TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ROOSEVELT N NESMITH ESQ........................................................................ CHAIRMAN - TRUSTEE	1.0 .......................0.0	X	X	0	0	0
(2) REVEREND MSGR RONALD J ROZNIAK........................................................................ SECRETARY - TRUSTEE	1.0 .......................0.0	X	X	0	0	0
(3) CECIL B CATES........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(4) CATHERINE CUOMO-CECERE........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(5) MICHELLE DECILLIS CPA........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(6) WILLIAM A DIGIACOMO MD........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(7) CLAUDIA A KOMER DO........................................................................ TRUSTEE - PHYSICIAN	30.0 .......................0.0	X		302,781	0	0
(8) RAYMOND OCASIO........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(9) DAVID A RICCI FACHE........................................................................ TRUSTEE - PRESIDENT & CEO	55.0 .......................0.0	X	X	0	828,034	30,754
(10) DEREK S WARE........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(11) MICHAEL CRITCHELY SR ESQ........................................................................ TRUSTEE (TERM 6/2014)	1.0 .......................0.0	X		0	0	0
(12) DENNIS A PETTIGREW........................................................................ VP - CFO/COO	55.0 .......................0.0		X	332,130	0	9,488
(13) RONALD J NAPIORSKI........................................................................ VP FINANCE	55.0 .......................0.0		X	282,935	0	19,929
(14) RICHARD VITALI........................................................................ VP CARDIOVASCULAR SERVICES	55.0 .......................0.0		X	256,032	0	27,732
(15) LIONEL LIMA........................................................................ VP SURGICAL SVCS(TERM 6/30/14)	55.0 .......................0.0		X	218,885	0	13,494
(16) STEWART CUNNINGHAM........................................................................ VP LEGAL SERVICES	55.0 .......................0.0		X	202,280	0	3,155
(17) DENNIS SPARKS........................................................................ VP HUMAN RESOURCES	55.0 .......................0.0		X	192,322	0	9,180

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO INC, PO BOX 81049 WOBURN,MA18131	FOOD/MANAGEMENT	6,128,837
GATEWAY EMERGENCY SERVICES PC, 111 CENTRAL AVENUE NEWARK,NJ071021909	MEDICAL	5,428,244
PRECYSE SOLUTIONS LLC, 1275 DRUMMER LANE SUITE 200 WAYNE,PA19087	MEDICAL RECORDS	1,795,247
TRIMEDX LLC, 5451 LAKEVIEW PARKWAY S DR INDIANAPOLIS,IN46268	BIOMEDICAL ENGINEER.	1,522,676
ESSEX PHYSICIAN SERVICES PC, 111 CENTRAL AVENUE NEWARK,NJ071023101	MEDICAL	1,168,555
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 56

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	0
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,070,666	1,863,599	207,067
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	78,892,885	71,003,596	7,889,289
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,726,134	5,153,521	572,613
9	Other employee benefits .......	7,839,150	7,055,235	783,915
10	Payroll taxes ...........	5,776,271	5,198,644	577,627
11	Fees for services (non-employees):
a	Management ......	181,756	163,580	18,176
b	Legal .........	1,182,434	1,064,191	118,243
c	Accounting ...........	216,858	195,172	21,686
d	Lobbying ...........	6,823	6,141	682
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	26,398,076	23,758,269	2,639,807
12	Advertising and promotion ....	360,676	324,608	36,068
13	Office expenses .......	5,492,442	4,943,198	549,244
14	Information technology ......	99,209	89,288	9,921
15	Royalties ..	0
16	Occupancy ...........	4,042,419	3,638,177	404,242
17	Travel ............	173,230	155,907	17,323
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	19,151,481	17,236,333	1,915,148
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	6,198,669	5,578,802	619,867
23	Insurance ..............	1,986,889	1,788,200	198,689
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	26,857,419	24,171,677	2,685,742	0
b	CONTRACTED SERVICES	14,578,322	13,120,490	1,457,832
c	REPAIRS AND MAINTENANCE	2,795,256	2,515,730	279,526
d	DUES & SUBSCRIPTIONS	282,164	253,948	28,216
e	All other expenses	2,212,569	1,991,312	221,257
25	Total functional expenses. Add lines 1 through 24e	212,521,798	191,269,618	21,252,180	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	23,698,762	2	20,501,700
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	19,020,277	4	19,579,836
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	4,074,131	8	4,411,703
9	Prepaid expenses and deferred charges ..........	2,818,326	9	2,647,370
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	96,949,458
b	Less: accumulated depreciation .....	10b	20,444,296	75,703,269	10c	76,505,162
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	1,340,325	13	1,340,325
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	27,763,894	15	9,626,590
16	Total assets. Add lines 1 through 15 (must equal line 34)......	154,418,984	16	134,612,686
	17	Accounts payable and accrued expenses .........	17,598,585	17	20,268,616
18	Grants payable .................	0	18	0
19	Deferred revenue ................	516,397	19	292,602
20	Tax-exempt bond liabilities .............	232,268,869	20	227,819,331
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	11,308,889	23	10,521,531
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	139,669,580	25	142,603,349
26	Total liabilities. Add lines 17 through 25.........	401,362,320	26	401,505,429
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	-247,481,449	27	-266,892,743
28	Temporarily restricted net assets ...........	538,113	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	-246,943,336	33	-266,892,743
34	Total liabilities and net assets/fund balances ........	154,418,984	34	134,612,686

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization SAINT MICHAEL'S MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization SAINT MICHAEL'S MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

6,823

Total. Add lines 1c through 1i ...............................

6,823

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINE 1G	THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $6,823 DURING 2014.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	16,900,000		16,900,000
b	Buildings ................	55,851,320	13,597,892	42,253,428
c	Leasehold improvements ............
d	Equipment ................	23,771,508	6,839,444	16,932,064
e	Other .................	426,630	6,960	419,670
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				76,505,162

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) SERVICE FUND				4,978,717
(2) OTHER RECEIVABLES				3,421,574
(3) OTHER ASSETS				1,226,299






Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				9,626,590

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO AFFILIATES		6,039,943
SETTLEMENTS, NET		5,017,176
INSURANCE LIABILITIES		3,254,103
DUE TO TRINITY		121,496,052
OTHER LIABILITIES		6,796,075




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		142,603,349
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	1,400,000
	Central America and the Caribbean			Investments		11,789,000















3a	Sub-total .....	1	1			13,189,000
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			13,189,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	18,158,005	24,127,156
b	Medicaid (from Worksheet 3, column a) ....	51,862,074	33,049,601	18,812,473	8.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	70,020,079	57,176,757	18,812,473	8.850 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4) ..
f	Health professions education (from Worksheet 5) ..	9,904,403	6,131,445	3,772,958	1.780 %
g	Subsidized health services (from Worksheet 6) ..	6,931,364	256,362	6,675,002	3.140 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	16,835,767	6,387,807	10,447,960	4.920 %
k	Total. Add lines 7d and 7j .	86,855,846	63,564,564	29,260,433	13.770 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

11,051,477

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

11,051,477

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

Enter Medicare allowable costs of care relating to payments on line 5.....

Subtract line 6 from line 5. This is the surplus (or shortfall)........

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	SAINT MICHAEL'S MEDICAL CENTER 111 CENTRAL AVENUE NEWARK,NJ071021909 WWW.SMMCNJ.ORG 10713	X	X	X	X	1

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SAINT MICHAEL'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.SMMCNJ.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.SMMCNJ.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	SAINT MICHAEL'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url): X

A plain language summary of the FAP was widely available on a website (list url):
X

