SAINT AGNES MEDICAL CENTER: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SAINT AGNES MEDICAL CENTER (EIN 94-1437713)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201201329349302980
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-11T15:34:57-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941437713 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT AGNES MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAIN | NameControl |
| Phone | 5594503559 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 EAST HERNDON AVENUE | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINE SARRICO | Name |
| Title | CFO | Title |
| Phone | 5594503559 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | NANCY HOLLINGSWORTH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 EAST HERNDON AVENUE | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 488737961 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SAMC.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3114 | TotalNbrEmployees |
| Total Nbr Volunteers | 981 | TotalNbrVolunteers |
| Total Gross UBI | 404043 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 209370 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 882841 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2078166 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 424477624 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 466010640 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8409952 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14483684 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5160715 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5018686 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 438931132 | TotalRevenuePriorYear |
| Total Revenue Current Year | 487591176 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 957577 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1274179 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 213942968 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 224482133 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 5000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 952029 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 215941603 | OtherExpensePriorYear |
| Other Expenses Current Year | 255806192 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 430847148 | TotalExpensesPriorYear |
| Total Expenses Current Year | 481562504 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8083984 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6028672 | RevenuesLessExpensesCY |
| Total Assets BOY | 598002848 | TotalAssetsBOY |
| Total Assets EOY | 614100925 | TotalAssetsEOY |
| Total Liabilities BOY | 154974461 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 152483867 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 443028387 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 461617058 | NetAssetsOrFundBalancesEOY |
| Mission Description | HEALTH CARE SERVICES | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 390216777 | Expense |
| Grants | 1274179 | Grants |
| Revenue | 468356218 | Revenue |
| Description | SAINT AGNES MEDICAL CENTER (THE HOSPITAL), A CALIFORNIA NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES AN ACUTE-CARE HOSPITAL IN FRESNO, CALIFORNIA. THE HOSPITAL PROVIDES HEALTH SERVICES TO INDIVIDUALS WHO RESIDE PRIMARILY IN 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 ABOUT SERVICES PROVIDED,SEE SAINT AGNES MEDICAL CENTER'S WEBSITE AT WWW.SAMC.COM | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISSIONTHE MISSION STATEMENT OF THE HOSPITAL IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 390216777 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 1 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 413 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3114 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN KALOMIRIS CONTROLLER & CAO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5594503559 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E SPRUCE AVENUE | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (39 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| CRAIG SALADINO | |||||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | |||
| MICHAEL MARTINEZ | |||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |||
| NANCY HOLLINGSWORTH | |||||||||
| INTERIM PRES & CEO; COO UNTIL 2/11 | 50.00 | X | X | 0 | 360570 | 78074 | |||
| JAMES LEONARD | |||||||||
| PRES & CEO UNTIL 2/11 | 50.00 | X | X | 0 | 287157 | 12901 | |||
| THOMAS ANDERSON | |||||||||
| INTERIM PRESIDENT & CEO UNTIL 8/10 | 50.00 | X | X | 0 | 614242 | 49360 | |||
| SR MARY CORITA HEID RSM | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| LEE JAY KOLLIGIAN ESQ | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| DIANNE NURY | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| PHILLIP SANCHEZ | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| WILLIAM OWEN MD | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| WILLIAM HADCOCK MD | |||||||||
| TRUSTEE; PHYSICIAN | 2.00 | X | 88274 | 0 | 0 | ||||
| EARL SMITTCAMP | |||||||||
| EMERITUS | 2.00 | X | 0 | 0 | 0 | ||||
| DEBORAH IKEDA | |||||||||
| TRUSTEE AS OF 7/10 | 2.00 | X | 0 | 0 | 0 | ||||
| NEIL KOENIG | |||||||||
| TRUSTEE AS OF 7/10 | 2.00 | X | 0 | 0 | 0 | ||||
| SR KATHLEEN MORONEY CSC | |||||||||
| TRUSTEE AS OF 9/10 | 2.00 | X | 0 | 0 | 0 | ||||
| YRMA RICO | |||||||||
| TRUSTEE AS OF 7/10 | 2.00 | X | 0 | 0 | 0 | ||||
| SR VERONIQUE WIEDOWER CSC | |||||||||
| TRUSTEE UNTIL 6/11 | 2.00 | X | 0 | 0 | 0 | ||||
| DANIEL HALE ESQ | |||||||||
| TRUSTEE UNTIL 6/11; TRINITY EVP | 2.00 | X | 0 | 789942 | 220882 | ||||
| CHRISTINE SARRICO | |||||||||
| CFO AS OF 1/11; TREASURER AS OF 3/11 | 50.00 | X | 0 | 0 | 0 | ||||
| JARRELL E WILLIAMSON ESQ | |||||||||
| SECRETARY; STAFF ATTY. | 50.00 | X | 96004 | 62806 | 23384 | ||||
| JEFF ROONEY TATUM LLC | |||||||||
| INTERIM CFO AND TREAS. UNTIL 3/11 | 50.00 | X | 444000 | 0 | 0 | ||||
| MARK BATEMAN | |||||||||
| INTERIM COO AS OF 3/11 | 50.00 | X | 0 | 0 | 0 | ||||
| JOSEPH SWEDISH | |||||||||
| TRINITY HEALTH PRES & CEO | 2.00 | 0 | 2853932 | 791453 | X | ||||
| KEDRICK ADKINS | |||||||||
| TRINITY PRES INTEGRATED SVCS | 2.00 | 0 | 1160870 | 198248 | X | ||||
| MICHAEL SLUBOWSKI | |||||||||
| TRIN PRES HLTH&HOSP NTWKS TIL 12/10 | 2.00 | 0 | 1153164 | 271732 | X | ||||
| J RICHARD O'CONNELL | |||||||||
| TRINITY EVP & COO HOSP NTWKS | 2.00 | 0 | 761373 | 137960 | X | ||||
| MICHAEL MURPHY | |||||||||
| TRINITY HEALTH EVP, HEALTH NTWKS | 2.00 | 0 | 539823 | 68542 | X | ||||
| DANIEL CAMP | |||||||||
| SR. VP - HR UNTIL 3/11 | 50.00 | 0 | 306052 | 44272 | X | ||||
| STEPHEN SOLDO MD | |||||||||
| CMO | 50.00 | 0 | 372133 | 39200 | X | ||||
| STACY VAILLANCOURT | |||||||||
| VP MKTG, COMM, ADVOC, & HR | 50.00 | 0 | 216356 | 25733 | X | ||||
| TONI KAZARIAN | |||||||||
| INTERIM CNO UNTIL 1/11 | 50.00 | 223063 | 0 | 87147 | X | ||||
| GERALD MARGOSIAN | |||||||||
| COORD. PHARM. OPERATIONS | 50.00 | 285077 | 0 | 69425 | X | ||||
| GREGORY WALAITIS | |||||||||
| VP, FOUNDATION | 50.00 | 0 | 255116 | 31678 | X | ||||
| SIMONE HUGHES | |||||||||
| PRACTICE COORD, RN | 50.00 | 241909 | 0 | 63807 | X | ||||
| SABINUS EKEH | |||||||||
| CHIEF PHYSICIST | 50.00 | 219162 | 0 | 41457 | X | ||||
| BARBARA LENAHAN | |||||||||
| UNIT COORDINATOR, RN | 50.00 | 201345 | 0 | 62284 | X | ||||
| KATHLEEN CAIN | |||||||||
| FORMER OFFICER | 0.00 | 0 | 281795 | 9536 | X | ||||
| Y MARIE PARATTO ESQ | |||||||||
| FORMER OFFICER | 0.00 | 0 | 224877 | 99091 | X | ||||
| PATRICK MARABELLA | |||||||||
| FORMER CMO | 0.00 | 0 | 283764 | 13598 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1798834 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10523972 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2439764 | TotalOtherCompensation |
| Number Individuals GT100 K | 466 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SEALSBIEHLE GENERAL CONTRACTORS | |||||
| PO BOX 7749 | VISALIA | CA | 93290 | CONSTRUCTION SERVICES | 4321962 |
| STANFORD HOSPITAL AND CLINICS | |||||
| 300 PASTEUR DR FALK BLDG MC | STANFORD | CA | 94305 | MEDICAL PROFESSIONAL SERVICES | 3307463 |
| DAVITA DIALYSIS GHENT | |||||
| PO BOX 403008 | ATLANTA | GA | 30384 | DIALYSIS SERVICES | 1790825 |
| ANGELICA CORPORATION | |||||
| DEPT 6777 | LOS ANGELES | CA | 90084 | LAUNDRY SERVICES | 1440111 |
| ARAMARK CORPORATION | |||||
| 24863 NETWORK PLACE | CHICAGO | IL | 60673 | MANAGEMENT SERVICES | 1201580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 69 | NumberOfContractorsGT100K |
| Fundraising Events | 432192 | FundraisingEvents |
| Government Grants | 40542 | GovernmentGrants |
| All Other Contributions | 1605432 | AllOtherContributions |
| Noncash Contributions | 238524 | NoncashContributions |
| Total Contributions | 2078166 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| ACUTE INPATIENT SVCS | 900099 | 331507909 | 331507909 | |
| ACUTE OUTPATIENT SVCS | 900099 | 134502731 | 134224897 | 277834 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 466010640 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4951048 | TotalRevenueColumn |
| Exclusion | $4,951,048 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 652453 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 315575 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 336878 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 336878 | TotalRevenueColumn |
| Exclusion | $336,878 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9401609 | Securities |
