Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 07-01-2013 , 2013, and ending 06-30-2014
BCheck if applicable:
CName of organization
HOLY CROSS HOSPITAL INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
4725 NORTH FEDERAL HIGHWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FT LAUDERDALE, FL333084603
D Employer identification number

59-0791028
E Telephone number

G Gross receipts $ 480,382,970
F Name and address of principal officer:
PATRICK A TAYLOR
4725 NORTH FEDERAL HIGHWAY
FT LAUDERDALE,FL333084603
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HOLY-CROSS.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1952
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: HOLY CROSS HOSPITAL PROVIDES QUALITY PATIENT CARE IN BROWARD COUNTY. HOLY CROSS HOSPITAL, INC. SERVES THE HEALTHCARE NEEDS OF PERSONS OF ALL FAITHS AND CULTURES BY PROVIDING QUALITY HEALTH CARE WITH CHRIST-LIKE COMPASSION. THE ORGANIZATION IS A MEMBER OF TRINITY HEALTH.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 3,510
6 Total number of volunteers (estimate if necessary) ............. 6 708
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 730,162
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 233,877
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,051,623 5,476,558
9 Program service revenue (Part VIII, line 2g) ......... 215,216,520 453,894,621
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,063,477 4,123,824
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,297,872 16,713,628
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 228,629,492 480,208,631
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 240,908
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) 115,957,238 224,196,287
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet446,419    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 105,439,041 234,934,222
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 221,396,279 459,371,417
19 Revenue less expenses. Subtract line 18 from line 12....... 7,233,213 20,837,214
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 453,480,066 466,111,195
21 Total liabilities (Part X, line 26)............. 279,080,151 243,359,847
22 Net assets or fund balances. Subtract line 21 from line 20..... 174,399,915 222,751,348
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION STATEMENT OF THE HOSPITAL IS AS FOLLOWS:WE, HOLY CROSS HOSPITAL, INC. AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 435,275,690 including grants of $ 240,908 ) (Revenue $ 465,506,234 )
HOLY CROSS HOSPITAL PROVIDES HEALTH CARE AND HOSPITAL SERVICES TO THE COMMUNITY OF BROWARD COUNTY. HEALTH CARE IS PROVIDED AT NO CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES TO PATIENTS WHO QUALIFY UNDER THE CHARITY POLICY. ADDITIONALLY, THE HOSPITAL PROVIDES HEALTH EDUCATION, HEALTH SCREENINGS, AND VARIOUS OTHER PROGRAMS DESIGNED TO BETTER THE HEALTH OF THE COMMUNITY IT SERVICES. DURING THE YEAR THERE WERE 68,614 DAYS OF INPATIENT CARE PROVIDED, 636,569 OUTPATIENT VISITS, AND 54,790 EMERGENCY ROOM VISITS.
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 expensesMediumBullet435,275,690
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
Yes
 
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
553
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
3,510
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMARLENE BERGER4725 N FEDERAL HIGHWAYFT LAUDERDALEFL333084603 (954) 267-6869
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) PATRICK A TAYLOR MD........................................................................
TRUSTEE; PRESIDENT & CEO
53.00
.......................2.00
X   X       0 887,885 44,098
(2) REV MSGR TOMAS M MARIN........................................................................
TRUSTEE; CHAIR
1.00
.......................0.00
X   X       0 0 0
(3) SR MARJORIE BOSSE RSM........................................................................
TRUSTEE; VICE CHAIR
1.00
.......................0.00
X   X       0 0 0
(4) SR SUSAN WELSH RSM........................................................................
TRUSTEE;SECRETARY & TREASURER(SCH O)
1.00
.......................39.00
X   X       0 0 10,897
(5) SR JOANNE COURNEEN RSM........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(6) SR KATHLEEN ANN KOLB RSM........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(7) JOSEPH CATANIA........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(8) FATHER MICHAEL GREER........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(9) KURT LANGSENKAMP........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(10) GERMAINE SMITH-BAUGH........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(11) RAUL TAPIA MD........................................................................
TRUSTEE
50.00
.......................0.00
X           515,009 0 10,498
(12) LUIS BARRERAS MD........................................................................
TRUSTEE; PRESIDENT OF MEDICAL STAFF
1.00
.......................0.00
X           0 0 0
(13) JANICE MORAN........................................................................