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	SAINT MICHAEL'S MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTIONS 2, 3J, 6A, 6B & 7D	NOT APPLICABLE.
SCHEDULE H, PART V, SECTION B, QUESTION 5	SAINT MICHAEL'S MEDICAL CENTER UTILIZED SECONDARY DATA AND CONDUCTED KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND COMMUNITY SURVEYS OF 163 RESPONDENTS TO IDENTIFY THE NEEDS OF THE COMMUNITY IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUS GROUPS THE ORGANIZATION UTILIZED THREE SOURCES OF FOCUS GROUP PARTICIPANTS. THE FIRST INVOLVED A SMALL GROUP OF NEWARK PUBLIC HOUSING RESIDENTS, NINE FEMALE AND ONE MALE; THE SECOND WAS COMPRISED OF A GROUP OF HISPANIC RESIDENTS WHO ARE CLIENTS OF A COMMUNITY-BASED ORGANIZATION IN NEWARK, MALES (1) AND FEMALES (10); AND THIRD WAS MADE UP OF A GROUP OF EAST ORANGE RESIDENTS WHO WERE DRAWN FROM THROUGHOUT THE CITY, MALES (3) AND FEMALES (6). THE FOCUS GROUP SESSIONS WERE HELD AT THE COMMUNITY ROOM OF A PUBLIC HOUSING UNIT IN NEWARK, A COMMUNITY-BASED ORGANIZATION IN NEWARK, AND A CHURCH IN EAST ORANGE. KEY INFORMANT INTERVIEWS THE PURPOSE OF THESE KEY INFORMANT INTERVIEWS WAS TO COLLECT INFORMATION FROM A WIDE RANGE OF PEOPLE WITH DIVERSE BACKGROUNDS INCLUDING COMMUNITY LEADERS, LOCAL HEALTH DEPARTMENT, COMMUNITY HEALTH CENTER, PROFESSIONALS, PHYSICIANS, RELIGIOUS LEADERS, AGENCY REPRESENTATIVES, AND COMMUNITY RESIDENTS WHO HAVE FIRST-HAND KNOWLEDGE ABOUT THE COMMUNITY, ITS RESIDENTS, AND ISSUES WE ARE TRYING TO INVESTIGATE, IN ORDER TO OBTAIN A VARIETY OF PERSPECTIVES. IT WAS INDICATED THAT THESE 50 COMMUNITY EXPERTS, WITH THEIR PARTICULAR KNOWLEDGE AND UNDERSTANDING, COULD PROVIDE INSIGHT INTO THE NATURE OF PROBLEMS AND RECOMMEND SOLUTIONS. FURTHER, WE CHOSE THIS METHOD FOR THE RELATIVE EASE WITH WHICH RICH DATA COULD BE GATHERED. IT ALSO PROVIDED US THE OPPORTUNITY TO STRENGTHEN, AND, WHERE NECESSARY, BUILD RELATIONSHIPS WITH IMPORTANT COMMUNITY INFORMANTS AND STAKEHOLDERS. IT WAS ALSO HELPFUL IN RAISING AWARENESS, INTEREST, AND ENTHUSIASM AROUND HEALTH CARE ISSUES AND PROBLEMS FACING THE COMMUNITY. THE FACE-TO-FACE INTERVIEW FORMAT WAS THE MOST FREQUENTLY USED. FACE-TO-FACE PROVIDED A FREE-EXCHANGE OF IDEAS AND LENT ITSELF TO ASKING MORE COMPLEX QUESTIONS AND GETTING MORE DETAILED RESPONSES. AT TIMES, THERE WERE SMALL GROUPS OF INDIVIDUALS (TWO TO THREE PEOPLE) ENGAGED IN A COMFORTABLE ENVIRONMENT, WHICH ALLOWED FOR A FRANK AND OPEN IN-DEPTH DISCUSSION. THESE INTERVIEWS TYPICALLY LASTED 20-30 MINUTES. AGAIN, ONCE ENGAGED, INFORMANTS WERE WILLING TO SPEAK LONGER.
SCHEDULE H, PART V, SECTION B, QUESTION 11	IN STRIVING TO IDENTIFY AND ADDRESS NEWARK'S MOST PRESSING HEALTHCARE NEEDS AND TO POSITION SAINT MICHAEL'S MEDICAL CENTER ("SMMC') TO OPTIMALLY ADDRESS THEM, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED/DEVELOPED AND, HAS DETERMINED THAT THE RESIDENTS OF NEWARK AND SURROUNDING AREAS FACE CHALLENGES UNLIKE MOST OTHER CITIES IN THE STATE OF NEW JERSEY. AMONG THESE UNIQUE CHALLENGES ARE HIGH POVERTY RATES FOR YOUNG CHILDREN AND SINGLE MOTHERS, AND REMARKABLY HIGH DEATH RATES ATTRIBUTED TO HIV AND HOMICIDES. THIS REPORT, A THOROUGH ASSESSMENT OF OUR AREA'S HEALTHCARE PROFILE, INCLUDES REVIEW OF PUBLIC HEALTH DATA, SUMMARY PATIENT INFORMATION FROM CARE PROVIDERS, AND DATA OBTAINED BY MEANS OF FOCUS GROUPS, AND A COMMUNITY NEEDS ASSESSMENT. RELEVANT FACTORS THAT LIMIT ACCESS TO HEALTHCARE INCLUDE GEOGRAPHIC VARIATION, ADEQUACY OF HEALTH INSURANCE COVERAGE, AND LANGUAGE BARRIERS. POVERTY, HIGH MORTALITY AND MORBIDITY RATES, BARRIERS TO ACCESSING HEALTHCARE AND PREVALENT HOMELESSNESS ARE SOME OF THE KEY INDICATORS OF A COMMUNITY THAT IS CLEARLY IN CRISIS. THESE FINDINGS ARE NOT NEW AS THE PROBLEMS HAVE EXISTED IN NEWARK FOR SOME TIME. THE REALITY IS THAT NO ONE ORGANIZATION CAN SOLVE ALL OF THE PROBLEMS IN THIS COMMUNITY. THERE MUST BE A SHARED SENSE OF COMMITMENT TO IMPROVING THE HEALTH AND WELL-BEING OF THE NEWARK COMMUNITY. IT IS THROUGH COLLABORATION WITH PHYSICIANS, COMMUNITY AGENCIES, POLITICAL LEADERS, PUBLIC HEALTH, RELIGIOUS LEADERS AND AS WELL AS OTHER ORGANIZATIONS THAT IMPROVEMENT CAN BE REALIZED. SAINT MICHAEL'S MEDICAL CENTER HAD BEEN A PILLAR IN THIS COMMUNITY SINCE 1867 AND HAS ALWAYS BEEN COMMITTED TO MEETING THE HEALTHCARE NEEDS OF THOSE WITHIN THEIR REACH. LIMITED RESOURCES, HOWEVER, COMBINED WITH HEALTH AND SOCIAL FACTORS BECOMING MORE COMPLEX HAS PUT SMMC IN A POSITION OF HAVING TO IDENTIFY THE MOST PRESSING HEALTH NEEDS ON WHICH TO FOCUS INCREASINGLY LIMITED RESOURCES. IT IS WELL DOCUMENTED THAT THERE ARE MANY SOCIAL AND ECONOMIC ISSUES THAT PLAGUE THE RESIDENTS OF NEWARK, MANY OF WHICH ARE BEYOND SMMC'S CONTROL. WHAT IS WITHIN OUR GRASP IS THE ABILITY TO FORM COLLABORATIVE RELATIONSHIPS WITH APPROPRIATE PROVIDERS, ORGANIZATIONS AND THE COMMUNITY IN AN EFFORT TO BETTER MEET THE HEALTHCARE NEEDS THAT HAVE BEEN IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE FACT THAT MANY PEOPLE IN NEWARK ARE NOT CONNECTED TO PRIMARY CARE IS RECOGNIZED AS A MAJOR BARRIER TO A HEALTHIER POPULATION. OUR FIRST PRIORITY IS TO IMPROVE HEALTHCARE STATUS AND, WHEN HEALTHCARE SERVICES ARE NEEDED, TO PROVIDE EASY ACCESS TO HIGH QUALITY, COST EFFECTIVE HEALTHCARE SERVICES. IT IS IN THAT LIGHT THAT THE COMMUNITY OUTREACH COMMITTEE MET TO REVIEW AND DISCUSS THE FINDINGS OF THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE RESULTS WERE VALIDATED THROUGH FEEDBACK SOLICITED FROM OUR OUTREACH COORDINATORS' INTERACTIONS IN THE COMMUNITY, AND DOCUMENTED TRENDS EXPERIENCED BY SMMC. EXTERNAL RESOURCES, SUCH AS THE NEWARK TASK FORCE TO END HOMELESSNESS AND THE NEWARK DEPARTMENT OF CHILD AND FAMILY WELL BEING, WERE ALSO CONSULTED TO VALIDATE THESE FINDINGS. THE COMMITTEE THEN DEVELOPED A GRID THAT WOULD SERVE AS A VISUAL REPRESENTATION OF HOW EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED TIED BACK TO THE RECOMMENDATIONS IN THE DOCUMENT. EACH OF THE HEALTH NEEDS IDENTIFIED WERE COMPARED TO THE COMPENDIUM OF PROGRAMS AND SERVICES THAT ARE CURRENTLY WITHIN THE SCOPE OF CARE AT SMMC. THOSE THAT FELL OUTSIDE WERE GIVEN A LOWER PRIORITY THAN THOSE THAT FELL WITHIN. FROM THERE AN INVENTORY OF CURRENT INITIATIVES WAS DEVELOPED WHICH LED TO A MEETING WITH THE PROGRAM MANAGERS AND OUTREACH COORDINATORS TO DETERMINE WHERE SMMC COULD LEVERAGE EXISTING RESOURCES TO FILL THE STATED NEEDS. SMMC REVIEWED EXISTING PLANS TO PARTICIPATE IN COMMUNITY EVENTS AS A VENUE FOR OUTREACH, EDUCATION AND SCREENING OPPORTUNITIES AND ASSIGNED PRIORITIES ACCORDINGLY. THE FOLLOWING UNMET NEEDS WERE NOT ADDRESSED DUE TO THE FACT THAT SMMC DOES NOT HAVE THE EXPERTISE/COMPETENCY TO SATISFY THE NEED EFFECTIVELY: - COLONOSCOPIES. - EYE EXAMS. - UNDERSTANDING HOW THE PATIENTS CULTURAL VALUES AND BELIEFS AFFECT HOW CARE IS RENDERED. - EARLY PRENATAL CARE. - LOW BIRTH WEIGHT BABIES & INFANT MORTALITY RATE. - TEEN PREGNANCY. SMMC IS ADDRESSING THE PRIMARY CARE PORTION OF THE IDENTIFIED NEED FOR ACCESS TO ONGOING SOURCE OF HEALTHCARE FOR HOMELESS PERSONS IN THE SERVICE AREA PRIMARY CARE, MENTAL HEALTH, SUBSTANCE ABUSE, DENTAL CARE AND VISION CARE. HOWEVER, THE OTHER AREAS OF THIS NEED ARE BEING ADDRESSED BY OTHERS IN THE COMMUNITY.
SCH H, PART V, SECTION B,Q'S 13B,13H,15E,16I,18D,19D,20E,21C,21D,22D,23&24	NOT APPLICABLE.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCHEDULE H, PART I, LINE 3C	THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY IS PER NEW JERSEY ADMINISTRATIVE CODE 10:52 SUB CHAPTERS 11, 12 AND 13, AND BASED UPON THE 2014 POVERTY GUIDELINES (DEPARTMENT OF HEALTH AND SENIOR SERVICES). FPG ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7G	NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS.
SCHEDULE H, PART I; QUESTION 7	WORKSHEET 2 WAS USED FOR THE COST TO CHARGE RATIO.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS.
SCHEDULE H, PART III, SECTION A; QUESTION 2, 3 & 4	PLEASE REFER TO THE TEXT OF FOOTNOTE # 3 INCLUDED ON PAGES 8 AND 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B; QUESTIONS 5-8	The organization is unable to compete Schedule H, Part III, Lines 5-7 as a result of the fact that its Medicare Cost Reports for 2014 have not yet been filed. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY
SCHEDULE H, PART III, SECTION B; QUESTION 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF SAINT MICHAEL'S MEDICAL CENTER, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. LOW INTEREST LOAN PROGRAM, OR 3. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE NEW JERSEY HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF NEW JERSEY.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES (HEALTH RESEARCH AND EDUCATION TRUST IN PARTNERSHIP WITH THE AMERICAN HOSPITAL ASSOCIATION). THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. ONE FORUM IS A QUARTERLY REGIONAL COMMUNITY ADVISORY BOARD HOSTED BY A LOCAL HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS.
SCHEDULE H, PART VI; QUESTION 3	CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH AND PORTUGUESE. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS.
SCHEDULE H, PART VI; QUESTION 4	THE ORGANIZATION SERVES AN INNER CITY COMMUNITY, WHICH IS SURROUNDED BY OTHER INNER CITY COMMUNITIES. THE DEMOGRAPHICS OF THE COMMUNITY ARE ONE-THIRD CAUCASION, ONE-THIRD AFRICAN AMERICAN AND ONE-THIRD HISPANIC.
SCHEDULE H, PART VI; QUESTION 5	THIS ORGANIZATION OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. THE ORGANIZATION OPERATES AN ACTIVE EMERGENCY department FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. THE ORGANIZATION MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF THE ORGANIZATION RESTS WITH ITS BOARD OF GOVERNORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES COMMUNITY HEALTH.
SCHEDULE H, PART VI; QUESTION 6	SAINT MICHAEL'S MEDICAL CENTER ------------------------------ SAINT MICHAEL'S MEDICAL CENTER ("SMMC") is a 357-bed REGIONAL TERTIARY-CARE, TEACHING AND RESEARCH CENTER located in NEWARK, ESSEX County, New Jersey. SMMC is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, SMMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, SMMC operates consistently with the criteria outlined in IRS revenue ruling 69-545. 1. SMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. SMMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. SMMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SMMC RESTS WITH ITS BOARD OF TRUSTEES. ITS BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. SAINT MICHAEL'S FOUNDATION, INC. -------------------------------- SAINT MICHAEL'S FOUNDATION, INC. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(3). Through fundraising activities the organization supports the charitable purposes, programs and services of SAINT MICHAEL'S MEDICAL CENTER. COLUMBUS ACQUISITION CORPORATION -------------------------------- COLUMBUS ACQUISITION CORPORATION IS AN INACTIVE organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). SAINT JAMES CARE, INC. ---------------------- SAINT JAMES CARE, INC. IS AN INACTIVE organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). UNIVERSITY HEIGHTS PROPERTY COMPANY, INC. ----------------------------------------- UNIVERSITY HEIGHTS PROPERTY COMPANY, INC. IS A REAL ESTATE HOLDING ORGANIZATION recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(2). IN ADDITION TO THE ABOVE, SMMC IS AN AFFILIATE WITHIN TRINITY HEALTH CORPORATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE R OF THIS FORM 990 FOR A LISTING OF ALL RELATED ORGANIZATIONS.
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1CLAUDIA A KOMER DOTRUSTEE - PHYSICIAN	(i) (ii)	300,005 ............................... 0	0 ............................... 0	2,776 ............................... 0	0 ............................... 0	0 ............................... 0	302,781 ............................... 0	0 ............................... 0
2DAVID A RICCI FACHETRUSTEE - PRESIDENT & CEO	(i) (ii)	0 ............................... 460,353	0 ............................... 271,058	0 ............................... 96,623	0 ............................... 11,700	0 ............................... 19,054	0 ............................... 858,788	0 ............................... 0
3DENNIS A PETTIGREWVP - CFO/COO	(i) (ii)	326,417 ............................... 0	0 ............................... 0	5,713 ............................... 0	2,375 ............................... 0	7,113 ............................... 0	341,618 ............................... 0	0 ............................... 0
4RONALD J NAPIORSKIVP FINANCE	(i) (ii)	252,902 ............................... 0	25,675 ............................... 0	4,358 ............................... 0	2,587 ............................... 0	17,342 ............................... 0	302,864 ............................... 0	0 ............................... 0
5RICHARD VITALIVP CARDIOVASCULAR SERVICES	(i) (ii)	229,115 ............................... 0	26,167 ............................... 0	750 ............................... 0	2,330 ............................... 0	25,402 ............................... 0	283,764 ............................... 0	0 ............................... 0
6LIONEL LIMAVP SURGICAL SVCS(TERM 6/30/14)	(i) (ii)	218,496 ............................... 0	0 ............................... 0	389 ............................... 0	793 ............................... 0	12,701 ............................... 0	232,379 ............................... 0	0 ............................... 0
7STEWART CUNNINGHAMVP LEGAL SERVICES	(i) (ii)	200,463 ............................... 0	0 ............................... 0	1,817 ............................... 0	2,015 ............................... 0	1,140 ............................... 0	205,435 ............................... 0	0 ............................... 0
8DENNIS SPARKSVP HUMAN RESOURCES	(i) (ii)	156,675 ............................... 0	17,600 ............................... 0	18,047 ............................... 0	1,210 ............................... 0	7,970 ............................... 0	201,502 ............................... 0	0 ............................... 0
9NANCY A BISCO-FLORACHIEF COMPLIANCE OFFICER	(i) (ii)	150,769 ............................... 0	10,000 ............................... 0	2,006 ............................... 0	1,294 ............................... 0	7,970 ............................... 0	172,039 ............................... 0	0 ............................... 0
10SHRAVAN KAMBAM MDPHYSICIAN	(i) (ii)	524,174 ............................... 0	50,000 ............................... 0	1,210 ............................... 0	2,600 ............................... 0	25,402 ............................... 0	603,386 ............................... 0	0 ............................... 0
11SANIEA MAJID MDPHYSICIAN	(i) (ii)	308,173 ............................... 0	0 ............................... 0	620 ............................... 0	2,600 ............................... 0	25,402 ............................... 0	336,795 ............................... 0	0 ............................... 0
12NORMA RAE MDPHYSICIAN	(i) (ii)	287,533 ............................... 0	0 ............................... 0	954 ............................... 0	1,450 ............................... 0	16,115 ............................... 0	306,052 ............................... 0	0 ............................... 0
13PADMAKSHI SINGH MDPHYSICIAN	(i) (ii)	248,818 ............................... 0	0 ............................... 0	486 ............................... 0	2,404 ............................... 0	7,970 ............................... 0	259,678 ............................... 0	0 ............................... 0
14SARAH CHIMA MDPHYSICIAN	(i) (ii)	248,388 ............................... 0	0 ............................... 0	540 ............................... 0	2,211 ............................... 0	11,311 ............................... 0	262,450 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: DAVID A. RICCI, FACHE, $88,222.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
SAINT MICHAEL'S MEDICAL CENTER