| Other | 644835 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 513808 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9401609 | Securities |
| Other | 131027 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9532636 | TotalRevenueColumn |
| Exclusion | $9,532,636 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 72477 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 432192 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 274579 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -202102 | TotalRevenueColumn |
| Exclusion | -$202,102 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 63260 | GrossIncomeGaming |
| Gaming Direct Expenses | 42823 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20437 | TotalRevenueColumn |
| Exclusion | $20,437 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| OTHER REVENUE | 900099 | 2749621 | 2623412 | 126209 | |
| CAFETERIA REVENUE | 900099 | 2113852 | $2,113,852 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4863473 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 487591176 | TotalRevenueColumn |
| Related Or Exempt Function Income | 468356218 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 404043 | UnrelatedBusinessRevenue |
| Exclusion | $16,752,749 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199730 | Total |
| Program Services | 1199730 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74449 | Total |
| Program Services | 74449 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3690884 | Total |
| Management And General | 3690884 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712773 | Total |
| Program Services | 245460 | ProgramServices |
| Management And General | 467313 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170750676 | Total |
| Program Services | 156840327 | ProgramServices |
| Management And General | 13443078 | ManagementAndGeneral |
| Fundraising | 467271 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14290701 | Total |
| Program Services | 13081421 | ProgramServices |
| Management And General | 1170349 | ManagementAndGeneral |
| Fundraising | 38931 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22341270 | Total |
| Program Services | 20245790 | ProgramServices |
| Management And General | 2035188 | ManagementAndGeneral |
| Fundraising | 60292 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12695829 | Total |
| Program Services | 11137550 | ProgramServices |
| Management And General | 1523003 | ManagementAndGeneral |
| Fundraising | 35276 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 940682 | Total |
| Program Services | 940682 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3571353 | Total |
| Management And General | 3571353 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26871208 | Total |
| Program Services | 16532769 | ProgramServices |
| Management And General | 10315324 | ManagementAndGeneral |
| Fundraising | 23115 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 666913 | Total |
| Program Services | 590 | ProgramServices |
| Management And General | 657814 | ManagementAndGeneral |
| Fundraising | 8509 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6264009 | Total |
| Program Services | 4622264 | ProgramServices |
| Management And General | 1589850 | ManagementAndGeneral |
| Fundraising | 51895 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17380829 | Total |
| Program Services | 421978 | ProgramServices |
| Management And General | 16945471 | ManagementAndGeneral |
| Fundraising | 13380 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6244155 | Total |
| Program Services | 5685770 | ProgramServices |
| Management And General | 558385 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 538033 | Total |
| Program Services | 343262 | ProgramServices |
| Management And General | 173639 | ManagementAndGeneral |
| Fundraising | 21132 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3994285 | Total |
| Program Services | 3994285 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26936936 | Total |
| Program Services | 10121744 | ProgramServices |
| Management And General | 16806531 | ManagementAndGeneral |
| Fundraising | 8661 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2920158 | Total |
| Management And General | 2920158 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 68653153 | 68653153 | ||
| HOSPITAL PROVIDER TAX | 44917264 | 44917264 | ||
| BAD DEBT | 19484767 | 19484767 | ||
| EQUIPMENT MAINTENANCE | 8517859 | 7698703 | 809105 | 10051 |
| UBI TAXES | 59903 | 59903 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17844685 | Total |
| Program Services | 3974819 | ProgramServices |
| Management And General | 13656350 | ManagementAndGeneral |
| Fundraising | 213516 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481562504 | Total |
| Program Services | 390216777 | ProgramServices |
| Management And General | 90393698 | ManagementAndGeneral |
| Fundraising | 952029 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94960 | BOY |
| EOY | 631160 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 421596 | BOY |
| EOY | 189347 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2340654 | BOY |
| EOY | 2601918 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60006576 | BOY |
| EOY | 64898751 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29545 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 496254 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6620988 | BOY |
| EOY | 6019820 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2865187 | BOY |
| EOY | 2798665 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 482733087 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 268434564 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218913479 | BOY |
| EOY | 214298523 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190793543 | BOY |
| EOY | 144040830 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91193695 | BOY |
| EOY | 153593752 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24226371 | BOY |
| EOY | 25028159 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 598002848 | BOY |
| EOY | 614100925 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38722122 | BOY |
| EOY | 38749573 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 525009 | BOY |
| EOY | 649626 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115727330 | BOY |
| EOY | 113084668 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154974461 | BOY |
| EOY | 152483867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430326721 | BOY |
| EOY | 446469811 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3608065 | BOY |
| EOY | 4464689 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9093601 | BOY |
| EOY | 10682558 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443028387 | BOY |
| EOY | 461617058 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 598002848 | BOY |
| EOY | 614100925 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6028672 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 12559999 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $65,696 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $3,131 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 68827 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | SAINT AGNES MEDICAL CENTER HAS HAD DIRECT CONTACT WITH AND SENT MAILINGS TO LEGISLATORS DURING THE YEAR. THIS CONTACT INCLUDED DISCUSSIONS OF HEALTH CARE AND MEDICARE ISSUES. SAINT AGNES MEDICAL CENTER HAS ALSO MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. SOME OF THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SAINT AGNES MEDICAL CENTER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SAINT AGNES MEDICAL CENTER MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11889721 | BeginningOfYearBalance |
| Contributions | 30096 | Contributions |
| Investment Earnings Or Losses | 2028501 | InvestmentEarningsOrLosses |
| End Of Year Balance | 13948318 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11022433 | BeginningOfYearBalance |
| Contributions | 19842 | Contributions |
| Investment Earnings Or Losses | 902081 | InvestmentEarningsOrLosses |
| Other Expenditures | 54635 | OtherExpenditures |
| End Of Year Balance | 11889721 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13058503 | BeginningOfYearBalance |
| Contributions | 403895 | Contributions |
| Investment Earnings Or Losses | -2439965 | InvestmentEarningsOrLosses |
| End Of Year Balance | 11022433 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.23410 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.76590 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1369459 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5093934 | OtherCostOrOtherBasis |
| Book Value | 6463393 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 272348163 | OtherCostOrOtherBasis |
| Depreciation | 125665454 | Depreciation |
| Book Value | 146682709 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 186816610 | OtherCostOrOtherBasis |
| Depreciation | 142769110 | Depreciation |
| Book Value | 44047500 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17104921 | OtherCostOrOtherBasis |
| Book Value | 17104921 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 214298523 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ABSOLUTE RETURN STRATEGY FUNDS | 71108219 | F |
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 19910301 | F |
| BOND FUND | 62575232 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 153593752 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $4,819,211 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $1,308,351 |
