYON COUNTY POPULATION GREW 43.7% FROM 2000-2010. POPULATION IS EXPECTED TO GROW BY 12% FROM 2012-2017.OTHER RELEVANT STATISTICS CHARACTERIZING SAINT ALPHONSUS' PRIMARY SERVICE AREA ARE INCLUDED BELOW:TOTAL POPULATION (2010):ADA COUNTY - 392,365CANYON COUNTY - 188,923ELMORE COUNTY - 27,038GEM COUNTY - 16,719MALHEUR COUNTY - 31,313PERCENT WHITE PERSONS NOT HISPANIC (2011):ADA COUNTY - 86.5%CANYON COUNTY - 71.9%ELMORE COUNTY - 74.6%GEM COUNTY - 88.7%MALHEUR COUNTY - 62.9%PERCENT HISPANIC/LATINO ORIGIN (2011):ADA COUNTY - 7.3%CANYON COUNTY - 24.1%ELMORE COUNTY - 15.7%GEM COUNTY - 8.2%MALHEUR COUNTY - 32.0%MEDIAN HOUSEHOLD INCOME (2007-2011):ADA COUNTY - $55,304CANYON COUNTY - $42,943ELMORE COUNTY - $43,691GEM COUNTY - $44,442MALHEUR COUNTY - $39,013PERSONS BELOW POVERTY LEVEL (2007-2011):ADA COUNTY - 11.2%CANYON COUNTY - 18.1%ELMORE COUNTY - 11.8%GEM COUNTY - 16.5%MALHEUR COUNTY - 22.6%APPROXIMATELY 18% OF NON-ELDERLY IDAHO RESIDENTS LACK HEALTH INSURANCE (KAISER HEALTH FACTS). MEDICALLY UNDERSERVED POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS WITHIN OUR SERVICE AREA INCLUDE A SHORTAGE OF PRIMARY CARE AND MENTAL HEALTH SERVICES.THE LOCAL REFUGEE POPULATION HAS MORE THAN DOUBLED SINCE 2005. A LARGE MAJORITY OF REFUGEES ARRIVING IN IDAHO ARE WOMEN AND CHILDREN. SOME REFUGEES ARE HIGHLY EDUCATED WHILE OTHERS HAVE NEVER HAD THE OPPORTUNITY TO ATTEND SCHOOL. THE IDAHO REFUGEE ARRIVALS FOR 2001-2011 IS 5,341, WITH SEVERAL RESETTLEMENT AND ASSISTANCE AGENCIES HELPING LOCALLY AND THROUGHOUT THE STATE. IN 2011, 775 REFUGEES AND SPECIAL IMMIGRANTS ARRIVED IN IDAHO FROM 17 DIFFERENT COUNTRIES. THE TOP FIVE COUNTRIES OF ORIGIN FOR REFUGEES RESETTLED IN IDAHO IN 2011 ARE BHUTAN, BURMA, IRAQ, CONGO AND AFGHANISTAN. THE TOP FIVE LANGUAGES IN 2011 WERE NEPALI, KAREN, ARABIC, SWAHILI AND BURMESE. (IDAHO OFFICE FOR REFUGEES).THE REGION SEES A HIGH PREVALENCE OF MENTAL HEALTH & SUBSTANCE ABUSE ISSUES, WITH INADEQUATE PUBLIC BEHAVIORAL HEALTH SYSTEMS IN PLACE TO MEET THE EXISTING NEEDS FOR COMMUNITY-BASED AND INPATIENT SERVICES.ON REVIEW OF DEMOGRAPHIC AND SOCIO-ECONOMIC DATA AND TRENDS, SEVERAL FACTORS CLEARLY HAVE AN IMPACT ON THE HEALTH STATUS OF THE COMMUNITIES SERVED BY SAINT ALPHONSUS, WITH IMPLICATIONS FOR FUTURE PLANNING. POPULATION GROWTH, ESPECIALLY IN ADA AND CANYON COUNTIES, IS EXPECTED TO CONTINUE, WITH A GROWING HISPANIC POPULATION. THE GROWING REFUGEE POPULATION HAS GREATER LANGUAGE INTERPRETATION AND HEALTH EDUCATION NEEDS AS WELL.GROWTH IN IDAHO'S SENIOR POPULATION IS ALSO PROJECTED TO ACCELERATE, WHICH WILL REQUIRE INCREASED HEALTH CARE SPENDING. MAMMOGRAPHY RATES, THE RISING RATE OF LOW BIRTH WEIGHT BABIES, OVERWEIGHT AND OBESITY, TOBACCO USE, MENTAL HEALTH AND DRINKING/DRUG USE ARE ALSO OF GREAT CONCERN.
