CENTRAL COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CENTRAL COMMUNITY HOSPITAL (EIN 42-0818642)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-11
IRS object ID: 202601319349302610
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-11T10:37:14-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420818642	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CENT	BusinessNameControlTxt
Phone	5632457000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 DAVIDSON ST NW	AddressLine1Txt
City	ELKADER	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	520439015	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TERRI DONOVAN	PersonNm
Person Title	INTERIM VP OF FINANCE	PersonTitleTxt
Phone	5632457000	PhoneNum
Signature	2026-05-11	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SEE SCHEDULE O FOR LIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ALANA MONSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 DAVIDSON ST NW	AddressLine1Txt
City	ELKADER	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	520439015	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$15,818,514	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYONE.ORG/ELKADER	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1958	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	127	TotalEmployeeCnt
Total Volunteers	17	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$250,542	PYContributionsGrantsAmt
CY Contributions Grants	$14,972	CYContributionsGrantsAmt
PY Program Service Revenue	$13,091,209	PYProgramServiceRevenueAmt
CY Program Service Revenue	$15,310,912	CYProgramServiceRevenueAmt
PY Investment Income	$139,504	PYInvestmentIncomeAmt
CY Investment Income	$297,441	CYInvestmentIncomeAmt
PY Other Revenue	$204,049	PYOtherRevenueAmt
CY Other Revenue	$192,736	CYOtherRevenueAmt
PY Total Revenue	$13,685,304	PYTotalRevenueAmt
CY Total Revenue	$15,816,061	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,554	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,593	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,228,340	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,589,189	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$15,228	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,877,039	PYOtherExpensesAmt
CY Other Expenses	$6,530,000	CYOtherExpensesAmt
PY Total Expenses	$13,106,933	PYTotalExpensesAmt
CY Total Expenses	$14,122,782	CYTotalExpensesAmt
PY Revenues Less Expenses	$578,371	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,693,279	CYRevenuesLessExpensesAmt
Total Assets BOY	$13,604,320	TotalAssetsBOYAmt
Total Assets EOY	$17,723,351	TotalAssetsEOYAmt
Total Liabilities BOY	$1,607,701	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,914,550	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$11,996,619	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,808,801	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	CENTRAL COMMUNITY HOSPITAL'S MISSION IS TO SERVE WITH FIDELITY TO THE GOSPEL AS A COMPASSIONATE, HEALING MINISTRY OF JESUS CHRIST TO TRANSFORM THE HEALTH OF OUR COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$11,178,661	ExpenseAmt
Grant	$3,593	GrantAmt
Revenue	$15,469,071	RevenueAmt
Desc	CENTRAL COMMUNITY HOSPITAL (MERCYONE ELKADER) IS A 25-BED CRITICAL ACCESS HOSPITAL WHICH PROVIDES A VITAL LIFESAVING LINK TO RURAL COMMUNITIES IN CLAYTON COUNTY, IOWA AND SURROUNDING AREAS THROUGH AMBULANCE AND EMERGENCY SERVICES. MERCYONE ELKADER IS COMMITTED TO PROVIDING QUALITY, PERSONALIZED AND SAFE HEALTH CARE CLOSE TO HOME.THE EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK WITH BOARD CERTIFIED PHYSICIANS AND ADVANCED LEVEL PRACTITIONERS WHO ARE WELL-TRAINED TO TREAT EMERGENCY NEEDS. MERCYONE ELKADER IS CERTIFIED AS A LEVEL IV TRAUMA CENTER. MERCYONE ELKADER PROVIDES A BROAD RANGE OF SERVICES INCLUDING ACUTE, SKILLED, SAME-DAY SURGERY, OBSERVATION CARE, OUTPATIENT, AND REHABILITATION SERVICES.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES AND SPECIALTIES:WWW.MERCYONE.ORG/LOCATION/MERCYONE-ELKADER-MEDICAL-CENTER	Desc
Total Program Service Expenses	$11,178,661	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	49	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	127	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN MCLEAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5153589200	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 DAVIDSON ST NW	AddressLine1Txt
City	ELKADER	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	520439015	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
JEFFREY MESSERLY DO
PHYSICIAN, EMERGENCY CARE	40.00	0.00	Yes (X)	$378,952	$0	$47,284
DONNA LAWLOR MD
PHYSICIAN, FAMILY MEDICINE	40.00	0.00	Yes (X)	$326,499	$0	$45,871
MELISSA SIMON DO
PHYSICIAN, EMERGENCY CARE	40.00	0.00	Yes (X)	$338,714	$0	$24,250
LENNA DINAN
REGISTERED NURSE	40.00	0.00	Yes (X)	$172,636	$0	$11,458
STACEY EMBRETSON
NURSE PRACTITIONER	40.00	0.00	Yes (X)	$144,002	$0	$35,708
CHRISTOPHER BRADY
INTERIM ADM 9/24-3/25;WATERLOO ADMIN	25.00	25.00		$0	$151,363	$27,673	Yes (X)	Yes (X)
BROOKE KENSINGER
DIRECTOR AND CEO THROUGH 8/24	50.00	0.00		$0	$136,068	$9,960	Yes (X)	Yes (X)
ALANA MONSON
DIR/ADMIN AS OF 3/25; CHI-IA FELLOW	50.00	0.00		$0	$62,142	$4,258	Yes (X)	Yes (X)
JAY MOSER
DIRECTOR; CHAIR	0.50	0.00		$0	$0	$0	Yes (X)	Yes (X)
JENNIFER COWSERT
DIRECTOR; VICE CHAIR	0.50	0.00		$0	$0	$0	Yes (X)	Yes (X)
ROBERT HAUBER
DIRECTOR; TREASURER	0.50	0.00		$0	$0	$0	Yes (X)	Yes (X)
JUSTIN VORWALD
DIRECTOR; SECRETARY	0.50	0.00		$0	$0	$0	Yes (X)	Yes (X)
CHELSEA DREYER
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
GENE GLAWE
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
ROBERT HANKEY
DIRECTOR	0.50	0.00		$0	$0	$0	Yes (X)
TERRI DONOVAN PD BY MGMT CO
INTERIM VP OF FINANCE MERCYONE	0.50	49.50		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,360,803	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$349,573	TotReportableCompRltdOrgAmt
Total Other Compensation	$206,462	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FOX REHABILITATION SERVICES
PO BOX 78049	PHILADELPHIA	PA	19178	REHABILITATION SERVICES	$264,622
HALLMARK HEALTHCARE SOLUTIONS INC
PO BOX 22937	NEW YORK	NY	10087	STAFFING SERVICES	$253,232
AHSA AMERICAN HEALTHCARE STAFFING ASSOC
PO BOX 738891	DALLAS	TX	75373	STAFFING SERVICES	$202,404
NORTHERN IOWA THERAPY
217 E BREMER AVE SUITE B	WAVERLY	IA	50677	REHABILITATION SERVICES	$196,304
AVEL ECARE MEDICAL GROUP PC
PO BOX 950505	ST LOUIS	MO	63195	TELEMEDICINE SERVICES	$105,287

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Government Grants	$8,158	GovernmentGrantsAmt
All Other Contributions	$6,814	AllOtherContributionsAmt
Total Contributions	$14,972	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$15,310,912	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,310,912	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$15,310,912	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$133,589	TotalRevenueColumnAmt
Exclusion	$133,589	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,043	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,043	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,043	TotalRevenueColumnAmt
Exclusion	$2,043	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$20,201	SecuritiesAmt
Other	$146,104	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$2,453	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$20,201	SecuritiesAmt
Other	$143,651	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$163,852	TotalRevenueColumnAmt
Exclusion	$163,852	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$7,697	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,697	TotalRevenueColumnAmt
Exclusion	$7,697	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
OTHER RELATED REVENUE	622110	$158,159	$158,159
CAFETERIA REVENUE	722514	$24,837		$24,837

Field	Value	IRS element (for citing)
Other Revenue Total	$182,996	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,816,061	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,469,071	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$332,018	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$3,593	TotalAmt
Program Services	$3,593	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$212,428	TotalAmt
Management And General	$212,428	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,048,333	TotalAmt
Program Services	$5,639,218	ProgramServicesAmt
Management And General	$397,019	ManagementAndGeneralAmt
Fundraising	$12,096	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$255,794	TotalAmt
Program Services	$242,549	ProgramServicesAmt
Management And General	$12,725	ManagementAndGeneralAmt
Fundraising	$520	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$649,577	TotalAmt
Program Services	$587,633	ProgramServicesAmt
Management And General	$60,684	ManagementAndGeneralAmt
Fundraising	$1,260	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$423,057	TotalAmt
Program Services	$386,577	ProgramServicesAmt
Management And General	$35,128	ManagementAndGeneralAmt
Fundraising	$1,352	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,772	TotalAmt
Management And General	$9,772	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,113,067	TotalAmt
Program Services	$1,804,082	ProgramServicesAmt
Management And General	$308,985	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$647	TotalAmt
Program Services	$172	ProgramServicesAmt