| INTERCOMPANY NOTES PAYABLE | $106,033,458 |
| OTHER DEFERRED LIABILITIES | $923,648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 113084668 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | SAINT AGNES MEDICAL CENTER HAS ENDOWMENT FUNDS (BOARD DESIGNATED AND PERMANENTLY RESTRICTED) WHERE THE GOAL IS TO BUILD THE OVERALL ENDOWMENT FUNDS TO $25 MILLION. UPON REACHING THIS GOAL, INVESTMENT INCOME FROM THE FUNDS WILL BE USED BY SAINT AGNES MEDICAL CENTER TO PURCHASE EQUIPMENT AND TO OFFSET OPERATING EXPENDITURES. AS OF JUNE 30, 2011, THE BOARD DESIGNATED ENDOWMENT FUND WAS $3.3 MILLION AND THE PERMANENTLY RESTRICTED ENDOWMENT FUND WAS $10.2 MILLION. SAINT AGNES MEDICAL CENTER HAS ANOTHER PERMANENTLY RESTRICTED ENDOWMENT FUND WHICH IS USED FOR GRANTING SCHOLARSHIPS TO INDIVIDUALS ENROLLED IN NURSING PROGRAMS. AS OF JUNE 30, 2011, THIS PERMANENTLY RESTRICTED ENDOWMENT FUND WAS $491,000. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SUMMER SIZZLE | NameOfEvent1 |
| Gross Receipts Event1 | 200012 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 177612 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 22400 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 27521 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 18733 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 58516 | OtherDirectExpensesEvent1 |
| Name Of Event2 | BMW GOLF | NameOfEvent2 |
| Gross Receipts Event2 | 153382 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 119741 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 33641 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 16077 | RentFacilityCostsEvent2 |
| Entertainment Event2 | 9584 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 35111 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 151275 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 134839 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 16436 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 15225 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 13890 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 18224 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 61698 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 504669 | GrossReceiptsTotal |
| Charitable Contributions Total | 432192 | CharitableContributionsTotal |
| Gross Revenue Total Events | 72477 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 31302 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 41411 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 46541 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 155325 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 274579 | DirectExpenseSummaryEvents |
| Net Income Summary | -202102 | NetIncomeSummary |
Gaming Information GamingInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | 63260 | GrossRevenueOtherGaming |
| Cash Prizes Other Gaming | 1750 | CashPrizesOtherGaming |
| Non Cash Prizes Other Gaming | 33900 | NonCashPrizesOtherGaming |
| Other Direct Expenses Other Gaming | 7173 | OtherDirectExpensesOtherGaming |
| Volunteer Labor Other Gaming | 1 | VolunteerLaborOtherGaming |
| Volunteer Labor Prcnt Other Gaming | 0.10000 | VolunteerLaborPrcntOtherGaming |
| Gross Revenue Total Gaming | 63260 | GrossRevenueTotalGaming |
| Cash Prizes Total Gaming | 1750 | CashPrizesTotalGaming |
| Non Cash Prizes Total Gaming | 33900 | NonCashPrizesTotalGaming |
| Other Direct Expenses Total Gaming | 7173 | OtherDirectExpensesTotalGaming |
| Direct Expense Summary Gaming | 42823 | DirectExpenseSummaryGaming |
| Net Gaming Income Summary | 20437 | NetGamingIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | CA | StatesWhereGamingConducted |
| Licensed | 0 | Licensed |
| Explanation If No | ORGANIZATION IS EXEMPT AND DOES NOT REQUIRE A LICENSE. | ExplanationIfNo |
| License Suspended Etc | 0 | LicenseSuspendedEtc |
| Gaming With Nonmembers | 0 | GamingWithNonmembers |
| Member Of Other Entity | 0 | MemberOfOtherEntity |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
| Name Of Gaming Rec Keeper Person | MARISELA ROMO | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 E SPRUCE AVENUE | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contract With3rd Party For Gam Rev | 0 | ContractWith3rdPartyForGamRev |
| Gaming Manager Name Person | GREGORY WALAITIS | GamingManagerNamePerson |
| Gaming Manager Compensation | 2551 | GamingManagerCompensation |
| Gaming Manager Services Provided | THE GAMING ACTIVITIES AT SAINT AGNES MEDICAL CENTER PRIMARILY RELATE TO RAFFLE TICKET SALES AT FUNDRAISING EVENTS. GREGORY WALAITIS, VP - FOUNDATION, MANAGES THE OVERALL GAMING ACTIVITIES INCLUDING THE RECORDKEEPING, HIRING AND FIRING OF WORKERS, AND MAKING THE BANK DEPOSITS FOR THE GAMING ACTIVITIES. GREGORY WALAITIS' COMPENSATION ALLOCATED TO GAMING ACTIVITIES IS APPROXIMATELY $2,551. | GamingManagerServicesProvided |
| Gaming Manager Is Employee | X | GamingManagerIsEmployee |
| Charitable Distrib Required | 0 | CharitableDistribRequired |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 5738 | PersonsServed |
| Total Community Benefit Expense | 6046223 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6046223 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 64341 | PersonsServed |
| Total Community Benefit Expense | 116630108 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 97721000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18909108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04090 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 70079 | PersonsServed |
| Total Community Benefit Expense | 122676331 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 97721000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24955331 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05400 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 10307 | PersonsServed |
| Total Community Benefit Expense | 1186633 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9427 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1177206 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 302 | PersonsServed |
| Total Community Benefit Expense | 361215 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 361215 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 10609 | PersonsServed |
| Total Community Benefit Expense | 1547848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9427 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1538421 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 80688 | PersonsServed |
| Total Community Benefit Expense | 124224179 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 97730427 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26493752 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05730 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 40730 | PersonsServed |
| Total Community Building Expense | 513754 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 513754 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 40730 | PersonsServed |
| Total Community Building Expense | 513754 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 513754 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,733,460 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 157345432 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 168582770 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -11237338 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT AGNES MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 E HERNDON AVE | AddressLine1 |
| City | FRESNO | City |
| State | CA | State |
| ZIP Code | 93720 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SAINT AGNES ADULT DAY HEALTH CENTER | ||||
| 1163 E WARNER AVE | FRESNO | CA | 93720 | DAY CARE CENTER FOR SENIORS |
| SAINT AGNES PEACHWOOD LABORATORY | ||||
| 275 W HERNDON AVE | CLOVIS | CA | 93612 | LAB |
| SAINT AGNES NORTHWEST LABORATORY | ||||
| 4770 W HERNDON AVE | FRESNO | CA | 93722 | LAB |
| SAINT AGNES LAB AT KEISHO PLAZA | ||||
| 568 E HERNDON AVE | FRESNO | CA | 93720 | LAB |
| SAINT AGNES OAKHURST LABORATORY | ||||
| 40232 JUNCTION DRIVE | OAKHURST | CA | 93644 | LAB |
| SAINT AGNES CENTRAL FRESNO LABORATORY | ||||
| 1300 N FRESNO ST | FRESNO | CA | 93703 | LAB |
| SAINT AGNES | ||||
| 1377 E HERNDON AVE | FRESNO | CA | 93720 | EMERGENCY DEPT. ADMIN. |
| HOLY CROSS CENTER FOR WOMEN | ||||
| 421 F STREET | FRESNO | CA | 93720 | MEDICAL SERVICES FOR THE INDIGENT |
| THE HOLY CROSS CLINIC AT POVERELLO HOUSE | ||||