Employer identification number
26-2616046

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTHCARE FACILITIES FINANCING AUTHORITY	22-1987084	64580AAN1	07-31-2008	251,324,377	DEFEASE DEBT,EXPENSES,CONSTRUCTION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	19,275,000
2 Amount of bonds legally defeased . . . . . . . . . . .	69,815,597
3 Total proceeds of issue . . . . . . . . . . . . . .	252,545,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0
5 Capitalized interest from proceeds . . . . . . . . . . .	0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0
7 Issuance costs from proceeds . . . . . . . . . . . .	4,854,518
8 Credit enhancement from proceeds . . . . . . . . . . .	0
9 Working capital expenditures from proceeds . . . . . . . . .	47,874,885
10 Capital expenditures from proceeds . . . . . . . . . . .	86,200,000
11 Other spent proceeds . . . . . . . . . . . . . .	43,800,000
12 Other unspent proceeds . . . . . . . . . . . . . .	0
13 Year of substantial completion . . . . . . . . . . . .	2008
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .	0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X
b Name of provider . . . . . . . . .	0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SCOTT DIGIACOMO MD	FAMILY MEMBER OF TRUSTEE	93,600	INDEPENDENT CONTRACTOR OF SMMC		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== SAINT MICHAEL'S MEDICAL CENTER ("SMMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. SMMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C) (3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, SMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, SMMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. SMMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. SMMC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. SMMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF SMMC RESTS WITH ITS BOARD OF TRUSTEES. ITS BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF SMMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF SMMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. MISSION STATEMENT ================= THE MISSION OF SAINT MICHAEL'S MEDICAL CENTER, A MEMBER OF TRINITY HEALTH CORPORATION, ROOTED IN THE HEALING MINISTRY OF JESUS, IS TO PROVIDE EXCELLENCE IN HEALTHCARE TO THE COMMUNITIES WE SERVE, INTEGRATING PRINCIPLES OF INCLUSION, EDUCATING THE NEXT GENERATION OF CARE PROVIDERS, AND FOCUSING ON TREATING ALL PERSONS IN THE FRANCISCAN TRADITION OF COMPASSION, DIGNITY, RESPECT, AND COMMITMENT TO POOR AND MARGINALIZED PERSONS. CORE VALUES ============ - REVERENCE FOR EACH PERSON - COMMUNITY - JUSTICE - COMMITMENT TO THOSE WHO ARE POOR AND MARGINALIZED - COURAGE - INTEGRITY - SCHOLARSHIP HISTORY ======= ESTABLISHED BY THE FRANCISCAN SISTERS OF THE POOR IN 1867, SAINT MICHAEL'S MEDICAL CENTER IS A 357-BED REGIONAL TERTIARY-CARE, TEACHING, AND RESEARCH CENTER IN THE HEART OF NEWARK'S BUSINESS AND EDUCATIONAL DISTRICT AND IS ACCREDITED BY THE JOINT COMMISSION. COMBINING STATE-OF-THE-ART TECHNOLOGY, THE LATEST DIAGNOSTIC AND THERAPEUTIC PROCEDURES, LEADING-EDGE RESEARCH, AND A NETWORK OF HIGHLY QUALIFIED PHYSICIANS, NURSES, AND ALLIED HEALTH PROFESSIONALS, THE HOSPITAL PROVIDES TOP-QUALITY HEALTHCARE SERVICES DELIVERED WITH COMPASSIONATE CARE. THE FIRST MEDICAL INSTITUTION IN NEW JERSEY TO PERFORM OPEN-HEART SURGERY, AND THE FIRST TO DEVELOP A CARDIAC CATHETERIZATION PROGRAM, SAINT MICHAEL'S MEDICAL CENTER IS HOME TO THE HEART AND VASCULAR INSTITUTE, WHICH OFFERS A COMPREHENSIVE ARRAY OF INNOVATIVE CARDIAC TREATMENTS AND PROCEDURES. THE REGIONAL CANCER CENTER, LOCATED ON THE SAINT MICHAEL'S MEDICAL CENTER CAMPUS, PROVIDES PATIENTS WITH STATE-OF-THE-ART CANCER TREATMENT THROUGH THE SEAMLESS INTEGRATION OF MEDICAL, SURGICAL, AND RADIATION ONCOLOGY SERVICES. THE CONNIE DWYER BREAST CENTER AT SAINT MICHAEL'S MEDICAL CENTER OFFERS THE MOST INNOVATIVE DIAGNOSTICS AND PROCEDURES CURRENTLY AVAILABLE FOR THE TREATMENT OF BREAST CANCER AND OTHER BREAST DISEASES, WHILE ALSO PROVIDING SCREENING SERVICES AND A HOST OF EDUCATIONAL AND SUPPORT PROGRAMS. SAINT MICHAEL'S MEDICAL CENTER HAS LONG ENJOYED AN OUTSTANDING REPUTATION AS A PREMIER TEACHING AND RESEARCH INSTITUTION AND REMAINS AN INTERNATIONAL LEADER IN THE TREATMENT AND STUDY OF INFECTIOUS DISEASES, SUCH AS HIV/AIDS AND HEPATITIS. A MAJOR TEACHING AFFILIATE OF THE SETON HALL UNIVERSITY SCHOOL OF GRADUATE MEDICAL EDUCATION, THE NEW ENGLAND COLLEGE OF OSTEOPATHIC MEDICINE, AND SAINT GEORGE'S UNIVERSITY SCHOOL OF MEDICINE, THE HOSPITAL OFFERS RESIDENCIES IN ANESTHESIA, INTERNAL MEDICINE AND PODIATRY, AS WELL AS FELLOWSHIPS IN CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, GASTROENTEROLOGY, ONCOLOGY, INFECTIOUS DISEASE, PULMONARY AND CRITICAL CARE. BEHAVIORAL-HEALTH SERVICES ARE ALSO AVAILABLE AT SAINT MICHAEL'S MEDICAL CENTER. AT SMMC YOU'LL FIND A MEDICAL STAFF OF MORE THAN 500 PHYSICIANS, AS WELL AS NURSES, RESIDENTS, FELLOWS, AND STAFF MEMBERS WHO ARE COMMITTED TO LIVING THE MISSION OF SMMC EVERY DAY. THESE ARE MEN AND WOMEN WHO NOT ONLY BELIEVE IN THIS HOSPITAL, BUT IN NEWARK-AND IN THE IMPORTANT ROLE SMMC PLAYS IN THE COMMUNITY. THESE ARE THE BEST AND BRIGHTEST CAREGIVERS-AND THE MAIN REASONS WE HAVE SUCH A VIBRANT FUTURE AHEAD OF US. IN ADDITION TO PROVIDING TOP-QUALITY HEALTHCARE, SMMC ALSO GENERATES JOBS, PURCHASES GOODS AND SERVICES FROM COMMUNITY BUSINESSES, SERVES AS A SOURCE OF HEALTH EDUCATION TO THE COMMUNITY, AND PROVIDES MANY OTHER DEFINABLE COMMUNITY BENEFITS. MOREOVER, OUR SERVICES ARE OFFERED IN THE CONTEXT OF OUR CATHOLIC VALUES IN THE HEART OF THE NEIGHBORHOODS THAT NEED US MOST. WITH OUR 147 STAFFED BEDS, ALMOST 1,600 EMPLOYEES, AND APPROXIMATELY 500 AFFILIATE PHYSICIANS, SMMC IS ONE OF THE AREA'S LEADING PROVIDERS OF HEALTHCARE, WITH OVER 8,000 INPATIENT ADMISSIONS, MORE THAN 36,000 EMERGENCY ROOM VISITS, AND MORE THAN 48,000 AMBULATORY CARE VISITS ANNUALLY. CENTERS OF EXCELLENCE ====================== THE CANCER CENTER ================= ACCREDITED BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACOS), THE CANCER CENTER AT SAINT MICHAEL'S MEDICAL CENTER DELIVERS A COMPREHENSIVE CONTINUUM OF CANCER CARE THAT INTEGRATES CLINICAL EXPERTISE, COMPASSIONATE CARE, AND LEADING-EDGE TECHNOLOGY AND TECHNIQUES. A DEDICATED TEAM OF PHYSICIANS, NURSES, AND TECHNICAL AND SUPPORT STAFF WORKS TOGETHER TO PROVIDE PATIENTS WITH ADVANCED MEDICAL, SURGICAL, AND RADIATION ONCOLOGY SERVICES. THE TEAM AT THE CANCER CENTER TREATS A WIDE RANGE OF CANCER TYPES. FROM THE MOST COMMON TO THE MORE COMPLICATED FORMS OR CANCER, WE CREATE AN INDIVIDUALIZED TREATMENT PLAN TO PRODUCE THE BEST OUTCOME POSSIBLE FOR EACH PATIENT. RADIATION ONCOLOGY ================== OUR STAFF USES HIGHLY ADVANCED CANCER-CARE TECHNOLOGY FOR VARIOUS RADIATION TREATMENTS, INCLUDING: - TWO VARIAN 21 EX LINEAR ACCELERATORS WITH MULTI-LEAF COLLIMATORS. - STATE-OF-THE-ART SYSTEM FOR INTENSITY MODULATED RADIATION THERAPY (IMRT). - DEDICATED CT SIMULATOR - COMPUTER-BASED EXTERNAL BEAM PLANNING SYSTEMS CAPABLE OF IMRT, WHICH FOCUSES RADIATION TO TARGET THE GEOMETRIC SHAPES OF TUMORS, THUS SPARING HEALTHY TISSUE. MEDICAL ONCOLOGY ================ OUR CANCER CENTER IS SPECIALLY DESIGNED TO HELP SUPPORT THE HEALING PROCESS FOR OUR PATIENTS AS THEY RECEIVE THEIR TREATMENTS. OUR MEDICAL ONCOLOGY SERVICES INCLUDE: - AN OPEN SUITE, COMPLETE WITH NINE DEDICATED TREATMENT CHAIRS. - FLAT SCREEN TELEVISIONS FOR PATIENTS OFFERS ENTERTAINMENT WHILE RECEIVING THEIR TREATMENTS. - THREE EXPERIENCED ONCOLOGY NURSES. - AN ON-SITE PHARMACY DEDICATED TO PROCESSING OUR PATIENTS' TREATMENTS - ACCESS TO OUR PATIENT LIBRARY, WHICH IS FULL OF CLINICAL AND CASUAL LITERATURE. OUR TEAM -------- AT THE HEART OF THE CANCER CENTER IS A TEAM OF BOARD-CERTIFIED PHYSICIANS COMPLETELY FOCUSED ON PROVIDING THE BEST CANCER CARE. THE MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, AND SURGEONS OF SAINT MICHAEL'S MEDICAL CENTER ARE AT THE FOREFRONT OF THEIR FIELDS. THE CENTER ALSO HAS A DEDICATED STAFF INCLUDING, BOARD-CERTIFIED MEDICAL DOSIMETRISTS, LICENSED RADIATION THERAPISTS, ONCOLOGY-CERTIFIED REGISTERED NURSES, MEDICAL SOCIAL WORKERS, DIETITIANS, AND SPECIALLY TRAINED SUPPORT PERSONNEL.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	A KEY STAFF MEMBER IS OUR ONCOLOGY NURSE NAVIGATOR, WHO HELPS PATIENTS AT EVERY STEP OF THEIR CARE - FROM BIOPSY AND DIAGNOSIS, TO TREATMENT AND FOLLOW-UP CARE. OUR NAVIGATOR CAN HELP PATIENTS MANAGE NOT ONLY THEIR CLINICAL CARE, BUT ALSO INSURANCE AND DISABILITY PAPERWORK, REFERRALS FOR CHILDCARE, AND OTHER SERVICES TO SUPPORT PATIENTS AS THEY CONTINUE THEIR THERAPIES. PATIENT-CENTERED CARE ===================== WE UNDERSTAND HOW DIFFICULT A CANCER DIAGNOSIS CAN BE FOR PATIENTS AND THEIR FAMILIES, WHICH IS WHY OUR PRIORITY IS PATIENT-CENTERED CARE. THE TEAM AT THE CANCER CENTER CAREFULLY COORDINATES CARE WITH OTHER CENTERS AND DEPARTMENTS AT SAINT MICHAEL'S MEDICAL CENTER. IT CREATES A BETTER EXPERIENCE FOR OUR PATIENTS AS THEY TRANSITION FROM THE POINT OF DIAGNOSIS TO THEIR TREATMENT AND BEYOND. THE CENTER IS CONVENIENTLY LOCATED ON THE CAMPUS OF SAINT MICHAEL'S MEDICAL CENTER NEAR THE HISTORIC NEWARK ARTS DISTRICT. VISITORS ARE GREETED BY A SPACIOUS LOBBY FILLED WITH NATURAL SUNLIGHT TO PROVIDE AN AIRY, OPEN ATMOSPHERE THAT PROMOTES HEALING. AS PATIENTS MOVE THROUGH THE CENTER, THE COMFORTABLE ENVIRONMENT CONTINUES TO CREATE A WARM, CLEAN, AND SAFE PLACE FOR PATIENTS TO FEEL WELCOME AND AT EASE. PATIENTS AND VISITORS ALSO HAVE ACCESS TO FIRST-CLASS AMENITIES AND A VARIETY OF ANCILLARY SERVICES SUCH AS SUPPORT GROUPS, AN ON-SITE PHARMACY, A NUTRITION CENTER, SOCIAL SERVICES, AND A PHLEBOTOMY LAB. COC ACCREDITED CANCER PROGRAMS ARE DEDICATED TO PROVIDING THE BEST IN PATIENT-CENTERED CARE. THE CONNIE DWYER BREAST CENTER ============================== OUR HISTORY ----------- FOUNDED IN OCTOBER 2004, THE CONNIE DWYER BREAST CENTER AT SAINT MICHAEL'S MEDICAL CENTER IS A COMPREHENSIVE, STATE-OF-THE-ART FACILITY PROVIDING EXPERT DIAGNOSIS AND TREATMENT OF BREAST DISEASE AND THE FINEST BREAST CANCER PREVENTION, EARLY DETECTION, AND EDUCATIONAL OUTREACH PROGRAMS IN NORTHERN NEW JERSEY OUR EXPERTISE ------------- WE UNDERSTAND THAT WOMEN ARE OFTEN COMING TO US TO DISCUSS VERY DIFFICULT HEALTH ISSUES. THAT'S WHY WE PUT THE PATIENT'S NEEDS FIRST WITH SERVICES THAT INCLUDE: - 24-BUSINESS-HOUR BIOPSY RESULTS - BREAST CARE NAVIGATOR - STATE-OF-THE-ART DIAGNOSTIC SERVICES AND TECHNOLOGY, INCLUDING 3-D TOMOSYNTHESIS MAMMOGRAPHY - TOP-NOTCH RADIOLOGISTS - FAMILY-CENTERED CARE TO HELP ENSURE EARLY CANCER DETECTION AND TREATMENT, THE CONNIE DWYER BREAST CENTER EMPLOYS A HOST OF ADVANCED DIAGNOSTIC TECHNIQUES, SUCH AS - FULL-FIELD DIGITAL MAMMOGRAPHY WITH COMPUTER-AIDED DETECTION - WE ARE A FULLY DIGITAL BREAST CENTER OFFERING DIGITAL MAMMOGRAPHY USING COMPUTER IMAGING AS A "SECOND SET OF EYES" TO DETECT MINUTE CALCIFICATIONS. - 3-D TOMOSYNTHESIS MAMMOGRAPHY - WE OFFER THE LATEST MAMMOGRAPHY TECHNOLOGY AVAILABLE. OUR TWO, 3-D TOMOSYNTHESIS SUITES TAKE 3-D IMAGES OF THE BREAST. THIS REVOLUTIONARY TECHNOLOGY GIVES RADIOLOGISTS THE ABILITY TO IDENTIFY AND CHARACTERIZE INDIVIDUAL BREAST STRUCTURES WITHOUT THE CONFUSION OF OVERLAPPING TISSUE. VIEWING BREAST TISSUE IN 3-D IMAGES ALLOWS FOR CLEARER MORE ACCURATE READINGS THAT CAN IDENTIFY BREAST CANCER IN ITS EARLIEST STAGES, WHEN PROGNOSIS IS BEST. - MIRALUMA - A NUCLEAR IMAGING TECHNIQUE USED IN CONJUNCTION WITH MAMMOGRAPHY, HELPS FIND CANCERS IN WOMEN WITH PARTICULARLY DENSE BREAST TISSUE. - HIGH-RESOLUTION BREAST ULTRASOUND - BREAST MRI - STEREOTACTIC AND ULTRASOUND-GUIDED BIOPSIES OUR MISSION ----------- RECOGNIZING THAT BREAST CANCER IS A HIGHLY CURABLE DISEASE IF EARLY DETECTION AND MULTI-DISCIPLINARY CARE ARE PROVIDED, THE CONNIE DWYER BREAST CENTER REACHES OUT TO MORE THAN 1,500 WOMEN ANNUALLY THROUGH A SERIES OF FREE EDUCATIONAL SESSIONS AND BREAST CANCER SCREENINGS AT THE HOSPITAL AND IN THE COMMUNITY, WITH OUTREACH PERFORMED AT CHURCHES, SCHOOLS, COMMUNITY CENTERS, AND OTHER LOCAL ORGANIZATIONS. THE CENTER'S MISSION IS TO PROVIDE ADVANCED BREAST CARE - FROM SCREENING TO DIAGNOSIS TO TREATMENT - FOR ALL WOMEN, WITH A SPECIAL FOCUS ON ADDRESSING GLARING STATISTICAL DISPARITIES IN BREAST CANCER'S IMPACT AMONG AFRICAN-AMERICAN AND HISPANIC WOMEN. TOO OFTEN, THE ILLNESS GOES UNDETECTED UNTIL IT HAS REACHED AN ADVANCED STATE. BY INCREASING PUBLIC AWARENESS AND PROMOTING THE IMPORTANCE OF REGULARLY SCHEDULED MAMMOGRAMS, THE CENTER'S STAFF WORKS TO REDUCE THE NUMBER OF STAGE THREE AND STAGE FOUR CANCERS AMONG ALL PATIENT POPULATIONS. THE METABOLIC AND BARIATRIC CENTER ================================== THE METABOLIC AND BARIATRIC CENTER IS FULLY ACCREDITED BY THE METABOLIC BARIATRIC SURGERY ACCREDITATION QUALITY IMPROVEMENT PROGRAM AND OFFERS BOTH MEDICALLY SUPERVISED WEIGHT-LOSS PLANS AND SURGICAL PROCEDURES TO HELP PATIENTS ATTAIN AND SUSTAIN SIGNIFICANT WEIGHT LOSS FOR LIFE. OUR TEAM APPROACH PROVIDES EACH PATIENT WITH ADVANCED TECHNIQUES AND AN INDIVIDUALIZED PLAN THAT WILL HELP THEM OVERCOME THE OBSTACLES THAT HAVE PREVENTED THEM FROM ENJOYING ALL THAT LIFE HAS TO OFFER. THE LIVER CENTER ================ THE LIVER CENTER IS ADVANCING CLINICAL RESEARCH AND TREATMENT TO ACHIEVE THE BEST OUTCOME FOR PATIENTS WITH LIVER DISEASE. THE CENTER PROVIDES A COORDINATED, MULTI-DISCIPLINARY APPROACH TO LIVER DISEASE, AND OFFERS MEDICAL TREATMENT, RESEARCH, AND MINIMALLY INVASIVE SURGICAL AND RADIOLOGIC INTERVENTIONS. THE LIVER CENTER AT SAINT MICHAEL'S MEDICAL CENTER NOW OFFERS FIBROSCAN -- A NON-INVASIVE ALTERNATIVE TO LIVER BIOPSY. VIRAL HEPATITIS AND LIVER DISEASE --------------------------------- THERE ARE MANY CAUSES OF LIVER DISEASE, BUT THERE IS ONE THAT HAS JUST RECENTLY GAINED MORE ATTENTION. THE U.S. CENTERS FOR DISEASE CONTROL (CDC) ESTIMATES THAT MORE THAN TWO MILLION AMERICAN BABY BOOMERS - OR THOSE BORN BETWEEN 1945 THROUGH 1965 - ARE INFECTED WITH HEPATITIS C, AND THEY ACCOUNT FOR 75 PERCENT OF ALL AMERICAN ADULTS LIVING WITH THE VIRUS. SINCE HEPATITIS C CAN DAMAGE THE LIVER SILENTLY FOR AS MUCH AS 30 YEARS, EARLY DETECTION IS A CRUCIAL STEP IN PREVENTING LIVER DISEASE. THIS IS WHY THE STAFF AT THE LIVER CENTER PROMOTES SCREENING AND EARLY DETECTION OF VIRAL HEPATITIS TO OFFER PATIENTS THE BEST OPPORTUNITY TO ERADICATE IT, MINIMIZE FURTHER HARM TO THE LIVER, AND POSSIBLY REVERSE EXISTING DAMAGE. ADDITIONAL SERVICES =================== SAINT MICHAEL'S OFFERS A HOST OF OTHER CLINICAL AND OPERATIONAL SERVICES THAT ALLOWS PHYSICIANS TO RELY ON OUR HOSPITAL TO SERVE ALL OF THEIR PATIENTS' NEEDS. - BEHAVIORAL HEALTH DEPARTMENT - BLOOD RESEARCH INSTITUTE - HEMODIALYSIS - INTENSIVE CARE UNIT - MEDICAL EDUCATION - MEDICAL IMAGING - PAIN MANAGEMENT - PASTORAL CARE - PATHOLOGY - PHARMACY DEPARTMENT INPATIENT - REHABILITATIVE MEDICINE - SLEEP DISORDERS CENTER - VASCULAR LABORATORY - WOUND CARE
CORE FORM, PART VI; QUESTIONS 4, 6 & 7	Catholic Health East ("CHE") was incorporated as a Pennsylvania nonprofit corporation on October 1, 1997. CHE is a Catholic, multi-facility health system sponsored by fifteen religious congregations and Hope Ministries. Each sponsoring congregation appoints a representative to the Sponsors Council which maintains certain reserve powers, including the election of the CHE Board of Directors. CHE serves to carry out the health care ministries of the sponsoring congregations. The mission of CHE is to be a community of persons committed to being a transforming, healing presence within the communities it serves. Previously CHE was the sole member of the medical center. Pursuant to a merger with Trinity Health Corporation ("Trinity"), CHE transferred all corporate ownership and authority it holds in its' New Jersey Regional Health Corporations ("RHC") to a Pennsylvania nonprofit corporation known as Maxis Health System, Inc. ("Maxis"). Maxis is the sole member of the Medical Center. Trinity is the sole corporate member of Maxis and retains certain reserved powers and authority over the Medical Center. In conjunction with the merger by CHE with Trinity Health Corporation in June of 2014, the Medical Center became an RHC of Maxis. With the exception of certain powers reserved by Trinity, including the power to approve recommendations for nominees to the Board of Directors to the Medical Center and the power to approve the annual budget of the Medical Center, all other reserved powers were transferred to Maxis.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY; ITS BOARD OF TRUSTEES, PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS BEEN DELEGATED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS WITHIN THE ORGANIZATION ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. FOLLOWING THIS REVIEW, THE FINAL FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S VICE PRESIDENT OF CORPORATE COMPLIANCE FOR REVIEW. THEREAFTER, A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED IN CONJUNCTION WITH GENERAL COUNSEL AND PRESENTED TO THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	FOR THE 2014 YEAR, EXECUTIVE COMPENSATION WAS REVIEWED AND APPROVED AT THE CATHOLIC HEALTH EAST ("CHE") LEVEL. CHE IS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDED SAINT MICHAEL'S MEDICAL CENTER PRIOR TO CHE'S MERGER WITH TRINITY HEALTH CORPORATION IN JUNE OF 2014. CHE HAS A COMPENSATION COMMITTEE ("COMMITTEE") AND HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS APPLY TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. For all other employees reported in part vii and schedule j of this form 990, the organization has adopted SYSTEM'S policy process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organizations roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII AND SCHEDULE J	JOHANNA MAGNER, CHIEF NURSING OFFICER, IS AN OFFICER OF THIS ORGANIZATION. HOWEVER, SHE IS PAID BY A RELATED ORGANIZATION. SAINT MICHAEL'S MEDICAL CENTER WAS UNABLE TO OBTAIN THE COMPENSATION INFORMATION FOR MS. MAGNER FROM THE RELATED ORGANIZATION. PLEASE REFER TO THE FORM 990, PART VII AND SCHEDULE J FILED BY MERCY HEALTH SYSTEMS OF SE PA (EIN: 23-1352191) FOR MS. MAGNER'S COMPENSATION.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE WITHIN TRINITY HEALTH CORPORATION; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN FUND BALANCE INCLUDE: - DEBT FORGIVENESS - $491,352; AND - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($538,113).
CORE FORM, PART XII; QUESTION 2	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF SAINT MICHAEL'S MEDICAL CENTER AND RELATED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2014 AND DECEMBER 31, 2013; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS EACH YEAR. THE ORGANIZATION'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE AN A-133 AUDIT.
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11858534
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:10804357
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING FEES TOTAL FEES:2144713
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:1439794
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:150678

