MERCY MEDICAL CENTER-CLINTON INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL CENTER-CLINTON INC (EIN 42-1336618)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201141299349300004
- Schema version
- 2009v1.7
- 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 H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T06:51:55-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421336618 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER - CLINTON INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 5632445555 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1 |
| City | CLINTON | City |
| State | IA | State |
| ZIP Code | 527322940 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MANGIN | Name |
| Title | CFO & VP FINANCE | Title |
| Phone | 5632445555 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER-CLINTON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAUL MANGIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1 |
| City | CLINTON | City |
| State | IA | State |
| ZIP Code | 527322940 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 95509049 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MERCYCLINTON.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTH CARE | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1031 | TotalNbrEmployees |
| Total Nbr Volunteers | 320 | TotalNbrVolunteers |
| Total Gross UBI | 98056 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 32645 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 27177 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 295748 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 84117808 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 91725572 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2001007 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1647510 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1774783 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1529722 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 83918761 | TotalRevenuePriorYear |
| Total Revenue Current Year | 95198552 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 31883 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 40922 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 39862283 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43509946 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 44718215 | OtherExpensePriorYear |
| Other Expenses Current Year | 45349851 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 84612381 | TotalExpensesPriorYear |
| Total Expenses Current Year | 88900719 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -693620 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6297833 | RevenuesLessExpensesCY |
| Total Assets BOY | 95434554 | TotalAssetsBOY |
| Total Assets EOY | 108532288 | TotalAssetsEOY |
| Total Liabilities BOY | 30873661 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35504022 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 64560893 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 73028266 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY HEALTHCARE - SEE SCHEDULE H FOR MORE INFORMATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 73595728 | Expense |
| Grants | 40922 | Grants |
| Revenue | 92448758 | Revenue |
| Description | MERCY MEDICAL CENTER - CLINTON, INC. (THE HOSPITAL), A NOT-FOR-PROFIT CORPORATION, IS THE HUB OF HEALTH CARE IN A FOUR-COUNTY, TWO-STATE AREA LYING IN THE IOWA/ILLINOIS MISSISSIPPI VALLEY. THE HOSPITAL OPERATES 358 LICENSED BEDS, INCLUDING 175 ACUTE CARE BEDS AND 183 LONG-TERM CARE BEDS; LONG-TERM CARE BEDS INCLUDE A 23-BED DEMENTIA CARE UNIT. RECOGNIZING CURRENT AND FUTURE HEALTH CARE NEEDS, THE HOSPITAL IS CONTINUALLY DEVELOPING STATE-OF-THE-ART SERVICES SUCH AS RADIATION ONCOLOGY, RENAL DIALYSIS AND OTHER OUTPATIENT TECHNOLOGY. MERCY MEDICAL CENTER - CLINTON, INC. IS A MEMBER OF TRINITY HEALTH UNDER ITS CORPORATE STRUCTURE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THE MISSION STATEMENT FOR MERCY MEDICAL CENTER-CLINTON IS AS FOLLOWS:OUR MISSION AS MERCY MEDICAL CENTER IS TO WORK TOGETHER AND WITH OTHERS TO CONTINUE THE HEALING MINISTRY OF THE CHURCH, PROMOTING THE WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE BY LIVING THE VALUES OF COMPASSION, RESPECT, CONCERN FOR THOSE WHO ARE POOR, EXCELLENCE AND STEWARDSHIP. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 73595728 | 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 | 1 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | 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 | 1 | 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 | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 174 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1031 | 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | 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 | IA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL MANGIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5632445555 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 NORTH 4TH STREET | AddressLine1 |
| City | CLINTON | City |
| State | IA | State |
| ZIP Code | 527322940 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| VICTORIA ARNDORFER RSM | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BRUCE CHRISTENSEN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM COTTER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS FULLERTON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| STEPHEN HARRISON MD | ||||||||
| DIRECTOR | 1.00 | X | 10000 | 0 | 0 | |||
| CORITA HEID RSM | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JUERGEN HOLL MD | ||||||||
| DIRECTOR UNTIL 5/10 | 1.00 | X | 0 | 0 | 0 | |||
| PETER KARADJOFF | ||||||||
| DIRECTOR; CEO MERCY HOSP PORT HURON | 1.00 | X | 0 | 521282 | 35686 | |||
| JAMES OLNEY MD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| DOROTHY SCHWENDINGEROSF | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER VENS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD J OLSEN | ||||||||
| DIRECTOR THROUGH 12/09 | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD WINKEL | ||||||||
| DIRECTOR AS OF 1/10 | 1.00 | X | 0 | 0 | 0 | |||
| LAMETTA WYNN | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| KAREN VICKERS | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| DONNA OLIVER | ||||||||
| PRES & CEO UNTIL 4/10 | 50.00 | X | 0 | 541342 | 45076 | X | ||
| SEAN WILLIAMS | ||||||||