| 412 F STREET | FRESNO | CA | 93720 | MEDICAL/DENTAL FOR THE INDIGENT |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 6A: SAINT AGNES 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 AGNES 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, $19,484,767, 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 AGNES MEDICAL CENTER ENGAGES IN A WIDE RANGE OF COMMUNITY BUILDING ACTIVITIES. A SAMPLING IS INCLUDED HERE. ESTABLISHED IN 1984 BY SAINT AGNES MEDICAL CENTER AND THE SISTERS OF THE HOLY CROSS, SAINT AGNES HOLY CROSS CENTER FOR WOMEN (HCCW) SERVES AS A DAYTIME REFUGE FOR POOR AND HOMELESS WOMEN AND THEIR CHILDREN. AN AVERAGE OF 126 WOMEN AND 21 CHILDREN VISIT THE CENTER EACH DAY FOR A NAP, A WARM MEAL, TO BATHE, WASH THEIR CLOTHES OR SIMPLY WATCH TELEVISION. LOCATED ACROSS THE STREET FROM POVERELLO HOUSE IN DOWNTOWN FRESNO, HOLY CROSS CENTER FOR WOMEN IS EASILY ACCESSIBLE TO THOSE IN NEED. IT PROVIDES WOMEN OF ALL AGES AND THEIR CHILDREN A PEACEFUL RESPITE FROM THE COLD REALITIES OF THE STREETS. THEY CAN ALSO TAKE ADVANTAGE OF COUNSELING, REFERRAL SERVICES, EDUCATIONAL AND SKILLS TRAINING, AND RECREATIONAL ACTIVITIES.THOSE WHO COME TO THE CENTER ARE PREDOMINANTLY YOUNG, MINORITY, IMPOVERISHED WOMEN WITH CHILDREN WHOSE LIVES ARE CHALLENGED BY UNEMPLOYMENT, POVERTY, ADDICTION, RACISM, FEAR, LACK OF EDUCATION, LOW SELF-ESTEEM AND HOMELESSNESS. SOME COME BACK DAY AFTER DAY; OTHERS COME TO FILL A TEMPORARY NEED. ON A MONTHLY BASIS, HCCW PROVIDES:- GENTLY USED CLOTHING TO MORE THAN 543 INDIVIDUALS AND FAMILIES - WARM SHOWERS TO 948 HOMELESS WOMEN - WASHERS AND DRYERS TO ACCOMMODATE 421 LOADS OF LAUNDRY IN ADDITION TO REFUGE AND REST, HCCW PROVIDES WOMEN WITH OPPORTUNITIES TO LEARN NECESSARY SKILLS THAT ENABLE THEM TO BECOME SELF-SUFFICIENT SO THEY MAY EVENTUALLY BREAK THE CYCLE THEY ARE IN. THIS INCLUDES:- ENGLISH AS A SECOND LANGUAGE CLASSES- SELF-ESTEEM AND PARENTING CLASSES- SEWING INSTRUCTION- ARTS AND CRAFTS- PRAYER GROUPS- PSYCHOLOGIST COUNSELINGTHANKS TO THE COMMUNITY VOLUNTEERS WHO DONATE THEIR TIME TO LEAD THESE CLASSES AND ACTIVITIES, AND THE SUPPORTIVE STAFF AT HCCW, MANY CLIENTS HAVE SUCCESSFULLY TURNED THEIR LIVES AROUND AND BECOME PRODUCTIVE, CONTRIBUTING MEMBERS OF THE COMMUNITY.THE POVERELLO HOUSE, LOCATED ACROSS THE STREET FROM HOLY CROSS CENTER FOR WOMEN, PROVIDES FREE MEALS TO HUNDREDS OF HOMELESS INDIVIDUALS AND LOW-INCOME FAMILIES EVERY DAY. BESIDES NEEDING FOOD AND CLOTHING, MANY VISITORS LACK BASIC MEDICAL CARE. TO ADDRESS THIS NEED, THE SISTERS OF THE HOLY CROSS AND SAINT AGNES MEDICAL CENTER ESTABLISHED THE HOLY CROSS CLINIC AT POVERELLO HOUSE IN 1982. SAINT AGNES STAFF AND MEDICAL PROFESSIONAL VOLUNTEERS - INCLUDING SPECIALISTS, DENTISTS, NURSES, AND OTHER PARAMEDICAL PERSONNEL - PROVIDE FREE BASIC MEDICAL AND DENTAL CARE TO OUR VALLEY'S GROWING NUMBERS OF UNINSURED AND UNDERINSURED. LAST YEAR ALONE, HOLY CROSS CLINIC RECEIVED MORE THAN 7,510 VISITS FOR MEDICAL SERVICES AND 802 VISITS FOR DENTAL CARE. THE VALUE OF DONATED SERVICES TOTALED MORE THAN $819,400. HEALTH EDUCATION IS ALSO PROVIDED BY THE CLINIC TO TEACH INDIVIDUALS WHO SUFFER FROM CHRONIC CONDITIONS LIKE DIABETES AND ASTHMA HOW TO MANAGE THEIR DISEASE, PREVENT COMPLICATIONS AND EXPERIENCE A HEALTHIER, MORE PRODUCTIVE LIFESTYLE. FURTHER, THE CLINIC COLLABORATES WITH NUMEROUS COMMUNITY GROUPS AND SERVICE PROVIDERS TO REACH OUT TO THOSE CLIENTS WHO - IN ADDITION TO MEDICAL OR DENTAL SERVICES - MAY NEED HELP FINDING SHELTER OR OTHER SUPPORT SERVICES. |
| PART III, LINE 4: SAINT AGNES 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.BALANCES THAT ARE ELIGIBLE TO BE ADJUSTED OFF UNDER OUR CHARITY/FINANCIAL ASSISTANCE PROGRAM ARE NOT ADVANCED AS A BAD DEBT WRITE-OFF. |
| PART III, LINE 8: SAINT AGNES 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: IN ACCORDANCE WITH CA AB774, PATIENTS/ACCOUNTS WHO MEET ELIGIBILITY CRITERIA WILL NOT BE HELD RESPONSIBLE FOR MORE THAN THE HIGHEST GOVERNMENT REIMBURSEMENT RATE. WHEN UNINSURED (SELF PAY) ACCOUNT BALANCES REMAIN UNPAID AFTER 150 DAYS, THEY MAY BE REFERRED TO A CREDIT BUREAU, USUALLY AFTER COLLECTION ATTEMPTS BY A COLLECTION AGENCY, WHOSE BILLING DUNNING NOTICE WILL INCLUDE INFORMATION REGARDING THE PATIENTS' RIGHTS UNDER THE ROSENTHAL FAIR DEBT COLLECTION PRACTICE ACT. ADDITIONALLY, WRITTEN NOTICES TO THE PATIENT WILL ENCOURAGE HIM/HER TO CONSIDER ASSISTANCE FROM A NON-PROFIT CREDIT COUNSELING AGENCY WHICH MAY BE AVAILABLE WITHIN OUR COMMUNITY.IF OTHER AVENUES OF FINANCIAL SUPPORT ARE BEING PURSUED, SAINT AGNES MEDICAL CENTER AND/OR THE APPLICANT SHOULD COMMUNICATE WITH EACH OTHER REGARDING THE PROCESS AND EXPECTED TIMELINE FOR DETERMINATION. SAINT AGNES MEDICAL CENTER WILL DELAY COLLECTION EFFORTS FOR A REASONABLE TIME PERIOD WHILE A DETERMINATION IS BEING MADE. IF A PATIENT IS ATTEMPTING TO QUALIFY FOR ELIGIBILITY UNDER SAINT AGNES MEDICAL CENTER'S CHARITY CARE OR DISCOUNT PAYMENT POLICY AND IS ATTEMPTING IN GOOD FAITH TO SETTLE AN OUTSTANDING BILL WITH SAINT AGNES MEDICAL CENTER BY NEGOTIATING A REASONABLE AMOUNT, SAINT AGNES MEDICAL CENTER SHALL NOT ADVANCE THE UNPAID BILL TO A COLLECTION AGENCY. WHEN THE BALANCE ON AN ACCOUNT IS DETERMINED TO BE A PATIENT/GUARANTOR OBLIGATION, SAINT AGNES MEDICAL CENTER WILL BILL THE PATIENT/GUARANTOR AT REGULAR INTERVALS. UNDER THE OVERSIGHT OF THE PATIENT FINANCIAL SERVICES MANAGEMENT TEAM, SELF PAY BALANCES WHICH ARE PAST DUE, (IN EXCESS OF 150 DAYS OF INITIAL BILLING, OR 90 TO 150 DAYS IN EXCESS OF ANY OTHER ACTIVITY DATE PROMPTED BY A FINANCIALLY QUALIFIED PATIENT), MAY BE ADVANCED TO A CREDIT BUREAU (FOLLOWING A MINIMUM OF 150 DAYS FROM INITIAL BILLING). FOR ALL CA AB774 FINANCIALLY QUALIFIED ACCOUNT BALANCES, WHERE THE PATIENT HAS BEEN DETERMINED BY SAINT AGNES MEDICAL CENTER TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE WITH A RESULTING SHARE OF COST FROM THE PATIENT, SAINT AGNES MEDICAL CENTER, OR BILLING VENDOR, WILL ARRANGE, UPON REQUEST OF THE PATIENT, REASONABLE PAYMENT PLANS WHICH WILL REMAIN INTEREST FREE UNTIL THE ACCOUNT BALANCE HAS BEEN PAID IN FULL. THE PATIENT MAY NEGOTIATE THE TERMS OF A REASONABLE PAYMENT PLAN. IN THE EVENT THE PATIENT/GUARANTOR IS DELINQUENT IN PAYING, RENEGOTIATING, OR CONTACTING SAINT AGNES MEDICAL CENTER, OR A BILLING VENDOR, REGARDING HIS/HER OUTSTANDING PAYMENT PLAN BALANCE FOR A MINIMUM PERIOD OF 90 DAYS, ONLY THEN CAN THE CA AB774 SHARE OF COST BALANCE BE REPORTED TO A CREDIT BUREAU, PROVIDED THE MINIMUM PERIOD OF 150 DAYS FROM INITIAL BILLING BY SAINT AGNES MEDICAL CENTER HAS PASSED. UNDERSTANDABLY, THE HOSPITAL DOES FIND IT NECESSARY TO APPLY REASONABLE STANDARDS TO THE LENGTH OF A MONTHLY PAYMENT PLAN. GUIDELINES FOR LEVELS OF AUTHORIZATION AND THE NUMBER OF MONTHS AN AMOUNT CAN BE EXTENDED ARE AS FOLLOWS:- BALANCES UNDER $100 WILL BE PAID WITHIN A MAXIMUM THREE MONTHS- BALANCES OF $100 TO $600 WILL BE PAID WITHIN A MAXIMUM SIX MONTHS- BALANCES OF $600 TO $1,200 WILL BE PAID WITHIN A MAXIMUM TWELVE MONTHS- BALANCES GREATER THAN $1,200 WILL BE PAID WITHIN A MAXIMUM TWENTY-FOUR MONTHS |
| PART VI, LINE 2: NEEDS ASSESSMENT - EVERY THREE YEARS, SAINT AGNES MEDICAL CENTER CONDUCTS A COMMUNITY NEEDS ASSESSMENT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY AT THAT SPECIFIC POINT IN TIME. THIS ASSESSMENT SERVES AS THE BASIS FOR STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTH CARE PROVIDERS. IT ALSO ESTABLISHES A BENCHMARK FOR MEASURING OUR PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES DURING FUTURE ASSESSMENTS.SAINT AGNES MEDICAL CENTER'S 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- COLLECT THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES GATHERING TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS TO SUPPORT SHORT- AND LONG-TERM DECISIONS ABOUT THE ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. IN 2011, SAINT AGNES MEDICAL CENTER, ALONG WITH OTHER COMMUNITY HOSPITALS SERVING A FOUR-COUNTY REGION (FRESNO, MADERA, TULARE AND KINGS), CAME TOGETHER THROUGH THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, TO DEFINE AND PLAN A REGIONAL NEEDS ASSESSMENT PROCESS FOR ALL HOSPITALS TO USE AS THE "CORE" OF THEIR RESPECTIVE COMMUNITY BENEFITS WORK. THE HOSPITAL COUNCIL CONTRACTED WITH THE CENTRAL VALLEY HEALTH POLICY INSTITUTE (CVHPI), CALIFORNIA STATE UNIVERSITY, FRESNO (CSUF) TO CONDUCT AND COMPILE THE REGIONAL NEEDS ASSESSMENT. BOTH QUANTITATIVE AND QUALITATIVE DATA WAS RELIED UPON TO ENSURE THE MOST COMPLETE PICTURE OF COMMUNITY NEEDS, THE TARGET AUDIENCE AS WELL AS THE STRENGTHS, CHALLENGES AND OPPORTUNITIES FACING THE FOUR-COUNTY AREA. DATA FOR THE FOUR-COUNTY AREA WAS ALSO COMPARED TO THE EIGHT COUNTIES OF THE SAN JOAQUIN VALLEY AND TO THE STATE OF CALIFORNIA AS A WHOLE, WHENEVER POSSIBLE. QUANTITATIVEOVER THE LAST SIX YEARS, CVHPI HAS DEVELOPED AND MAINTAINED AN EXTENSIVE DATA WAREHOUSE ON A WIDE RANGE OF HEALTH, SOCIOECONOMIC AND DEMOGRAPHIC INDICATORS. THIS DATA WAREHOUSE SERVED AS THE BASIS FOR THE NEEDS ASSESSMENT, INCLUDING:- ANALYSIS OF BIRTH, DEATH AND HOSPITALIZATION DATA FOR THE SERVICE AREA.- POPULATION-ADJUSTED RATES OF RECEIPT OF APPROPRIATE PRENATAL CARE, LOW BIRTH WEIGHT, AND PRETERM BIRTHS FOR EACH ZIP CODE IN THE SERVICE AREA AND OVERALL.- POPULATION-ADJUSTED RATES FOR HOSPITALIZATIONS FOR SELECTED ACUTE AND CHRONIC CONDITIONS.- A COMPOSITE MEASURE OF PRIMARY CARE-SENSITIVE/AVOIDABLE HOSPITALIZATIONS, PREMATURE DEATHS, AND PREMATURE DEATHS FOR SPECIFIC CONDITIONS ARE DESCRIBED FOR EACH ZIP CODE IN THE SERVICE AREA AND OVERALL.- USING AVAILABLE CALIFORNIA HEALTH INTERVIEW SURVEY (CHIS) DATA, SCHOOL FITNESS TESTING, REPORTABLE HEALTH EVENTS, AND OTHER DATA SOURCES, ESTIMATES OF CHRONIC DISEASE AND HIGH-RISK HEALTH BEHAVIORS FOR THE SERVICE AREA OR THE MOST ACCURATE AVAILABLE GEOGRAPHIC AREAS WITHIN THE SERVICE AREA.- MOST RECENT AVAILABLE ESTIMATES OF DEMOGRAPHIC, EDUCATIONAL ATTAINMENT, AND ECONOMIC OPPORTUNITY INFORMATION FOR THE SERVICE AREA, INCLUDING DATA FROM THE COMMUNITY HEALTH INDICATORS NATIONAL COUNTY HEALTH RANKING. QUALITATIVEFOCUS GROUPS COMPRISING A CROSS-SECTION OF KEY STAKEHOLDERS (E.G., PUBLIC HEALTH, HEALTH CARE PROVIDERS, SCHOOL DISTRICTS, NONPROFIT ORGANIZATIONS, AND FUNDERS) WERE CONDUCTED IN EACH COUNTY. FACILITATED BY CVHPI STAFF, THE FOCUS GROUPS FOLLOWED THE SAME AGENDA AND FORMAT IN EACH COUNTY, COLLECTING INPUT FROM PARTICIPANTS ON FIVE AREAS RELEVANT TO COMMUNITY HEALTH AND WELL-BEING:1. PRIMARY CARE, ACCESS TO CARE, UNINSURED/INDIGENT CARE, IMPLEMENTATION OF FEDERAL HEALTH CARE REFORM2. HOSPITAL/EMERGENCY SERVICES 3. CHRONIC DISEASE MANAGEMENT4. PREVENTION (SERVICES, POLICIES, PHYSICAL ENVIRONMENTS, AIR/WATER QUALITY, PUBLIC SAFETY, MENTAL HEALTH, HOUSING) 5. COMMUNITY INFRASTRUCTURE (TRANSPORTATION, COMMUNITY DEVELOPMENT, ECONOMIC DEVELOPMENT, SCHOOLS AND SOCIAL SERVICES FOR CHILDREN, YOUTH AND FAMILIES, SAFE PLACES TO PLAY, ACCESS TO HEALTHY FOOD)PARTICIPANTS WERE ASKED TO IDENTIFY BOTH THE CONDITIONS AND OPPORTUNITIES IN EACH COUNTY THAT SUPPORT COMMUNITY HEALTH AND WELL-BEING AND POLICIES NEEDED TO SUSTAIN THESE EFFORTS, AS WELL AS THOSE CONDITIONS AND OPPORTUNITIES THAT INHIBIT COMMUNITY HEALTH AND WELL-BEING AND POLICY CHANGES REQUIRED TO MITIGATE THESE. FINALLY, PARTICIPANTS WERE ASKED TO RANK THEIR PRIORITIES FOR ACTION. |