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

SAINT MICHAEL'S MEDICAL CENTER

Employer identification number

26-2616046

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) CONTINUING CARE MANAGEMENT SERVICES NTWK 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 35-2336834	MGMT/SUPP SVS	PA	501(C)(3)	11B, II	CATH HLTH E	Yes
(2) VNA HOME HEALTH & HOSPICE 50 FODEN ROAD SOUTH PORTLAND,ME04106 01-0246804	HOME HTH/HOSP	ME	501(c)(3)	11A, I	MHS - ME	Yes
(3) MERCY HOSPITAL 144 STATE STREET PORTLAND,ME04101 01-0211534	HOSPITAL	ME	501(c)(3)	3	MHS - ME	Yes
(4) MERCY HEALTH SYSTEM OF MAINE 144 STATE STREET PORTLAND,ME04101 01-0484074	MGMT/SUPP SVS	ME	501(c)(3)	11C, III-FI	CATH HLTH E	Yes
(5) SUNNYVIEW HOSPITAL & REHABILITATION CTR 1270 BELMONT AVE SCHENECTADY,NY12308 22-2505127	SUPPORT FDN	NY	501(c)(3)	11A, I	SUNNY H&R	Yes
(6) MERCY CARE FOR KIDS INC 310 SOUTH MANNING BLVD ALBANY,NY12208 14-1717564	INACTIVE	NY	501(c)(3)	9	SPHCS	Yes
(7) OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084 14-1743506	NURSING HOME	NY	501(c)(3)	3	SPHCS	Yes
(8) ST PETER'S AUXILIARY 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2843206	AUXILIARY	NY	501(c)(3)	11A, I	SPHCS	Yes
(9) ST PETER'S HEALTH CARE SERVICES 315 SOUTH MANNING BLVD ALBANY,NY12208 22-2702507	MGMT/SUPP SVS	NY	501(c)(3)	9	SPHP	Yes
(10) ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY,NY12208 14-1348692	HOSPITAL	NY	501(c)(3)	3	SPHCS	Yes
(11) ST PETER'S HOSPITAL FOUNDATION INC 319 SOUTH MANNING BLVD SUITE 309 ALBANY,NY12208 22-2262982	FUNDRAISING	NY	501(c)(3)	7	SPHCS	Yes
(12) EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY,NY12180 14-1818568	HOME HEALTH	NY	501(c)(3)	3	LTC (EDDY)	Yes
(13) THE COMMUNITY HOSPICE FOUNDATION INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 22-2692940	FUNDRAISING	NY	501(c)(3)	7	COM HOSPICE	Yes
(14) THE COMMUNITY HOSPICE INC 295 VALLEY VIEW BLVD RENSSELAER,NY12144 14-1608921	HOSPICE	NY	501(c)(3)	3	SPHCS	Yes
(15) VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY,NY12208 14-1438749	NURSING HOME	NY	501(c)(3)	3	SPH	Yes
(16) WARDE SERVICE CORPORATION INC 159 WOLF ROAD 3RD FLOOR ALBANY,NY12205 14-1732097	INACTIVE	NY	501(c)(3)	9	SPHCS	Yes
(17) NORTHEAST HEALTH INC 2212 BURDETT AVE TROY,NY12180 04-2450756	SUPPORT ORG.	NY	501(c)(3)	11B, II	SPHP	Yes
(18) MEMORIAL HOSPITAL ALBANY NY 600 NORTHERN BLVD ALBANY,NY12204 14-1338457	HOSPITAL	NY	501(c)(3)	3	NE HEALTH	Yes
(19) SAMARITAN HOSPITAL OF TROY NEW YORK 2215 BURDETT AVE TROY,NY12180 14-1338544	HOSPITAL	NY	501(c)(3)	3	NE HEALTH	Yes
(20) THE NORTHEAST HEALTH FOUNDATION INC 2224 BURDETT AVE TROY,NY12180 22-2743478	SUPPORT FDN	NY	501(c)(3)	7	NE HEALTH	Yes
(21) SAMARITAN CHILD CARE CENTER INC 2213 BURDETT AVE TROY,NY12180 14-1710225	CHILD DAYCARE	NY	501(c)(3)	9	NE HEALTH	Yes
(22) SHAKER PROPERTIES INC 2212 BURDETT AVE TROY,NY12180 22-3119822	INACTIVE	NY	501(c)(2)	N/A	NE HEALTH	Yes
(23) SUNNYVIEW HOSPITAL & REHABILITATION CTR 1270 BELMONT AVE SCHENECTADY,NY12308 14-1338386	REHAB HOSP.	NY	501(c)(3)	3	NE HEALTH	Yes
(24) JAMES A EDDY MEMORIAL GERIATRIC CENTER 2256 BURDETT AVE TROY,NY12180 22-2570478	NURSING HOME	NY	501(c)(3)	9	LTC (EDDY)	Yes
(25) CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1701597	NURSING HOME	NY	501(c)(3)	9	LTC (EDDY)	Yes
(26) HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY,NY12180 14-1725101	NURSING HOME	NY	501(c)(3)	9	LTC (EDDY)	Yes
(27) THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES,NY12047 14-1793885	ADULT HOME	NY	501(c)(3)	9	LTC (EDDY)	Yes
(28) BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS,NY12159 14-1717028	ASSIST LIVING	NY	501(c)(3)	9	LTC (EDDY)	Yes
(29) HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH,NY12061 80-0102840	ASSIST LIVING	NY	501(c)(3)	9	LTC (EDDY)	Yes
(30) GLEN EDDY INC ONE GLEN EDDY DRIVE NISKAYUNA,NY12309 14-1794150	ASSIST LIVING	NY	501(c)(3)	9	LTC (EDDY)	Yes
(31) BEECHWOOD INC 2212 BURDETT AVE TROY,NY12180 14-1651563	REAL EST HLDG	NY	501(c)(2)	N/A	LTC (EDDY)	Yes
(32) SENIOR CARE CONNECTION INC 504 STATE ST SCHENECTADY,NY12305 14-1708754	PACE PROGRAM	NY	501(c)(3)	9	LTC (EDDY)	Yes
(33) HOME AID SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY,NY12180 14-1514867	HOME CARE	NY	501(c)(3)	9	LTC (EDDY)	Yes
(34) SETON HEALTH SYSTEM INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1776186	HOSPITAL	NY	501(c)(3)	3	SPHP	Yes
(35) SETON HLTH SCHUYLER RIDGE RES HLTHCAR 1 ABELE BLVD CLIFTON PARK,NY12065 14-1756230	SKILLED NURS.	NY	501(c)(3)	9	SETON HS	Yes
(36) SETON HEALTH FOUNDATION 1300 MASSACHUSETTS AVENUE TROY,NY12180 22-2345416	SUPPORT ORG.	NY	501(c)(3)	11A, I	SETON HS	Yes
(37) SETON AUXILIARY INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1505031	SUPPORT ORG.	NY	501(c)(3)	9	SETON HS	Yes
(38) SETON LICENSED HOME CARE INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1809134	INACTIVE	NY	501(c)(3)	3	SETON HS	Yes
(39) EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA,NY12020 14-1795732	HOME CARE	NY	501(c)(3)	9	HAS OF E	Yes
(40) LTC (EDDY) INC 2212 BURDETT AVE TROY,NY12180 22-2564710	SUPPORT ORG.	NY	501(c)(3)	11A, I	NE HEALTH	Yes
(41) ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY,NY12208 45-3570715	MGMT/SUPP SVS	NY	501(c)(3)	11B, II	CATH HLTH E	Yes
(42) ST PETER'S HEALTH PARTNERS MEDICAL ASSO 315 SOUTH MANNING BLVD ALBANY,NY12208 46-1177336	PHYS PRATICE	NY	501(c)(3)	3	SPHP	Yes
(43) PROVIDENCE PLACE INC 5 GAMELIN STREET HOLYOKE,MA01040 04-3404084	RETIRE. COMM.	MA	501(c)(3)	9	SIST PROVID	Yes
(44) MARY'S MEADOW AT PROVIDENCE PLACE C/O SPHS 1221 MAIN STREET SUITE 2 HOLYOKE,MA01040 26-2043754	LT CARE	MA	501(c)(3)	3	SIST PROVID	Yes
(45) BRIGHTSIDE INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 04-2182395	BEHAV. CARE	MA	501(c)(3)	9	SOP HS	Yes
(46) FARREN CARE CENTER INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 04-2501711	LT CARE	MA	501(c)(3)	3	SOP HS	Yes
(47) MERCY HOSPITAL INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 04-3398280	ACUTE CARE	MA	501(c)(3)	3	SOP HS	Yes
(48) MERCY SPECIALIST PHYSICIANS INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 26-4033168	NEURO MED SVS	MA	501(c)(3)	3	SOP HS	Yes
(49) SISTERS OF PROVIDENCE CARE CENTERS INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 22-2541103	LT CARE	MA	501(c)(3)	3	SOP HS	Yes
(50) SISTERS OF PROVIDENCE HEALTH SYSTEM INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 04-3398374	MGMT/SUPP SVS	MA	501(c)(3)	11A, I	CATH HLTH E	Yes
(51) MERCY LIFE INC C/O SPHS 1221 MAIN STREET SUITE 1 HOLYOKE,MA01040 45-3086711	ACUTE CARE	MA	501(c)(3)	3	SOP HS	Yes
(52) PIONEER VALLEY CARDIOLOGY ASSOCIATES IN C/O SPHS 1221 MAIN STREET SUITE 2 HOLYOKE,MA01040 45-4208896	CARDIO SVCS	MA	501(c)(3)	3	SOP HS	Yes
(53) MERCY ONCOLOGY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 2 HOLYOKE,MA01040 45-4884805	ONCOL MED SVS	MA	501(c)(3)	3	SOP HS	Yes
(54) MCAULEY CENTER INC 275 STEELE ROAD WEST HARTFORD,CT06117 06-1058086	INDEP. LIVING	CT	501(c)(3)	9	MERCY C H	Yes
(55) MERCY COMMUNITY HEALTH INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1492707	MGMT/SUPP SVS	CT	501(c)(3)	11A, I	CATH HLTH E	Yes
(56) MERCY COMMUNITY HOMECARE SERVICES 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1488137	IN-HOME HC	CT	501(c)(3)	9	MERCY C H	Yes
(57) MERCY SERVICES CORP 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1453323	SUPPORT SVCS	CT	501(c)(3)	1	MERCY C H	Yes
(58) MERCYKNOLL INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0757380	SKILLED NURS.	CT	501(c)(3)	3	MERCY C H	Yes
(59) SAINT MARY HOME II INC 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-1164104	ELDERLY CARE	CT	501(c)(3)	3	MERCY C H	Yes
(60) ST MARY HOME INCORPORATED 2021 ALBANY AVENUE WEST HARTFORD,CT06117 06-0646843	SKILLED NURS.	CT	501(c)(3)	3	MERCY C H	Yes
(61) MERCY HEALTHCARE CENTER 114 WAWBEEK AVENUE TUPPER LAKE,NY12986 15-0532211	INACTIVE	NY	501(c)(3)	3	CATH HLTH E	Yes
(62) MERCY UIHLEIN HEALTH CORPORATION 185 OLD MILITARY ROAD LAKE PLACID,NY12946 16-1535133	INACTIVE	NY	501(c)(3)	11B, II	MERCY HCC	Yes
(63) UIHLEIN MERCY CENTER 185 OLD MILITARY ROAD LAKE PLACID,NY12946 15-0532190	INACTIVE	NY	501(c)(3)	3	MERCY HCC	Yes
(64) ST JAMES MERCY FOUNDATION INC 411 CANISTEO STREET HORNELL,NY14843 16-1486437	FOUNDATION	NY	501(c)(3)	7	SJMHS	Yes
(65) ST JAMES MERCY HEALTH SYSTEM INC 411 CANISTEO STREET HORNELL,NY14843 22-3127184	MGMT/SUPP SVS	NY	501(c)(3)	11B, II	CATH HLTH E	Yes
(66) ST JAMES MERCY HOSPITAL 411 CANISTEO STREET HORNELL,NY14843 16-0743310	HOSPITAL	NY	501(c)(3)	3	SJMHS	Yes
(67) MAXIS MEDICAL SERVICES 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2577185	PHYS. PRACT.	PA	501(c)(3)	3	MAXIS HS	Yes
(68) MARIAN COMMUNITY HOSPITAL 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 24-0711230	DISSOLUTION	PA	501(c)(3)	3	MAXIS HS	Yes
(69) MARIAN COMMUNITY HOSPITAL AUXILIARY 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1874733	DISSOLUTION	PA	501(c)(3)	11B, II	MAXIS HS	Yes
(70) MAXIS FOUNDATION 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-2330090	DISSOLUTION	PA	501(c)(3)	11B, II	MAXIS HS	Yes
(71) MAXIS HEALTH SYSTEM 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 91-1940902	DISSOLUTION	PA	501(c)(3)	11B, II	MAXIS HS	Yes
(72) TRI-COUNTY HUMAN SERVICES CENTER INC 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 23-1938528	DISSOLUTION	PA	501(c)(3)	7	MAXIS HS	Yes
(73) COLUMBUS ACQUISITION CORP 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616342	INACTIVE	NJ	501(c)(3)	9	SMMC	Yes
(74) ST JAMES CARE INC 111 CENTRAL AVENUE NEWARK,NJ07102 26-2616230	INACTIVE	NJ	501(c)(3)	9	SMMC	Yes
(75) ST MICHAEL'S FOUNDATION INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3311976	FOUNDATION	NJ	501(c)(3)	11A, I	SMMC	Yes
(76) UNIVERSITY HEIGHTS PROPERTY COMPANY INC 111 CENTRAL AVENUE NEWARK,NJ07102 22-3100162	MED PROP HLDG	NJ	501(c)(2)	N/A	SMMC	Yes
(77) LIFE ST FRANCIS CORPORATION 601 HAMILTON AVENUE TRENTON,NJ08629 22-2797282	HEALTH SVCS	NJ	501(c)(3)	11A, I	SFMC TRENT	Yes
(78) ST FRANCIS MEDICAL CENTER FOUNDATION NJ 601 HAMILTON AVENUE TRENTON,NJ08629 52-1025476	FOUNDATION	NJ	501(c)(3)	11A, I	SFMC TRENT	Yes
(79) ST FRANCIS MEDICAL CENTER TRENTON NJ 601 HAMILTON AVENUE TRENTON,NJ08629 22-3431049	HOSPITAL	NJ	501(c)(3)	3	CATH HLTH E	Yes
(80) LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2519529	INACTIVE	PA	501(c)(3)	9	ST MARY MC	Yes
(81) LANGHORNE PHYSICIAN SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2571699	PHYSICIAN SVS	PA	501(c)(3)	9	ST MARY MC	Yes
(82) LIFE ST MARY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 26-2976184	ELDERLY CARE	PA	501(c)(3)	9	ST MARY MC	Yes
(83) ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-1913910	HOSPITAL	PA	501(c)(3)	3	CATH HLTH E	Yes
(84) ST MARY MEDICAL CENTER FOUNDATION INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 23-2567468	FOUNDATION	PA	501(c)(3)	7	ST MARY MC	Yes
(85) EAST NORRITON PHYSICIAN SERVICES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2515999	PHYSICIAN SVS	PA	501(c)(3)	3	MHS OF SE	Yes
(86) MERCY CATHOLIC MED CTR OF SOUTHEASTERN P ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1352191	HOSPITAL	PA	501(c)(3)	3	MHS OF SE	Yes
(87) MERCY FAMILY SUPPORT 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325059	HOME HEALTH	PA	501(c)(3)	9	MHS OF SE	Yes
(88) MERCY HEALTH FOUNDATION OF SOUTHEASTERN ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2829864	FUNDRAISING	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(89) MERCY HEALTH PLAN ONE WEST ELM STREET CONSHOHOCKEN,PA19428 22-2483605	HEALTH PLANS	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(90) MERCY HEALTH SYSTEM OF SOUTHEASTERN PA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2212638	MGMT/SUPP SVS	PA	501(c)(3)	11B, II	CATH HLTH E	Yes
(91) MERCY HOME HEALTH 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-1352099	HOME HEALTH	PA	501(c)(3)	9	MHS OF SE	Yes