| PRES & CEO AS OF 4/10 | 50.00 | X | 0 | 0 | 0 | X | ||
| pauL MANGIN | ||||||||
| CFO & VP FINANCE/TREAS | 50.00 | 0 | 215140 | 44048 | X | |||
| MARILYN HEIAR | ||||||||
| SECRETARY | 40.00 | 38829 | 0 | 18086 | X | |||
| JOSEPH SWEDISH | ||||||||
| TRINITY HEALTH PRES & CEO | 2.00 | 0 | 3023292 | 798303 | X | |||
| KEDRICK ADKINS | ||||||||
| TRINITY PRES INTEG SVCS | 2.00 | 0 | 1453695 | 130171 | X | |||
| MICHAEL SLUBOWSKI | ||||||||
| TRIN PRES HLTH & HOSP NTWK | 2.00 | 0 | 1617841 | 154389 | X | |||
| J RICHARD O'CONNELL | ||||||||
| EVP, COO - HOSP NTWKS | 2.00 | 0 | 495143 | 11123 | X | |||
| JOAN NOE | ||||||||
| VP MISSION | 50.00 | 0 | 164683 | 29555 | X | |||
| AMY E BERENTES | ||||||||
| VP, PATIENT CARE | 50.00 | 0 | 156355 | 23578 | X | |||
| RODNEY TOKHEIM | ||||||||
| VP BUSINESS DEVELOPMENT | 50.00 | 0 | 151953 | 34368 | X | |||
| MOHAMMED IRSHAD MD | ||||||||
| PHYS., GASTROENTEROLOGY | 50.00 | 650349 | 0 | 19391 | X | |||
| DOUGLAS T CODY MD | ||||||||
| PHYSICIAN, ENT | 50.00 | 274504 | 0 | 25804 | X | |||
| JOHN PERUSHEK | ||||||||
| ADMINISTRATOR | 50.00 | 125846 | 0 | 35521 | X | |||
| KENT JORGENSEN | ||||||||
| VP AGING SERVICES | 50.00 | 0 | 122383 | 31912 | X | |||
| WILLIAM EDEN | ||||||||
| DIR. OF PHARMACY | 50.00 | 118145 | 0 | 12468 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1217673 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8463109 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1449479 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CLINTON ER ASSOCIATES PLC | |||||
| 417 BUTTERNUT LANE | IOWA CITY | IA | 52246 | ER PHYSICIAN SVCS | 1836410 |
| APOGEE MEDICAL MANAGEMENT | |||||
| 2525 E CAMELBACK RD | PHOENIX | AZ | 85016 | HOSPITALISTS | 895705 |
| AGILITY HEALTH PROFESSIONALS | |||||
| 560 FIFTH STREET NW | GRAND RAPIDS | MI | 49504 | REHABILITATION SERVICES | 570661 |
| CRESCENT LAUNDRY INC | |||||
| 2422 ROCKINGHAM ROAD | DAVENPORT | IA | 52802 | LAUNDRY SERVICES | 328703 |
| MEDDATA | |||||
| PO BOX 2065 | SEATTLE | WA | 98111 | BILLING SERVICES | 236019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Related Organizations | 255704 | RelatedOrganizations |
| Government Grants | 40044 | GovernmentGrants |
| Total Contributions | 295748 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | 91410737 | 91410737 | ||
| PHARMACY REVENUE | 446110 | 216779 | $216,779 | ||
| LABORATORY UBI | 621500 | 98224 | 98224 | ||
| PARTNERSHIP UBI | 621500 | -168 | -168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 91725572 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1614252 | TotalRevenueColumn |
| Exclusion | $1,614,252 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 227366 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 156540 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 70826 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 70826 | TotalRevenueColumn |
| Exclusion | $70,826 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47907 | Securities |
| Other | 139308 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 153957 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 47907 | Securities |
| Other | -14649 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33258 | TotalRevenueColumn |
| Exclusion | $33,258 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | 1038021 | 1038021 | |
| CAFETERIA | 900099 | 420875 | $420,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1458896 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 95198552 | TotalRevenueColumn |
| Related Or Exempt Function Income | 92448758 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 98056 | UnrelatedBusinessRevenue |
| Exclusion | $2,355,990 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40922 | Total |
| Program Services | 40922 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1446368 | Total |
| Management And General | 1446368 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317523 | Total |
| Program Services | 317523 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33610210 | Total |
| Program Services | 29843811 | ProgramServices |
| Management And General | 3766399 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2111401 | Total |
| Program Services | 1891406 | ProgramServices |
| Management And General | 219995 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3302020 | Total |
| Program Services | 2900168 | ProgramServices |
| Management And General | 401852 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2722424 | Total |
| Program Services | 2159871 | ProgramServices |
| Management And General | 562553 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83694 | Total |
| Program Services | 83694 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6276 | Total |
| Program Services | 2004 | ProgramServices |
| Management And General | 4272 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6893639 | Total |
| Program Services | 5947114 | ProgramServices |
| Management And General | 946525 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291091 | Total |
| Program Services | 24581 | ProgramServices |
| Management And General | 266510 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12480162 | Total |
| Program Services | 12253917 | ProgramServices |
| Management And General | 226245 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3380771 | Total |
| Management And General | 3380771 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1554113 | Total |
| Program Services | 1539710 | ProgramServices |
| Management And General | 14403 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 226481 | Total |
| Program Services | 201089 | ProgramServices |
| Management And General | 25392 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15417 | Total |
| Program Services | 13778 | ProgramServices |
| Management And General | 1639 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 769377 | Total |
| Program Services | 769377 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8189904 | Total |
| Program Services | 7716810 | ProgramServices |
| Management And General | 473094 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267358 | Total |
| Program Services | 267358 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 5203689 | 5203689 | |
| CONTRACT LABOR | 2413565 | 878527 | 1535038 |
| INTERCO. PURCHASED SVCS | 2024452 | 219569 | 1804883 |
| EQUIPMENT MAINTENANCE | 1109916 | 1092346 | 17570 |