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SAINT AGNES MEDICAL CENTER IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTH CARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR ALL THOSE WE SERVE, PARTICULARLY OUR COMMUNITY'S POOR AND UNDERSERVED; - CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY; - ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE SERVICES/CARE PROVIDED;- BALANCING NEEDED PATIENT FINANCIAL ASSISTANCE WITH THE ORGANIZATION'S BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE. IN ACCORDANCE WITH AMERICAN HOSPITAL ASSOCIATION RECOMMENDATIONS, SAINT AGNES MEDICAL CENTER HAS ADOPTED THESE PRINCIPLES FOR HANDLING PATIENT BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS: - PROACTIVELY COMMUNICATE WITH PATIENTS REGARDING THEIR 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 CONSISTENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS; - IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PAYMENT OBLIGATIONS.SAINT AGNES MEDICAL CENTER PROACTIVELY COMMUNICATES WITH PATIENTS REGARDING THEIR PAYMENT OBLIGATIONS AND OFFERS FINANCIAL COUNSELING TO HELP PATIENTS UNDERSTAND THEIR HOSPITAL BILLS AND FINANCIAL OBLIGATIONS, AS WELL AS ADDRESS ANY FINANCIAL QUESTIONS OR CONCERNS THEY MAY HAVE. DURING THE PRE-REGISTRATION AND ADMITTING PROCESS, AND/OR THROUGH COMMUNICATION WITH PATIENTS SEEKING FINANCIAL ASSISTANCE, SAINT AGNES MEDICAL CENTER PROVIDES PATIENTS WITH INFORMATION ABOUT HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SPECIFIC SERVICES.THE SAINT AGNES MEDICAL CENTER REGISTRARS GIVE FINANCIAL ASSISTANCE APPLICATIONS TO EVERY PATIENT WHO EXPRESSES A FINANCIAL CONCERN AND THEN REFER THE PATIENT TO A HOSPITAL FINANCIAL COUNSELOR FOR FURTHER ASSISTANCE. THE HOSPITAL ALSO CONTRACTS WITH AN ELIGIBILITY VENDOR WHO ASSISTS PATIENTS WITH THEIR MEDICAID APPLICATIONS AND ELIGIBILITY. THE VENDOR HELPS PATIENTS GATHER THE APPROPRIATE DOCUMENTS REQUIRED TO APPLY FOR MEDI-CAL OR MEDICARE DISABILITY; TRANSLATES AS NEEDED; AND PROVIDES TRANSPORTATION TO THE LOCAL WELFARE OFFICE, IF REQUIRED.FINANCIAL COUNSELORS HELP PATIENTS OBTAIN AND PAY FOR NEEDED HEALTH CARE SERVICES BY IDENTIFYING AND HELPING THEM APPLY FOR THOSE PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY. SAINT AGNES MEDICAL CENTER ALSO ASSISTS PATIENTS BY PAYING THEIR COBRA BENEFITS SO THAT THE PATIENT WILL HAVE HEALTH CARE COVERAGE WHILE OBTAINING 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 AGNES MEDICAL CENTER ALSO OFFERS FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE, BUT WHO HAVE LIMITED MEANS. DETAILS AND CONTACT INFORMATION FOR OBTAINING FINANCIAL ASSISTANCE IS MADE AVAILABLE AT ALL REGISTRATION SITES ON AND OFF CAMPUS. THIS INCLUDES A COMPREHENSIVE FINANCIAL ASSISTANCE PROGRAM BROCHURE GIVEN TO PATIENTS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM IS ALSO NOTED IN THE CONDITIONS OF ADMISSION AND ON THE PATIENT BILL. IT IS ALSO MADE AVAILABLE IN THE SAINT AGNES MEDICAL CENTER PATIENT FINANCIAL SERVICES OFFICE. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO THE PUBLIC, PHYSICIANS, FRESNO METRO MINISTRIES, HOLY CROSS CENTER FOR WOMEN AND HOLY CROSS CLINIC AT POVERELLO HOUSE. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE AS PART OF THE ADMISSION PACKET, ON THE PUBLIC SAINT AGNES MEDICAL CENTER WEB SITE, AND AT EACH REGISTRATION AREA. IN ADDITION TO ENGLISH, THIS INFORMATION IS AVAILABLE IN SPANISH AND HMONG.SAINT AGNES MEDICAL CENTER HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND FINANCIAL SUPPORT OF PATIENTS AND PATIENT PAYMENT OBLIGATIONS. THE MEDICAL CENTER MAKES EVERY EFFORT TO ADHERE TO THE POLICY AS PART OF ITS COMMITMENT TO ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. TO ENSURE THAT ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES, SAINT AGNES MEDICAL CENTER EDUCATES ITS EMPLOYEES - PARTICULARLY THOSE WORKING IN FINANCIAL ASSISTANCE, REGISTRATION, AND BILLING AND COLLECTION - ABOUT ITS FINANCIAL POLICY. SAINT AGNES MEDICAL CENTER ALSO INCLUDES THE VENDOR AND COLLECTION AGENCIES IN THIS EDUCATION. |
| PART VI, LINE 4: COMMUNITY INFORMATION - SAINT AGNES MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE MAJORITY OF FRESNO AND PORTIONS OF MADERA COUNTIES. THE REMAINDER OF FRESNO AND MADERA COUNTIES COMPRISES THE SECONDARY SERVICE AREA. COMBINED, SAINT AGNES MEDICAL CENTER'S SERVICE AREA ENCOMPASSES A POPULATION IN EXCESS OF 1 MILLION.DESPITE A NATIONAL ECONOMIC DOWNTURN, THE SAN JOAQUIN VALLEY AND THE STATE OF CALIFORNIA CONTINUE TO EXPERIENCE POPULATION GROWTH. ACCORDING TO THE U.S. CENSUS BUREAU, THE POPULATION OF FRESNO COUNTY ROSE BY 16.4% BETWEEN 2000 AND 2010, WHILE THE STATE OF CALIFORNIA'S POPULATION ROSE BY 10% DURING THE SAME TIME PERIOD. IN 2010, THE POPULATION FOR FRESNO COUNTY WAS ESTIMATED AT 930,450. A GROWING POPULATION REQUIRES INCREASED INFRASTRUCTURE. HOWEVER, THE COMBINED 2010-2011 & 2011-2012 DEFICITS CREATED A $25.4 BILLION BUDGET GAP FOR CALIFORNIA WHICH HAS SLOWED INFRASTRUCTURE DEVELOPMENT AND HAS ACTUALLY DECREASED THE SERVICES THAT RESPOND TO THE NEEDS OF CALIFORNIANS. IT HAS AFFECTED THE POOR AND UNDERSERVED IN PARTICULAR, ESPECIALLY THOSE IN NEED OF MENTAL HEALTH SERVICES.FRESNO COUNTY IS AN AREA OF IMMENSE NEED, WITH FEWER HEALTH RESOURCES THAN THE REST OF THE STATE. IT IS A REGION OF GREAT DIVERSITY, WITH BOTH URBAN AND RURAL POPULATIONS, MANY IMMIGRANTS WITH LIMITED ENGLISH PROFICIENCY, AND A LOW INCOME POPULATION THAT IS HIGHER THAN THE STATE AVERAGE. ALTHOUGH FRESNO COUNTY'S $5.3 BILLION AGRICULTURAL INDUSTRY IS THE LARGEST IN THE UNITED STATES, THE COUNTY IS SUSCEPTIBLE TO THE VAGARIES OF ADVERSE WEATHER, WORKER SHORTAGES AND INTERNATIONAL COMPETITION. OF 58 COUNTIES IN CALIFORNIA, FRESNO HAS ONE OF THE HIGHEST RATES FOR TEEN PREGNANCY, LOW BIRTH-WEIGHT, INFANT DEATHS, ASTHMA, AND DEATHS DUE TO DIABETES. SOME OF THE CAUSES OF POOR HEALTH IN FRESNO COUNTY INCLUDE HIGH POVERTY, LACK OF HEALTH INSURANCE, POPULATION DIVERSITY, AND LACK OF MEDICAL INFRASTRUCTURE.ETHNIC, CULTURAL AND LINGUISTIC DIVERSITY CONTINUES TO INCREASE IN THE SAN JOAQUIN VALLEY, WHICH HAS A SIGNIFICANT POPULATION OF IMMIGRANTS AND REFUGEES, MANY OF WHOM ARE AGRICULTURAL WORKERS. THE 2010 U.S. CENSUS ESTIMATED THAT FRESNO COUNTY'S TOTAL POPULATION IS 50.3% HISPANIC OR LATINO, 32.7% WHITE, 9.8% ASIAN AND PACIFIC ISLANDER, 5.3% AFRICAN-AMERICAN AND 1.7% NATIVE AMERICAN. THE ASIAN AND PACIFIC ISLANDER GROUP ALONE COMPRISES 11 DIFFERENT ETHNIC POPULATIONS. FORTY-TWO PERCENT OF THE POPULATION SPEAKS A LANGUAGE OTHER THAN ENGLISH IN THEIR HOMES. FRESNO COUNTY RANKS FIRST IN POVERTY OF 58 COUNTIES IN CALIFORNIA, WITH AN UNEMPLOYMENT RATE OF 15.7%, AS OF NOVEMBER 2011.AGRICULTURAL WORKERS SUFFER FROM HIGHER RATES OF HIGH SERUM CHOLESTEROL, HIGH BLOOD PRESSURE AND OBESITY THAN THE GENERAL POPULATION. MANY MEN AND WOMEN WHO ARE HARVESTING CROPS DO NOT SPEAK ENGLISH, AND HAVE NO HEALTH INSURANCE. FOR AGRICULTURE TO SURVIVE IN CALIFORNIA, A STABLE AND HEALTHY WORK FORCE IS CRUCIAL. TO THAT END, A COALITION HAS BEEN ESTABLISHED TO WORK WITH THE CALIFORNIA LEGISLATURE IN FINDING COMPREHENSIVE SOLUTIONS FOR FARM WORKER HEALTH COVERAGE.ACCORDING TO THE AMERICAN LUNG ASSOCIATION, FRESNO-MADERA RANKS NO. 3 ON THE LIST OF THE TOP TEN MOST POLLUTED CITIES IN THE UNITED STATES. ASTHMA, CHRONIC BRONCHITIS, EMPHYSEMA AND CARDIOVASCULAR DISEASE HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF THE PEOPLE OF FRESNO. |
| PART VI, LINE 6: OTHER INFORMATION - SAINT AGNES MEDICAL CENTER'S CONTINUING MEDICAL EDUCATION (CME) PROGRAM STRIVES TO IMPROVE PATIENT CARE BY PROVIDING HIGH QUALITY EDUCATIONAL ACTIVITIES THAT ENHANCE PHYSICIAN KNOWLEDGE AND SKILLS AND PROMOTE LIFELONG LEARNING. PHYSICIANS WHO ATTEND SAINT AGNES MEDICAL CENTER'S CME ACTIVITIES EARN CREDITS TO SUPPORT THEIR STATE LICENSES AND BOARD CERTIFICATIONS.THE CLINICAL RESEARCH CENTER CONDUCTS PHARMACEUTICAL AND DEVICE STUDIES IN A WIDE RANGE OF THERAPEUTIC AREAS. CLINICAL TRIALS OF INVESTIGATIONAL DRUGS AND DEVICES, WHICH ARE SUPPORTED BY THE INDUSTRY, PROVIDE PATIENTS ACCESS TO INVESTIGATIONAL TREATMENTS AND SERVICES USUALLY AT NO ADDITIONAL COST. CLINICAL RESEARCH IS ALSO RESPONSIBLE FOR THE ADMINISTRATION OF THE INSTITUTIONAL REVIEW BOARD (IRB), WHICH ENSURES THAT THE RIGHTS AND WELFARE OF ALL HUMAN SUBJECTS INVOLVED IN CLINICAL RESEARCH ARE PROTECTED. IN FY 2011, THE IRB REVIEWED AND APPROVED SEVERAL STUDIES AND CONTINUED ITS ACTIVE REVIEW OF MANY OTHERS ALREADY UNDERWAY. APPROXIMATELY 900 VOLUNTEERS GENEROUSLY PROVIDE CARE AND SERVICE TO SAINT AGNES MEDICAL CENTER'S PATIENTS, STAFF, PHYSICIANS AND GUESTS. IN ADDITION TO SUPPORTING VARIOUS DEPARTMENTS AND PROGRAMS WITHIN THE HOSPITAL, MANY OF THESE INDIVIDUALS REPRESENT SAINT AGNES MEDICAL CENTER WITHIN THE COMMUNITY, VOLUNTEERING THEIR TIME TO SUCH COMMUNITY PROJECTS AS READING TO THE BLIND, MENTORING ELEMENTARY SCHOOL CHILDREN, COORDINATING BLOOD DRIVES, SUPPORTING THE COMMUNITY FOOD BANK, AND SUPPORTING THE AMERICAN CANCER SOCIETY, HABITAT FOR HUMANITY, SPCA AND THE "BABY TRACKING" INFANT IMMUNIZATION PROGRAM. |