Management And General	$475	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$241,940	TotalAmt
Program Services	$163,807	ProgramServicesAmt
Management And General	$78,133	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$613,025	TotalAmt
Program Services	$490,420	ProgramServicesAmt
Management And General	$122,605	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$338,162	TotalAmt
Program Services	$310,587	ProgramServicesAmt
Management And General	$27,575	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$50,240	TotalAmt
Program Services	$39,882	ProgramServicesAmt
Management And General	$10,358	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,715	TotalAmt
Program Services	$1,715	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$596,758	TotalAmt
Program Services	$18,318	ProgramServicesAmt
Management And General	$578,440	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$49,996	TotalAmt
Management And General	$49,996	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTERCO. PURCHASED SVCS	$1,062,244	$69,279	$992,965
MEDICAL SUPPLIES EXP	$795,340	$795,340
EQUIPMENT MAINTENANCE	$262,505	$261,382	$1,123
HOSPITAL PROVIDER TAX	$223,109	$223,109

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$171,480	TotalAmt
Program Services	$140,998	ProgramServicesAmt
Management And General	$30,482	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,122,782	TotalAmt
Program Services	$11,178,661	ProgramServicesAmt
Management And General	$2,928,893	ManagementAndGeneralAmt
Fundraising	$15,228	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,488,782	BOYAmt
EOY	$1,811,116	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,629,457	BOYAmt
EOY	$1,370,327	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$173,596	BOYAmt
EOY	$163,969	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,279	BOYAmt
EOY	$22,014	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,081,275	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,499,376	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$3,718,722	BOYAmt
EOY	$3,581,899	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,105,914	BOYAmt
EOY	$7,506,223	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,372,522	BOYAmt
EOY	$2,829,799	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$97,048	BOYAmt
EOY	$438,004	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,604,320	BOYAmt
EOY	$17,723,351	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,396,114	BOYAmt
EOY	$969,868	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$211,587	BOYAmt
EOY	$2,944,682	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,607,701	BOYAmt
EOY	$3,914,550	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$11,093,259	BOYAmt
EOY	$12,905,441	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$903,360	BOYAmt
EOY	$903,360	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$11,996,619	BOYAmt
EOY	$13,808,801	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$13,604,320	BOYAmt
EOY	$17,723,351	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,693,279	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$195,931	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$77,028	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$996	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$996	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CENTRAL COMMUNITY HOSPITAL (MERCYONE ELKADER) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCYONE ELKADER WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$304,816	OtherCostOrOtherBasisAmt
Book Value	$304,816	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,319,546	OtherCostOrOtherBasisAmt
Depreciation	$408,009	DepreciationAmt
Book Value	$1,911,537	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,265,383	OtherCostOrOtherBasisAmt
Depreciation	$1,091,367	DepreciationAmt
Book Value	$1,174,016	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,530	OtherCostOrOtherBasisAmt
Book Value	$191,530	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,581,899	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES	$565,960	F
HEDGE FUNDS	$282,980	F
EQUITY METHOD INVESTMENTS	$1,980,859	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,829,799	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
INTERCOMPANY ACCOUNTS PAYABLE	$2,882,140
OTHER CURRENT LIABILITIES	$62,542

Field	Value	IRS element (for citing)
Total Liability	$2,944,682	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,831	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,172,818	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,996,963	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,238,649	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,996,963	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,831	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	126	PersonsServedCnt
Total Community Benefit Expns	$41,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,673	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,650,660	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,373,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,277,107	NetCommunityBenefitExpnsAmt
Total Expense	0.09110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$35,923	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,923	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	131	PersonsServedCnt
Total Community Benefit Expns	$3,728,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,380,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,347,703	NetCommunityBenefitExpnsAmt
Total Expense	0.09620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	131	PersonsServedCnt
Total Community Benefit Expns	$4,966,905	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,377,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,413,534	NetCommunityBenefitExpnsAmt
Total Expense	0.10090	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,233	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$338	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$93	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$895	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$456	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$111,649	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,165	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$5,904,943	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,987,736	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$82,793	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE ELKADER MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	901 DAVIDSON ST NW	AddressLine1Txt
City	ELKADER	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	520439015	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCYONE.ORG/ELKADER	WebsiteAddressTxt
State License	220051H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE ELKADER MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:CENTRAL COMMUNITY HOSPITAL (MERCYONE ELKADER) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY INVOLVED SELECTION PROCESS: 1. ACCESS TO CARE 2. MENTAL HEALTH AND SUBSTANCE MISUSE 3. OBESITY, NUTRITION AND PHYSICAL INACTIVITY4. SOCIAL DETERMINANTS OF HEALTH (SDOH) 5. PREVENTIVE HEALTH SERVICES
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 5: THE CHNA ADVISORY COUNCIL (ADVISORY COUNCIL) MET FOR THE FIRST TIME IN MAY 2024. REPRESENTATIVES FROM MERCYONE ELKADER, CLAYTON COUNTY PUBLIC HEALTH/VISITING NURSES ASSOCIATION (VNA), CENTRAL COMMUNITY SCHOOL DISTRICT, NORTHEAST IOWA BEHAVIORAL HEALTH (NEIBH), CLAYTON COUNTY EMERGENCY MANAGEMENT AGENCY (EMA), AND GUTTENBERG MUNICIPAL HOSPITAL AND CLINICS WERE PRESENT. THE ADVISORY COUNCIL REVIEWED THE CHNA AND IMPLEMENTATION STRATEGY FROM THE PREVIOUS CYCLE AND DESIGNED THE PROCESS FOR COLLECTING COMMUNITY IMPACT. SAMPLE SURVEYS FOR COMMUNITY INPUT WERE SENT TO THE ADVISORY COUNCIL FOLLOWING THE MEETING FOR REVIEW AND FEEDBACK. SIX MONTHS LATER, IN NOVEMBER 2024, THERE WAS A SECOND MEETING WHERE THE ADVISORY COUNCIL REVIEWED DEMOGRAPHIC DATA, RESULTS FROM THE COMMUNITY INPUT SURVEY, AND A SUMMARY OF SECONDARY DATA. THE ADVISORY COUNCIL DISCUSSED THE HEALTH INDICATORS WHERE CLAYTON COUNTY PERFORMED POORLY IN COMPARISON TO IOWA AND/OR THE UNITED STATES, AREAS THAT COMMUNITY MEMBERS RANKED AS IMPORTANT ON THE COMMUNITY INPUT SURVEY AND COMMUNITY FACTORS THAT MAY BE INFLUENCING THE DATA. THE ADVISORY COUNCIL DISCUSSED GROUPING INDICATORS TOGETHER AS SIGNIFICANT HEALTH NEEDS.MERCYONE ELKADER COLLECTED COMMUNITY INPUT THROUGH A 36-QUESTION SURVEY, BETWEEN AUGUST 2 AND SEPTEMBER 9, 2024; A TOTAL OF 96 RESPONSES WERE COLLECTED. SURVEYS WERE DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS THROUGHOUT CLAYTON COUNTY, INCLUDING, BUT NOT LIMITED TO, MERCYONE FAMILY MEDICINE LOCATIONS IN ELKADER AND MONONA, CORNERSTONE FAMILY PRACTICE IN GUTTENBERG AND CLAYTON COUNTY PUBLIC HEALTH/VISITING NURSES ASSOCIATION. THE SURVEY WAS ALSO PUBLICIZED THROUGH MULTIPLE SOCIAL MEDIA POSTS. THE SURVEY WAS AVAILABLE IN BOTH PAPER AND ELECTRONIC FORMAT AND IN BOTH ENGLISH AND SPANISH.
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 6A: GUTTENBERG MUNICIPAL HOSPITAL AND CLINICS
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 6B: CLAYTON COUNTY PUBLIC HEALTH/VISITING NURSES ASSOCIATION, CENTRAL COMMUNITY SCHOOL DISTRICT, NORTHEAST IOWA BEHAVIORAL HEALTH, CLAYTON COUNTY EMERGENCY MANAGEMENT AGENCY, COUNTY SOCIAL SERVICES, AND SUBSTANCE ABUSE SERVICES FOR CLAYTON COUNTY, INC.