(92) MERCY HOME HEALTH SERVICES 1001 BALTIMORE PIKE SUITE 310 SPRINGFIELD,PA19064 23-2325058	HOME HEALTH	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(93) MERCY MANAGEMENT OF SOUTHEASTERN PA ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2627944	PHYS. PRACT.	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(94) MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-1396763	HOSPITAL	PA	501(c)(3)	3	MHS OF SE	Yes
(95) NAZARETH HEALTH CARE FOUNDATION 2701 HOLME AVENUE PHILADELPHIA,PA19152 23-2300951	FUNDRAISING	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(96) NAZARETH HOSPITAL 2601 HOLME AVENUE PHILADELPHIA,PA19152 23-2794121	HOSPITAL	PA	501(c)(3)	3	MHS OF SE	Yes
(97) NAZARETH PHYSICIAN SERVICES INC ONE WEST ELM STREET CONSHOHOCKEN,PA19428 20-3261266	PHYS. PRACT.	PA	501(c)(3)	3	MHS OF SE	Yes
(98) NE PHYSICIAN SERVICES ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2497355	PHYS. PRACT.	PA	501(c)(3)	3	MHS OF SE	Yes
(99) ST AGNES CONTINUING CARE CENTER ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2840137	CONT CARE SVS	PA	501(c)(3)	3	MHS OF SE	Yes
(100) ST AGNES CONTINUING CARE CENTER FOUNDAT ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2415137	FUNDRAISING	PA	501(c)(3)	11B, II	MHS OF SE	Yes
(101) LIFE AT LOURDES INC 1600 HADDON AVENUE CAMDEN,NJ08103 26-1854750	ELDERLY CARE	NJ	501(c)(3)	3	OLOLHCS	Yes
(102) LOURDES ANCILLARY SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568525	SUPPORT ORG	NJ	501(c)(3)	11B, II	OLOLHCS	Yes
(103) LOURDES DIALYSIS AT INNOVA INC 1600 HADDON AVENUE CAMDEN,NJ08103 26-3237625	HOSPITAL	NJ	501(c)(3)	3	OLOLHCS	Yes
(104) LOURDES MEDICAL CENTER BURLINGTON COUNTY 218 SUNSET ROAD WILLINGBORO,NJ08046 22-3612265	HOSPITAL	NJ	501(c)(3)	3	OLOLHCS	Yes
(105) OUR LADY OF LOURDES HEALTH CARE SERVICES 1600 HADDON AVENUE CAMDEN,NJ08103 22-2568528	MGMT/SUPP SVS	NJ	501(c)(3)	11B, II	CATH HLTH E	Yes
(106) OUR LADY OF LOURDES HEALTH FOUNDATION I 1600 HADDON AVENUE CAMDEN,NJ08103 22-2351960	FOUNDATION	NJ	501(c)(3)	7	OLOLHCS	Yes
(107) LOURDES CARDIOLOGY SERVICES PC 1600 HADDON AVENUE CAMDEN,NJ08103 27-4357794	CARDIO SVCS	NJ	501(c)(3)	3	OLOLHCS	Yes
(108) OUR LADY OF LOURDES MEDICAL CENTER 1600 HADDON AVENUE CAMDEN,NJ08103 21-0635001	HOSPITAL	NJ	501(c)(3)	3	OLOLHCS	Yes
(109) FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILINGTON,DE19805 22-3008680	SKILLED NURS.	DE	501(c)(3)	9	SFH	Yes
(110) ST FRANCIS FOUNDATION PO BOX 2500 WILINGTON,DE19805 51-0374158	FOUNDATION	DE	501(c)(3)	11B, II	SFH	Yes
(111) ST FRANCIS HOSPITAL PO BOX 2500 WILINGTON,DE19805 51-0064326	HOSPITAL	DE	501(c)(3)	3	CATH HLTH E	Yes
(112) LIFE AT ST FRANCIS HEALTHCARE INC 7TH AND CLAYTON STREETS WILINGTON,DE19805 45-2569214	ELDERLY CARE	DE	501(c)(3)	3	SFH	Yes
(113) MCAULEY MINISTRIES MCAULEY HALL 3333 FIFTH AVENUE PITTSBURGH,PA15213 94-3436142	MGMT/SUPP SVS	PA	501(c)(3)	11A, I	PMHS	Yes
(114) MERCY JEANNETTE HOSPITAL 3805 WEST CHESTER PIKE NEWTOWN SQUARE,PA19073 25-1310602	INACTIVE	PA	501(c)(3)	9	PMHS	Yes
(115) MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH,PA15233 25-1604115	COMM TREATMT	PA	501(c)(3)	9	PMHS	Yes
(116) PITTSBURGH MERCY HEALTH SYSTEM 3333 5TH AVENUE PITTSBURGH,PA15213 25-1464211	MGMT/SUPP SVS	PA	501(c)(3)	11B, II	CATH HLTH E	Yes
(117) ST JOSEPH'S OF THE PINES INC 100 GROSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 56-0694200	HOSPITAL	NC	501(c)(3)	3	CATH HLTH E	Yes
(118) LIFE ST JOSEPH OF THE PINES INC 100 GROSSMAN DRIVE SUITE B SOUTHERN PINES,NC28387 27-2159847	HLTHCARE SVS	NC	501(c)(3)	3	SJ PINES	Yes
(119) MERCY SENIOR CARE INC 300 CHATILLON ROAD PO BOX 866 ROME,GA30162 58-1366508	COM OUTREACH	GA	501(c)(3)	7	SJHS	Yes
(120) SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA,GA30312 58-1744848	MGMT/SUPP SVS	GA	501(c)(3)	11B, II	CATH HLTH E	Yes
(121) SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA,GA30312 58-1752700	COM OUTREACH	GA	501(c)(3)	7	SJHS	Yes
(122) SAINT JOSEPH'S MERCY FOUNDATION INC 424 DECATUR STREET ATLANTA,GA30312 58-1448522	FUNDRAISING	GA	501(c)(3)	11B, II	SJHS	Yes
(123) MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA,GA30312 27-2046353	REAL EST HLDG	GA	501(c)(3)	11B, II	SJHS	Yes
(124) ST MARY'S HEALTH CARE SYSTEM INC 1230 BAXTER STREET ATHENS,GA30606 58-0566223	HOSPITAL	GA	501(c)(3)	3	CATH HLTH E	Yes
(125) ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS,GA30606 58-2544232	FUNDRAISING	GA	501(c)(3)	11B, II	ST MARY HCS	Yes
(126) ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS,GA30606 02-0576648	ASST LIVING	GA	501(c)(3)	3	ST MARY HCS	Yes
(127) ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS,GA30606 26-1858563	HOSPITAL	GA	501(c)(3)	3	ST MARY HCS	Yes
(128) GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO,GA30462 26-1720984	HOSPITAL	GA	501(c)(3)	3	ST MARY HCS	Yes
(129) MERCY MEDICAL CORPORATION PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 63-6002215	HOSPITAL	AL	501(c)(3)	3	CATH HLTH E	Yes
(130) MERCY LIFE OF ALABAMA PO BOX 1090 101 VILLA DRIVE DAPHNE,AL36526 27-3163002	HOSPITAL	AL	501(c)(3)	3	MMC	Yes
(131) ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 2 PALM HARBOR,FL34684 58-1492325	MGT & SUPPORT	FL	501(c)(3)	11B, II	CATH HLTH E	Yes
(132) ST FRANCIS HOSPITAL INC 33920 US HIGHWAY 19 NORTH SUITE 2 PALM HARBOR,FL34684 59-0624442	GRANTMKG ORG	FL	501(c)(3)	11A, I	AF MINISTIR	Yes
(133) HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 59-0791028	HOSPITAL	FL	501(c)(3)	3	CATH HLTH E	Yes
(134) HOLY CROSS LONG-TERM CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0787320	MEDICAL SVCS	FL	501(c)(3)	3	HOLY CR H	Yes
(135) HOLY CROSS MEDICAL PROPERTIES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE,FL33308 65-0666283	REAL EST MGMT	FL	501(c)(2)	N/A	HOLY CR H	Yes
(136) SSJ HEALTH FOUNDATION INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 59-1709438	FUNDRAISING	FL	501(c)(3)	7	MERCY HOSP	Yes
(137) MERCY HOSPITAL INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 59-0791034	HOSPITAL	FL	501(c)(3)	3	CATH HLTH E	Yes
(138) MERCY MEDICAL DEVELOPMENT INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 59-2789194	OUTPTNT SVCS	FL	501(c)(3)	9	MERCY HOSP	Yes
(139) MERCY MISSION SERVICES INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 65-0435764	HEALTH CARE	FL	501(c)(3)	11A, I	MERCY HOSP	Yes
(140) MERCY OUTPATIENT SERVICES INC 3661 SOUTH MIAMI AVENUE MIAMI,FL33133 51-0461511	HOSPITAL	FL	501(c)(3)	3	MERCY HOSP	Yes
(141) GLOBAL HEALTH MINISTRY 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-3068656	HEALTH CARE	PA	501(c)(3)	7	CATH HLTH E	Yes
(142) INTRACOASTAL HEALTH SYSTEMS 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 65-0556413	MGMT/SUPP SVS	PA	501(c)(3)	11A, I	CATH HLTH E	Yes
(143) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GR 245 STATE ST SE GRAND RAPIDS,MI49503 27-2491974	HLTHCARE SVS	MI	501(c)(3)	9	TRINITY H-MI	Yes
(144) AMICARE HOSPICE SERVICES INC 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2949053	HOSPICE SVCS	MI	501(c)(3)	9	TRINITY HHS	Yes
(145) AUXILIARY OF HOLY ROSARY HOSPITAL 351 SW 9TH STREET ONTARIO,OR97914 94-3059469	SUPPORTS SVS	OR	501(c)(3)	9	SAMC-ONTARIO	Yes
(146) BAUM HARMON MERCY HOSPITAL 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 42-1500277	ACUTE/AMB SVS	IA	501(c)(3)	3	MHS-IOWA	Yes
(147) BAUM HARMON MERCY HOSPITAL & CLINICS FDN 255 NORTH WELCH AVENUE PRIMGHAR,IA51245 26-2973307	SUPPORT SVCS	IA	501(c)(3)	11A, I	BM HARM MH	Yes
(148) CATHERINE MCAULEY HEALTH SERVICES CORP PO BOX 995 ANN ARBOR,MI48106 38-2507173	SUPPORT SVCS	MI	501(c)(3)	11B, II	TRINITY H-MI	Yes
(149) CHE TRINITY INC 20555 VICTOR PARKWAY LIVONIA,MI48152 90-0931907	MGMT/SUPP SVS	IN	501(c)(3)	11B, II	NA	Yes
(150) COMMUNITY HEALTH PARTNERS OF SOUTH BEND PO BOX 3998 SOUTH BEND,IN46619 26-3051440	HLTHCARE SVS	IN	501(c)(3)	3	SJRMC	Yes
(151) CRANBROOK HOSPICE CARE 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320699	HOSPICE SVCS	MI	501(c)(3)	11A, I	TRINITY HHS	Yes
(152) DILEY RIDGE MEDICAL CENTER 6150 EAST BROAD STREET COLUMBUS,OH43213 34-2032340	HOSPITAL	OH	501(c)(3)	3	MT CARMEL HS	Yes
(153) DUBUQUE MERCY HEALTH FOUNDATION INC 250 MERCY DRIVE DUBUQUE,IA52001 26-2227941	SUPPORT SVCS	IA	501(c)(3)	11A, I	MHS-IOWA	Yes
(154) DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE,IA52040 20-5383271	SUPPORT SVCS	IA	501(c)(3)	11A, I	MHS-IOWA	Yes
(155) GOTTLIEB COMMUNITY HEALTH SERVICES CORP 701 W NORTH AVE MELROSE PARK,IL60160 36-3332852	SUPPORT SVCS	IL	501(c)(3)	9	GOTTLIEB MH	Yes
(156) GOTTLIEB MEMORIAL FOUNDATION 701 W NORTH AVE MELROSE PARK,IL60160 74-3260011	SUPPORT SVCS	IL	501(c)(3)	11C, III-FI	NA	Yes
(157) GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK,IL60160 36-2379649	HLTHCARE SVCS	IL	501(c)(3)	3	LOYOLA UHS	Yes
(158) HACKLEY HOSPITAL 1700 CLINTON ST PO BOX 3302 MUSKEGON,MI49443 38-1358196	HLTHCARE SVCS	MI	501(c)(3)	3	MERCY HP	Yes
(159) HACKLEY HOSPITAL SELF INSURANCE PROF LI PO BOX 3302 MUSKEGON,MI49443 38-2299878	SELF INSUR.	MI	501(c)(3)	11C, III-FI	MERCY HP	Yes
(160) HACLEY LIFE COUNSELING 1352 TERRACE ST MUSKEGON,MI49442 38-1386362	COUNS/ED/SUPP	MI	501(c)(3)	9	MERCY HP	Yes
(161) HACLEY VISITING NURSE SVCS AND HOSPICE 888 TERRACE ST MUSKEGON,MI49440 38-1359598	HOME HLTH SVS	MI	501(c)(3)	7	MERCY HP	Yes
(162) HOLY CROSS HEALTH FOUNDATION INC 11801 TECH ROAD SILVER SPRING,MD20904 20-8428450	FUNDRAISING	MD	501(c)(3)	11A, I	HOLY CROSS H	Yes
(163) HOLY CROSS HEALTH INC 1500 FOREST GLEN RD SILVER SPRING,MD20910 52-0738041	HLTHCARE SVCS	MD	501(c)(3)	3	TRINITY HC	Yes
(164) HOLY CROSS MEDICAL CENTER 20555 VICTOR PARKWAY LIVONIA,MI48152 95-1985442	HLTHCARE SVCS	CA	501(c)(3)	3	TRINITY HC	Yes
(165) HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY,IA50401 42-1173708	HOSPICE SVCS	IA	501(c)(3)	7	MHS-IOWA	Yes
(166) HOSPICE OF SIOUXLAND 4300 HAMILTON BLVD SIOUX CITY,IA51104 38-3320710	HOSPICE SVCS	IA	501(c)(3)	11A, I	NA	Yes
(167) HOSPICE OF WASHTENAW II 806 AIRPORT BLVD ANN ARBOR,MI48108 38-3320707	HOSPICE SVCS	MI	501(c)(3)	11A, I	TRINITY H-MI	Yes
(168) IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3316559	HLTHCARE SVCS	MI	501(c)(3)	9	TRINITY H-MI	Yes
(169) LAKESHORE COMMUNITY HOSPITAL INC 72 S STATE STREET SHELBY,MI49455 38-2549295	HLTHCARE SVCS	MI	501(c)(3)	3	MERCY HP	Yes
(170) LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-3342448	MGMT/SUPP SVC	IL	501(c)(3)	11B, II	TRINITY HC	Yes
(171) LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD,IL60153 36-4015560	HLTHCARE SVCS	IL	501(c)(3)	3	LOYOLA UHS	Yes
(172) MARIAN HOME HEALTHCARE 801 5TH STREET SIOUX CITY,IA51101 38-3320705	HOME HLTH SVS	IA	501(c)(3)	11A, I	MHS-IOWA	Yes
(173) MARYCREST HEIGHTS PO BOX 9184 FARMINGTON HILLS,MI48333 27-0291722	ELDRLY HOUS.	MI	501(c)(3)	11A, I	TRINITY CCS	Yes
(174) MCAULEY CLINIC CORPORATION PO BOX 992 ANN ARBOR,MI48106 38-2561013	HLTHCARE SVCS	MI	501(c)(3)	3	C MCAULEY HS	Yes
(175) MERCY AMICARE HOME HEALTHCARE OAKLAND 1111 W LONG LAKE RD STE 102 TROY,MI48098 38-3320698	HOME HLTH SVS	MI	501(c)(3)	11A, I	TRINITY HHS	Yes
(176) MERCY AMICARE HOME HEALTHCARE PORT HURO 505 HURON AVENUE PORT HURON,MI48060 38-3320701	HOME HLTH SVS	MI	501(c)(3)	11A, I	TRINITY HHS	Yes
(177) MERCY FOUNDATION INC 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227350	SUPPORT SVCS	IL	501(c)(3)	11A, I	MERCY HS CHI	Yes
(178) MERCY GENERAL HLTH PTNRS AMICARE HOMECA 684 HARVEY STREET MUSKEGON,MI49442 38-3321856	HOME HLTH SVS	MI	501(c)(3)	11A, I	TRINITY HHS	Yes
(179) MERCY HEALTH NETWORK 1111 6TH AVENUE DES MOINES,IA50314 42-1478417	HLTHCARE MGMT	DE	501(c)(3)	11A, I	NA	Yes
(180) MERCY HEALTH PARTNERS 1415 LEAHY STREET MUSKEGON,MI49442 38-2589966	SUPPORT SVCS	MI	501(c)(3)	3	TRINITY H-MI	Yes
(181) MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY,IA50401 31-1373080	HLTHCARE SVCS	DE	501(c)(3)	3	TRINITY H-MI	Yes
(182) MERCY HEALTH SYSTEM OF CHICAGO 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3163327	MGMT/SUPP SVS	IL	501(c)(3)	11A, I	TRINITY HC	Yes