PART VI, LINE 5: OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SAINT ALPHONSUS USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY AND MEDICAL SERVICES FOR THE COMMUNITY, AND COLLABORATES WITH COMMUNITY PARTNERS AND INVESTS IN NEEDED COMMUNITY PROGRAMS SUCH AS FAMILY MEDICINE RESIDENCY OF IDAHO, ALLUMBAUGH HOUSE (SOBERING, DETOXIFICATION & CRISIS MENTAL HEALTH SERVICES), AND HEALTHTEACHER HEALTH LITERACY CURRICULUM FOR THE BOISE SCHOOL DISTRICT.SAINT ALPHONSUS ALSO COLLABORATES WITH UNITED WAY OF TREASURE VALLEY TO ADDRESS COMMUNITY NEEDS IN THE AREAS OF HEALTH, EDUCATION AND INCOME. SAINT ALPHONSUS IS REPRESENTED ON THE UNITED WAY BOARD OF DIRECTORS AND THE HEALTH VISION COUNCIL. IN ADDITION, SAINT ALPHONSUS HAS AN ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS.SAINT ALPHONSUS STRONGLY SUPPORTS HEALTHCARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING ANNUAL FINANCIAL SUPPORT TO THE FAMILY MEDICINE RESIDENCY OF IDAHO, PSYCHIATRIC RESIDENCY, ISU DENTAL RESIDENCY, AND THE BOISE STATE UNIVERSITY NURSING BUILDING FUND. IN ADDITION, SAINT ALPHONSUS SERVES AS A KEY CLINICAL TRAINING SITE FOR NEW PHYSICIANS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS.SAINT ALPHONSUS IS A LEVEL II TRAUMA CENTER AND TAKES A LEADERSHIP ROLE IN IMPROVING SYSTEMS OF CARE FOR TRAUMA PATIENTS. TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION ARE OFTEN LED BY STAFF AT SAINT ALPHONSUS, WHO HAVE CHAMPIONED TOUGHER SEAT BELT AND HELMET LAWS, COORDINATED DRUNK DRIVING PREVENTION EVENTS IN LOCAL HIGH SCHOOLS, AND LED IN RESPONSE PLANNING FOR EVENTS LIKE THE SPECIAL OLYMPICS WORLD WINTER GAMES. SAINT ALPHONSUS ALSO HOSTS AN ANNUAL SKI & MOUNTAIN TRAUMA CONFERENCE TO TRAIN FIRST RESPONDERS (EMS, FIRE, SKI PATROL, ETC.) THROUGHOUT THE NORTHWEST ON BEST PRACTICES FOR TRAUMA CARE IN THE PRE-HOSPITAL SETTING.SAINT ALPHONSUS COORDINATES A REGIONAL TELEMEDICINE NETWORK THROUGHOUT WESTERN & NORTHERN IDAHO AND EASTERN OREGON. SERVICES PROVIDED THROUGH THE NETWORK INCLUDE MUCH-NEEDED SERVICES SUCH AS TELEPSYCHIATRY, STROKE CARE, CLINICAL EDUCATION AND EMERGENCY MEDICINE CONSULTATIONS TO RURAL HOSPITALS IN REMOTE LOCATIONS, OFTEN PREVENTING UNNECESSARY TRANSPORTS AND ALLOWING PATIENTS TO BE CARED FOR CLOSER TO HOME.
PART VI, LINE 6: SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN LIVONIA, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2012, THIS INCLUDED OVER $615 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEM APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
GENESIS WORLD MISSION INC
215 W 35TH STGARDEN CITYID83714820505073501(C)314680SPONSORSHIP
DAVID A HINDSON MD EDUCATION FOUNDATION INC
439 THATCHER STBOISEID83702800279825501(C)325000SPONSORSHIP
WOMEN'S AND CHILDREN'S ALLIANCE
720 W WASHINGTON STBOISEID83702820204464501(C)310137SPONSORSHIP
BOISE METRO CHAMBER OF COMMERCE
250 S 5TH STREET 300BOISEID83702820100595501(C)65000SPONSORSHIP
BOYS AND GIRLS CLUB OF ADA COUNTY IDAHO INC
610 E 42ND STGARDEN CITYID83714820481687501(C)35000SPONSORSHIP504FMVXBOX AND KINECT BUNDLE GIFT BASKET
AMERICAN CANCER SOCIETY INC GREAT WEST DIVISION INC
2120 FIRST AVENUE NORTHSEATTLEWA98109841316555501(C)320000SPONSORSHIP
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVEDALLASTX75231135613797501(C)37500SPONSORSHIP
FAMILY ADVOCACY CENTER & EDUC SVC
417 S 6TH STREETBOISEID83702204883532501(C)315000SPONSORSHIP
TREASURE VALLEY FAMILY YMCA
1050 WEST STATE STBOISEID83702820200908501(C)323494SPONSORSHIP
MAIN STREET MILE INC
PO BOX 6331BOISEID83707113735163501(C)315000SPONSORSHIP
SUSAN G KOMEN BREAST CANCER FOUNDATION DBA SUSAN G KOMEN FOR THE CURE
5005 LBJ FREEWAYDALLASTX75244751835298501(C)355357SPONSORSHIP
ST PAULS BENEVOLENT INSTITUTE
1181 SW 76TH AVEMIAMIFL33144226034713501(C)350000PROJECT HAITI SPONSORSHIP
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVENUEWHITE PLAINSNY10605131846366501(C)335867SPONSORSHIP
BOISE STATE UNIVERSITY FOUNDATION INC
2225 UNIVERSITY DRIVEBOISEID83706826010706501(C)3131100SPONSORSHIP
UNITED WAY OF TREASURE VALLEY INC
PO BOX 7963BOISEID83707820299013501(C)310000SPONSORSHIP
AMERICAN LUNG ASSOCIATION OF THE MOUNTAIN PACIFIC
7420 SW BRIDGEPORT RD STE 200TIGARDOR97224930386887501(C)312000SPONSORSHIP
JOHN BUTLER LUNG FOUNDATION
722 HARCOURT RDBOISEID83702820467602501(C)315000SPONSORSHIP
CATHOLIC CHARITIES OF IDAHO INC
1501 S FEDERAL WAY STE 450BOISEID83705820524367501(C)35250SPONSORSHIP
IDAHO DIABETES YOUTH PROGRAMS INC
1620 HARRISON BLVDBOISEID83702311565651501(C)36000SPONSORSHIP
DUSTIN'S PAW IDAHO INC
795 W TALLULAHKUNAID83634208449841501(C)36993SPONSORSHIP
COLLEGE OF WESTERN IDAHO FOUNDATION INC
6056 BIRCH LANE STE 200NAMPAID83687271159705501(C)39975SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants20TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SCHOLARSHIPS615000
UTILITIES ASSISTANCE313530
MEDICAL BILL AND PRESCRIPTION ASSISTANCE301975
TRANSPORTATION ASSISTANCE -TAXI1140
GIFT CARDS - GROCERIES, FOOD AND GAS744525
MEDICAL EQUIPMENT21785COSTWALKER, WHEELCHAIR LIFT AND INSTALLATION
HOUSING ASSISTANCE1613042
CELL PHONE ASSISTANCE51008

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: DONATIONS MADE BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. THE CONTRIBUTIONS COMMITTEE REVIEWS REQUESTS AND RECOMMENDS APPROVAL.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SALLY JEFFCOAT
04712880150924066324069049023377078096200
J RICHARD O'CONNELL
0571942023094601403490859190323020106145800
STEPHANIE WESTERMEIER
0273314000911020114018758031309700