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 11: MERCYONE ELKADER ADDRESSED THE FOLLOWING NEEDS IN FY25: ACCESS TO CARE: MERCYONE ELKADER CONNECTED INPATIENTS TO SPECIALISTS IN VARIOUS WAYS, WHICH INCLUDED USING: AVEL E-EMERGENCY AND AVEL E-HOSPITALISTS TELEMEDICINE SERVICES; AVEL E-SANE, WHICH PROVIDED GUIDANCE WHEN SEXUAL ASSAULT VICTIMS PRESENTED TO THE HOSPITAL; AND INTEGRATED TELEHEALTH PARTNERS/FLOWSTATE FOR BRAIN HEALTH CONSULTS. PROVIDERS WERE ENCOURAGED TO UTILIZE THESE TELEHEALTH SERVICES AND MOBILE APP OPTIONS TO IMPROVE PRODUCTIVITY. MERCYONE ELKADER CONTRACTED CARDIOLOGISTS FROM MEDICAL ASSOCIATES IN DUBUQUE TO TRAVEL TO ELKADER FOR IN-PERSON VISITS. ADDITIONALLY, MERCY ONE ELKADER OFFERS SPECIALTY SERVICES FOR COLONOSCOPIES, CATARACTS, PODIATRY, ANTI-COAGULATION, AND THERAPY. NATIONAL HEALTH SERVICES CORPS (NHSC) CERTIFICATION: MERCYONE ELKADER BECAME AN APPROVED NHSC SITE. THIS CERTIFICATION WILL HELP WITH PROVIDER RECRUITMENT AND RETENTION IN ELKADER'S RURAL LOCATION. CAREER FAIRS: MERCYONE ELKADER PROMOTED AND ADVERTISED AT SURROUNDING AREA COLLEGE JOB FAIRS TO STUDENTS AND OTHERWISE UNEMPLOYED INDIVIDUALS WITHIN THE COUNTY AND ENCOURAGED AREA PROVIDERS TO HELP COLLECTIVELY RECRUIT AND IDENTIFY AND/OR CONTACT KEY PROVIDERS. HEALTH PROFESSIONS EDUCATION: MERCYONE ELKADER WORKED ON EXPANDING THEIR RESIDENCY PROGRAMS FOR MEDICAL STUDENTS AND EXPLORED THE OPPORTUNITY TO HAVE SCHOOL SCHOLARSHIP / INTERNSHIP PROGRAMS. ADDITIONALLY, RADIOLOGY TECH STUDENTS COMPLETE CLINICALS AT MERCYONE ELKADER. MERCYONE ELKADER CONTRACTED WITH INTEGRATED TELEHEALTH PARTNERS/FLOWSTATE TO PROVIDE CONSULTS TO PATIENTS WHO ARE IN CRISIS. THIS WAS FUNDED BY COUNTY SOCIAL SERVICES AND NOT BILLED TO THE PATIENT. IT WAS A SIGNIFICANT COMMUNITY BENEFIT OFFERED TO THOSE IN CRISIS IN THE EMERGENCY ROOM AND HELPED GET THEM TO THE NEXT LEVEL OF CARE. MENTAL HEALTH AND SUBSTANCE MISUSE:MERCYONE ELKADER PROVIDED A CONTRIBUTION TO SEVA HEALTH CENTER FOR WELLBEING, A 501(C)(3) NONPROFIT, TO START SEVA'S PEACE FOR YOUR MIND PROJECT. THIS PROJECT WORKS WITH INDIVIDUALS TO SUPPORT BRAIN HEALTH THROUGH NUTRITION, EXERCISE, STRESS MANAGEMENT, EDUCATION, COACHING AND MIND-BODY PRACTICES. THE WRAP-AROUND SERVICES TOOK PLACE BEYOND THE WALLS OF THE TRADITIONAL CLINICAL SETTING AND FOCUSED ON BRIDGING THE GAP BETWEEN THE PATIENT AND THEIR PROVIDER TO IMPROVE BRAIN HEALTH, EDUCATING AND SUPPORTING INDIVIDUAL BRAIN HEALTH THROUGH HEALTH COACHING AND BY PRACTICING INTEGRATIVE TECHNIQUES THAT STRENGTHEN AN INDIVIDUAL'S ABILITY TO IMPROVE THEIR BRAIN HEALTH. SOCIAL DETERMINANTS OF HEALTH: MERCYONE ELKADER PROVIDED A CONTRIBUTION TO SUPPORT FAMILY'S HELPING HAND, A 501(C)(3) NONPROFIT THAT ASSISTS FAMILIES THROUGH ECONOMIC STABILITY. THE FUNDING WENT TOWARDS THE PURCHASE OF FOOD, CLOTHING, HOUSEHOLD, AND HYGIENE ITEMS AND SUPPLIES. A WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES EMERGED FROM THE CHNA PROCESS. MERCYONE ELKADER DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH WERE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. THEREFORE, MERCYONE ELKADER DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS: OBESITY, NUTRITION AND PHYSICAL ACTIVITY AND PREVENTIVE HEALTH SERVICES.
MERCYONE ELKADER MEDICAL CENTER	PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.
PART V, SECTION B, LINE 7A:	COMMUNITY HEALTH NEEDS ASSESSMENT: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING
PART V, SECTION B, LINE 10A:	IMPLEMENTATION STRATEGY: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING
PART V, SECTION B, LINE 9:	AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
PART V, SECTION B, LINE 16A-C:	FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A:	CENTRAL COMMUNITY HOSPITAL (MERCYONE ELKADER) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.MERCYONE ELKADER ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING.
PART I, LINE 7:	THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM.
PART I, LINE 7G:	INCLUDED IN SUBSIDIZED HEALTH SERVICES IS THE NET COMMUNITY BENEFIT COST ATTRIBUTED TO PHYSICIAN CLINICS OF $87,362.
PART I, LN 7 COL(F):	THE FOLLOWING NUMBER, $111,649, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCYONE ELKADER PARTICIPATED IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES IN FY25:ECONOMIC DEVELOPMENT, COALITION BUILDING, AND ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY: MERCYONE ELKADER LEADERS SERVED ON BOARDS AND COMMITTEES FOCUSED ON ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES, HEALTH AND SAFETY ISSUES, AND ENHANCING ADVOCACY STRATEGIES FOR VARIOUS HEALTH AND SOCIAL NEEDS.COMMUNITY SUPPORT: MERCYONE ELKADER LEADERS PARTICIPATED IN COMMUNITY SUPPORT ACTIVITIES, INCLUDING SERVING ON LOCAL BOARDS AND PROVIDING MENTORSHIP TO STUDENTS. MERCYONE ELKADER HOSTED AND LED A SAFE SITTER CLASS FOR THE COMMUNITY. ADDITIONALLY, ONE OF MERCYONE ELKADER'S COLLEAGUES LEAD A PARKINSON'S SUPPORT GROUP. WORKFORCE DEVELOPMENT: MERCYONE ELKADER LEADERS SPENT TIME ON WORKFORCE DEVELOPMENT INITIATIVES SUCH AS HIGH SCHOOL CAREER EXPLORATION EVENTS, COLLEGE BOARD PARTICIPATION, AND PRESENTATIONS TO AREA SCHOOL GROUPS.
PART III, LINE 2:	MERCYONE ELKADER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CATEGORY OF PATIENT.
PART III, LINE 3:	A REASONABLE ESTIMATE OF THE HOSPITAL'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IS 10% OF IMPLICIT PRICE CONCESSIONS. THIS IS BASED ON THE PERCENTAGE OF INDIVIDUALS BELOW THE POVERTY LEVEL IN THE AREA.
PART III, LINE 4:	MERCYONE ELKADER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8:	THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION.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 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B:	THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT - MERCYONE ELKADER CONTINUOUSLY MONITORS THE NEEDS OF THE COMMUNITY BY REVISITING THE COMMUNITY HEALTH IMPROVEMENT PLAN AND UPDATING THE PLAN WITH ACTIONS TAKEN AS WELL AS NEW STRATEGIES THAT NEED TO BE DEPLOYED BASED ON NEW DATA. MERCYONE ELKADER ACTIVELY PARTNERS WITH THE LOCAL SCHOOLS, CITY/TOWNSHIPS, HOSPITALS, PUBLIC HEALTH AGENCIES, EMERGENCY MANAGEMENT AGENCIES, LAW ENFORCEMENT, FIRE AND EMS AND OFTEN IS MADE AWARE OF COMMUNITY NEEDS THROUGH THOSE PARTNERSHIPS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE ELKADER COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE.MERCYONE ELKADER OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R) REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL.
PART VI, LINE 4:	COMMUNITY INFORMATION - MERCYONE ELKADER SERVES THE RESIDENTS OF THE CENTRAL PART OF CLAYTON COUNTY, IOWA INTO THE NORTHEAST SECTION OF THE COUNTY. CLAYTON COUNTY IS A RURAL, AGRICULTURAL AREA WITH A GEOGRAPHIC SPAN OF 793 SQUARE MILES. THE NEAREST LARGER CITY IS DUBUQUE, IOWA, WHICH IS 72 MILES FROM ELKADER, THE COUNTY SEAT. THE TOTAL POPULATION OF CLAYTON COUNTY, AS RECORDED ON THE MOST RECENT CENSUS IN 2020, IS 17,043. THE POPULATION OF CLAYTON COUNTY DECREASED BY 5% BETWEEN 2010 AND 2020. CLAYTON COUNTY HAS AN AGING POPULATION WITH 26% OF RESIDENTS 65 YEARS OF AGE AND OLDER. MOST OF THE POPULATION (97%) IS WHITE, AND THE COUNTY HAS SEEN ALMOST NO MINORITY GROWTH IN THE PAST 10 YEARS. GUTTENBERG MUNICIPAL HOSPITAL ALSO SERVES CLAYTON COUNTY AND IS LOCATED IN GUTTENBERG, IOWA.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH - THERE ARE TWO CRITICAL ACCESS HOSPITALS IN CLAYTON COUNTY, IOWA: MERCYONE ELKADER IN ELKADER AND GUTTENBERG MUNICIPAL HOSPITAL & CLINICS IN GUTTENBERG. MERCYONE ELKADER IS 30 MINUTES AWAY FROM GUTTENBERG MUNICIPAL HOSPITAL & CLINICS AS WELL AS THE SAME DISTANCE AWAY FROM THREE OTHER CRITICAL ACCESS HOSPITALS (REGIONAL MEDICAL CENTER, GUNDERSON PALMER LUTHERAN HOSPITAL, AND CROSSING RIVERS HEALTH). THE RESIDENTS OF ELKADER AND SURROUNDING AREAS DEPEND ON THE EMERGENCY ROOM BEING AVAILABLE 24/7/365 WHEN EMERGENCY HEALTH NEEDS ARISE. EMS SERVICE IS ALSO AVAILABLE 24/7/365 FOR ALL 911 CALLS AND TRANSFER CALLS. THE HOSPITAL WORKS RELENTLESSLY TO ENSURE THAT COVERAGE FOR BOTH THE ER AND THE EMS SERVICE IS ALWAYS AVAILABLE FOR THE COMMUNITY, IN AN INCREASINGLY TOUGH RECRUITMENT MARKET. IF THESE SERVICES WERE NOT AVAILABLE, THE COMMUNITY WOULD SUFFER TREMENDOUSLY. MERCYONE ELKADER RECEIVED REQUESTS FROM TWO LOCAL HIGH SCHOOLS TO PROVIDE SUBSIDIZED MEDICAL SERVICES FOR THEIR ATHLETIC PROGRAMS TO IMPROVE SAFETY. THESE PROVIDERS PERFORMED CONCUSSION SCREENINGS (BASELINE AND POST-INJURY) AND OTHER PREVENTATIVE AND INJURY TREATMENT MEASURES TO ENSURE THE STUDENTS' SAFETY AT PRACTICES AND GAMES.MERCYONE ELKADER SUPPORTED BLOOD DRIVES IN THE LOCAL COMMUNITY THROUGH IN-KIND TIME HELPING CHECK PEOPLE IN AND PROVIDING SUPPLIES. MERCYONE ELKADER IS DESIGNATED AS A SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP) SPONSOR ORGANIZATION BY THE IOWA INSURANCE DIVISION. THIS PARTNERSHIP HAS LASTED FOR OVER TEN YEARS AND HAS HELPED MANY RESIDENTS FROM CLAYTON COUNTY AND THE SURROUNDING COUNTIES UNDERSTAND THEIR CHOICES FOR MEDICARE PART D DRUG PLANS. SHIIP SERVICES ARE DELIVERED BY VOLUNTEERS IN A VARIETY OF ROLES THROUGH A STATEWIDE NETWORK OF SPONSOR ORGANIZATIONS. MERCYONE ELKADER HAD CERTIFIED TRAINED SHIIP COUNSELORS AND EMPLOYED A SHIIP COORDINATOR WHO TAKES PHONE CALLS, SCHEDULES APPOINTMENTS, AND SERVES AS A LIAISON TO THE STATE.IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. MERCYONE'S REGIONAL COMMUNITY IMPACT IN FY25 TOTALED $357.3 MILLION.