| UBI TAXES | 2725 | 2725 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 437221 | Total |
| Program Services | 228464 | ProgramServices |
| Management And General | 208757 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88900719 | Total |
| Program Services | 73595728 | ProgramServices |
| Management And General | 15304991 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1501619 | BOY |
| EOY | 1954370 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8400627 | BOY |
| EOY | 10177799 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49797 | BOY |
| EOY | 13872 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1334988 | BOY |
| EOY | 1247069 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85027 | BOY |
| EOY | 102410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 109125042 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 78560656 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34390430 | BOY |
| EOY | 30564386 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23693628 | BOY |
| EOY | 38251091 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19617337 | BOY |
| EOY | 19360822 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1097250 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6361101 | BOY |
| EOY | 5763219 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95434554 | BOY |
| EOY | 108532288 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9487045 | BOY |
| EOY | 13089376 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22175 | BOY |
| EOY | 23308 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21364441 | BOY |
| EOY | 22391338 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30873661 | BOY |
| EOY | 35504022 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64560893 | BOY |
| EOY | 73028266 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64560893 | BOY |
| EOY | 73028266 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95434554 | BOY |
| EOY | 108532288 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $21,883 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $12,778 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 34661 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | MERCY MEDICAL CENTER - CLINTON, INC. HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED MERCY MEDICAL CENTER - CLINTON WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. FEDERAL ADVOCACY PRIORITIES FOR FY10 INCLUDED: SECURING COVERAGE AND ACCESS FOR ALL, ACHIEVING BETTER AND MORE EFFICIENT CARE, AND SAFEGUARDING HOSPITAL CAPABILITY TO IMPROVE COMMUNITY AND ECONOMIC HEALTH. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 1 | IncludedOnFS |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 512212 | OtherCostOrOtherBasis |
| Book Value | 512212 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 67844269 | OtherCostOrOtherBasis |
| Depreciation | 46355382 | Depreciation |
| Book Value | 21488887 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 39807136 | OtherCostOrOtherBasis |
| Depreciation | 32205274 | Depreciation |
| Book Value | 7601862 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 961425 | OtherCostOrOtherBasis |
| Book Value | 961425 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30564386 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 10186576 | F |
| ABSOLUTE RETURN STRATEGY FUNDS | 9174246 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 19360822 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 138366 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | 289131 |
| INTERCOMPANY OTHER LT ASSETS | 5316629 |
| INVESTMENT IN AFFILIATES | 19093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5763219 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $882,990 |
| ASSET RETIREMENT OBLIGATION (FIN 47) | $627,025 |
| OTHER LONG-TERM LIABILITIES | $16,870 |
| DEFERRED COMPENSATION LIABILITIES | $67,174 |
| INTERCOMPANY NOTES PAYABLE | $19,700,029 |
| OTHER LIABILITIES | $1,097,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 22391338 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part IV, Line 2b: | MERCY LIVING CENTER, A LONG TERM CARE FACILITY, HAS TWO CUSTODIAL ACCOUNTS THAT WERE FOR LONG TERM CARE RESIDENTS' PERSONAL USE. | |
| Part X: | MERCY MEDICAL CENTER - CLINTON, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. TRINITY HEALTH'S FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010 DID NOT INCLUDE A FIN 48 FOOTNOTE. | Description of Uncertain Tax Positions Under FIN 48: |
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 | 3806 | PersonsServed |
| Total Community Benefit Expense | 2172618 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2172618 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10607 | PersonsServed |
| Total Community Benefit Expense | 12374216 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12881029 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -506813 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 14413 | PersonsServed |
| Total Community Benefit Expense | 14546834 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12881029 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1665805 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 33 | NumberOfActivitiesOrPrograms |
| Persons Served | 18951 | PersonsServed |
| Total Community Benefit Expense | 316322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 291559 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 147 | PersonsServed |
| Total Community Benefit Expense | 391 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 391 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 7560 | PersonsServed |
| Total Community Benefit Expense | 1947273 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1422659 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 524614 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00630 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 31 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 73684 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 73684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 80 | NumberOfActivitiesOrPrograms |
| Persons Served | 26658 | PersonsServed |
| Total Community Benefit Expense | 2337670 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1447422 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 890248 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01070 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 81 | NumberOfActivitiesOrPrograms |