(183) MERCY HLTH SYST OF CHICAGO LIAB SELF IN BK OF AMERICA 231 S LASALLE CHICAGO,IL60697 91-2092113	SELF INSUR.	IL	501(c)(3)	11C, III-FI	MERCY HS CHI	Yes
(184) MERCY HEALTHCARE FOUNDATION 1410 N 4TH ST CLINTON,IA52732 42-1316126	FUNDRAISING	IA	501(c)(3)	11C, III-FI	NA	Yes
(185) MERCY HOSPITAL AND MEDICAL CENTER 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-2170152	HLTHCARE SVCS	IL	501(c)(3)	3	MERCY HS CHI	Yes
(186) MERCY HOSPITAL CADILLAC FOUNDATION 400 HOBART CADILLAC,MI49601 20-3357131	SUPPORT SVCS	MI	501(c)(3)	11A, I	TRINITY H-MI	Yes
(187) MERCY HOSPITAL GIFT SHOP 2601 ELECTRIC AVE PORT HURON,MI48060 38-1630480	AUXILIARY	MI	501(c)(3)	11A, I	TRINITY H-MI	Yes
(188) MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON,IA52732 42-1336618	HLTHCARE SVCS	DE	501(c)(3)	3	MHS-IOWA	Yes
(189) MERCY MEDICAL CENTER - SIOUX CITY FOUNDA 801 5TH STREET SIOUX CITY,IA51102 14-1880022	SUPPORT SVCS	IA	501(c)(3)	7	MHS-IOWA	Yes
(190) MERCY MEDICAL CENTER FOUNDATION - NORTH 1000 4TH STREET SW MASON CITY,IA50401 42-1229151	SUPPORT SVCS	IA	501(c)(3)	11C, III-FI	NA	Yes
(191) MERCY NORTH HOMECARE AND HOSPICE 7985 MACKINAW TRAIL CADILLAC,MI49601 38-3313897	HOME HLTH SVS	MI	501(c)(3)	11A, I	TRINITY HHS	Yes
(192) MERCY PHYSICIAN GROUP INC 1512 12TH AVENUE ROAD NAMPA,ID83686 20-8192593	HLTHCARE SVCS	ID	501(c)(3)	9	SAMC-NAMPA	Yes
(193) MERCY SVCS FOR AGING NON-PROFIT HOUSING PO BOX 9184 FARMINGTON HILLS,MI48333 38-2719605	LT CARE	MI	501(c)(3)	11B, II	TRINITY CCS	Yes
(194) MIDWEST MEDFLIGHT 1300 VICTORS WAY ANN ARBOR,MI48108 38-2684671	AERO TRANSP	MI	501(c)(3)	9	TRINITY H-MI	Yes
(195) MISSION HEALTH CORPORATION 37595 SEVEN MILE ROAD LIVONIA,MI48152 38-3181557	AMBUL. CARE	DE	501(c)(3)	11A, I	NA	Yes
(196) MOUNT CARMEL COLLEGE OF NURSING 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1308555	COLLEGE	OH	501(c)(3)	2	MT CARMEL HT	Yes
(197) MOUNT CARMEL HEALTH INSURANCE COMPANY 6150 EAST BROAD STREET COLUMBUS,OH43213 25-1912781	HLTH INSUR.	OH	501(c)(4)	N/A	MT CARMEL HS	Yes
(198) MOUNT CARMEL HEALTH PLAN INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1471229	MEDICARE HMO	OH	501(c)(4)	N/A	MT CARMEL HS	Yes
(199) MOUNT CARMEL HEALTH SYSTEM 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1439334	MGMT/SUPP SVS	OH	501(c)(3)	3	TRINITY HC	Yes
(200) MOUNT CARMEL HEALTH SYSTEM FOUNDATION 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1113966	SUPPORT SVCS	OH	501(c)(3)	11A, I	MT CARMEL HS	Yes
(201) MOUNT CARMEL HOME CARE LLC 501 WEST SCHROCK ROAD NO 350 WESTERVILLE,OH43081 26-2729300	HOME HLTH SVS	OH	501(c)(3)	9	TRINITY HHS	Yes
(202) MRI MOBILE SERVICES OF WEST MICHIGAN 1820-44TH STREET KENTWOOD,MI49508 38-3073745	MRI SERVICES	MI	501(c)(3)	9	TRINITY H-MI	Yes
(203) MUSKEGON COMMUNITY HEALTH PROJECT 565 W WESTERN AVENUE MUSKEGON,MI49440 91-1932918	SUPPORT SVCS	MI	501(c)(3)	7	MERCY HP	Yes
(204) OAKLAND MERCY HOSPITAL 601 EAST 2ND STREET OAKLAND,NE68045 20-8072234	HLTHCARE SVCS	NE	501(c)(3)	3	MHS-IOWA	Yes
(205) OAKLAND MERCY HOSPITAL FOUNDATION 601 EAST 2ND STREET OAKLAND,NE68045 31-1678345	SUPPORT SVCS	NE	501(c)(3)	11C, III-FI	NA	Yes
(206) OSUMOUNT CARMEL HEALTH ALLIANCE 793 WEST STATE STREET COLUMBUS,OH43222 31-1654603	HLTHCARE SVCS	OH	501(c)(3)	11A, I	NA	Yes
(207) PORT HURON MERCY FAMILY CARE INC 2601 ELECTRIC AVE PORT HURON,MI48060 20-1855647	HLTHCARE SVCS	MI	501(c)(3)	11A, I	TRINITY H-MI	Yes
(208) PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON,MI49442 38-2638284	HLTHCARE/EDUC	MI	501(c)(3)	9	TRINITY H-MI	Yes
(209) PROFESSIONAL OFFICE CORPORATION 1303 EAST HERNDON AVE FRESNO,CA93720 94-2839324	HLTHCARE SVCS	CA	501(c)(3)	11A, I	SAMC	Yes
(210) SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO,CA93720 94-1437713	HLTHCARE SVCS	CA	501(c)(3)	3	TRINITY HC	Yes
(211) SAINT ALPHONSUS BUILDING COMPANY INC 1055 NORTH CURTIS RD BOISE,ID83706 82-0401011	SUPPORT SVCS	ID	501(c)(3)	11A, I	SARMC	Yes
(212) SAINT ALPHONSUS DIVERSIFIED CARE INC 1055 NORTH CURTIS RD BOISE,ID83706 94-3028978	SUPPORT SVCS	ID	501(c)(3)	11A, I	SARMC	Yes
(213) SAINT ALPHONSUS FOUNDATION-BAKER CITY I 3325 POCAHONTAS ROAD BAKER CITY,OR97814 94-3164869	SUPPORT SVCS	OR	501(c)(3)	7	SAMC-BAKER C	Yes
(214) SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO,OR97914 20-2683560	SUPPORT SVCS	OR	501(c)(3)	11A, I	SAMC-ONTARIO	Yes
(215) SAINT ALPHONSUS HEALTH SYSTEM INC 1055 NORTH CURTIS RD BOISE,ID83706 27-1929502	MGMT/SUPP SVS	ID	501(c)(3)	11A, I	TRINITY HC	Yes
(216) SAINT ALPHONSUS MEDICAL CENTER-BAKER CIT 3325 POCAHONTAS ROAD BAKER CITY,OR97814 27-1790052	HLTHCARE SVCS	OR	501(c)(3)	3	SAHS	Yes
(217) SAINT ALPHONSUS MEDICAL CENTER-NAMPA IN 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0200896	HLTHCARE SVCS	ID	501(c)(3)	3	SAHS	Yes
(218) SAINT ALPHONSUS MED CTR-NAMPA HEALTH FDN 1512 12TH AVENUE ROAD NAMPA,ID83686 26-1737256	SUPPORT SVCS	ID	501(c)(3)	7	SAMC-NAMPA	Yes
(219) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO 351 SW 9TH STREET ONTARIO,OR97914 27-1789847	HLTHCARE SVCS	OR	501(c)(3)	3	SAHS	Yes
(220) SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 NORTH CURTIS RD BOISE,ID83706 82-0200895	HLTHCARE SVCS	ID	501(c)(3)	3	SAHS	Yes
(221) SAINT JOSEPH REG MED CTR-PLYMOUTH CAMP 1915 LAKE AVENUE PO BOX 670 PLYMOUTH,IN46563 35-1142669	HLTHCARE SVCS	IN	501(c)(3)	3	SJRMC	Yes
(222) SAINT JOSEPH REG MED CTR-SOUTH BEND CAMP PO BOX 1935 SOUTH BEND,IN46634 35-0868157	HLTHCARE SVCS	IN	501(c)(3)	3	SJRMC	Yes
(223) SAINT JOSEPH REG MED CTR MISHAWAKA AUX 5215 HOLY CROSS PARKWAY MISHAWAKA,IN46545 35-6033285	AUXILIARY	IN	501(c)(4)	N/A	SJRMC-S BEN	Yes
(224) SAINT JOSEPH REG MED CTR PLYMOUTH AUX I 1915 LAKE AVENUE PLYMOUTH,IN46563 35-6043563	AUXILIARY	IN	501(c)(3)	11B, II	SJRMC-PLYM	Yes
(225) SAINT JOSEPH REGIONAL MEDICAL CENTER IN 801 EAST LASALLE AVE SOUTH BEND,IN46617 35-1568821	MGMT/SUPP SVS	IN	501(c)(3)	11A, I	TRINITY HC	Yes
(226) SAINT JOSEPH'S TOWER INC PO BOX 9184 FARMINGTON HILLS,MI48333 31-1040468	ELDRLY HOUS.	IN	501(c)(3)	9	TRINITY CCS	Yes
(227) SAINT MARY'S AMICARE HOME HEALTHCARE 1430 MONROE NW GRAND RAPIDS,MI49505 38-3320700	HOME HLTH SVS	MI	501(c)(3)	11A, I	TRINITY HCS	Yes
(228) SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS,MI49503 38-1779602	SUPPORT SVCS	MI	501(c)(3)	7	TRINITY H-MI	Yes
(229) ST JOSEPH MERCY OAKLAND FOUNDATION 44405 WOODWARD AVE PONTIAC,MI48341 35-2356789	SUPPORT SVCS	MI	501(c)(3)	11A, I	TRINITY H-MI	Yes
(230) THE FOUNDATION OF SAINT JOSEPH'S REG MED 4215 EDISON LAKES PARKWAY MISHAWAKA,IN46545 35-1654543	SUPPORT SVCS	IN	501(c)(3)	11A, I	SJRMC	Yes
(231) TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON,MI48060 38-2485700	AMBUL. SVCS	MI	501(c)(3)	11D, III	NA	Yes
(232) TRI-HOSPITAL MRI CENTER 4190 24TH AVENUE FORT GRATIOT,MI48054 38-2884297	MRI SERVICES	MI	501(c)(3)	3	TRINITY H-MI	Yes
(233) TRINITY CONTINUING CARE SERVICES PO BOX 9184 FARMINGTON HILLS,MI48333 38-2559656	MGMT SERVICES	MI	501(c)(3)	11A, I	TRINITY HC	Yes
(234) TRINITY CONTINUING CARE SERVICES-INDIANA PO BOX 9184 FARMINGTON HILLS,MI48333 93-0907047	LT CARE/HOUS.	IN	501(c)(3)	9	TRINITY CCS	Yes
(235) TRINITY HEALTH-MICHIGAN 20555 VICTOR PARKWAY LIVONIA,MI48152 38-2113393	HLTHCARE SVCS	MI	501(c)(3)	3	TRINITY HC	Yes
(236) ST MARY BUILDING & DEVELOPMENT COMPANY 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE,PA19047 46-1827502	REAL EST HLDG	IN	501(c)(3)	N/A	ST MARY MC	Yes
(237) TRINITY HEALTH INTERNATIONAL 20555 VICTOR PARKWAY LIVONIA,MI48152 42-1253527	SUPPORT SVCS	MI	501(c)(3)	11A, I	TRINITY HC	Yes
(238) TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 20-8151733	MED/LIFE INS.	MI	501(c)(9)	N/A	TRINITY HC	Yes
(239) TRINITY HOME HEALTH SERVICES INC 17410 COLLEGE PARKWAY LIVONIA,MI48152 38-2621935	MGMT SERVICES	MI	501(c)(3)	11A, I	TRINITY HC	Yes
(240) CATHOLIC HEALTH EAST 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE,PA19073 23-2929748	MGMT SVCS	PA	501(c)(3)	11C,III-FI	CHE TRINITY	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CATHERINE HORAN BLDG 1221 MAIN ST RM 108 HOLYOKE,MA01040 04-2723429	PROPERTY MGMT	NY	NA
(2) W MASS PETCT IMAGING 100 BAYVIEW CIRCLE STE 400 NEWPORT,DE19804 20-4744663	O/P MEDICAL SVCS	MA	NA
(3) CENTRAL NJ HEART SVCS 29 EAST 29TH ST 2ND FL BAYONNE,NJ07002 20-8525458	CARDIAC PROGRAM	DE	NA
(4) SMMC MOB II LP 1201 LANGHORNE-NEWTOWN RD LANGHORNE,PA19047 36-4559869	INVEST/OP MED BDG	NJ	NA
(5) AMB SURG CTR ST MARY 1203 LANGHORNE-NEWTOWN RD LANGHORNE,PA19047 23-2871206	OUTPATIENT SURG.	PA	NA
(6) E NORRITON MED ASSC ONE WEST ELM ST CONSHOHOCKEN,PA19428 23-2319531	MOB RENTAL	PA	NA
(7) GATEWAY HEALTH PLAN 300 GRANT ST PITTSBURGH,PA15219 25-1691945	MANAGED CARE	PA	NA
(8) MERCYMANOR PTNRSHP PO BOX 10086 TOLEDO,OH436990086 52-1931012	NURSING HOME	PA	NA
(9) ST AGNES LT INT CARE ONE WEST ELM ST CONSHOHOCKEN,PA19428 20-0984882	LT INTENSIVE CARE	PA	NA
(10) NAZARETH MED OFF BLG 2601 HOLME AVE PHILADELPHIA,PA19152 23-2388040	MOB RENTAL	PA	NA
(11) CENTENNIAL SURG CTR 502 CENTENNIAL BLVD STE 1 VOORHEES,NJ08043 22-3580847	HEALTHCARE SVCS	PA	NA
(12) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	NA
(13) PHYSICIANS OP SURG CT 100 NE 56TH ST OAKLAND PARK,FL33334 35-2325646	AMBULATORY SURG	NJ	NA
(14) ADVENT REHABILITATION 607 DEWEY AVENUE STE 300 GRAND RAPIDS,MI49504 38-3306673	REHAB THERAPY SVS	FL	NA
(15) BIG RUN MED OFF BLDG 793 W STATE ST COLUMBUS,OH43222 31-1608125	MOB RENTAL	MI	NA
(16) CTR FOR DIGEST CARE 5300 ELLIOT DRIVE YPSILANTI,MI48197 03-0447062	GASTRO SERVICES	OH	NA
(17) CENTRAL OHIO SLEEP 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1701029	SLEEP MED. SVCS	MI	NA
(18) CLINTON IMAGING SVCS 615 VALLEY VIEW DRIVE SUITE 202 MOLINE,IA61265 41-2044739	MRI DIAGNOST. SVC	OH	NA
(19) FOREST PARK IMAGING 1000 4TH STREET SW MASON CITY,IA50401 13-4365966	X-RAY & MAMMO SVS	IA	NA
(20) FRANCES WARDE LAB 300 WEST TEXTILE ROAD ANN ARBOR,MI48104 38-2648446	LABORATORY	IA	NA
(21) FRESNO IMAGING CTR 1303 EAST HERNDON AVENUE FRESNO,CA93720 77-0363563	DIAGNOST. IMAGING	MI	NA
(22) HAWARDEN REG HEALTH 1122 AVENUE L HAWARDEN,IA51023 20-1444339	MEDICAL CLINIC	CA	NA
(23) IDAHO GYNONCOLOGY 1055 N CURTIS ROAD BOISE,ID83702 20-2975807	ONCOLOGY SERVICES	IA	NA
(24) INTERMTN MED IMAGING 877 WEST MAIN STREET BOISE,ID83702 82-0514422	IMAGING SERVICES	ID	NA
(25) LOYOLA AMB SURG CTR 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM,AL35244 36-4119522	SURGICAL SERVICES	ID	NA
(26) MAGNETIC RESONANCE 1416 SIXTH STREET SW MASON CITY,IA50401 42-1328388	MRI SERVICES	IL	NA
(27) MASON CITY AMB SURG 990 4TH STREET SW MASON CITY,IA50401 20-1960348	SAME DAY SURGERY	IA	NA
(28) MCE MOB IV LP 793 W STATE STREET COLUMBUS,OH43222 42-1544707	MOB RENTAL	IA	NA
(29) MCMC POB III LP 793 W STATE STREET COLUMBUS,OH43222 31-1392994	MOB RENTAL	OH	NA
(30) MERCY ADVANCED MRI 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 26-2116721	SUBLEASE MRI EQU.	OH	NA
(31) MERCY HEART CTR OP 1000 4TH STREET SW MASON CITY,IA50401 13-4237594	CARDIO SVCS	IL	NA
(32) MICHIANA HEALTH INFO 215 WEST MADISON STREET SOUTH BEND,IN46601 35-2050128	CLINICAL INFO SYS	IA	NA
(33) MOUNT CARMEL E POB III 793 W STATE STREET COLUMBUS,OH43222 31-1369473	MOB RENTAL	IN	NA
(34) NEWCO AMB SURG CTR 4190 24TH AVENUE FORT GRATIOT,MI48059 30-0136708	OUTPATIENT SURG.	OH	NA
(35) SARMED OP PHARMACY 999 N CURTIS ROAD SUITE 102 BOISE,ID83706 51-0483218	PHARMACY	MI	NA
(36) SIXTY FOURTH STREET 2373 64TH STREET SUITE 2200 BYRON CENTER,MI49315 20-2443646	O/P SURG CARE	ID	NA
(37) ST ALPHONSUS CALD 3123 MEDICAL DRIVE CALDWELL,ID83605 82-0526861	RADIATION ONCOL.	MI	NA
(38) ST ANN'S MOB II LP 793 W STATE STREET COLUMBUS,OH43222 31-1603660	MOB RENTAL	ID	NA
(39) TAMARACK MED CLINIC 402 OLD STATE HWY CASCADE,ID83611 20-1637921	O/P MEDICAL SVCS	OH	NA
(40) WOODLAND IMAG CTR 5301 E HURON RIVER DRIVE ANN ARBOR,MI48106 76-0820959	RADIOLOGY/IMAGING	OH	NA
(41) ST MARY REHAB HOSP 113 SEABOARD LANE SUITE B201 FRANKLIN,DE37067 27-3938747	MEDICAL SERVICES	MI	NA
(42) ST PETER AMB SURG 1375 WASHINGTON AVE STE 201 ALBANY,NY12206 46-0463892	OUTPATIENT SURG.	NY	NA