PART VI, LINE 6:	MERCYONE ELKADER IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEFFREY MESSERLY DO
PHYSICIAN, EMERGENCY CARE	$378,615	$0	$0	$0	$337	$0	$16,675	$0	$30,609	$0	$426,236	$0	$0	$0
DONNA LAWLOR MD
PHYSICIAN, FAMILY MEDICINE	$318,875	$0	$6,000	$0	$1,624	$0	$20,255	$0	$25,616	$0	$372,370	$0	$0	$0
MELISSA SIMON DO
PHYSICIAN, EMERGENCY CARE	$338,372	$0	$0	$0	$342	$0	$3,970	$0	$20,280	$0	$362,964	$0	$0	$0
LENNA DINAN
REGISTERED NURSE	$169,476	$0	$0	$0	$3,160	$0	$11,219	$0	$239	$0	$184,094	$0	$0	$0
STACEY EMBRETSON
NURSE PRACTITIONER	$140,399	$0	$3,513	$0	$90	$0	$4,236	$0	$31,472	$0	$179,710	$0	$0	$0
CHRISTOPHER BRADY
INTERIM ADM 9/24-3/25;WATERLOO ADMIN	$0	$133,554	$0	$17,732	$0	$77	$0	$10,150	$0	$17,523	$0	$179,036	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3	FormAndLineReferenceDesc
Explanation	MERCYONE ELKADER'S CEO IS PAID BY A RELATED ORGANIZATION, CATHOLIC HEALTH INITIATIVES - IOWA. CATHOLIC HEALTH INITIATIVES - IOWA USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCYONE ELKADER'S CEO: - COMPENSATION SURVEY OR STUDY	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	MERCY HEALTH NETWORK (MERCYONE), A RELATED ORGANIZATION, CONTRACTED WITH HEALTHSOURCE PARTNERS FOR THE PROVISION OF MANAGEMENT SERVICES BY TERRI DONOVAN TO MERCYONE AND RELATED IOWA ORGANIZATIONS. IN CALENDAR YEAR 2024, MERCYONE PAID $697,535 TO HEALTHSOURCE PARTNERS FOR THESE MANAGEMENT SERVICES. MERCYONE ELKADER DOES NOT KNOW HOW MUCH TERRI DONOVAN RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS IN CALENDAR 2024.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF CENTRAL COMMUNITY HOSPITAL (MERCYONE ELKADER) IS MERCY COMMUNITY HOSPITAL GROUP, LLC, OF WHICH MERCY HEALTH NETWORK, INC. IS THE SOLE MEMBER. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A	MERCY COMMUNITY HOSPITAL GROUP, LLC IS THE SOLE MEMBER OF MERCYONE ELKADER. MERCY COMMUNITY HOSPITAL GROUP, LLC HAS THE RIGHT TO APPROVE THE APPOINTMENT OF ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCYONE ELKADER.
FORM 990, PART VI, SECTION A, LINE 7B	AS SOLE MEMBER, MERCY COMMUNITY HOSPITAL GROUP, LLC MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY COMMUNITY HOSPITAL GROUP, LLC MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION A, LINE 8B	LINE 8B IS ANSWERED "NO" BECAUSE MERCYONE ELKADER HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO FILING, THE FORM 990 FOR MERCYONE ELKADER IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MERCYONE ELKADER HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE ELKADER, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE ELKADER AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE ELKADER ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE ELKADER OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE ELKADER IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE ELKADER. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15	QUESTION 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO OF MERCYONE ELKADER IS ESTABLISHED BY CATHOLIC HEALTH INITIATIVES - IOWA, A RELATED ORGANIZATION. IN ESTABLISHING THE CEO'S COMPENSATION, CATHOLIC HEALTH INITIATIVES - IOWA USED A PROCESS BASED ON SALARY ADJUSTMENT RECOMMENDATIONS USING VARIOUS TOOLS, INCLUDING A 360-DEGREE ANNUAL EVALUATION, CEO WAGE SCALES FROM A VARIETY OF SOURCES, AND A REVIEW OF WAGES IN COMPARISON TO COMPARABLE POSITIONS, LOOKING AT FACTORS SUCH AS BED SIZE OF HOSPITAL AND SIZE OF COMMUNITY. HUMAN RESOURCES DOCUMENTS AND PROVIDES SUBSTANTIATION OF THE RECOMMENDED CEO WAGE TO THE BOARD. THIS PROCESS IS DONE ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19	MERCYONE ELKADER IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCYONE ELKADER INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MERCYONE ELKADER'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 897,759. MANAGEMENT AND GENERAL EXPENSES 84,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 982,176. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 315,189. MANAGEMENT AND GENERAL EXPENSES 224,568. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 539,757. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 328,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,578. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 262,556. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 262,556.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFERS TO AFFLIATES -97,286. ASSET IMPAIRMENT 20,258.