| Persons Served | 41071 | PersonsServed |
| Total Community Benefit Expense | 16884504 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14328451 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2556053 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03670 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 95 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 95 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 115 | PersonsServed |
| Total Community Building Expense | 1879 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1879 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 88 | PersonsServed |
| Total Community Building Expense | 15912 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15912 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 15 | PersonsServed |
| Total Community Building Expense | 49 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 49 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 13 | PersonsServed |
| Total Community Building Expense | 15307 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 15307 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 2098 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2098 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 83 | PersonsServed |
| Total Community Building Expense | 31827 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 31827 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 315 | PersonsServed |
| Total Community Building Expense | 67167 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 67167 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,034,031 | BadDebtExpenseAmount |
| Amount Attributable To | 528848 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 33704667 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 34501281 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -796614 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINTON IMAGING SERVICES LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | MRI SERVICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.65000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.35000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER - NORTH | |||||||
| 1410 N 4TH STREET | CLINTON | IA | 52732 | X | X | X | REHAB,LAB, RADIOLOGY |
| MERCY MEDICAL CENTER - SOUTH | |||||||
| 638 S BLUFF BLVD | CLINTON | IA | 52732 | X | REHAB,SKILLED NURSING FACILITY, | ||
| MERCY MEDICAL CENTER - SOUTH (CONT'D) | |||||||
| 638 S BLUFF BLVD | CLINTON | IA | 52732 | HOME CARE, HOSPICE | |||
| MERCY LIVING CENTER - NORTH | |||||||
| 600 14TH AVE NORTH | CLINTON | IA | 52732 | LONG TERM CARE | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | Part I, Line 6a: MERCY MEDICAL CENTER - CLINTON 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, MERCY MEDICAL CENTER - CLINTON includes a copy of its most recently filed schedule H on both its own website and trinity health's website. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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.UNREIMBURSED MEDICAIDMERCY MEDICAL CENTER - CLINTON (MMC-CLINTON) HAS REPORTED TOTAL COST OF MEDICAID OF $12,374,216 IN LINE 7B, COLUMN (C). ACTUAL DIRECT OFFSETTING REVENUE WAS $12,881,029, RESULTING IN A NET NEGATIVE COMMUNITY BENEFIT EXPENSE OF -$506,813. THIS NET EXPENSE IS -.61% OF TOTAL EXPENSE.THE TAX REPORTING SOFTWARE DOES NOT PERMIT A NEGATIVE PERCENTAGE TO BE REPORTED IN COLUMN (F). THEREFORE, THE UNREIMBURSED MEDICAID PERCENTAGE IN COLUMN (F) IS SHOWING ZERO PERCENT. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: The following number, $5,203,689, 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). | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: MMC-CLINTON is included in the consolidated financial statements of Trinity Health. The following is the text of the allowance for doubtful accounts footnote from those statements: "Substantially all of the corporation's receivables are related to providing healthcare services to patients. Accounts receivable are reduced by an allowance for amounts that could become uncollectible in the future. The corporation's estimate for its allowance for doubtful accounts is based upon management's assessment of historical and expected net collections by payor."Costing methodology for lines 2 and 3: Amounts are calculated on line 2 using a cost to charge ratio methodology.Any discounts provided or payments made to a particular patient account are applied to that patient account prior to any bad debt write-off and are thus not included in bad debt expense. As a result of the payment and adjustment activity being posted to bad debt accounts, we are able to report bad debt expense net of these transactions.THE AMOUNT ON LINE 3 WAS CALCULATED BASED on the information supplied by A THIRD PARTY VENDOR, H&R, A collection agency WHO USES the FasTag program TO identifY financial assistance based on a proprietary process. FasTag combines account data, external information and the hospital's financial assistance policy to arrive at a discount recommendation for each account. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: 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, MMC-CLINTON does not believe any Medicare shortfall should be treated as community benefit.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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: The organization's collection policy contains the criteria for financial assistance, and contains the following verbiage for arrangements with outside collection agencies: The agreement must define the standards and scope of practices to be used by outside collection agents acting on behalf of the Ministry Organization, all of which must be in compliance with this policy. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: NEEDS ASSESSMENT - MERCY MEDICAL CENTER-CLINTON ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR MERCY MEDICAL CENTER-CLINTON'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE MERCY MEDICAL CENTER-CLINTON COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED- IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE MERCY MEDICAL CENTER-CLINTON COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES.The Mercy Medical Center-Clinton community health needs assessment is current as of December 2010. The community needs assessment was conducted in collaboration with Genesis VNA, County Health Department, Clinton County Substance Abuse Council, Clinton County Mental Health, Lutheran Social Services of Iowa, RSVP and Generations Agency of Aging, Information Referral & Assistance, Pathways, and The Pregnancy Center. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY MEDICAL CENTER-CLINTON IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE- BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITY.IN ACCORDANCE WITH AHA RECOMMENDATIONS, MERCY MEDICAL CENTER-CLINTON HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS:- PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMERCY MEDICAL CENTER-CLINTON COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. MMC-CLINTON IS ASSISTED IN THIS PROCESS BY R & B SOLUTIONS, AN EXTERNAL VENDOR.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. R & B SOLUTIONS HELPS PATIENTS COMPLETE APPLICATIONS AND CONDUCT APPEALS. 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.MERCY MEDICAL CENTER-CLINTON OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH OUR PATIENT HANDBOOKS, MESSAGES ON PATIENT BILLS, AND NOTICES POSTED IN THE REGISTRATION AREA. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES AND CONTRACTED COLLECTION AGENCIES. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. IN ADDITION, INTERPRETERS ARE AVAILABLE TO THOSE NEEDING ASSISTANCE, PRIMARILY IN SPANISH.MERCY MEDICAL CENTER-CLINTON HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY MEDICAL CENTER-CLINTON MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. MERCY MEDICAL CENTER-CLINTON EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: COMMUNITY INFORMATION - MERCY MEDICAL CENTER-CLINTON SERVES A 16 ZIP CODE AREA ALONG THE MISSISSIPPI RIVER IN EASTERN IOWA AND WESTERN ILLINOIS. ITS PRIMARY AND SECONDARY SERVICE AREA HAVE A TOTAL POPULATION OF APPROXIMATELY 70,000, WHICH IS PROJECTED TO DECLINE SLIGHTLY BETWEEN 2008 AND 2011. WHILE THE OVERALL POPULATION IS DECLINING, THE NUMBER OF RESIDENTS 65 YEARS OF AGE AND OLDER WILL INCREASE. THE ETHNICITY OF MERCY'S SERVICE AREA IS PRIMARILY WHITE (94.7%), WITH SMALL BLACK AND HISPANIC COMMUNITIES (1.8% EACH).THE MEDICAL CENTER CONSISTS OF AN ACUTE CARE HOSPITAL OF 175 LICENSED BEDS, AND A STRONG CONTINUUM OF SERVICES FOR SENIORS (TWO NURSING HOMES, A DEMENTIA UNIT, TRANSITIONAL CARE BEDS, IRU, HOME CARE AND HOSPICE). | CommunityInformation |
| Community Building Activities | Part VI, Line 5: COMMUNITY BUILDING ACTIVITIES - THE COMMUNITY BUILDING PROGRAMS SUPPORTED BY MERCY MEDICAL CENTER ARE INTENDED TO PROMOTE THE OVERALL HEALTH OF OUR COMMUNITY. MANY ARE AIMED AT IMPROVING THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, CHALLENGING FAMILY SITUATIONS, FINANCIAL CHALLENGES, AND ENVIRONMENTAL PROBLEMS. MERCY SUPPORTS THE BIG BROTHER/BIG SISTERS PROGRAM, THE CHAMBER OF COMMERCE, CLINTON REGIONAL DEVELOPMENT CORPORATION, CLINTON ROTARY, AND KIWANIS. MERCY ALSO PROVIDES LEADERSHIP SUPPORT AND PARTICIPATION IN COMMUNITY DEVELOPMENT ACTIVITIES, AND PROVIDES IN-KIND AND FINANCIAL SUPPORT TO UNITED WAY, IN ORDER TO SUPPORT AND ADDRESS THE CHALLENGES IN OUR COMMUNITY AT THE ROOT OF MANY HEALTH PROBLEMS.Major community benefit programs are listed below along with the description of their impact on improving health in the community.-Prenatal education: provides education to low income individuals to promote healthy outcomes for mother and baby.-Ambulance and cab service: provides transportation for additional medical care or transportation home.-Gateway Free Clinic: A medical home for the uninsured. Provides access to care to those who otherwise have no access to a medical home.-Drug Endangered Child Task Force: works on reducing the risk for drug-endangered children born in our facility.Subsidized programs: -Bridgeview Mental Health: MMC-Clinton provides a financial subsidy to the program, which provides mental health services to county funded and other low income and / or uninsured patients in our community. -Specialty Clinic Subsidy: provides GI and ENT services to patients in the community, operating at a loss, due in part to acceptance of Medicaid and charity care patients. -The Pregnancy Center: assists with support for mothers with unwanted pregnancies-Certified Diabetes Center: provides education and medical management for diabetic patients in our community. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: OTHER INFORMATION - MERCY MEDICAL CENTER-CLINTON HAS AN OPEN MEDICAL STAFF, AND A BOARD THAT IS REFLECTIVE OF THE DEMOGRAPHICS OF OUR COMMUNITY. A MAJORITY OF BOARD MEMBERS ARE RESIDENTS OF OUR COMMUNITY. AS A SOLE COMMUNITY PROVIDER, MMC-Clinton OFFERs MANY SERVICES TO THE COMMUNITY THAT WOULD OTHERWISE BE UNAVAILABLE. IN ADDITION TO TRADITIONAL ACUTE CARE SERVICES, WE OFFER EMERGENCY SERVICES REGARDLESS OF PAYMENT SOURCE, RADIATION ONCOLOGY, RENAL DIALYSIS, HOSPICE CARE, INPATIENT BEHAVIORAL HEALTH AND INPATIENT REHAB. WE ALSO HAVE A COMMUNITY IRB, WHICH APPROVES ANY MEDICAL RELATED RESEARCH REQUESTS.MERCY MEDICAL CENTER-CLINTON OFFERS MANY OPPORTUNITIES FOR STUDENTS PURSUING MEDICAL RELATED CAREERS TO GAIN CLINICAL EXPERIENCE. THIS INCLUDES, BUT IS NOT LIMITED TO, NURSING, LAB, EEG, RADIOLOGY AND RESPIRATORY THERAPY.LEADERSHIP AND ASSOCIATES ARE ACTIVELY ENGAGED IN ADVOCACY EFFORTS TO IMPROVE MEDICAL ACCESS AND COVERAGE FOR ALL. ADVOCACY EFFORTS ARE TARGETED AT IMPROVING CARE FOR THE UNINSURED AND UNDERINSURED IN OUR COMMUNITY.WE PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE IN MANY WAYS. FOR EXAMPLE, WE PARTNER WITH THE FREE CLINIC IN OUR COMMUNITY, AND HAVE INITIATED A DIABETIC CLINIC FOR THE UNINSURED. MERCY MEDICAL CENTER ALSO HAS A VERY ACTIVE AND EXPANSIVE VOLUNTEER PROGRAM, WHICH OFFERS OPPORTUNITIES ACROSS THE CONTINUUM, FROM ACUTE CARE TO LONG-TERM CARE AND HOSPICE. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: MERCY MEDICAL CENTER - CLINTON is a member organization of Trinity Health, the fourth-largest Catholic health care system 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 to serve the poor and uninsured, manage chronic conditions like diabetes, health education and promotion initiatives, and outreach for the elderly. In fiscal year 2010, this included nearly $456 million in such community benefits. 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 promote and address the health needs of their respective communities.For more information about Trinity Health, visit www.trinity-health.org. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CLINTON SUBSTANCE ABUSE COUNCIL INC | |||||||