BLAINE PETERSEN
0318198045828051464019375021483045634800
JOSEPH SWEDISH
0127945806776420322956005486020276000576286202698342
KEDRICK ADKINS
0743978031665203445960103857013263015223460143708
MICHAEL MURPHY
040259800071772048365027173054990800
RODNEY REIDER
0301074049174034284020273023977042878200
JANELLE G REILLY
02964810630330986019719016125039634400
JAMES POLK
028492405651104214033367018398039741400
KENNETH FRY
12161213520205191051212380305138823927113094722813400
JEAN BASOM
015983903639802188063312015066027680300
CHRISTIAN ZIMMERMAN MD
1197328056282607404307327502088301928355000
MICHAEL COUGHLIN MD
868936072325063200196000273660994547000
STEPHEN JONES MD
82044608970201706105960001894601005755000
STEPHEN FALL MD
66856703698038820522500288470757244000
MARK G PARENT MD
615024055275046820196000199650714546000
MICHAEL SLUBOWSKI
0133940001374440500060101519390136445
KAREN HODGE
0540680285410141419013127605911036121500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAINT ALPHONSUS REGIONAL MEDICAL CENTER'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 ALPHONSUS REGIONAL MEDICAL CENTER'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BTHE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN CALENDAR 2011. THIS AMOUNT IS INCLUDED IN COLUMN B(III): KAREN HODGE - $122,988 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $54,662 OF SEVERANCE FOR KAREN HODGE WHICH WAS UNPAID AS OF 12/31/11. THE $54,662 WAS PAID AND INCLUDED IN KAREN HODGE'S TAXABLE INCOME IN 2012. PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2011). THE FOLLOWING ACCRUALS FOR 2011 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $91,607 SALLY JEFFCOAT - $48,910 MICHAEL MURPHY - $27,513 J. RICHARD O'CONNELL - $66,279 JOSEPH SWEDISH - $255,902 THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2011 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JOSEPH SWEDISH - $265,000 PART II: THE FOLLOWING INDIVIDUALS BECAME VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING CALENDAR 2011. AS A RESULT, THE VESTED AMOUNTS WERE INCLUDED IN THEIR 2011 TAXABLE INCOMES. THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $220,648 JOSEPH SWEDISH - $2,740,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING INDIVIDUALS ARE PARTICIPANTS IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F). THE FOLLOWING DEFERRALS FOR CALENDAR 2011 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MICHAEL COUGHLIN, MD - NONE STEPHEN FALL, MD - $40,000 STEPHEN JONES, MD - $40,000 MARK G. PARENT, MD - NONE CHRISTIAN ZIMMERMAN, MD - $50,000 THE FOLLOWING INDIVIDUAL BECAME VESTED IN A SECTION 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR 2011. AS A RESULT, THE VESTED AMOUNT WAS INCLUDED IN HIS 2011 TAXABLE INCOME. THE FOLLOWING VESTED 457(F) AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CHRISTIAN ZIMMERMAN - $71,004

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonSTEPHEN JONES MDNamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$68,572OriginalPrincipalAmount
Balance Due54858BalanceDue
Default0Default
Approved By Board0ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due54858TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BLUE CROSS OF IDAHO (BCI)
SALLY JEFFCOAT, PRESIDENT & CEO, ALSO SERVES ON THE BOARD OF BCI73629412PAYMENTS MADE BY BLUE CROSS OF IDAHO TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. FOR HEALTH CARE SERVICES PROVIDED TO BCI COVERED MEMBERS.0
ETHAN FRY
FAMILY MEMBER OF KENNETH FRY, KEY EMPLOYEE55786EMPLOYMENT ARRANGEMENT0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9902700NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99012653NoncashContribsRptdF990
Method Of Determining RevenuesOPINION OF EXPERTSMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99065759NoncashContribsRptdF990
Method Of Determining RevenuesOPINION OF EXPERTSMethodOfDeterminingRevenues

Collectibles Collectibles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905990NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F9906455NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9908100NoncashContribsRptdF990
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XENTERTAINMENT138010COST
XGIFT CERTIFICATES562029COST
XPHOTO PROCESSING1100COST
XADVERTISING26284COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationTHE REPORTING ENTITY HAS USED THIRD PARTIES TO PROCESS OR SELL NON-CASH CONTRIBUTIONS WHEN SPECIFIC EXPERTISE IS WARRANTED. WHERE AN EXPERT APPRAISAL IS NECESSARY, A THIRD PARTY APPRAISER WILL BE ENGAGED. OCCASIONALLY THE SERVICES OF AN AGENT ARE ENGAGED TO SELL NON-CASH CONTRIBUTIONS THAT WILL NOT BE USED BY THE REPORTING ENTITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2KAYE O'RIORDAN, TRUSTEE, AND BRENT LLOYD, TRUSTEE, HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7ASAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7BAS SOLE MEMBER OF THE CORPORATION, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, THE FORM 990 FOR SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE FINANCE COMMITTEE OF SAINT ALPHONSUS HEALTH SYSTEM. (SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION.) 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 12CSAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL INTERESTED PERSONS OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC., WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SAINT ALPHONSUS REGIONAL MEDICAL CENTER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE.