FORM 990, PART XII, LINE 2:	MERCYONE ELKADER'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES:	MERCYONE ELKADER MEDICAL CENTER MERCYONE ELKADER FAMILY MEDICINE MERCYONE ELKADER AMBULANCE MERCYONE MONONA FAMILY MEDICINE

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (220 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE	GRAND RAPIDS	MI	49503	272491974	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269	PALM HARBOR	FL	34684	581492325	GRANT MAKING	FL	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450170	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
BAUM HARMON MERCY HOSPITAL
1000 4TH STREET SW	MASON CITY	IA	50401	421500277	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	262973307	FOUNDATION	IA	501(C)(3)	LINE 12A, I	BAUM HARMON MERCY HOSPITAL	Yes (1)
BEECHWOOD INC
2212 BURDETT AVE	TROY	NY	12180	141651563	TITLE HOLDING COMPANY	NY	501(C)(2)	N/A	LTC (EDDY) INC	Yes (1)
BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET	PITTSBURGH	PA	15219	251436685	HOMELESS SHELTER	PA	501(C)(3)	LINE 7	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
BEVERWYCK INC
40 AUTUMN DRIVE	SLINGERLANDS	NY	12159	141717028	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
BRIGHTSIDE INC
114 WOODLAND STREET	HARTFORD	CT	06105	042182395	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 10	THE MERCY HOSPITAL INC	Yes (1)
CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET	COHOES	NY	12047	141701597	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
CATHERINE MCAULEY HEALTH SERVICE CORP
5315 ELLIOTT DR 102	YPSILANTI	MI	48197	382507173	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUE	DES MOINES	IA	50314	420680448	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY	LIVONIA	MI	48152		GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM		501(C)(3)	LINE 1		0	VT	N/A
CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST NW	ELKADER	IA	52043	420818642	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY COMMUNITY HOSPITAL GROUP LLC	0
COVENANT FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(C)(3)	LINE 7	COVENANT MEDICAL CENTER INC	Yes (1)
COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421264647	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	342032340	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE	DUBUQUE	IA	52001	262227941	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW	DYERSVILLE	IA	52040	205383271	FOUNDATION	IA	501(C)(3)	LINE 12A, I	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000	TROY	NY	12180	141818568	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
EMBRACING AGE INC
333 BUTTERNUT DRIVE	DEWITT	NY	13214	461051881	PACE PROGRAM	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE	MALTA	NY	12020	141795732	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	HOME AIDE SERVICE OF EASTERN NEW YORK INC	Yes (1)
FARREN CARE CENTER INC
PO BOX 9184	FARMINGTON HILLS	MI	48333	042501711	LONG TERM CARE	MA	501(C)(3)	LINE 3	TRINITY CONTINUING CARE SERVICES	Yes (1)
FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500	WILMINGTON	DE	19805	223008680	LONG TERM CARE (INACTIVE)	DE	501(C)(3)	LINE 10	ST FRANCIS HOSPITAL INC	Yes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	FOUNDATION	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH NETWORK INC	Yes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE BENEFIT TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM	Yes (1)
GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUE	ALEDO	IL	61231	454475683	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (IL)	Yes (1)
GLACIER HILLS FOUNDATION
PO BOX 530009	LIVONIA	MI	48152	208072723	FOUNDATION	MI	501(C)(3)	LINE 12A, I	GLACIER HILLS INC	Yes (1)
GLACIER HILLS INC
PO BOX 500039	LIVONIA	MI	48152	381891500	SENIOR LIVING COMMUNITY	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
GLEN EDDY INC
1 GLEN EDDY DRIVE	NISKAYUNA	NY	12309	141794150	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY	LIVONIA	MI	48152	421253527	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY	GREENSBORO	GA	30642	261720984	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE	MELROSE PARK	IL	60160	363332852	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE	MELROSE PARK	IL	60160	743260011	FOUNDATION	IL	501(C)(3)	LINE 12D, III-O		0		N/A
GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE	MELROSE PARK	IL	60160	362379649	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
HAWTHORNE RIDGE INC
30 COMMUNITY WAY	EAST GREENBUSH	NY	12061	800102840	SENIOR LIVING COMMUNITY	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HEARTWOOD LODGE TRINITY HEALTH
PO BOX 530009	LIVONIA	MI	48152	382602971	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE	TROY	NY	12180	141725101	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOLY CROSS CARENET INC
PO BOX 530009	LIVONIA	MI	48152	521945054	LONG TERM CARE	MD	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	208428450	FOUNDATION	MD	501(C)(3)	LINE 7	HOLY CROSS HEALTH INC	Yes (1)
HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD	SILVER SPRING	MD	20910	520738041	HEALTH CARE AND HOSPITAL SERVICES	MD	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	590791028	HEALTH CARE AND HOSPITAL SERVICES	FL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	465421068	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	812531495	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY	FT LAUDERDALE	FL	33308	832256461	HEALTH CARE SERVICES	FL	501(C)(3)	LINE 10	HOLY CROSS HOSPITAL INC	Yes (1)
HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000	TROY	NY	12180	141514867	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
HOSPICE OF NORTH IOWA
232 SECOND STREET SE	MASON CITY	IA	50401	421173708	HOSPICE SERVICES	IA	501(C)(3)	LINE 10	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
HOSPICE OF NORTH OTTAWA COMMUNITY INC
PO BOX 532020	LIVONIA	MI	48153	382370192	HOSPICE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
HOUSE OF MERCY
1111 6TH AVENUE	DES MOINES	IA	50314	421323808	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48105	383316559	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	475676956	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232519529	HEALTH CARE SERVICES (INACTIVE)	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE	PENNSAUKEN	NJ	08109	261854750	PACE PROGRAM	NJ	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET	WILMINGTON	DE	19801	452569214	PACE PROGRAM	DE	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD	FAYETTEVILLE	NC	28304	272159847	PACE PROGRAM	NC	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LIFE ST MARY
2500 NORTHGATE ROAD	TREVOSE	PA	19053	262976184	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE	MELROSE PARK	IL	60160	474147171	TRANSPORTATION SERVICES	IL	501(C)(3)	LINE 10	LOYOLA UNIVERSITY MEDICAL CENTER	Yes (1)
LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363342448	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364015560	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	LOYOLA UNIVERSITY HEALTH SYSTEM	Yes (1)
LTC (EDDY) INC
2212 BURDETT AVE	TROY	NY	12180	222564710	MANAGEMENT SERVICES FOR LONG TERM CARE	NY	501(C)(3)	LINE 12B, II	ST PETER'S HEALTH PARTNERS	Yes (1)
MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY	LIVONIA	MI	48152	911940902	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
MCAULEY CENTER INC
PO BOX 530009	LIVONIA	MI	48152	061058086	SENIOR LIVING COMMUNITY	CT	501(C)(3)	LINE 10	MERCY COMMUNITY HEALTH INC	Yes (1)
MCAULEY MINISTRIES
3333 FIFTH AVENUE	PITTSBURGH	PA	15213	943436142	GRANT MAKING	PA	501(C)(3)	LINE 12B, II	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY AUXILARY
814 13TH AVE N UNIT 6A	CLINTON	IA	53732	421348035	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I		0		N/A
MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	426076069	VOLUNTEER SERVICE AUXILIARY	IA	501(C)(3)	LINE 12A, I	MERCY FOUNDATION OF DES MOINES IOWA	Yes (1)
MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE	CHICAGO	IL	60653	853904921	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY CARE FOUNDATION INC
424 DECATUR STREET	ATLANTA	GA	30312	581448522	FOUNDATION	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100	NEWTOWN SQUARE	PA	19073	231352191	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY CLINICS INC
1111 6TH AVENUE	DES MOINES	IA	50314	421193699	HEALTH CARE SERVICES	IA	501(C)(3)	LINE 10	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COLLEGE OF HEALTH SCIENCES
928 6TH AVENUE	DES MOINES	IA	50309	421511682	COLLEGE OF HEALTH SCIENCE	IA	501(C)(3)	LINE 2	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY COMMUNITY HEALTH INC
PO BOX 530009	LIVONIA	MI	48152	061492707	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325059	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	MERCY HOME HEALTH SERVICES	Yes (1)
MERCY FOUNDATION OF DES MOINES IOWA
1111 6TH AVENUE	DES MOINES	IA	50314	237358794	FOUNDATION	IA	501(C)(3)	LINE 7	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363227350	FOUNDATION	IL	501(C)(3)	LINE 7	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
PO BOX 532020	LIVONIA	MI	48153	383321856	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232829864	FOUNDATION	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HEALTH NETWORK INC