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) AFFILIATED MANAGEMENT SVCS CORP INC 1300 MASSACHUSETTS AVENUE TROY,NY12180 14-1668024	REAL ESTATE	NY	NA	C CORP.			Yes
(2) CATHERINE HORAN BUILDING INC C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-2938160	BUILDING MGMT	NY	NA	C CORP.			Yes
(3) DIVERSIFIED COMMUNITY SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-3128890	HEALTHCARE SVCS	MA	NA	C CORP.			Yes
(4) MERCY INPATIENT MEDICAL ASSOC INC C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-3029929	HEALTHCARE SVCS	MA	NA	C CORP.			Yes
(5) PROVIDENCE HOME CARE INC C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-3317425	HEALTHCARE SVCS	MA	NA	C CORP.			Yes
(6) SYSTEM COORDINATED SERVICES INC C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-2938181	LAB SERVICES	MA	NA	C CORP.			Yes
(7) PHYSICIANS MOB CONDOMINIUM TRUST C/O SPHS 1221 MAIN STREET SUITE 10 HOLYOKE,MA01040 04-6608649	BUILDING MGMT.	MA	NA	C CORP.			Yes
(8) SJM PROPERTIES INC 411 CANISTEO STREET HORNELL,NY148482101 16-1294991	BUILDING MGMT.	MA	NA	C CORP.			Yes
(9) CARBONDALE AREA PHYSICIANS ASSOC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801677	MEDICAL INS	NY	NA	C CORP.			Yes
(10) CARBONDALE AREA PHYSICIANS' PHO INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2801676	INACTIVE	PA	NA	C CORP.			Yes
(11) CARBONDALE PHYSICIANS' SERVICES INC 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	PHARMACY	PA	NA	C CORP.			Yes
(12) CHESTNUT RISK SERVICES LTD 100 LINCOLN AVE CARBONDALE,PA18407 23-2365077	FINANCIAL VEHILE	PA	NA	C CORP.			Yes
(13) LIFECARE PHYSICIANS PC 11 VICTORIA STREET HAMILTON HM11 BD	HEALTHCARE SVCS	BD	NA	C CORP.			Yes
(14) JEANETTE PRIMARY CARE GREOUP 1 INC 601 HAMILTON AVENUE TRENTON,NJ086291986 26-1649038	HOLDING CO.	NJ	NA	C CORP.			Yes
(15) LANGHORNE SERVICES II INC 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 23-2890743	REAL ESTATE	NJ	NA	C CORP.			Yes
(16) LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTON ROAD LANGHORNE,PA19047 25-3795549	REAL ESTATE	PA	NA	C CORP.			Yes
(17) JEANETTE OBGYN GROUP 1 INC 1201 LANGHORNE-NEWTON ROAD LANGHORNE,PA19047 23-2625981	HOLDING CO.	PA	NA	C CORP.			Yes
(18) GATEWAY HEALTH PLAN INC 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 23-2890748	HEALTHCARE SVCS	PA	NA	C CORP.			Yes
(19) GATEWAY HEALTH PLAN INC OF OHIO 600 GRANT STREET PITTSBURGH,PA15219 25-1505506	HEALTHCARE SVCS	PA	NA	C CORP.			Yes
(20) MCMC EASTWICK INC 600 GRANT STREET PITTSBURGH,PA15219 30-0282076	REAL ESTATE	PA	NA	C CORP.			Yes
(21) HEALTH MANAGEMENT SVCS ORG INC C/O MHS ONE WEST ELM STREET CONSHOHOCKEN,PA19428 23-2184261	HLTHCARE BILLING	PA	NA	C CORP.			Yes
(22) LOURDES MEDICAL ASSOCIATES PA 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3366580	HEALTHCARE SVCS	NJ	NA	C CORP.			Yes
(23) GEORGIA HEALTH ENTERPRISES LLC 500 GROVE STREET SUITE 100 HADDON HEIGHTS,NJ08035 22-3361862	HEALTHCARE SVCS	NJ	NA	C CORP.			Yes
(24) ST MARY'S HIGHLAND HILLS VILLAGE INC 1230 BAXTER STREET ATHENS,GA30606 54-1806329	ASSISTED LIVING	GA	NA	C CORP.			Yes
(25) GHE PHYSICIANS PC 1230 BAXTER STREET ATHENS,GA30606 58-2276801	PRACTICE MGMT.	GA	NA	C CORP.			Yes
(26) NURSING NETWORK INC 3500 PIEDMONT ROAD ATLANTA,GA30305 58-2277939	HEALTHCARE SVCS	GA	NA	C CORP.			Yes
(27) STELLA MARIS INSURANCE CO LTD 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE HWY,FL33308 59-1145192	FINANCIAL VEHICLE	FL	NA	C CORP.			Yes
(28) CATHOLIC HEALTH EAST SENIOR SVCS PO BOX 69 GRAND CAYMAN KY1-1102 CJ 98-0078266	SENIOR SERVICES	CJ	NA	C CORP.			Yes
(29) COMMUNITY HEALTH VENTURES INC 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 37-1572595	SOFTWARE MARKT	PA	NA	C CORP.			Yes
(30) GOTTLIEB MANAGEMENT SERVICES INC 565 W WESTERN AVE MUSKEGON,MI49440 38-3522260	MGMT. SVCS.	MI	NA	C CORP.			Yes
(31) HACKLEY HEALTH MANAGEMENT CENTER 701 W NORTH AVE MELROSE PARK,IL60160 36-3330529	WEIGHT MGMT.	IL	NA	C CORP.			Yes
(32) HACKLEY HEALTH VENTURES INC 1415 LEAHY ST MUSKEGON,MI49442 38-2961814	HEALTHCARE SVCS	MI	NA	C CORP.			Yes
(33) HACKLEY HEALTHCARE EQUIPMENT 1415 LEAHY ST MUSKEGON,MI49442 38-2589959	HOME MED EQUIP	MI	NA	C CORP.			Yes
(34) HACKLEY PROFESSIONAL CENTER 1415 LEAHY ST MUSKEGON,MI49442 38-2578569	REAL ESTATE	MI	NA	C CORP.			Yes
(35) HACKLEY PROFESSIONAL PHARMACY 1415 LEAHY ST MUSKEGON,MI49442 38-3024797	PHARMACY	MI	NA	C CORP.			Yes
(36) HEF INC 1415 LEAHY ST MUSKEGON,MI49442 38-2447870	OFFICE STAFFING	MI	NA	C CORP.			Yes
(37) HOLY CROSS PRIVATE HOME SVCS CORP 1415 LEAHY ST MUSKEGON,MI49442 38-3086401	HOMECARE SVCS	MI	NA	C CORP.			Yes
(38) HPC CO-OWNERS ASSOCIATION 11801 TECH ROAD SILVER SPRING,MD20904 52-1986562	CONDO ASSOC.	MD	NA	C CORP.			Yes
(39) HURON ARBOR CORPORATION 1700 CLINTON MUSKEGON,MI49442 27-0734448	REAL ESTATE	MI	NA	C CORP.			Yes
(40) IHA AFFILIATION CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR,MI48106 38-2475644	MEDICAL MGMT	MI	NA	C CORP.			Yes
(41) MARYLAND CARE GROUP INC 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR,MI48106 38-3188895	HEALTHCARE SVCS	MI	NA	C CORP.			Yes
(42) MEDNOW INC 11801 TECH ROAD SILVER SPRING,MD20904 52-1815313	O/P PHARMACY	MD	NA	C CORP.			Yes
(43) MERCY MEDICAL SERVICES 1512 12TH AVENUE ROAD NAMPA,ID83686 82-0389927	PRIMARY CARE	ID	NA	C CORP.			Yes
(44) MERCY SERVICES CORPORATION 801 5TH STREET SIOUX CITY,IA51101 42-1283849	INACTIVE	IA	NA	C CORP.			Yes
(45) MICHIGAN ATHLETIC CLUB 2525 SOUTH MICHIGAN AVENUE CHICAGO,IL60616 36-3227348	ATHLETIC CLUB	IL	NA	C CORP.			Yes
(46) MOUNT CARMEL HEALTH PROVIDERS INC 2500 BURTON GRAND RAPIDS,MI49546 38-2647304	HEALTHCARE SVCS	MI	NA	C CORP.			Yes
(47) NORTH IOWA MERCY MEDICAL SVCS INC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1382442	HEALTHCARE SVCS	OH	NA	C CORP.			Yes
(48) PRIORITY PLUS OF CALIFORNIA 1000 4TH ST SW MASON CITY,IA50401 42-1382308	INACTIVE	IA	NA	C CORP.			Yes
(49) SAINT ALPHONSUS PHYSICIANS PA PO BOX 27230 FRESNO,CA93729 77-0395267	HEALTHCARE SVCS	CA	NA	C CORP.			Yes
(50) SAINT MARY'S HEALTH MANAGEMENT CO 1055 NORTH CURTIS ROAD BOISE,ID837061370 33-1078261	ATHLETIC CLUB	ID	NA	C CORP.			Yes
(51) SURGERY CENTER FINANCING CORP 1640 EAST PARIS SE GRAND RAPIDS,MI49546 38-3450733	FINANCE & INS.	MI	NA	C CORP.			Yes
(52) THRE SERVICES LLC 6150 EAST BROAD STREET COLUMBUS,OH43213 31-1531102	REAL ESTATE	OH	NA	C CORP.			Yes
(53) TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA,MI48152 45-2603654	GRANTOR TRUST	MI	NA	TRUST			Yes
(54) VENZKE INSURANCE COMPANY LTD 20555 VICTOR PARKWAY LIVONIA,MI48152 38-3410377	FINANCIAL VEHICLE	MI	NA	C CORP.			Yes
(55) WEST SHORE PROF BLDG CONDOMINIUM PO BOX 1051 GRAND CAYMAN KY1-1102 CJ 98-0453602	CONDO ASSOC	CJ	NA	C CORP.			Yes
(56) JEANETTE MEDICAL PROVIDERS 1820 44TH STREET SE KENTWOOD,MI49508 38-2700166	HOLDING CO.	MI	NA	C CORP.			Yes
(57) WORKPLACE HEALTH OF GRAND HAVEN 3805 WEST CHESTER PIKE STE 100 NEWTOWN SQUARE,PA19073 25-1787334	OCCUP. HLTH	MI	NA	C CORP.			Yes
(58) WORKPLACE HEALTH OF GRAND HAVEN 1415 LEAHY ST MUSKEGON,MI49442 38-3112035	OCCUP. HLTH	MI	NA	C CORP.			Yes
(59) SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY,NY12180 14-1607244	REAL ESTATE	NY	NA	C CORP.			Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SAINT MICHAEL'S FOUNDATION INC	C	177,242	COST