FORM 990, PART VII, SECTION A, LINE 1, COLUMN BTHE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 53 HOURS SALLY JEFFCOAT - 35 HOURS MICHAEL MURPHY - 53 HOURS J. RICHARD O'CONNELL - 52 HOURS BLAINE PETERSEN - 45 HOURS JAMES POLK - 25 HOURS RODNEY REIDER - 9 HOURS JANELLE REILLY - 25 HOURS JOSEPH SWEDISH - 53 HOURS STEPHANIE WESTERMEIER - 5 HOURSESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -8,577,830. EQUITY TRANSFERS TO AFFILIATES: -4,479,000. OTHER TRANSACTIONS: -4,238. TOTAL TO FORM 990, PART XI, LINE 5: -13,061,068.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2:SAINT ALPHONSUS REGIONAL MEDICAL CENTER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY12 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE I, DOING BUSINESS AS:SAINT ALPHONSUS FOUNDATION, IDAHO NEUROLOGICAL INSTITUTE, IDAHO ORTHOPAEDIC INSTITUTE, IDAHO REHABILITATION AND PAIN CENTER, SAINT ALPHONSUS BREAST CARE CENTER, SAINT ALPHONSUS CANCER TREATMENT CENTER, SAINT ALPHONSUS CANCER CARE CENTER, SAINT ALPHONSUS SLEEP DISORDERS CENTER, SAINT ALPHONSUS PRIMARY STROKE CENTER, SAINT ALPHONSUS MEDICAL GROUP, SAINT ALPHONSUS EXPRESS CARE, ST. ALPHONSUS AMBULATORY REHABILITATION SERVICES, ST. ALPHONSUS HOME HEALTH, ST. ALPHONSUS BEHAVIORAL HEALTH, PROJECT HAITI, ST. ALPHONSUS CAPITAL CLASSIC, SAINT ALPHONSUS FESTIVAL OF TREES, ST. ALPHONSUS WOMEN'S HEALTH CARE FUND, NALEN FUND, WOMEN'S AND CHILDREN'S CENTER, CARE CLINIC, REFUGE CLINIC, EARLY LEARNING CENTER

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (96 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SEGRAND RAPIDSMI49503272491974HEALTHCARE SERVICESMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAYLIVONIAMI48152382949053PROVIDE HOSPICE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
AUXILIARY OF HOLY ROSARY HOSPITAL
351 SW 9TH STREETONTARIOOR97914943059469SUPPORTS SERVICES OF RELATED HOSPITALOR501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-ONTARIO0
BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUEPRIMGHARIA51245421500277ACUTE/AMBULATORY HEALTHCARE SERVICESIA501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION
255 NORTH WELCH AVENUEPRIMGHARIA51245262973307SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IBAUM HARMON MERCY HOSPITAL0
CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995ANN ARBORMI48106382507173FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICESMI501(C)(3)11, TYPE IITRINITY HEALTH-MICHIGAN0
COMMUNITY HEALTH PARTNERS OF SOUTH BEND
PO BOX 3998SOUTH BENDIN46619263051440HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
CRANBROOK HOSPICE CARE
281 ENTERPRISE COURTBLOOMFIELD HILLSMI48302383320699PROVIDE HOSPICE HEALTH SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREETCOLUMBUSOH43213342032340HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIOOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVEDUBUQUEIA52001262227941SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SWDYERSVILLEIA52040205383271SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVEMELROSE PARKIL60160363332852SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)9GOTTLIEB MEMORIAL HOSPITAL0
GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVEMELROSE PARKIL60160743260011SUPPORT THE SERVICES OF RELATED HOSPITALIL501(C)(3)11, TYPE III-FI0N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVEMELROSE PARKIL60160362379649HEALTHCARE SERVICESIL501(C)(3)3LOYOLA UNIVERSITY HEALTH SYSTEM0
HACKLEY HOSPITAL
1700 CLINTON ST PO BOX 3302MUSKEGONMI494433302381358196HEALTHCARE SERVICESMI501(C)(3)3MERCY HEALTH PARTNERS0
HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302MUSKEGONMI494433302382299878SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITYMI501(C)(3)11, TYPE III-FIMERCY HEALTH PARTNERS0
HACKLEY LIFE COUNSELING
1352 TERRACE STMUSKEGONMI494423545381386362COUNSELING, EDUCATION, AND SUPPORTMI501(C)(3)9MERCY HEALTH PARTNERS0
HACKLEY VISITING NURSE SERVICES AND HOSPICE INC
888 TERRACE STMUSKEGONMI49440381359598PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)7MERCY HEALTH PARTNERS0
HOLY CROSS CARENET INC
PO BOX 9184FARMINGTON HILLSMI48333521945054LONG-TERM CARE AND REHABILITATION FOR THE ELDERLYMD501(C)(3)9TRINITY CONTINUING CARE SERVICES0
HOLY CROSS HOSPITAL FOUNDATION INC
11801 TECH ROADSILVER SPRINGMD20904208428450CHARITABLE FUNDRAISINGMD501(C)(3)11, TYPE IHOLY CROSS HOSPITAL OF SILVER SPRING0
HOLY CROSS HOSPITAL OF SILVER SPRING INC
1500 FOREST GLEN RDSILVER SPRINGMD209101484520738041HEALTHCARE SERVICESMD501(C)(3)3TRINITY HEALTH CORPORATION0
HOLY CROSS MEDICAL CENTER
20555 VICTOR PARKWAYLIVONIAMI48152951985442HEALTHCARE SERVICES (FORMERLY)CA501(C)(3)3TRINITY HEALTH CORPORATION0
HOSPICE OF NORTH IOWA
232 SECOND STREET SEMASON CITYIA504016208421173708HOSPICE HEALTH CARE SERVICESIA501(C)(3)7MERCY HEALTH SERVICES-IOWA CORP0