411 LAUREL STREET SUITE 200	DES MOINES	IA	50314	421478417	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	DE	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD	MUSKEGON	MI	49444	382589966	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW	MASON CITY	IA	50401	311373080	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363163327	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IL	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST	CLINTON	IA	52732	421316126	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY MEDICAL CENTER - CLINTON INC	Yes (1)
MERCY HOME HEALTH
PO BOX 532020	LIVONIA	MI	48153	231352099	HOME HEALTH SERVICES	PA	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232325058	MANAGEMENT SERVICES FOR HOME HEALTH	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	362170152	HEALTH CARE AND HOSPITAL SERVICES	IL	501(C)(3)	LINE 3	MERCY HEALTH SYSTEM OF CHICAGO	Yes (1)
MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	203357131	FOUNDATION	MI	501(C)(3)	LINE 12A, I	TRINITY HEALTH-MICHIGAN	Yes (1)
MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SE	OELWEIN	IA	50662	421178403	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
MERCY LIFE
1930 SOUTH BROAD STREET	PHILADELPHIA	PA	19145	232840137	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251604115	COMMUNITY OUTREACH	PA	501(C)(3)	LINE 10	PITTSBURGH MERCY HEALTH SYSTEM INC	Yes (1)
MERCY LIFE OF ALABAMA
PO BOX 7957	MOBILE	AL	36670	273163002	PACE PROGRAM	AL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY LIFE INC
200 HILLSIDE CIRCLE	WEST SPRINGFIELD	MA	01089	453086711	PACE PROGRAM	MA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232627944	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE	CENTERVILLE	IA	52544	420680308	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST	CLINTON	IA	52732	421336618	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE E	NEWTON	IA	50208	421470935	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	CATHOLIC HEALTH INITIATIVES - IOWA CORP	Yes (1)
MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	141880022	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW	MASON CITY	IA	50401	421229151	FOUNDATION	IA	501(C)(3)	LINE 7	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
MERCY MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	454884805	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SENIOR CARE INC
424 DECATUR STREET	ATLANTA	GA	30312	581366508	COMMUNITY OUTREACH	GA	501(C)(3)	LINE 7	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET	ATLANTA	GA	30312	272046353	TITLE HOLDING COMPANY	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 530009	LIVONIA	MI	48152	382719605	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET	HARTFORD	CT	06105	264033168	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	231396763	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311308555	COLLEGE OF NURSING	OH	501(C)(3)	LINE 2	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	251912781	HEALTH INSURANCE	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	873948434	MEDICARE HMO	CT	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	831422704	MEDICARE HMO	ID	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	833278543	MEDICARE HMO	NY	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311471229	MEDICARE HMO	OH	501(C)(4)	N/A	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311439334	HEALTH CARE AND HOSPITAL SERVICES	OH	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311113966	FOUNDATION	OH	501(C)(3)	LINE 12A, I	MOUNT CARMEL HEALTH SYSTEM	Yes (1)
MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222584082	FOUNDATION	CT	501(C)(3)	LINE 12A, I		0		N/A
MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	061422973	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
MOUNT ST JOSEPH
PO BOX 530009	LIVONIA	MI	48152	010274998	LONG TERM CARE	ME	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210	MUSKEGON	MI	49442	911932918	COMMUNITY OUTREACH	MI	501(C)(3)	LINE 7	MERCY HEALTH PARTNERS	Yes (1)
NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232794121	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	203261266	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 3	MERCY PHYSICIAN NETWORK	Yes (1)
NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	386088836	FUNDRAISING	MI	501(C)(3)	LINE 12D, III-O		0		N/A
NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	TITLE HOLDING COMPANY	IA	501(C)(2)	N/A	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
OAKLAND MERCY HOSPITAL
1000 4TH STREET SW	MASON CITY	IA	50401	208072234	HEALTH CARE AND HOSPITAL SERVICES	NE	501(C)(3)	LINE 3	MERCY HEALTH SERVICES-IOWA CORP	Yes (1)
OAKLAND MERCY HOSPITAL FOUNDATION
1000 4TH STREET SW	MASON CITY	IA	50401	311678345	FOUNDATION	NE	501(C)(3)	LINE 12A, I	OAKLAND MERCY HOSPITAL	Yes (1)
OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311654603	COOPERATIVE HEALTH CARE DELIVERY SYSTEM	OH	501(C)(3)	LINE 12A, I		0		N/A
OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE	GUILDERLAND	NY	12084	141743506	LONG TERM CARE	NY	501(C)(3)	LINE 3	LTC (EDDY) INC	Yes (1)
PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	454208896	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
PITTSBURGH MERCY HEALTH SYSTEM INC
1200 REEDSDALE STREET	PITTSBURGH	PA	15233	251464211	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
PROBILITY THERAPY SERVICES
2058 S STATE STREET	ANN ARBOR	MI	48104	202020239	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	TRINITY HEALTH-MICHIGAN	Yes (1)
PROFESSIONAL MED TEAM
965 FORK STREET	MUSKEGON	MI	49442	382638284	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 10	MERCY HEALTH PARTNERS	Yes (1)
RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET	HARTFORD	CT	06105	811807730	HEALTH CARE SERVICES	MA	501(C)(3)	LINE 3	THE MERCY HOSPITAL INC	Yes (1)
SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	271763712	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE	FRESNO	CA	93720	941437713	HEALTH CARE AND HOSPITAL SERVICES	CA	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE	FRESNO	CA	93720	942839324	HEALTH CARE SERVICES	CA	501(C)(3)	LINE 12A, I	SAINT AGNES MEDICAL CENTER	Yes (1)
SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	943164869	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC	Yes (1)
SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	202683560	FOUNDATION	OR	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC	Yes (1)
SAINT ALPHONSUS HEALTH SYSTEM INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	271929502	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	ID	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD	BAKER CITY	OR	97814	271790052	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	261737256	FOUNDATION	ID	501(C)(3)	LINE 7	SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE	NAMPA	ID	83687	820200896	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET	ONTARIO	OR	97914	271789847	HEALTH CARE AND HOSPITAL SERVICES	OR	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820200895	HEALTH CARE AND HOSPITAL SERVICES	ID	501(C)(3)	LINE 3	SAINT ALPHONSUS HEALTH SYSTEM INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060646813	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061008255	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT FRANCIS HOSPITAL AND MEDICAL CENTER	Yes (1)
SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473129127	PACE PROGRAM	IN	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46563	351142669	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	350868157	HEALTH CARE AND HOSPITAL SERVICES	IN	501(C)(3)	LINE 3	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351568821	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET	ATLANTA	GA	30312	581744848	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12C, III-FI	TRINITY HEALTH CORPORATION	Yes (1)
SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET	ATLANTA	GA	30312	581752700	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 10	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH'S TOWER INC
PO BOX 530009	LIVONIA	MI	48152	311040468	SENIOR LIVING COMMUNITY	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES-INDIANA INC	Yes (1)
SAINT MARY HOME INCORPORATED
PO BOX 530009	LIVONIA	MI	48152	060646843	LONG TERM CARE	CT	501(C)(3)	LINE 3	MERCY COMMUNITY HEALTH INC	Yes (1)
SAINT MARY'S AMICARE HOME HEALTHCARE
PO BOX 532020	LIVONIA	MI	48153	383320700	HOME HEALTH SERVICES	MI	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE	GRAND RAPIDS	MI	49503	381779602	FOUNDATION	MI	501(C)(3)	LINE 7	TRINITY HEALTH-MICHIGAN	Yes (1)
ST MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	222528400	FOUNDATION	CT	501(C)(3)	LINE 7	SAINT MARY'S HOSPITAL INC	Yes (1)
SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	060646844	HEALTH CARE AND HOSPITAL SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
SAMARITAN HOSPITAL
2215 BURDETT AVE	TROY	NY	12180	141338544	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222743478	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(C)(3)	LINE 7	SARTORI MEMORIAL HOSPITAL INC	Yes (1)
SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HEALTH CARE AND HOSPITAL SERVICES	IA	501(C)(3)	LINE 3	WHEATON FRANCISCAN HEALTHCARE-IOWA INC	Yes (1)
SENIOR CARE CONNECTION INC
1938 CURRY ROAD	SCHENECTADY	NY	12303	141708754	PACE PROGRAM	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD	CLIFTON PARK	NY	12065	141756230	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
SJHSJOC HOLDINGS INC
424 DECATUR STREET	ATLANTA	GA	30312	472299757	HEALTH CARE SYSTEM SUPPORT	GA	501(C)(3)	LINE 12B, II	SAINT JOSEPH'S HEALTH SYSTEM INC	Yes (1)