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
SCHEDULE R, PART V	SAINT MICHAEL'S MEDICAL CENTER ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE EXCELLENCE IN HEALTH CARE TO THE COMMUNITIES WE SERVE, INTEGRATING PRINCIPLES OF INCLUSION AND EDUCATING THE NEXT GENERATION OF CARE PROVIDERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,569
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,889,343	4,639,024
9	Program service revenue (Part VIII, line 2g) .........	186,814,983	187,511,904
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	86,485	16,241
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	479,897	451,983
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	192,270,708	192,619,152
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	97,183,139	100,305,106
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	111,197,443	112,216,692
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	208,380,582	212,521,798
19	Revenue less expenses. Subtract line 18 from line 12.......	-16,109,874	-19,902,646
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	154,418,984	134,612,686
21	Total liabilities (Part X, line 26).............	401,362,320	401,505,429
22	Net assets or fund balances. Subtract line 21 from line 20.....	-246,943,336	-266,892,743

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 191,269,618 including grants of $ 0 ) (Revenue $ 187,511,904 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses191,269,618

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MICHAEL ALWELL........................................................................ VP REVENUE CYCLE(TERM 1/31/14)	55.0 .......................0.0	X		26,093	0	2,190
(19) JOHANNA MAGNER........................................................................ CHIEF NURSING OFFICER	55.0 .......................0.0	X		0	0	0
(20) NANCY A BISCO-FLORA........................................................................ CHIEF COMPLIANCE OFFICER	55.0 .......................0.0	X		162,775	0	9,264
(21) SHRAVAN KAMBAM MD........................................................................ PHYSICIAN	55.0 .......................0.0		X	575,384	0	28,002
(22) SANIEA MAJID MD........................................................................ PHYSICIAN	55.0 .......................0.0		X	308,793	0	28,002
(23) NORMA RAE MD........................................................................ PHYSICIAN	55.0 .......................0.0		X	288,487	0	17,565
(24) PADMAKSHI SINGH MD........................................................................ PHYSICIAN	55.0 .......................0.0		X	249,304	0	10,374
(25) SARAH CHIMA MD........................................................................ PHYSICIAN	55.0 .......................0.0		X	248,928	0	13,522

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,647,129	828,034	222,651

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		177,242
e	Government grants (contributions)1e		4,461,782

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			4,639,024
			Business Code
2a	NET PATIENT SERVICE REVENUE		621110	181,021,942	181,021,942
b	OTHER HEALTHCARE RELATED REVENUE		621110	6,489,962	6,489,962
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			187,511,904
3	Investment income (including dividends, interest, and other similar amounts).......			16,241			16,241
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	261,014
b	Less: rental expenses
c	Rental income or (loss)	261,014	0
d	Net rental income or (loss).......			261,014			261,014
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss)..........			0
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	EMPLOYEE PARKING		812930	160,483			160,483
b	TELEVISION		517000	18,670			18,670
c	VENDING MACHINES		900099	11,816			11,816
d	All other revenue ....
e	Total. Add lines 11a–11d ......			190,969
12	Total revenue. See Instructions......			192,619,152	187,511,904		468,224


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			23,698,762	2	20,501,700
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			19,020,277	4	19,579,836
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			4,074,131	8	4,411,703
9	Prepaid expenses and deferred charges ..........			2,818,326	9	2,647,370
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	96,949,458
b	Less: accumulated depreciation .....	10b	20,444,296	75,703,269	10c	76,505,162
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			1,340,325	13	1,340,325
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			27,763,894	15	9,626,590
16	Total assets. Add lines 1 through 15 (must equal line 34)......			154,418,984	16	134,612,686
17	Accounts payable and accrued expenses .........			17,598,585	17	20,268,616
18	Grants payable .................			0	18	0
19	Deferred revenue ................			516,397	19	292,602
20	Tax-exempt bond liabilities .............			232,268,869	20	227,819,331
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			11,308,889	23	10,521,531
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			139,669,580	25	142,603,349
26	Total liabilities. Add lines 17 through 25.........			401,362,320	26	401,505,429
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			-247,481,449	27	-266,892,743
28	Temporarily restricted net assets ...........			538,113	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			-246,943,336	33	-266,892,743
34	Total liabilities and net assets/fund balances ........			154,418,984	34	134,612,686

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No