| 215 6TH AVENUE SOUTH | CLINTON | IA | 52732 | 421349205 | 501(C)(3) | 10000 | PROGRAM SUPPORT |
| UNITED WAY OF CLINTON COUNTY IOWA | |||||||
| 405 SOUTH 3RD ST | CLINTON | IA | 52732 | 420698299 | 501(C)(3) | 9000 | PROGRAM SUPPORT |
| CLINTON REGIONAL DEVELOPMENT CORPORATION | |||||||
| 144 8TH AVENUE SOUTH | CLINTON | IA | 52732 | 420738495 | 501(C)(4) | 15000 | SUPPORT OF QUALITY JOBS PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
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 MERCY MEDICAL CENTER - CLINTON, INC. 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) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER KARADJOFF | |||||||||||||
| 0 | 247743 | 0 | 224466 | 0 | 49073 | 0 | 14508 | 0 | 21178 | 0 | 556968 | 0 | 9710 |
| DONNA OLIVER | |||||||||||||
| 0 | 256757 | 0 | 242765 | 0 | 41820 | 0 | 26837 | 0 | 18239 | 0 | 586418 | 0 | 0 |
| pauL MANGIN | |||||||||||||
| 0 | 168155 | 0 | 32217 | 0 | 14768 | 0 | 30140 | 0 | 13908 | 0 | 259188 | 0 | 0 |
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1214458 | 0 | 1607837 | 0 | 200997 | 0 | 769899 | 0 | 28404 | 0 | 3821595 | 0 | 0 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 712415 | 0 | 611975 | 0 | 129305 | 0 | 117250 | 0 | 12921 | 0 | 1583866 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 696108 | 0 | 681725 | 0 | 240008 | 0 | 125922 | 0 | 28467 | 0 | 1772230 | 0 | 94766 |
| J RICHARD O'CONNELL | |||||||||||||
| 0 | 440925 | 0 | 0 | 0 | 54218 | 0 | 11123 | 0 | 0 | 0 | 506266 | 0 | 0 |
| JOAN NOE | |||||||||||||
| 0 | 132706 | 0 | 25499 | 0 | 6478 | 0 | 25637 | 0 | 3918 | 0 | 194238 | 0 | 0 |
| AMY E BERENTES | |||||||||||||
| 0 | 126393 | 0 | 24709 | 0 | 5253 | 0 | 5382 | 0 | 18196 | 0 | 179933 | 0 | 0 |
| RODNEY TOKHEIM | |||||||||||||
| 0 | 121708 | 0 | 23933 | 0 | 6312 | 0 | 14529 | 0 | 19839 | 0 | 186321 | 0 | 0 |
| MOHAMMED IRSHAD MD | |||||||||||||
| 580008 | 0 | 68875 | 0 | 1466 | 0 | 18553 | 0 | 838 | 0 | 669740 | 0 | 0 | 0 |
| DOUGLAS T CODY MD | |||||||||||||
| 239319 | 0 | 34850 | 0 | 335 | 0 | 8523 | 0 | 17281 | 0 | 300308 | 0 | 0 | 0 |
| JOHN PERUSHEK | |||||||||||||
| 125176 | 0 | 0 | 0 | 670 | 0 | 13953 | 0 | 21568 | 0 | 161367 | 0 | 0 | 0 |
| KENT JORGENSEN | |||||||||||||
| 0 | 98269 | 0 | 19530 | 0 | 4584 | 0 | 12082 | 0 | 19830 | 0 | 154295 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4a | ReturnReference |
| Explanation | THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2009 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $38,675 MICHAEL SLUBOWSKI - $55,733 JOSEPH SWEDISH - $493,225 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 2009). THE FOLLOWING ACCRUALS FOR 2009 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $59,584 DONNA OLIVER - $7,673 MICHAEL SLUBOWSKI - $42,832 JOSEPH SWEDISH - $249,263 PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2009 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEOS AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN PATIENT LOYALTY IMPROVEMENT TARGETS WERE ACHIEVED BY THE END OF A THREE-YEAR PERIOD (FY07 THROUGH FY09). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $337,826 PETER KARADJOFF - $163,577 DONNA OLIVER - $168,735 MICHAEL SLUBOWSKI - $403,918 JOSEPH SWEDISH - $1,042,563 | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| DOUGLAS CODY | ||||||
| FINANCE PURCHASE OF MALPRACTICE TAIL COVERAGE | X | $34,299 | 2665 | 0 | 1 | 1 |
| MOHAMMED IRSHAD | ||||||
| FINANCE PURCHASE OF MALPRACTICE TAIL COVERAGE | X | $80,263 | 11207 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 13872 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MARY LINCOLN | |||
| FAMILY MEMBER OF JOAN NOE, KEY EMPLOYEE | 92817 | EMPLOYMENT ARRANGEMENT | 0 |
| BRENDA VENS | |||
| FAMILY MEMBER OF CHRISTOPHER VENS, BOARD DIRECTOR | 78865 | EMPLOYMENT ARRANGEMENT | 0 |
| JESSICA WINKEL | |||
| FAMILY MEMBER OF RICHARD WINKEL, BOARD DIRECTOR | 33736 | EMPLOYMENT ARRANGEMENT | 0 |
| CAROLYN LIVINGSTON | |||
| FAMILY MEMBER OF MARILYN HEIAR, OFFICER | 112105 | EMPLOYMENT ARRANGEMENT | 0 |
| CLINTON IMAGING SERVICES LLC | |||
| JUERGEN HOLL/BD DIR, HAS 7.5% INDIRECT PRTNRSHP INT IN CLINTON IMAGING SVCS | 147658 | INPATIENT MRI EXAMS PROVIDED BY CLINTON IMAGING SERVICES FOR WHICH MERCY MEDICAL CENTER-CLINTON PAID $147,658 | 0 |
| CLINTON IMAGING SERVICES LLC | |||
| JUERGEN HOLL/BD DIR, HAS 7.5% INDIRECT PRTNRSHP INT IN CLINTON IMAGING SVCS | 83187 | CLINTON IMAGING SERVICES RENTED SPACE FROM MERCY MEDICAL CENTER-CLINTON | 0 |
| CLINTON IMAGING SERVICES LLC | |||
| JUERGEN HOLL/BD DIR, HAS 7.5% INDIRECT PRTNRSHP INT IN CLINTON IMAGING SVCS | 130000 | PARTNERSHIP DISTRIBUTIONS FROM CLINTON IMAGING SERVICES (MERCY MEDICAL CENTER-CLINTON HAS A 65% DIRECT PARTNERSHIP INTEREST IN CLINTON IMAGING SERVICES) | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | RICHARD WINKEL, BOARD MEMBER, AND THOMAS FULLERTON, BOARD MEMBER, HAVE A BUSINESS RELATIONSHIP. BRUCE CHRISTENSEN, BOARD MEMBER, AND STEPHEN HARRISON, MD, BOARD MEMBER, HAVE A BUSINESS RELATIONSHIP. | |
| Form 990, Part VI, Section A, line 6 | THE MEMBERS OF MERCY MEDICAL CENTER - CLINTON, INC. ARE GATEWAY FOUNDATION FOR HEALTH (THE CLASS A MEMBER) AND MERCY HEALTH SERVICES-IOWA CORP. (THE CLASS B MEMBER). SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| Form 990, Part VI, Section A, line 7a | THE CLASS B MEMBER, MERCY HEALTH SERVICES-IOWA CORP., ELECTS THE DIRECTORS OF MERCY MEDICAL CENTER-CLINTON, PROVIDED THAT THE DIRECTORS ARE RECOMMENDED BY THE BOARD OF DIRECTORS OF THE CORPORATION. | |
| Form 990, Part VI, Section A, line 7b | AS CLASS B MEMBER, MERCY HEALTH SERVICES-IOWA CORP. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SERVICES-IOWA CORP. 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. AS CLASS A MEMBER, GATEWAY FOUNDATION FOR HEALTH MUST APPROVE THE SALE OF SUBSTANTIALLY ALL ASSETS TO, OR MERGER OF MERCY MEDICAL CENTER-CLINTON WITH, AN ENTITY NOT AFFILIATED WITH TRINITY HEALTH CORPORATION. GATEWAY FOUNDATION FOR HEALTH MUST ALSO APPROVE ANY MODIFICATIONS TO GOVERNING DOCUMENTS THAT WOULD CHANGE THE VOTING OR APPROVAL RIGHTS OF THE CLASS A MEMBER. | |