TRUSTEE
1.00
.......................0.00
X           0 0 0
(14) KEITH KOENIG........................................................................
TRUSTEE THROUGH 3/14
1.00
.......................0.00
X           0 0 0
(15) JONATHAN LEVINE MD........................................................................
TRUSTEE THROUGH 3/14
1.00
.......................0.00
X           1,500 0 0
(16) MARC SWERDLOFF MD........................................................................
TRUSTEE THROUGH 12/13
1.00
.......................0.00
X           2,750 0 0
(17) MAXINE HOLZWORTH........................................................................
TRUSTEE THROUGH 5/14
1.00
.......................0.00
X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ARISTIDES ZACHAROUDIS MD........................................................................
TRUSTEE AS OF 1/14
50.00
.......................0.00
X           326,559 0 19,673
(19) LINDA V WILFORD........................................................................
SVP & CFO
48.00
.......................2.00
    X       504,039 0 73,063
(20) KENNETH HOMER MD........................................................................
CMO
50.00
.......................0.00
      X     427,556 0 30,039
(21) MARK R DISSETTE........................................................................
SVP AND ADMINISTRATION
50.00
.......................0.00
      X     420,685 0 24,586
(22) LUISA GUTMAN........................................................................
SVP & COO
50.00
.......................0.00
      X     398,132 0 31,699
(23) TAREN RUGGIERO........................................................................
CNO
50.00
.......................0.00
      X     178,802 0 22,774
(24) JAMES DESMARTEAU........................................................................
VP OPERATIONS MG THROUGH 6/14
50.00
.......................0.00
      X     285,273 0 30,555
(25) MARGARET M SCHEAFFEL........................................................................
VP & CNO THROUGH 2/14
50.00
.......................0.00
      X     283,674 0 28,649
(26) MARTIN ROCHE MD........................................................................
PHYSICIAN
50.00
.......................0.00
        X   1,447,001 0 17,113
(27) JONATHAN C LEVY MD........................................................................
PHYSICIAN
50.00
.......................0.00
        X   1,367,436 0 23,784
(28) W PORTER MCROBERTS MD........................................................................
PHYSICIAN
50.00
.......................0.00
        X   1,312,957 0 16,716
(29) WILLIAM LEONE JR MD........................................................................
PHYSICIAN
50.00
.......................0.00
        X   1,260,485 0 27,719
(30) PAUL WU MD........................................................................
PHYSICIAN
50.00
.......................0.00
        X   882,863 0 26,247
(31) JOHN C JOHNSON........................................................................
FORMER OFFICER
0.00
.......................50.00
          X 0 2,215,059 989,206
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,614,721 3,102,944 1,427,316
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet267
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ACCRETIVE HEALTH INC39918 TREASURY CENTERCHICAGOIL606949900 CONSULTING SERVICES 5,344,946
SODEXO INCPO BOX 81049WOBURNMA018131049 MANAGEMENT SERVICES 3,933,951
SOUND PHYSICIANSPO BOX 742936LOS ANGELESCA900742936 PHYSICIAN SERVICES 1,782,354
LAUDERDALE CRITICAL CARE SVC6278 N FEDERAL HWY UNIT 374FORT LAUDERDALEFL333081916 PHYSICIAN SERVICES 1,681,463
ALL ABOUT STAFFING INC1000 SAWGRASS CORPORATE PKWY 6TH FLSUNRISEFL33323 MEDICAL STAFFING SERVICES 1,481,766
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet72
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 92,723
b Membership dues....1b  
c Fundraising events....1c 84,400
d Related organizations...1d 52,405
e Government grants (contributions)1e 312,790
f All other contributions, gifts, grants, and
similar amounts not included above
1f
4,934,240
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 5,476,558
 Program Service RevenueAmt Business Code
2a NET PATIENT SVC REV 622110 450,488,682 450,488,682    
b REFERENCE LAB 621500 51,949   51,949  
c
d
e
f All other program service revenue . 3,353,990 3,353,990    
g Total. Add lines 2a–2f........MediumBullet 453,894,621
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 3,816,774     3,816,774
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents 2,992,463  
b Less: rental expenses 0  
c Rental income or (loss) 2,992,463  
d Net rental income or (loss).......MediumBullet 2,992,463     2,992,463
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 206,575 233,226
b Less: cost or other basis and sales expenses 0 132,751
c Gain or (loss) 206,575 100,475
d Net gain or (loss)..........MediumBullet 307,050     307,050
8a Gross income from fundraising events (not including
$ 84,400
of contributions reported on line 1c). See Part IV, line 18 ..