ST FRANCIS HOSPITAL INC
PO BOX 2500	WILMINGTON	DE	19805	510064326	HEALTH CARE AND HOSPITAL SERVICES	DE	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	223127184	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE)	NY	501(C)(3)	LINE 12A, I	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST	CHELSEA	MI	48118	824757260	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH-MICHIGAN	Yes (1)
ST JOSEPH OF THE PINES INC
PO BOX 530009	LIVONIA	MI	48152	560694200	LONG TERM CARE	NC	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE	SYRACUSE	NY	13203	202497520	COLLEGE OF NURSING	NY	501(C)(3)	LINE 2	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S HEALTH AT HOME INC
PO BOX 532020	LIVONIA	MI	48153	871012253	HOME HEALTH SERVICES	NY	501(C)(3)	LINE 10	TRINITY HOME HEALTH SERVICES	Yes (1)
ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	237219294	BUILDING MANAGEMENT SERVICES	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	474754987	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE	SYRACUSE	NY	13203	150532254	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	222149775	FOUNDATION	NY	501(C)(3)	LINE 12B, II	ST JOSEPH'S HEALTH INC	Yes (1)
ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	273899821	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST JOSEPH'S HOSPITAL HEALTH CENTER	Yes (1)
ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	161516863	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 12A, I	ST PETER'S HEALTH PARTNERS	Yes (1)
ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	461827502	TITLE HOLDING COMPANY	PA	501(C)(2)	N/A	ST MARY MEDICAL CENTER	Yes (1)
ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	465354512	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	ST MARY MEDICAL CENTER	Yes (1)
ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	231913910	HEALTH CARE AND HOSPITAL SERVICES	PA	501(C)(3)	LINE 3	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
ST MARY'S FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	582544232	FOUNDATION	GA	501(C)(3)	LINE 7	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET	ATHENS	GA	30606	811660088	FOUNDATION	GA	501(C)(3)	LINE 7	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET	ATHENS	GA	30606	020576648	SENIOR LIVING COMMUNITY	GA	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
ST MARY'S HOSPITAL INC
1230 BAXTER STREET	ATHENS	GA	30606	580566223	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET	ATHENS	GA	30606	261858563	HEALTH CARE SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY	LAVONIA	GA	30553	473752176	HEALTH CARE AND HOSPITAL SERVICES	GA	501(C)(3)	LINE 3	TRINITY HEALTH GEORGIA INC	Yes (1)
ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD	ALBANY	NY	12208	453570715	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NY	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD	ALBANY	NY	12208	461177336	HEALTH CARE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD	ALBANY	NY	12208	141348692	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD	ALBANY	NY	12208	222262982	FOUNDATION	NY	501(C)(3)	LINE 7	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE	SCHENECTADY	NY	12308	141338386	HEALTH CARE AND HOSPITAL SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE	SCHENECTADY	NY	12308	222505127	FOUNDATION	NY	501(C)(3)	LINE 7	SUNNYVIEW HOSPITAL AND REHABILITATION CENTER	Yes (1)
THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE	SYRACUSE	NY	13203	203018640	VOLUNTEER SERVICE AUXILIARY	NY	501(C)(3)	LINE 12C, III-FI	ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC	Yes (1)
THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD	ALBANY	NY	12205	222692940	FOUNDATION	NY	501(C)(3)	LINE 7	THE COMMUNITY HOSPICE INC	Yes (1)
THE COMMUNITY HOSPICE INC
445 NEW KARNER RD	ALBANY	NY	12205	141608921	HOSPICE SERVICES	NY	501(C)(3)	LINE 3	ST PETER'S HEALTH PARTNERS	Yes (1)
THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	351654543	FOUNDATION	IN	501(C)(3)	LINE 7	SAINT JOSEPH REGIONAL MEDICAL CENTER INC	Yes (1)
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE	TROY	NY	12180	222570478	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST	COHOES	NY	12047	141793885	LONG TERM CARE	NY	501(C)(3)	LINE 10	LTC (EDDY) INC	Yes (1)
THE MERCY HOSPITAL INC
114 WOODLAND STREET	HARTFORD	CT	06105	043398280	HEALTH CARE AND HOSPITAL SERVICES	MA	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET	HARTFORD	CT	06105	060660403	VOLUNTEER SERVICE AUXILIARY	CT	501(C)(3)	LINE 12A, I		0		N/A
TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER	PORT HURON	MI	48060	382485700	HEALTH CARE SERVICES	MI	501(C)(3)	LINE 12A, I		0		N/A
TRINITY CONTINUING CARE SERVICES
PO BOX 530009	LIVONIA	MI	48152	382559656	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 530009	LIVONIA	MI	48152	930907047	LONG TERM CARE	IN	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 530009	LIVONIA	MI	48152	824005577	LONG TERM CARE	MI	501(C)(3)	LINE 10	TRINITY CONTINUING CARE SERVICES	Yes (1)
TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY	LIVONIA	MI	48152	382113393	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY	LIVONIA	MI	48152	351443425	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IN	501(C)(3)	LINE 12B, II	CATHOLIC HEALTH MINISTRIES	Yes (1)
TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET	ATHENS	GA	30606	880878641	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	GA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	383330803	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	475244984	PACE PROGRAM	PA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232571699	HEALTH CARE SERVICES	PA	501(C)(3)	LINE 10	TRINITY HEALTH OF THE MID-ATLANTIC REGION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061491191	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	CT	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	833546613	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 10	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061450168	HEALTH CARE SERVICES	CT	501(C)(3)	LINE 3	TRINITY HEALTH OF NEW ENGLAND CORP INC	Yes (1)
TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232212638	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	PA	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473073124	PACE PROGRAM	MI	501(C)(3)	LINE 12B, II	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREET	ALEXANDRIA	LA	71302	923433625	PACE PROGRAM	LA	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAY	GAITHERSBURG	MD	20877	923450659	PACE PROGRAM	MD	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLE	PENSACOLA	FL	32505	922940854	PACE PROGRAM	FL	501(C)(3)	LINE 10	TRINITY HEALTH PACE	Yes (1)
TRINITY HEALTH PLAN OF MICHIGAN INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	843836552	MEDICARE HMO	MI	501(C)(4)	N/A	MOUNT CARMEL HEALTH PLAN INC	Yes (1)
TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	933727867	HEALTH CARE AND HOSPITAL SERVICES	MI	501(C)(3)	LINE 3	MERCY HEALTH PARTNERS	Yes (1)
TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	208151733	RETIREE MEDICAL AND RETIREE LIFE INSURANCE	MI	501(C)(9)	N/A	TRINITY HEALTH CORPORATION	Yes (1)
TRINITY HOME HEALTH SERVICES
PO BOX 532020	LIVONIA	MI	48153	382621935	MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM	MI	501(C)(3)	LINE 10	TRINITY HEALTH CORPORATION	Yes (1)
VILLA MARY IMMACULATE
301 HACKETT BLVD	ALBANY	NY	12208	141438749	LONG TERM CARE	NY	501(C)(3)	LINE 3	ST PETER'S HOSPITAL	Yes (1)
WHEATON FRANCISCAN HEALTHCARE-IOWA INC
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	IA	501(C)(3)	LINE 12B, II	MERCY HEALTH NETWORK INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (48 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ADVENT REHABILITATION LLC
625 KENMOOR AVE SE SUITE 100	GRAND RAPIDS	MI	49546	383306673	REHABILITATION THERAPY SERVICES	MI	N/A	0	Yes (1)
BH VENTURE ONE LP
905 WATSON STREET	PITTSBURGH	PA	15219	384098074	REAL ESTATE	PA	N/A	0	Yes (1)
BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP
6150 EAST BROAD STREET	COLUMBUS	OH	48213	311608125	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
CENTER FOR DIGESTIVE CARE LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	030447062	PROVIDE GASTROINTESTINAL SERVICES	MI	N/A	0	0
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	721439481	URGENT CARE CENTER	LA	N/A	0	Yes (1)
DIAGNOSTIC IMAGING OF SOUTHBURY LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061487582	IMAGING CENTER	CT	N/A	0	Yes (1)
EVERETT ROAD ASC LLC
30 CENTURY HILL DRIVE	LATHAM	NY	12110	833542382	MEDICAL SERVICES	NY	N/A	0	Yes (1)
FOREST PARK IMAGING LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134365966	X-RAY AND MAMMOGRAPHY SERVICES	IA	N/A	0	Yes (1)
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	N/A	0	0
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	473785124	DIAGNOSTIC IMAGING CENTER	IL	N/A	0	Yes (1)
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	N/A	0	Yes (1)
HAWARDEN REGIONAL HEALTH CLINICS LLC
1111 11TH ST	HAWARDEN	IA	51023	201444339	MEDICAL CLINIC	IA	N/A	0	Yes (1)
HEALTHRISE BUSINESS INTELLIGENCE LLC
31700 MIDDLEBELT	FARMINGTON HILLS	MI	48334	845053960	REVENUE CYCLE MANAGEMENT	DE	N/A	0	0
HURON GASTRO ENDOSCOPY CENTER LLC
5300 ELLIOTT DRIVE	YPSILANTI	MI	48197	853580801	MEDICAL SERVICES	MI	N/A	0	0
INTERMOUNTAIN MEDICAL IMAGING LLC
877 WEST MAIN ST STE 603	BOISE	ID	83702	820514422	IMAGING CENTER	ID	N/A	0	Yes (1)