| Form 990, Part VI, Section B, line 11 | PRIOR TO FILING, THE FORM 990 FOR MERCY MEDICAL CENTER - CLINTON, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| Form 990, Part VI, Section B, line 12c | MERCY MEDICAL CENTER - CLINTON, INC. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCY MEDICAL CENTER - CLINTON, WHICH INCLUDES directors, 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 MERCY MEDICAL CENTER - CLINTON'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY MEDICAL CENTER - CLINTON 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 directors OF MERCY MEDICAL CENTER - CLINTON IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MERCY MEDICAL CENTER - CLINTON. 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 directors OF MERCY MEDICAL CENTER - CLINTON ON AN ANNUAL BASIS. | |
| Form 990, Part VI, Section B, line 15 | 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 MERCY MEDICAL CENTER - CLINTON, INC. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. | |
| Form 990, Part VI, Section C, line 19 | MERCY MEDICAL CENTER - CLINTON, INC. 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, MERCY MEDICAL CENTER - CLINTON, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. | |
| FORM 990, PART VII, SECTION A, LINE 1: | 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 PETER KARADJOFF - 49 HOURS MICHAEL SLUBOWSKI - 53 HOURS JOSEPH SWEDISH - 53 HOURS J. RICHARD O'CONNELL - 53 HOURS | Estimate of the average hours per week devoted to related organizations: |
| FORM 990, PART XI, LINE 2: | MERCY MEDICAL CENTER - CLINTON's financial statements were included in the FY10 consolidated financial statements of Trinity Health, which were audited by an independent public accounting firm. | |
| FORM 990, PAGE 1, BOX C | MERCY HOME CARE & HOSPICE -CLINTON, MERCY HOME MEDICAL EQUIPMENT, BLUFF TERRACE NURSING HOME, WYNDCREST NURSING HOME, MERCY LIVING CENTER-NORTH, MERCY LIVING CENTER-SOUTH | DOING BUSINESS AS NAMES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CLR Investments LLC | |||||||||
| 120 W HARRIS ST | CADILLAC | MI | 49601 | 320008631 | Real estate rental & development | MI | 19827 | 175469 | Trinity Health-Michigan |
| Saint Agnes Home Health and Hospice LLC | |||||||||
| 17410 COLLEGE PARKWAY STE 150 | LIVONIA | MI | 48152 | 382621935 | Provide home health services | CA | 9367604 | 1116725 | Trinity Home Health Services Inc |
| Saint Mary's Pharmacy LLC | |||||||||
| 200 JEFFERSON AVE SE | GRAND RAPIDS | MI | 49503 | 383404443 | Pharmacy | MI | 0 | 0 | Trinity Health-Michigan |
| Mount Carmel HealthProviders Two LLC | |||||||||
| 6150 E BROAD STREET | COLUMBUS | OH | 43213 | 201983271 | MEDICAL SERVICES | OH | 0 | 0 | MOUNT CARMEL HEALTH PROVIDERS INC |
| PATHWAY HOSPICE LLC | |||||||||
| 1050 SW 3RD AVE SUITE 1600 | ONTARIO | OR | 97914 | 931310235 | HOSPICE CARE | OR | 1273503 | 1512716 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO |
| TRINITY HEALTH-WARDE LAB LLC | |||||||||
| 34605 W TWELVE MILE ROAD | FARMINGTON HILLS | MI | 48331 | 272681908 | REAL ESTATE RENTAL | DE | 0 | 0 | TRINITY HEALTH - MICHIGAN |
| MOUNT CARMEL HEALTH PROVIDERS III LLC | |||||||||
| 10 West Broad St Ste 2100 | COLUMBUS | OH | 43215 | 204145781 | MEDICAL SERVICES | OH | 1741059 | 6043 | MOUNT CARMEL HEALTH PROVIDERS INC |
Form990 Schedule R Part II Form990ScheduleRPartII (90 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 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 | |
| BATTLE CREEK HEALTH SYSTEM | ||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Hackley Hospital | ||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 494433302 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| 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 | |
| Hackley Life Counseling | ||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 494423545 | 381386362 | Counseling, education, and support | MI | 501(C)(3) | 9 | Mercy Health Partners | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Holy Cross Medical Center | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| 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 | |
| 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 | |
| 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 | |
| HPCN | ||||||||||
| 1675 LEAHY STREET | MUSKEGON | MI | 49442 | 300207909 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE II | Mercy Health Partners | |
| Lakeshore Community Hospital Inc | ||||||||||
| 72 S STATE STREET | SHELBY | MI | 494551228 | 382549295 | Acute healthcare services | MI | 501(C)(3) | 3 | Mercy Health Partners | |
| Lifespan Inc | ||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | Provide hospice health services | MI | 501(C)(3) | 9 | Battle Creek Health System | |
| 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 | |
| McAuley Clinic Corporation | ||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | 3 | Catherine McAuley Health Services Corp | |
| 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 | |
| Mercy Amicare Home Healthcare Port Huron | ||||||||||
| 2540 16TH STREET | PORT HURON | MI | 48060 | 383320701 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| Mercy Community Physicians | ||||||||||
| 363 FREMONT ST | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Battle Creek Health System | |
| 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 | |
| Mercy Health Partners | ||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | Healthcare system support | MI | 501(C)(3) | 11, TYPE I | Trinity Health-Michigan | |
| Mercy Health Services - Iowa Corp | ||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | 3 | Trinity Health-Michigan | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Midwest Medflight | ||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | Aeromedical transport | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| 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 | |
| Mount Carmel College of Nursing | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | College of nursing | OH | 501(C)(3) | 2 | Mount Carmel Health | |
| Mount Carmel Health | ||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Oakland Mercy Hospital | ||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | Mercy Health Services-Iowa Corp | |
| 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 | |
| Professional Med Team | ||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | Medical care, transportation and education | MI | 501(C)(3) | 9 | Trinity Health-Michigan | |
| Professional Office Corporation | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | Saint Agnes Medical Center | |