HOSPICE OF WASHTENAW II
806 AIRPORT BLVDANN ARBORMI48108383320707HOSPICE HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
HPCN
1675 LEAHY STREETMUSKEGONMI49442300207909HEALTHCARE SERVICESMI501(C)(3)11, TYPE IIMERCY HEALTH PARTNERS0
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383316559PROVIDES OFFICE-BASED MEDICAL CAREMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
LAKESHORE COMMUNITY HOSPITAL INC
72 S STATE STREETSHELBYMI494551228382549295ACUTE HEALTHCARE SERVICESMI501(C)(3)3MERCY HEALTH PARTNERS0
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUEMAYWOODIL60153363342448HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)11, TYPE IITRINITY HEALTH CORPORATION0
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUEMAYWOODIL60153364015560HEALTHCARE SERVICESIL501(C)(3)3LOYOLA UNIVERSITY HEALTH SYSTEM0
MARIAN HOME HEALTHCARE
801 5TH STREETSIOUX CITYIA51101383320705PROVIDE HOME HEALTH CARE SERVICESIA501(C)(3)11, TYPE IMERCY HEALTH SERVICES-IOWA CORP0
MCAULEY CLINIC CORPORATION
PO BOX 992ANN ARBORMI48106382561013HEALTHCARE SERVICES (FORMERLY)MI501(C)(3)3CATHERINE MCAULEY HEALTH SERVICES CORP0
MERCY AMICARE HOME HEALTHCARE OAKLAND
281 ENTERPRISE COURTBLOOMFIELD HILLSMI483020312383320698PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUEPORT HURONMI48060383320701PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227350SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEMIL501(C)(3)11, TYPE IMERCY HEALTH SYSTEM OF CHICAGO0
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
684 HARVEY STREETMUSKEGONMI49442383321856PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY HEALTH PARTNERS
1415 LEAHY STREETMUSKEGONMI49442382589966HEALTHCARE SYSTEM SUPPORTMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SWMASON CITYIA50401311373080HEALTHCARE SERVICESDE501(C)(3)3TRINITY HEALTH-MICHIGAN0
MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363163327HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIL501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST
BK OF AMERICA 231 S LASALLECHICAGOIL60697912092113SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITYIL501(C)(3)11, TYPE III-FIMERCY HEALTH SYSTEM OF CHICAGO0
MERCY HEALTHCARE FOUNDATION
1410 N 4TH STCLINTONIA52732421316126FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICESIA501(C)(3)11, TYPE IMERCY MEDICAL CENTER-CLINTON0
MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616362170152HEALTHCARE SERVICESIL501(C)(3)3MERCY HEALTH SYSTEM OF CHICAGO0
MERCY HOSPITAL CADILLAC FOUNDATION
400 HOBARTCADILLACMI496012331203357131SUPPORT THE SERVICES OF RELATED HOSPITALMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVEPORT HURONMI48060381630480VOLUNTEER SERVICE AUXILIARYMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH STCLINTONIA527322940421336618TO PROVIDE QUALITY HEALTH CAREDE501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREETSIOUX CITYIA51102141880022SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)7MERCY HEALTH SERVICES-IOWA CORP0
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SWMASON CITYIA504012800421229151SUPPORT THE SERVICES OF RELATED HOSPITALIA501(C)(3)11, TYPE III-FIMERCY HEALTH SERVICES-IOWA CORP0
MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAILCADILLACMI49601383313897HOME HEALTH AND HOSPICE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
MERCY PHYSICIAN GROUP INC
1512 12TH AVENUE ROADNAMPAID83686208192593TO PROVIDE QUALITY HEALTH CAREID501(C)(3)9SAINT ALPHONSUS MEDICAL CENTER-NAMPA0
MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184FARMINGTON HILLSMI483339184382719605PROVIDES LONG-TERM CARE FOR THE ELDERLYMI501(C)(3)11, TYPE IITRINITY CONTINUING CARE SERVICES INC0
MIDWEST MEDFLIGHT
1300 VICTORS WAYANN ARBORMI48108382684671AEROMEDICAL TRANSPORTMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
MOUNT CARMEL CARE CONTINUUM SERVICES CORP
793 WEST STATE STREETCOLUMBUSOH43222311126211COOPERATIVE HOSPITAL SERVICE ORGANIZATIONOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREETCOLUMBUSOH43213311308555COLLEGE OF NURSINGOH501(C)(3)2MOUNT CARMEL HEALTH0
MOUNT CARMEL HEALTH
6150 EAST BROAD STREETCOLUMBUSOH43213314379602HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREETCOLUMBUSOH43213251912781HEALTH INSURANCEOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREETCOLUMBUSOH43213311471229MEDICARE HMO FOR SENIORSOH501(C)(4)N/AMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREETCOLUMBUSOH43213311439334HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTOH501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREETCOLUMBUSOH43213311113966SUPPORT THE SERVICES OF RELATED HOSPITALOH501(C)(3)11, TYPE IMOUNT CARMEL HEALTH SYSTEM0
MOUNT CARMEL HOME CARE LLC