LANGHORNE MOB PARTNERS LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232622772	MEDICAL OFFICE BUILDING RENTAL	PA	N/A	0	Yes (1)
LCMC URGENT CARE LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	300951534	URGENT CARE CENTER	DE	N/A	0	Yes (1)
LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP
1 WESTBROOK CORP CTR	WESTCHESTER	IL	60154	364119522	SURGICAL SERVICES	IL	N/A	0	Yes (1)
MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW	MASON CITY	IA	50401	421328388	MRI SERVICES	IA	N/A	0	Yes (1)
MASON CITY AMBULATORY SURGERY CENTER LLC
990 4TH STREET SW	MASON CITY	IA	50401	201960348	SURGERY-SAME DAY	IA	N/A	0	Yes (1)
MCE MOB IV LIMITED PARTNERSHIP
3100 EASTON SQUARE PL SUITE 300	COLUMBUS	OH	43219	421544707	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
MERCY HEART CTR OP SERVICES LLC
1000 4TH STREET SW	MASON CITY	IA	50401	134237594	CARDIOVASCULAR SERVICES	IA	N/A	0	0
MERCY REHABILITATION HOSPITAL LLC
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	814437201	HEALTH CARE SERVICES	IA	N/A	0	0
MERCYMANOR PARTNERSHIP
PO BOX 10086	TOLEDO	OH	43699	521931012	NURSING HOME	PA	N/A	0	Yes (1)
MERCYUSP HEALTH VENTURES LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	471290300	OUTPATIENT SURGERY	IA	N/A	0	0
MERCYONE - HFH HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	854007472	MEDICAL EQUIPMENT SALES	IA	N/A	0	0
MERCYONE - KRHC HOME MEDICAL SHOP LLC
1000 4TH STREET SW	MASON CITY	IA	50401	923276114	MEDICAL EQUIPMENT SALES	IA	N/A	0	0
NAUGATUCK VALLEY MRI LLC
385 MAIN STREET SOUTH	SOUTHBURY	CT	06488	061239526	IMAGING CENTER	CT	N/A	0	0
NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP
2601 HOLME AVE	PHILADELPHIA	PA	19152	232388040	MEDICAL OFFICE BUILDING	PA	N/A	0	Yes (1)
NUCO HEALTH LLC
31700 MIDDLEBELT RD STE 175	FARMINGTON HILLS	MI	48334	460951661	REVENUE CYCLE MANAGEMENT	DE	N/A	0	0
PHYSICIANS OUTPATIENT SURGERY CENTER LLC
1000 NE 56TH STREET	OAKLAND PARK	FL	33334	352325646	AMBULATORY SURGERY CENTER	FL	N/A	0	Yes (1)
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	472665226	URGENT CARE CENTERS	DE	N/A	0	0
PRIMARY CARE PHYSICIAN CENTER LLC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	364038505	OFFICE BUILDING RENTAL	IL	N/A	0	Yes (1)
RAPIDES AFTER HOURS CLINIC LLC
10319 JEFFERSON HIGHWAY	BATON ROUGE	LA	70809	451772383	URGENT CARE CENTER	LA	N/A	0	Yes (1)
SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC
14201 DALLAS PARKWAY	DALLAS	TX	75254	843522377	OUTPATIENT SURGERY	CA	N/A	0	0
SAINT ALPHONSUS CALDWELL CANCER CENTER LLC
3123 MEDICAL DR	CALDWELL	ID	83605	820526861	HEALTH CARE SERVICES	ID	N/A	0	Yes (1)
SIXTY FOURTH STREET LLC
2373 64TH ST STE 2200	BYRON CENTER	MI	49315	202443646	PROVIDE OUTPATIENT SURGICAL CARE	MI	N/A	0	0
SJLS LLC
920 WINTER ST	WALTHAM	MA	02451	201796650	HEALTH CARE SERVICES	NY	N/A	0	0
SMMC MOB II LP
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	364559869	INVESTMENT AND OPERATION OF A MEDICAL BUILDING	PA	N/A	0	0
ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP
3100 EASTON SQUARE PLACE SUITE 300	COLUMBUS	OH	43219	311603660	MEDICAL OFFICE BUILDING RENTAL	OH	N/A	0	Yes (1)
ST JOSEPH'S IMAGING ASSOCIATES PLLC
104 UNION AVE SUITE 905	SYRACUSE	NY	13203	161104293	HEALTH CARE SERVICES	NY	N/A	0	Yes (1)
ST MARY REHABILITATION HOSPITAL LLP
330 SEVEN SPRINGS WAY	BRENTWOOD	TN	37027	273938747	HEALTH CARE SERVICES	DE	N/A	0	0
ST PETER'S AMBULATORY SURGERY CENTER LLC
1375 WASHINGTON AVE 201	ALBANY	NY	12206	460463892	OUTPATIENT SURGERY	NY	N/A	0	Yes (1)
TEN MILE SURGERY CENTER LLC
875 S VANGUARD WAY STE 120	MERIDIAN	ID	83642	845119941	OUTPATIENT SURGERY	ID	N/A	0	0
THE AMBULATORY SURGERY CENTER AT ST MARY LLC
1203 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	272871206	OUTPATIENT SURGERY	PA	N/A	0	Yes (1)
THPH URGENT CARE LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	852464958	URGENT CARE CENTERS	DE	N/A	0	0
WEST LAKES SURGERY CENTER LLC
12499 UNIVERSITY AVENUE SUITE 100	CLIVE	IA	50325	205345295	OUTPATIENT SURGERY	IA	N/A	0	0
WOODLAND PARTNERS REAL ESTATE LLC
129 WOODLAND STREET	HARTFORD	CT	06105	833371094	REAL ESTATE	CT	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (42 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BH VENTURE MGMT LLC
905 WATSON STREET	PITTSBURGH	PA	15219	832416426	ASSET MANAGEMENT COMPANY	PA	N/A	C	Yes (1)
CENTRAL VALLEY HEALTH PLAN INC
1303 E HERNDON AVE	FRESNO	CA	93720	611846844	HEALTH INSURANCE	CA	N/A	C	Yes (1)
DES MOINES MEDICAL CENTER INC
1111 6TH AVENUE	DES MOINES	IA	50314	420837382	REAL ESTATE	IA	N/A	C	Yes (1)
FHS SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	272995699	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN ASSOCIATES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	202991688	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN HEALTH SUPPORT INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161236354	MEDICAL SERVICES	NY	N/A	C	Yes (1)
FRANCISCAN MANAGEMENT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161351193	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	863949369	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	HOSPITAL SERVICES	IA	N/A	C	Yes (1)
HACKLEY HEALTH VENTURES INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382589959	OTHER MEDICAL SERVICES	MI	N/A	C	Yes (1)
HACKLEY PROFESSIONAL PHARMACY INC
318 RIVER RIDGE DR NW SUITE 100	WALKER	MI	49544	382447870	PHARMACY	MI	N/A	C	Yes (1)
HEALTH CARE MANAGEMENT ADMINISTRATORS INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161450960	HEALTH CARE MANAGEMENT	NY	N/A	C	Yes (1)
HURON ARBOR CORPORATION
5301 EAST HURON RIVER DR	ANN ARBOR	MI	48106	382475644	OFFICE RENTAL	MI	N/A	C	Yes (1)
IHA AFFILIATION CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J	ANN ARBOR	MI	48106	383188895	MEDICAL MANAGEMENT	MI	N/A	C	Yes (1)
LANGHORNE SERVICES II INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	263795549	GENERAL PARTNER OF LMOB PARTNERS, II	PA	N/A	C	Yes (1)
LANGHORNE SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD	LANGHORNE	PA	19047	232625981	GENERAL PARTNER OF LMOB PARTNERS	PA	N/A	C	Yes (1)
MACNEAL HEALTH PROVIDERS INC
2160 SOUTH FIRST AVENUE	MAYWOOD	IL	60153	363361297	MEDICAL SERVICES	IL	N/A	C	Yes (1)
MARYLAND CARE GROUP INC
1500 FOREST GLEN RD	SILVER SPRING	MD	20910	521815313	HEALTH CARE HOLDING	MD	N/A	C	Yes (1)
MAXIS HEALTH TRENTON INC
20555 VICTOR PKWY	LIVONIA	MI	48152	884267557	PROPERTY HOLDINGS	NJ	N/A	C	Yes (1)
MEDNOW INC
4300 E FLAMINGO AVE	NAMPA	ID	83687	820389927	MEDICAL SERVICES	ID	N/A	C	Yes (1)
MERCY EASTWICK INC
3805 WEST CHESTER PIKE SUITE 100	NEWTOWN SQUARE	PA	19073	232184261	MEDICAL OFFICE BUILDINGS	PA	N/A	C	Yes (1)
MERCY INPATIENT MEDICAL ASSOCIATES INC
114 WOODLAND STREET	HARTFORD	CT	06105	043029929	MEDICAL SERVICES	MA	N/A	C	Yes (1)
MERCY MEDICAL SERVICES
1000 4TH STREET SW	MASON CITY	IA	50401	421283849	PRIMARY CARE PHYSICIANS	IA	N/A	C	Yes (1)
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	N/A	C	Yes (1)
MOUNT CARMEL HEALTHPROVIDERS INC
3100 EASTON SQUARE PL STE 300	COLUMBUS	OH	43219	311382442	MEDICAL SERVICES	OH	N/A	C	Yes (1)
NURSING NETWORK INC
4725 NORTH FEDERAL HIGHWAY	FORT LAUDERDALE	FL	33308	591145192	MEDICAL SERVICES	FL	N/A	C	Yes (1)
SAINT ALPHONSUS HEALTH ALLIANCE INC
1055 NORTH CURTIS ROAD	BOISE	ID	83706	820524649	ACCOUNTABLE CARE ORGANIZATION	ID	N/A	C	Yes (1)
SAINT FRANCIS CARE MEDICAL GROUP PC
114 WOODLAND STREET	HARTFORD	CT	06105	061432373	MEDICAL SERVICES	CT	N/A	C	Yes (1)
SAINT JOSEPH'S MCAULEY PARK I LLC
424 DECATUR ST	ATLANTA	GA	30312	880592157	PROPERTY MANAGEMENT	GA	N/A	C	Yes (1)
SAMARITAN MEDICAL OFFICE BUILDING INC
2212 BURDETT AVENUE	TROY	NY	12180	141607244	REAL ESTATE	NY	N/A	C	Yes (1)
SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC
114 WOODLAND STREET	HARTFORD	CT	06105	061232868	PROPERTY MANAGEMENT	CT	N/A	C	Yes (1)
SJM PROPERTIES INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	161294991	PROPERTY HOLDINGS	NY	N/A	C	Yes (1)
SJPE PRACTICE MANAGEMENT SERVICES INC
301 PROSPECT AVE	SYRACUSE	NY	13203	454164964	MANAGEMENT SERVICES	NY	N/A	C	Yes (1)
SJRMC HOLDINGS INC
5215 HOLY CROSS PARKWAY	MISHAWAKA	IN	46545	474763735	PROPERTY HOLDINGS	IN	N/A	C	Yes (1)
ST ELIZABETH HEALTH SUPPORT SERVICES INC
333 BUTTERNUT DRIVE SUITE 100	DEWITT	NY	13214	161540486	MEDICAL SERVICES	NY	N/A	C	Yes (1)
SYNANON INC
1309 SHELDON ROAD	GRAND HAVEN	MI	49417	382715568	URGENT CARE	MI	N/A	C	Yes (1)
SYSTEM COORDINATED SERVICES INC
114 WOODLAND STREET	HARTFORD	CT	06105	042938161	LAB SERVICES	MA	N/A	C	Yes (1)
THRE SERVICES LLC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	452603654	REAL ESTATE BROKERAGE SERVICES	MI	N/A	C	Yes (1)
TRINITY ASSURANCE LTD
				980453602	SELF-INSURANCE		N/A	C	Yes (1)	GOV SQ BLDG 4 34 LIME TREE BAY	GRAND CAYMAN	CJ	CJ
TRINITY HEALTH ACO INC
20555 VICTOR PARKWAY	LIVONIA	MI	48152	473794666	ACCOUNTABLE CARE ORGANIZATION	DE	N/A	C	Yes (1)
TRINITY HEALTH EMPLOYEE BENEFIT TRUST
20555 VICTOR PARKWAY	LIVONIA	MI	48152	383410377	GRANTOR TRUST	MI	N/A	T	Yes (1)
TRINITY SENIOR SERVICES MANAGEMENT INC
PO BOX 530009	LIVONIA	MI	48153	371572595	SENIOR SERVICES	PA	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COVENANT MEDICAL CENTER INC
P	$56,321	PER BOOKS
MERCY HEALTH NETWORK INC
M	$172,381	PER BOOKS
MERCY HEALTH NETWORK INC
P	$52,213	PER BOOKS
MERCY HEALTH SERVICES - IOWA CORP
P	$378,080	PER BOOKS
MERCY HEALTH SERVICES - IOWA CORP
Q	$50,121	PER BOOKS
TRINITY HEALTH CORPORATION
B	$97,286	PER BOOKS
TRINITY HEALTH CORPORATION
M	$1,444,900	PER BOOKS
TRINITY HEALTH CORPORATION
P	$89,849	PER BOOKS