| PART VI, LINE 7: SAINT AGNES MEDICAL CENTER IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN NOVI, 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 AIMED AT SERVING THE POOR AND UNINSURED, MANAGING CHRONIC CONDITIONS LIKE DIABETES, INITIATING HEALTH EDUCATION AND PROMOTION, AND REACHING OUT TO THE ELDERLY. IN FISCAL YEAR 2011, TRINITY HEALTH INVESTED NEARLY $453 MILLION IN SUCH COMMUNITY BENEFITS AND CHARITY CARE. THEREFORE, TRINITY HEALTH TAKES A SYSTEMS APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING TO PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION (WESTERN STATES AFFILIATE) | ||||||||||
| 7425 N PALM BLUFF AVE STE 101 | FRESNO | CA | 93711 | 135613797 | 501(C)(3) | 11250 | SPONSORSHIP | |||
| CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO | ||||||||||
| 149 N FULTON ST | FRESNO | CA | 93701 | 941678938 | 501(C)(3) | 16600 | SPONSORSHIP | |||
| CENTRAL CALIFORNIA WOMEN'S CONFERENCE | ||||||||||
| C/O 1991 NORTH GATEWAY | FRESNO | CA | 93727 | 770178140 | 501(C)(3) | 15000 | SPONSORSHIP | |||
| FRESNO CITY AND COUNTY HISTORICAL SOCIETY | ||||||||||
| 7160 W KEARNEY BLVD | FRESNO | CA | 93706 | 941531568 | 501(C)(3) | 5000 | SPONSORSHIP | |||
| MARCH OF DIMES | ||||||||||
| 1530 E SHAW STE 102 | FRESNO | CA | 93710 | 941322184 | 501(C)(3) | 12500 | SPONSORSHIP | |||
| UNITED WAY OF FRESNO COUNTY | ||||||||||
| 4949 EAST KINGS CANYON RD | FRESNO | CA | 93727 | 941156514 | 501(C)(3) | 23333 | SPONSORSHIP | |||
| MEDICAL MINISTRIES INTERNATIONAL | ||||||||||
| 680 N TROUT LAKE DRIVE | TIVY VALLEY | CA | 93657 | 770498274 | 501(C)(3) | MEDICAL SERVICES FOR THE IMPOVERISHED | 838516 | NBV | MEDICAL SUPPLIES AND EQUIPMENT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (8 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|
| TRANSPORTATION SERVICES | 43 | 8837 | COST | MEDICAL TRANSPORT/PUBLIC TRANSPORTATION |
| TEMPORARY HOUSING & IN-HOME ASSISTANCE | 93 | 12234 | COST | TEMPORARY HOUSING & IN-HOME ASSISTANCE |
| PHARMACEUTICALS | 68 | 17912 | COST | PHARMACEUTICALS |
| FUNERAL EXPENSES | 7 | 2892 | COST | FUNERAL EXPENSES |
| MEDICAL EQUIPMENT & SUPPLIES | 21 | 13561 | COST | MEDICAL EQUIPMENT & SUPPLIES |
| HEALTH INSURANCE/COBRA | 12 | 12006 | COST | HEALTH INSURANCE/COBRA |
| EDUCATION AND MISCELLANEOUS | 105 | 5658 | COST | EDUCATION, CHRISTMAS GIFTS FOR HOMELESS CHILDREN, AND BOOKS |
| FOOD AND CLOTHING | 3 | 1349 | COST | FOOD AND CLOTHING |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY SAINT AGNES 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY HOLLINGSWORTH | |||||||||||||
| 0 | 275061 | 0 | 67956 | 0 | 17553 | 0 | 60002 | 0 | 18072 | 0 | 438644 | 0 | 0 |
| JAMES LEONARD | |||||||||||||
| 0 | 187042 | 0 | 50000 | 0 | 50115 | 0 | 8332 | 0 | 4569 | 0 | 300058 | 0 | 0 |
| THOMAS ANDERSON | |||||||||||||
| 0 | 406466 | 0 | 149099 | 0 | 58677 | 0 | 32445 | 0 | 16915 | 0 | 663602 | 0 | 0 |
| DANIEL HALE ESQ | |||||||||||||
| 0 | 451341 | 0 | 207437 | 0 | 131164 | 0 | 201869 | 0 | 19013 | 0 | 1010824 | 0 | 52144 |
| JARRELL E WILLIAMSON ESQ | |||||||||||||
| 95377 | 62700 | 0 | 0 | 627 | 106 | 5708 | 0 | 12433 | 5243 | 114145 | 68049 | 0 | 0 |
| JEFF ROONEY TATUM LLC | |||||||||||||
| 444000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 444000 | 0 | 0 | 0 |
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1240774 | 0 | 645161 | 0 | 967997 | 0 | 763945 | 0 | 27508 | 0 | 3645385 | 0 | 690161 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 717356 | 0 | 326029 | 0 | 117485 | 0 | 184461 | 0 | 13787 | 0 | 1359118 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 701008 | 0 | 291561 | 0 | 160595 | 0 | 246925 | 0 | 24807 | 0 | 1424896 | 0 | 42832 |
| J RICHARD O'CONNELL | |||||||||||||
| 0 | 533392 | 0 | 113794 | 0 | 114187 | 0 | 116680 | 0 | 21280 | 0 | 899333 | 0 | 0 |
| MICHAEL MURPHY | |||||||||||||
| 0 | 343184 | 0 | 68618 | 0 | 128021 | 0 | 47238 | 0 | 21304 | 0 | 608365 | 0 | 0 |
| DANIEL CAMP | |||||||||||||
| 0 | 240482 | 0 | 58429 | 0 | 7141 | 0 | 34117 | 0 | 10155 | 0 | 350324 | 0 | 0 |
| STEPHEN SOLDO MD | |||||||||||||
| 0 | 368812 | 0 | 0 | 0 | 3321 | 0 | 23817 | 0 | 15383 | 0 | 411333 | 0 | 0 |
| STACY VAILLANCOURT | |||||||||||||
| 0 | 173337 | 0 | 42473 | 0 | 546 | 0 | 14612 | 0 | 11121 | 0 | 242089 | 0 | 0 |
| TONI KAZARIAN | |||||||||||||
| 197613 | 0 | 0 | 0 | 25450 | 0 | 79791 | 0 | 7356 | 0 | 310210 | 0 | 0 | 0 |
| GERALD MARGOSIAN | |||||||||||||
| 265031 | 0 | 0 | 0 | 20046 | 0 | 46238 | 0 | 23187 | 0 | 354502 | 0 | 0 | 0 |
| GREGORY WALAITIS | |||||||||||||
| 0 | 204212 | 0 | 50242 | 0 | 662 | 0 | 14936 | 0 | 16742 | 0 | 286794 | 0 | 0 |
| SIMONE HUGHES | |||||||||||||
| 229474 | 0 | 0 | 0 | 12435 | 0 | 42776 | 0 | 21031 | 0 | 305716 | 0 | 0 | 0 |
| SABINUS EKEH | |||||||||||||
| 218269 | 0 | 0 | 0 | 893 | 0 | 20951 | 0 | 20506 | 0 | 260619 | 0 | 0 | 0 |
| BARBARA LENAHAN | |||||||||||||
| 193985 | 0 | 0 | 0 | 7360 | 0 | 48373 | 0 | 13911 | 0 | 263629 | 0 | 0 | 0 |
| KATHLEEN CAIN | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 281795 | 0 | 0 | 0 | 9536 | 0 | 291331 | 0 | 0 |
| Y MARIE PARATTO ESQ | |||||||||||||
| 0 | 85002 | 0 | 0 | 0 | 139875 | 0 | 88763 | 0 | 10328 | 0 | 323968 | 0 | 0 |
| PATRICK MARABELLA | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 283764 | 0 | 0 | 0 | 13598 | 0 | 297362 | 0 | 274827 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | DURING CALENDAR 2010, SAINT AGNES MEDICAL CENTER PAID THE FOLLOWING AMOUNT FOR TEMPORARY HOUSING. THIS AMOUNT WAS INCLUDED AS TAXABLE INCOME IN MR. ANDERSON'S FORM W-2 AND IS INCLUDED IN COLUMN B(III): THOMAS ANDERSON - $14,752 PART I, LINE 1A: DURING CALENDAR 2010, SAINT AGNES MEDICAL CENTER PAID THE FOLLOWING COUNTRY CLUB DUES: THOMAS ANDERSON - $3,609 JAMES LEONARD - $1,354 GREGORY WALAITIS - $5,406 NONE OF THE CLUB DUES WERE INCLUDED IN TAXABLE INCOME AS THE COUNTRY CLUBS WERE USED BY THESE INDIVIDUALS FOR BUSINESS PURPOSES ONLY. | |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2010. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KATHLEEN CAIN - $280,147 PATRICK MARABELLA - $284,356 Y. MARIE PARATTO - $125,121 IN ADDITION, COLUMN (C) OF SCHEDULE J, PART II INCLUDES $88,763 OF SEVERANCE FOR Y. MARIE PARATTO WHICH WAS UNPAID AS OF 12/31/10. THE $88,763 WAS PAID AND INCLUDED IN Y. MARIE PARATTO'S TAXABLE INCOME IN 2011. 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 2010). THE FOLLOWING ACCRUALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $113,498 DANIEL HALE - $155,414 MICHAEL MURPHY - $26,316 J. RICHARD O'CONNELL - $83,058 MICHAEL SLUBOWSKI - $136,445 JOSEPH SWEDISH - $223,342 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2010 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $49,977 MICHAEL SLUBOWSKI - $77,185 JOSEPH SWEDISH - $511,613 | |
| PART III | PART II: JEFF ROONEY - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY SAINT AGNES MEDICAL CENTER IN CALENDAR 2010 TO TATUM, LLC FOR MR. ROONEY'S SERVICES AS INTERIM CFO. SAINT AGNES MEDICAL CENTER DOES NOT KNOW HOW MUCH MR. ROONEY RECEIVED AS WAGES FROM TATUM, LLC IN CALENDAR 2010. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BRITTANY HOLLINGSWORTH | |||
| FAMILY MEMBER OF NANCY HOLLINGSWORTH, OFFICER | 31825 | EMPLOYMENT ARRANGEMENT | 0 |
| KAULANA L CORPUZ | |||
| FAMILY MEMBER OF KATHLEEN CAIN, FORMER OFFICER | 49755 | EMPLOYMENT ARRANGEMENT | 0 |
| ALEXANDER SANCHEZ | |||
| FAMILY MEMBER OF PHILLIP SANCHEZ, TRUSTEE | 132829 | EMPLOYMENT ARRANGEMENT | 0 |
| AMANDA CORPUZ | |||
| FAMILY MEMBER OF KATHLEEN CAIN, FORMER OFFICER | 27624 | EMPLOYMENT ARRANGEMENT | 0 |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 11 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 4300 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | DONOR VALUED | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 8604 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | DONOR VALUED | MethodOfDeterminingRevenues |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1064 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | SHARE PRICE AT GIFT DATE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | AUCTION ITEMS | 452 | 224106 | DONOR VALUED |
| X | EQUIPMENT | 1 | 450 | DONOR VALUED |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | SAINT AGNES MEDICAL CENTER RECEIVES GIFT-IN-KIND DONATIONS IN SUPPORT OF FUNDRAISING EVENTS. THESE DONATIONS ARE PRIMARILY AUCTION ITEMS, AND THE REVENUE FOR THESE ITEMS IS NOT RECORDED UNLESS THE ITEMS ARE SOLD DURING THE AUCTION. ITEMS THAT DO NOT SELL AT THE AUCTION ARE RETURNED TO THE DONOR. DONATED SUPPLIES ARE ALSO RECEIVED FOR THE FUNDRAISING EVENTS AND ARE RECORDED AT FAIR MARKET VALUE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MS. DIANNE NURY - SAMC TRUSTEE, AND MR. CRAIG SALADINO - SAMC OFFICER, HAVE A BUSINESS RELATIONSHIP. MR. NEIL KOENIG - SAMC TRUSTEE, AND MR. CRAIG SALADINO - SAMC OFFICER, HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 3 | SAINT AGNES MEDICAL CENTER CONTRACTED WITH THE FOLLOWING COMPANIES FOR THE PROVISION OF INTERIM EXECUTIVE SERVICES: -TATUM, LLC, FOR INTERIM CFO SERVICES UNTIL 3/11 -B.E. SMITH, INC., FOR INTERIM COO SERVICES, AS OF 3/11 -INTERIM HEALTH INNOVATIONS, LLC, FOR INTERIM CNO SERVICES, AS OF 5/11 SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF SAINT AGNES MEDICAL CENTER. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF SAINT AGNES MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION 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 11 | PRIOR TO FILING, THE FORM 990 FOR SAINT AGNES MEDICAL CENTER IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| SAINT AGNES MEDICAL CENTER 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 AGNES MEDICAL CENTER, 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 AGNES MEDICAL CENTER'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SAINT AGNES MEDICAL CENTER 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 AGNES MEDICAL CENTER IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO SAINT AGNES MEDICAL CENTER. 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 AGNES MEDICAL CENTER ON AN ANNUAL BASIS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF SAINT AGNES MEDICAL CENTER 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 B, LINE 15 | |