| Saint Agnes Medical Center | ||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | Trinity Health Corporation | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Saint Mary's Amicare Home Healthcare | ||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 48905 | 383320700 | Provide home health care services | MI | 501(C)(3) | 11, TYPE I | Trinity Home Health Services Inc | |
| 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 | |
| St Alphonsus Regional Medical Center | ||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | Healthcare services | ID | 501(C)(3) | 3 | Trinity Health Corporation | |
| St John's Health System | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | Trinity Health Corporation | |
| 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 | |
| St Ann's Hospital | ||||||||||
| 500 SOUTH CLEVELAND AVE | WESTERVILLE | OH | 43081 | 314412701 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | Mount Carmel Health System | |
| 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-ONTARIO | |
| 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 | |
| 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 | |
| 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 | |
| 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 | |
| Trinity Health - Michigan | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | Trinity Health Corporation | |
| Trinity Health Corporation | ||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | Healthcare system management and support | IN | 501(C)(3) | 11, TYPE I | 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 | |
| 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 | |
| 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 | |
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 | 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 | |||
| ADVENT REHABILITATION LLC | |||||||||||||
| 560 FIFTH ST NW STE 404 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 | |||
| 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 | |||
| 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 | |||
| CCH LABORATORY | |||||||||||||
| 775 SOUTH MAIN STREET | CHELSEA | MI | 48118 | 382910400 | LABORATORY | MI | N/A | N/A | 0 | 0 | |||
| CENTRAL OHIO SLEEP MEDICINE LTD | |||||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 | |||
| CLINTON IMAGING SERVICES LLC | |||||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | RELATED | 0 | 0 | MERCY MEDICAL CENTER - CLINTON | 130752 | -8456 | |
| 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 | |||
| FRANCES WARDE MEDICAL LABORATORY | |||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 | |||
| FRESNO IMAGING CENTER | |||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | N/A | 0 | 0 | |||
| HAWARDEN COMMUNITY CLINIC LLC | |||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 | |||
| IDAHO GYNONCOLOGY SERVICES LLC | |||||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 | |||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | |||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | N/A | N/A | 0 | 0 | |||
| 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 | |||
| MCE MOB IV LIMITED PARTNERSHIP | |||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | |||
| MCMC POB III LIMITED PARTNERSHIP | |||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | |||
| MEDILUCENT MOB I | |||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | |||
| MERCY HEART CTR OP SERVICES LLC | |||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | N/A | N/A | 0 | 0 | |||
| MERCY OUTPATIENT SURGERY CENTER LLC | |||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | N/A | N/A | 0 | 0 | |||
| 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 | |||
| 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 | |||
| NEWCO AMBULATORY SURGERY CTR LLP | |||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 | |||
| PLAZA SURGICAL CENTER | |||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 371463357 | AMBULATORY SURGERY | CA | N/A | N/A | 0 | 0 | |||
| 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 | |||
| SARMED OUTPATIENT PHARMACY LLC | |||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 | |||
| SIXTY FOURTH STREET LLC | |||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | N/A | 0 | 0 | |||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | |||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 | |||
| 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 | |||
| TAMARACK MEDICAL CLINIC LLC | |||||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 | |||
| 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 | |||
| WOODLAND IMAGING CENTER LLC | |||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | |||
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 | 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 | ||||
| GENERAL HEALTHCORP VENTURES INC | ||||||||||||
| 1820-44TH STREET | KENTWOOD | MI | 49508 | 382533165 | MEDICAL SERVICES | 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 ORTHOTICS & PROSTHETICS | ||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382999815 | HEALTHCARE SERVICES | 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 | ||||
| HURON ARBOR CORPORATION | ||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | 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 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 | N/A | C | ||||
| SAINT ALPHONSUS PHYSICIAN SERVICES INC | ||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820477852 | PHYSICIAN CLINICS | ID | N/A | C | ||||
| 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 | ||||
| TRINITY HEALTH SELF-INSURANCE PLAN | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742154 | GRANTOR TRUST | MI | N/A | T | ||||
| TRINITY HEALTH SELF-INSURED WORKERS' COMPENSATION FUND | ||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 386742157 | 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 | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | 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 | 0 | 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 (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CLINTON IMAGING SERVICES LLC | |
| C | 130000 |
| CLINTON IMAGING SERVICES LLC | |
| L | 145025 |
| CLINTON IMAGING SERVICES LLC | |
| A | 83187 |
| TRINITY HEALTH CORPORATION | |
| B | 812156 |
| TRINITY HEALTH CORPORATION | |
| L | 4718200 |
| TRINITY HEALTH CORPORATION | |
| O | 7008883 |
| TRINITY HEALTH CORPORATION | |
| Q | 908659 |
| MERCY HEALTHCARE FOUNDATION | |
| C | 255704 |
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