1144 DUBLIN ROAD SUITE BCOLUMBUSOH43215262729300PROVIDE HOME HEALTH CARE SERVICESOH501(C)(3)9TRINITY HOME HEALTH SERVICES INC0
MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
7333 SMITHS MILL RDNEW ALBANYOH43054870790288HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
MRI MOBILE SERVICES OF WEST MICHIGAN
1820 - 44TH STREETKENTWOODMI49508383073745OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)MI501(C)(3)9TRINITY HEALTH-MICHIGAN0
MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUEMUSKEGONMI49440911932918FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICESMI501(C)(3)7MERCY HEALTH PARTNERS0
OAKLAND MERCY HOSPITAL
601 EAST 2ND STREETOAKLANDNE68045208072234HEALTHCARE SERVICESNE501(C)(3)3MERCY HEALTH SERVICES-IOWA CORP0
OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREETOAKLANDNE68045311678345SUPPORTS SERVICES OF RELATED HOSPITALNE501(C)(3)11, TYPE III-FIOAKLAND MERCY HOSPITAL0
PORT HURON MERCY FAMILY CARE INC
2601 ELECTRIC AVEPORT HURONMI48060201855647HEALTHCARE SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
PROFESSIONAL MED TEAM
965 FORK STREETMUSKEGONMI494423257382638284MEDICAL CARE, TRANSPORTATION AND EDUCATIONMI501(C)(3)9TRINITY HEALTH-MICHIGAN0
PROFESSIONAL OFFICE CORPORATION
1303 EAST HERNDON AVEFRESNOCA93720942839324HEALTHCARE SERVICESCA501(C)(3)11, TYPE ISAINT AGNES MEDICAL CENTER0
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVEFRESNOCA93720941437713HEALTHCARE SERVICESCA501(C)(3)3TRINITY HEALTH CORPORATION0
SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RDBOISEID83706820401011SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)11, TYPE ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INC1
SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RDBOISEID83706943028978SUPPORTS SERVICES OF RELATED HOSPITALID501(C)(3)11, TYPE ISAINT ALPHONSUS REGIONAL MEDICAL CENTER INC1
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROADBAKER CITYOR97814943164869SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY0
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREETONTARIOOR97914202683560SUPPORT THE SERVICES OF RELATED HOSPITALOR501(C)(3)11, TYPE ISAINT ALPHONSUS MEDICAL CENTER-ONTARIO0
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROADBOISEID83706271929502HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTID501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
3325 POCAHONTAS ROADBAKER CITYOR97814271790052TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
1512 12TH AVENUE ROADNAMPAID83686820200896TO PROVIDE QUALITY HEALTH CAREID501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROADNAMPAID83686261737256SUPPORT THE SERVICES OF RELATED HOSPITALID501(C)(3)7SAINT ALPHONSUS MEDICAL CENTER-NAMPA0
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
351 SW 9TH STREETONTARIOOR97914271789847TO PROVIDE QUALITY HEALTH CAREOR501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC0
SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RDBOISEID83706820200895HEALTHCARE SERVICESID501(C)(3)3SAINT ALPHONSUS HEALTH SYSTEM INC1
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
1915 LAKE AVENUE PO BOX 670PLYMOUTHIN46563351142669HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
PO BOX 1935SOUTH BENDIN466341935350868157HEALTHCARE SERVICESIN501(C)(3)3SAINT JOSEPH REGIONAL MEDICAL CENTER INC0
SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAYMISHAWAKAIN46545356033285HOSPITAL SERVICE AUXILIARYIN501(C)(4)N/ASAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND0
SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUEPLYMOUTHIN46563356043563HOSPITAL SERVICE AUXILIARYIN501(C)(3)11, TYPE IISAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH0
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
801 EAST LASALLE AVESOUTH BENDIN46617351568821HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
SAINT JOSEPH'S TOWER INC
PO BOX 9184FARMINGTON HILLSMI483339184311040468PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALSIN501(C)(3)9TRINITY CONTINUING CARE SERVICES-INDIANA0
SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NWGRAND RAPIDSMI49505383320700PROVIDE HOME HEALTH CARE SERVICESMI501(C)(3)11, TYPE ITRINITY HOME HEALTH SERVICES INC0
SAINT MARY'S FOUNDATION (FKA SAINT MARY'S DORAN FOUNDATION)
200 JEFFERSON ST SEGRAND RAPIDSMI49503381779602SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)7TRINITY HEALTH-MICHIGAN0
ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVEPONTIACMI48341352356789SUPPORTS SERVICES OF RELATED HOSPITALMI501(C)(3)11, TYPE ITRINITY HEALTH-MICHIGAN0
ST ANN'S HOSPITAL
500 SOUTH CLEVELAND AVEWESTERVILLEOH43081314412701HEALTHCARE SERVICESOH501(C)(3)3MOUNT CARMEL HEALTH SYSTEM0
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
4215 EDISON LAKES PARKWAYMISHAWAKAIN46545351654543SUPPORTS SERVICES OF RELATED HOSPITALIN501(C)(3)11, TYPE ISAINT JOSEPH REGIONAL MEDICAL CENTER INC0