| SAINT AGNES 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 AGNES 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 VI, SECTION C, LINE 19 | |
| ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: | THE 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 DANIEL HALE - 53 HOURS MICHAEL MURPHY - 53 HOURS J. RICHARD O'CONNELL - 53 HOURS MICHAEL SLUBOWSKI - 53 HOURS JOSEPH SWEDISH - 53 HOURS | FORM 990, PART VII, SECTION A, LINE 1, COLUMN B: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 21,773,717. EQUITY TRANSFERS TO AFFILIATES: -8,981,046. EQUITY LOSS IN UNCONSOLIDATED AFFILIATES: -232,672. TOTAL TO FORM 990, PART XI, LINE 5: 12,559,999. | FORM 990, PART XI, LINE 5: |
| SAINT AGNES MEDICAL CENTER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. | FORM 990, PART XII, LINE 2: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (93 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | |||||||||||
| 245 STATE ST SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| AMICARE HOSPICE SERVICES INC | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382949053 | PROVIDE HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | SUPPORTS SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | 0 | |
| BATTLE CREEK HEALTH SYSTEM | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | 0 | |
| BATTLE CREEK HEALTH SYSTEM AUXILIARY | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 383355520 | SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION | MI | 501(C)(3) | 11, TYPE I | BATTLE CREEK HEALTH SYSTEM | 0 | |
| BAUM HARMON MERCY HOSPITAL | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | ACUTE/AMBULATORY HEALTHCARE SERVICES | IA | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | BAUM HARMON MERCY HOSPITAL | 0 | |
| CAPITAL PARK FAMILY HEALTH CENTER INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311387838 | OPERATION OF A FEDERALLY QUALIFIED HEALTH CENTER (FORMERLY) | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | |||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES | MI | 501(C)(3) | 11, TYPE II | TRINITY HEALTH-MICHIGAN | 0 | |
| COMMUNITY HEALTH PARTNERS OF SOUTH BEND | |||||||||||
| PO BOX 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| CRANBROOK HOSPICE CARE | |||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 48302 | 383320699 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| DILEY RIDGE MEDICAL CENTER | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| DUBUQUE MERCY HEALTH FOUNDATION INC | |||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| DYERSVILLE HEALTH FOUNDATION INC | |||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| HACKLEY HOSPITAL | |||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 494433302 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | |||||||||||
| PO BOX 3302 | MUSKEGON | MI | 494433302 | 382299878 | SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY | MI | 501(C)(3) | 11, TYPE III-FI | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY LIFE COUNSELING | |||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 494423545 | 381386362 | COUNSELING, EDUCATION, AND SUPPORT | MI | 501(C)(3) | 9 | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY VISITING NURSE SERVICES AND HOSPICE INC | |||||||||||
| 888 TERRACE ST | MUSKEGON | MI | 49440 | 381359598 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | 0 | |
| HOLY CROSS CARENET INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY | MD | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES | 0 | |
| HOLY CROSS HOSPITAL FOUNDATION INC | |||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | CHARITABLE FUNDRAISING | MD | 501(C)(3) | 11, TYPE I | HOLY CROSS HOSPITAL OF SILVER SPRING INC | 0 | |
| HOLY CROSS HOSPITAL OF SILVER SPRING INC | |||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 209101484 | 520738041 | HEALTHCARE SERVICES | MD | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| HOLY CROSS MEDICAL CENTER | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| HOLY ROSARY MEDICAL CENTER FOUNDATION | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | 0 | |
| HOSPICE OF NORTH IOWA | |||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 504016208 | 421173708 | HOSPICE HEALTH CARE SERVICES | IA | 501(C)(3) | 7 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| HOSPICE OF WASHTENAW II | |||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| HPCN | |||||||||||
| 1675 LEAHY STREET | MUSKEGON | MI | 49442 | 300207909 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE II | MERCY HEALTH PARTNERS | 0 | |
| IHA HEALTH SERVICES CORPORATION | |||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | PROVIDES OFFICE-BASED MEDICAL CARE | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| LAKESHORE COMMUNITY HOSPITAL INC | |||||||||||
| 72 S STATE STREET | SHELBY | MI | 494551228 | 382549295 | ACUTE HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | MERCY HEALTH PARTNERS | 0 | |
| LIFESPAN INC | |||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | 9 | BATTLE CREEK HEALTH SYSTEM | 0 | |
| MARIAN HOME HEALTHCARE | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | PROVIDE HOME HEALTH CARE SERVICES | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| MCAULEY CLINIC CORPORATION | |||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | 0 | |
| MERCY AMICARE HOME HEALTHCARE OAKLAND | |||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 483020312 | 383320698 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY AMICARE HOME HEALTHCARE PORT HURON | |||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | |||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY HEALTH PARTNERS | |||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE SYSTEM SUPPORT | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HEALTH SERVICES - IOWA CORP | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | 3 | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HEALTHCARE FOUNDATION | |||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES | IA | 501(C)(3) | 11, TYPE I | MERCY MEDICAL CENTER-CLINTON | 0 | |
| MERCY HOSP & HEALTH SERVICES OF DETROITMARSHALL PARK HEALTH SERVICES INC | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 381562325 | SUPPORTS MALPRACTICE CONTINGENCIES OF CLOSED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HOSPITAL CADILLAC FOUNDATION | |||||||||||
| 400 HOBART | CADILLAC | MI | 496012331 | 203357131 | SUPPORT THE SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HOSPITAL GIFT SHOP | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY MEDICAL CENTER - CLINTON INC | |||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 527322940 | 421336618 | TO PROVIDE QUALITY HEALTH CARE | DE | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 7 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 504012800 | 421229151 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE III-FI | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| MERCY MEDICAL CENTER FOUNDATION INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 0 | |
| MERCY NORTH HOMECARE AND HOSPICE | |||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOME HEALTH AND HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY PAVILION OF BATTLE CREEK | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382783350 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 9 | BATTLE CREEK HEALTH SYSTEM | 0 | |
| MERCY PHYSICIAN GROUP INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 208192593 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 0 | |
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382719605 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 11, TYPE II | TRINITY CONTINUING CARE SERVICES INC | 0 | |
| MIDWEST MEDFLIGHT | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | AEROMEDICAL TRANSPORT | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MOUNT CARMEL CARE CONTINUUM SERVICES CORP | |||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311126211 | COOPERATIVE HOSPITAL SERVICE ORGANIZATION | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL COLLEGE OF NURSING | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | 2 | MOUNT CARMEL HEALTH | 0 | |
| MOUNT CARMEL HEALTH | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH PLAN INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO FOR SENIORS | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH SYSTEM | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | OH | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | 11, TYPE I | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HOME CARE LLC | |||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | PROVIDE HOME HEALTH CARE SERVICES | OH | 501(C)(3) | 9 | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | |||||||||||