TRI-HOSPITAL MRI CENTER
4190 24TH AVENUEFORT GRATIOTMI48054382884297MRI SERVICESMI501(C)(3)3TRINITY HEALTH-MICHIGAN0
TRINITY CONTINUING CARE SERVICES
PO BOX 9184FARMINGTON HILLSMI483339184382559656MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184FARMINGTON HILLSMI483339184930907047PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSINGIN501(C)(3)9TRINITY CONTINUING CARE SERVICES0
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAYLIVONIAMI48152382113393HEALTHCARE SERVICESMI501(C)(3)3TRINITY HEALTH CORPORATION0
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAYLIVONIAMI48152351443425HEALTHCARE SYSTEM MANAGEMENT AND SUPPORTIN501(C)(3)11, TYPE I0N/A
TRINITY HEALTH INTERNATIONAL
20555 VICTOR PARKWAYLIVONIAMI48152421253527HEALTHCARE TRAINING AND SUPPORT SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152208151733RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGEMI501(C)(9)N/ATRINITY HEALTH CORPORATION0
TRINITY HOME HEALTH SERVICES INC
17410 COLLEGE PARKWAYLIVONIAMI48152382621935HOME HEALTH CARE SYSTEM MANAGEMENT SERVICESMI501(C)(3)11, TYPE ITRINITY HEALTH CORPORATION0

Form990 Schedule R Part III Form990ScheduleRPartIII (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
ADVENT REHABILITATION LLC
607 DEWEY AVENUE SUITE 300GRAND RAPIDSMI49504383306673REHABILITATION THERAPY SERVICESMIN/AN/A00
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311608125MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVEYPSILANTIMI48197030447062PROVIDE GASTROINTESTINAL SERVICESMIN/AN/A00
CENTRAL OHIO SLEEP MEDICINE LTD
6150 EAST BROAD STREETCOLUMBUSOH43213311701029SLEEP MEDICINE SERVICESOHN/AN/A00
CLINTON IMAGING SERVICES LLC
615 VALLEY VIEW DR STE 202MOLINEIL61265412044739MRI DIAGNOSTIC SERVICESIAN/AN/A00
FOREST PARK IMAGING LLC
1000 4TH STREET SWMASON CITYIA50401134365966X-RAY AND MAMMOGRAPHY SERVICESIAN/AN/A00
FRANCES WARDE MEDICAL LABORATORY
300 WEST TEXTILE ROADANN ARBORMI48104382648446LABORATORYMIN/AN/A00
FRESNO IMAGING CENTER
1303 E HERNDON AVEFRESNOCA93720770363563DIAGNOSTIC IMAGINGCAN/AN/A00
HAWARDEN REGIONAL HEALTH CLINICS LLC
1122 AVENUE LHAWARDENIA51023201444339MEDICAL CLINICIAN/AN/A00
IDAHO GYNONCOLOGY SERVICES LLC
1055 N CURTIS RDBOISEID83706202975807PROVIDE GYN ONCOLOGY SERVICESIDRELATED01SAINT ALPHONSUS REGIONAL MEDICAL CENTER-107173346710.50000
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603BOISEID83702820514422PROVIDE IMAGING SERVICESIDN/AN/A00
LOYOLA AMBULATORY SURGERY CENTER
1S224 SUMMIT AVE STE 201OAKBROOK TERRACEIL60181364119522SURGICAL SERVICESILN/AN/A00
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SWMASON CITYIA50401421328388MRI SERVICESIAN/AN/A00
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SWMASON CITYIA50401201960348SURGERY-SAME DAYIAN/AN/A00
MCE MOB IV LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222421544707MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MCMC POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311392994MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MEDILUCENT MOB I
793 W STATE STREETCOLUMBUSOH43222204911370MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
MERCY ADVANCED MRI LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616262116721SUBLEASE MRI EQUIPMENTILN/AN/A00
MERCY HEART & VASCULAR LLC
2525 SOUTH MICHIGAN AVECHICAGOIL60616205272726SUBLEASE CT EQUIPMENTILN/AN/A00
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SWMASON CITYIA50401134237594CARDIOVASCULAR SERVICESIAN/AN/A00
MERCY OUTPATIENT SURGERY CENTER LLC
1512 12TH AVENUE ROADNAMPAID83686841380439OUTPATIENT SURGERYIDN/AN/A00
MICHIANA HEALTH INFORMATION NETWORK LLC
215 WEST MADISON STREETSOUTH BENDIN46601352050128COMMUNITY BASED CLINICAL INFO SYS & DATA DEPOSITORYINN/AN/A00
MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311369473MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
NEWCO AMBULATORY SURGERY CTR LLP
4190 24TH AVENUEFORT GRATIOTMI48059300136708OUTPATIENT SURGERY CENTERMIN/AN/A00
RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311531135MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
SARMED OUTPATIENT PHARMACY LLC
999 N CURTIS RD STE 102BOISEID83706510483218PHARMACYIDN/AN/A00
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200BYRON CENTERMI49315202443646PROVIDE OUTPATIENT SURGICAL CAREMIN/AN/A00
ST ALPHONSUS CALDWELL CANCER CTR LLC
3123 MEDICAL DRCALDWELLID83605820526861RADIATION ONCOLOGYIDN/AN/A00
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311603660MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
TAMARACK MEDICAL CLINIC LLC
610 VILLAGE DRIVEDONNELLYID83615201637921OUTPATIENT MEDICAL SERVICESIDN/AN/A00
WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
793 W STATE STREETCOLUMBUSOH43222311784409MEDICAL OFFICE BUILDING RENTALOHN/AN/A00