| 7333 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 870790288 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MRI MOBILE SERVICES OF WEST MICHIGAN | |||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | 0 | |
| OAKLAND MERCY HOSPITAL | |||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| OAKLAND MERCY HOSPITAL FOUNDATION | |||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | SUPPORTS SERVICES OF RELATED HOSPITAL | NE | 501(C)(3) | 11, TYPE III-FI | OAKLAND MERCY HOSPITAL | 0 | |
| PORT HURON MERCY FAMILY CARE INC | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL MED TEAM | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | MEDICAL CARE, TRANSPORTATION AND EDUCATION | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL OFFICE CORPORATION | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | SAINT AGNES MEDICAL CENTER | 1 | |
| SAINT AGNES MEDICAL CENTER | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 1 | |
| SAINT ALPHONSUS BUILDING COMPANY INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS DIVERSIFIED CARE INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | |||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE SERVICES | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | |||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | |||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 466341935 | 350868157 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | |||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| SAINT JOSEPH'S AUXILIARY OF MARSHALL COUNTY | |||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(3) | 11, TYPE II | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | 0 | |
| SAINT JOSEPH'S TOWER INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 311040468 | PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS | IN | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES-INDIANA | 0 | |
| SAINT MARY'S AMICARE HOME HEALTHCARE | |||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| SAINT MARY'S DORAN FOUNDATION CO SAINT MARY'S HEALTH CARE | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 7 | TRINITY HEALTH-MICHIGAN | 0 | |
| ST JOHN'S HEALTH SYSTEM | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| ST JOSEPH MERCY OAKLAND FOUNDATION | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| ST ANN'S HOSPITAL | |||||||||||
| 500 SOUTH CLEVELAND AVE | WESTERVILLE | OH | 43081 | 314412701 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| ST ELIZABETH HEALTH CARE FOUNDATION | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | 0 | |
| ST JOSEPH'S MEDICAL CENTER AUXILIARY | |||||||||||
| 801 E LASALLE AVE PO BOX 1935 | SOUTH BEND | IN | 466341935 | 356033285 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | 0 | |
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | |||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | SUPPORTS SERVICES OF RELATED HOSPITAL | IN | 501(C)(3) | 11, TYPE I | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| TRINITY CONTINUING CARE SERVICES | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382559656 | MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY CONTINUING CARE SERVICES - INDIANA INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 930907047 | PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING | IN | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES | 0 | |
| TRINITY HEALTH - MICHIGAN | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH CORPORATION | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | 11, TYPE I | 0 | N/A | |
| TRINITY HEALTH INTERNATIONAL | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 421253527 | HEALTHCARE TRAINING AND SUPPORT SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH WELFARE BENEFIT TRUST | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HOME HEALTH SERVICES INC | |||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING SERVICES OF BATTLE CREEK | ||||||||||||||
| 5352 BECKLEY ROAD STE A | BATTLE CREEK | MI | 49015 | 204594297 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| FOREST PARK IMAGING LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | RELATED | 0 | 0 | 0.38236 | PROFESSIONAL OFFICE CORP | -32671 | -443107 | |
| HAWARDEN COMMUNITY CLINIC LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| IDAHO GYNONCOLOGY SERVICES LLC | ||||||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| INTERMOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | PROVIDE IMAGING SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| MERCY OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| MICHIANA HEALTH INFORMATION NETWORK LLC | ||||||||||||||
| 215 WEST MADISON STREET | SOUTH BEND | IN | 46601 | 352050128 | COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY | IN | N/A | N/A | 0 | 0 | 0.00000 | |||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311531135 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| ROSENBERG & BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC) | ||||||||||||||
| 855 M STREET TENTH FLOOR | FRESNO | CA | 93721 | 202673839 | MEDICAL OFFICE BUILDING RENTAL | CA | N/A | N/A | 0 | 0 | 0.00000 | |||
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| SIXTY FOURTH STREET LLC | ||||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| TAMARACK MEDICAL CLINIC LLC | ||||||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH VENTURES INC | ||||||||||||||||
| 565 W WESTERN AVE | MUSKEGON | MI | 49440 | 383522260 | SOFTWARE MARKETING | MI | N/A | C | ||||||||
| HACKLEY HEALTH MANAGEMENT CENTER | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | ||||||||
| HACKLEY HEALTH VENTURES INC | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | ||||||||
| HACKLEY HEALTHCARE EQUIPMENT | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | ||||||||
| HACKLEY PROFESSIONAL CENTER | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | ||||||||
| HACKLEY PROFESSIONAL PHARMACY | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | ||||||||
| HEF INC | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | ||||||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | ||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | ||||||||
| HPC CO-OWNERS ASSOCIATION | ||||||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | ||||||||
| HURON ARBOR CORPORATION | ||||||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | ||||||||
| INTEGRATED HEALTH ASSOCIATES INC | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383126920 | MEDICAL MANAGEMENT | MI | N/A | C | ||||||||
| IHA AFFILIATION CORPORATION | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | ||||||||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | MEDICAL SERVICES | MI | N/A | C | ||||||||
| MARYLAND CARE GROUP INC | ||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | ||||||||
| MEDNOW INC | ||||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | ||||||||
| MERCY COMMUNITY PHYSICIANS | ||||||||||||||||
| 363 FREMONT STREET | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | N/A | C | ||||||||
| MERCY MEDICAL SERVICES | ||||||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | N/A | C | ||||||||
| MICHIGAN PHYSICIAN SERVICES | ||||||||||||||||
| 44405 WOODWARD AVENUE H-5 | PONTIAC | MI | 48341 | 383293125 | PHYSICIAN SERVICES | MI | N/A | C | ||||||||
| MICHIGAN ATHLETIC CLUB | ||||||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49546 | 382647304 | ATHLETIC CLUB | MI | N/A | C | ||||||||
| MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 310971510 | BEHAVIORAL HEALTHCARE SERVICES | OH | N/A | C | ||||||||
| MOUNT CARMEL HEALTH HORIZONS CORP | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311177652 | MEDICAL SERVICES/RENT | OH | N/A | C | ||||||||
| MOUNT CARMEL HEALTH PROVIDERS INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | ||||||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | ||||||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | N/A | C | ||||||||
| PRIMARY CARE NETWORK OF OHIO INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311422486 | HEALTH MANAGEMENT SERVICES | OH | N/A | C | ||||||||
| PRIORITY PLUS OF CALIFORNIA | ||||||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS | CA | C | SAINT AGNES MEDICAL CENTER | -135114 | 255958 | 0.64000 | |||||
| SAINT ALPHONSUS PHYSICIANS PA | ||||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 837061370 | 331078261 | PHYSICIANS | ID | N/A | C | ||||||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | ||||||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | ||||||||
| SURGERY CENTER FINANCING CORPORATION | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | ||||||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 383410377 | GRANTOR TRUST | MI | N/A | T | ||||||||
| VENZKE INSURANCE COMPANY LTD | ||||||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||||||
| WESTSHORE HEALTH NETWORK | ||||||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | PHYSICIAN HOSPITAL ORGANIZATION | MI | N/A | C | ||||||||
| WORKPLACE HEALTH OF GRAND HAVEN | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TRINITY HOME HEALTH SERVICES INC | ||
| K | 60390 | PER BOOKS |
| PROFESSIONAL OFFICE CORPORATION | ||
| J | 374066 | PER BOOKS |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | ||
| K | 66404 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | 8981046 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| L | 27611240 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| K | 64942 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | 958000 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| O | 23985255 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | 4781612 | PER BOOKS |