WOODLAND IMAGING CENTER LLC
5301 E HURON RIVER DRANN ARBORMI48106760820959RADIOLOGY/IMAGINGMIN/AN/A00

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Percentage OwnershipPercentageOwnership
COMMUNITY HEALTH VENTURES INC
565 W WESTERN AVEMUSKEGONMI49440383522260SOFTWARE MARKETINGMIN/AC
GOTTLIEB MANAGEMENT SERVICES INC
701 W NORTH AVEMELROSE PARKIL60160363330529MANAGEMENT SERVICESILN/AC
HACKLEY HEALTH MANAGEMENT CENTER
1415 LEAHY STMUSKEGONMI49442382961814WEIGHT MANAGEMENTMIN/AC
HACKLEY HEALTH VENTURES INC
1415 LEAHY STMUSKEGONMI49442382589959OTHER MEDICAL SERVICESMIN/AC
HACKLEY HEALTHCARE EQUIPMENT
1415 LEAHY STMUSKEGONMI49442382578569HOME MEDICAL EQUIPMENTMIN/AC
HACKLEY PROFESSIONAL CENTER
1415 LEAHY STMUSKEGONMI49442383024797REAL ESTATE RENTALMIN/AC
HACKLEY PROFESSIONAL PHARMACY
1415 LEAHY STMUSKEGONMI49442382447870PHARMACYMIN/AC
HEF INC
1415 LEAHY STMUSKEGONMI49442383086401OFFICE STAFFINGMIN/AC
HOLY CROSS PRIVATE HOME SERVICES CORP
11801 TECH ROADSILVER SPRINGMD20904521986562HOME CARE SERVICESMDN/AC
HPC CO-OWNERS ASSOCIATION
1700 CLINTONMUSKEGONMI49442270734448CONDOMINIUM ASSOCIATIONMIN/AC
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR PO BOX 992ANN ARBORMI48106382475644PROVIDES OFFICE RENTAL SPACEMIN/AC
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY JANN ARBORMI48106383188895MEDICAL MANAGEMENTMIN/AC
LOYOLA UNIVERSITY OF CHICAGO INSURANCE CO LTD
PROVISION OF INSURANCE COVERAGEN/AC23 LIME TREE BAY AVENUEGRAND CAYMANCJCJ
MARYLAND CARE GROUP INC
11801 TECH ROADSILVER SPRINGMD20904521815313HEALTHCARE HOLDINGMDN/AC
MEDNOW INC
1512 12TH AVENUE ROADNAMPAID83686820389927OUTPATIENT PHARMACYIDN/AC
MERCY MEDICAL SERVICES
801 5TH STREETSIOUX CITYIA51101421283849PRIMARY CARE PHYSICIANSIAN/AC
MERCY SERVICES CORPORATION
2525 SOUTH MICHIGAN AVENUECHICAGOIL60616363227348DORMANTILN/AC
MICHIGAN ATHLETIC CLUB
2500 BURTONGRAND RAPIDSMI49546382647304ATHLETIC CLUBMIN/AC
MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC
6150 EAST BROAD STREETCOLUMBUSOH43213310971510BEHAVIORAL HEALTHCARE SERVICESOHN/AC
MOUNT CARMEL HEALTH PROVIDERS INC
6150 EAST BROAD STREETCOLUMBUSOH43213311382442MEDICAL SERVICESOHN/AC
NORTH IOWA MERCY MEDICAL SERVICES INC
1000 4TH ST SWMASON CITYIA50401421382308MEDICAL SERVICESIAN/AC
PRIORITY PLUS OF CALIFORNIA
PO BOX 27230FRESNOCA93729770395267FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONSCAN/AC
SAINT ALPHONSUS PHYSICIANS PA
1055 NORTH CURTIS ROADBOISEID837061370331078261PHYSICIANSIDCSAINT ALPHONSUS REGIONAL MEDICAL CENTER1.00000
SAINT MARY'S HEALTH MANAGEMENT COMPANY
1640 EAST PARIS SEGRAND RAPIDSMI49546383450733ATHLETIC CLUBMIN/AC
SURGERY CENTER FINANCING CORPORATION
6150 EAST BROAD STREETCOLUMBUSOH43213311531102FINANCE, INSURANCE AND REAL ESTATEOHN/AC
THRE SERVICES LLC
20555 VICTOR PARKWAYLIVONIAMI48152452603654REAL ESTATE BROKERAGE SERVICESMIN/AC
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAYLIVONIAMI48152383410377GRANTOR TRUSTMIN/AT
VENZKE INSURANCE COMPANY LTD
980453602PROVISION OF INSURANCE COVERAGEN/ACPO BOX 1051 GRAND CAYMANGRAND CAYMANCJCJ
WESTSHORE HEALTH NETWORK
1820 44TH STREETKENTWOODMI49508383280200PHYSICIAN HOSPITAL ORGANIZATIONMIN/AC
WORKPLACE HEALTH OF GRAND HAVEN
1415 LEAHY STMUSKEGONMI49442383112035OCCUPATIONAL HEALTHMIN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MOUNT CARMEL HEALTH SYSTEM
L272876PER BOOKS
ST ALPHONSUS CALDWELL CANCER CTR LLC
K499743PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
K1623967PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
L497954PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
P618551PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
A31423PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
K5238601PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
L120175PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
P1071912PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA
J156226PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
K722081PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
P334978PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY
A22169PER BOOKS
SARMED OUTPATIENT PHARMACY LLC
A890PER BOOKS
SARMED OUTPATIENT PHARMACY LLC
K56399PER BOOKS
TRINITY HEALTH CORPORATION
E5477000PER BOOKS
TRINITY HEALTH CORPORATION
Q9370958PER BOOKS
TRINITY HEALTH CORPORATION
B4479000PER BOOKS
TRINITY HEALTH CORPORATION
L44113112PER BOOKS
TRINITY HEALTH CORPORATION
P1333337PER BOOKS
TRINITY HEALTH CORPORATION
O15435008PER BOOKS
TRINITY HEALTH CORPORATION
J395797PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
A2139PER BOOKS
SAINT ALPHONSUS HEALTH SYSTEM INC
O11285137PER BOOKS
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION
A86PER BOOKS
MEDNOW INC
A7922PER BOOKS

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