a 51,505
b Less: direct expenses ...b 41,588
c Net income or (loss) from fundraising events..MediumBullet 9,917   9,917
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a GOV'T SUBSIDY - EHR 622110 4,885,660 4,885,660    
b CAFETERIA REVENUE 722514 1,369,473     1,369,473
c WELLNESS CENTER REVENUE 713940 904,285 226,072 678,213  
d All other revenue .... 6,551,830 6,551,830    
e Total. Add lines 11a–11d ...... MediumBullet 13,711,248
12 Total revenue. See Instructions......MediumBullet 480,208,631 465,506,234 730,162 8,495,677
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 governments and organizations in the United States. See Part IV, line 21 212,308 212,308
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 28,600 28,600
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,497,498 871,739 3,625,759  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 186,608,888 183,292,451 3,017,456 298,981
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,005,061 3,818,838 186,223  
9 Other employee benefits ....... 17,265,802 16,856,297 409,505  
10 Payroll taxes ........... 11,819,038 11,469,129 326,982 22,927
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 871,106   871,106  
c Accounting ........... 48,719   48,719  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 30,622   30,622  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 41,947,450 32,282,082 9,585,294 80,074
12 Advertising and promotion .... 2,539,133 120,539 2,418,594  
13 Office expenses ....... 8,992,154 8,274,218 709,854 8,082
14 Information technology ...... 3,576,441 3,470,959 105,482  
15 Royalties ..        
16 Occupancy ........... 5,824,227 5,817,333 6,894  
17 Travel ............ 370,753 306,954 63,799  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,303 3,303    
20 Interest ........... 5,600,658 5,600,658    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 22,034,206 20,796,313 1,237,893  
23 Insurance .............. 10,942,825 10,942,825    
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 UBI TAXES 110,114   110,114  
b SUPPLIES 79,203,119 79,115,424 72,263 15,432
c BAD DEBT 28,605,311 28,605,311    
d EQUIPMENT MAINTENANCE 9,754,420 9,280,738 473,682  
e All other expenses 14,479,661 14,109,671 349,067 20,923
25 Total functional expenses. Add lines 1 through 24e 459,371,417 435,275,690 23,649,308 446,419
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing .............   1 15,993
2 Savings and temporary cash investments ......... 5,257,901 2 30,230,785
3 Pledges and grants receivable, net ........... 2,758,924 3 3,517,881
4 Accounts receivable, net ............. 60,187,833 4 80,024,201
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
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
  6  
7 Notes and loans receivable, net ............. 51,410 7 42,278
8 Inventories for sale or use .............. 8,615,315 8 9,016,407
9 Prepaid expenses and deferred charges .......... 8,662,150 9 2,933,157
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 532,746,141
b Less: accumulated depreciation ..... 10b 304,499,654 235,661,394 10c 228,246,487
11 Investments—publicly traded securities ..........   11 76,924,661
12 Investments—other securities. See Part IV, line 11 ..... 91,078,584 12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14 100,000
15 Other assets. See Part IV, line 11 ........... 41,206,555 15 35,059,345
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 453,480,066 16 466,111,195
Liabilities 17 Accounts payable and accrued expenses ......... 29,446,989 17 81,288,358
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 91,266,258 20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
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..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 38,138,133 23 32,791,434
24 Unsecured notes and loans payable to unrelated third parties ....   24  
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.................... 120,228,771 25 129,280,055
26 Total liabilities. Add lines 17 through 25......... 279,080,151 26 243,359,847
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 157,977,828 27 205,823,007
28 Temporarily restricted net assets ........... 14,481,335 28 14,987,589
29 Permanently restricted net assets ........... 1,940,752 29 1,940,752
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 174,399,915 33 222,751,348
34 Total liabilities and net assets/fund balances ........ 453,480,066 34 466,111,195
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
480,208,631
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
459,371,417
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
20,837,214
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
174,399,915
5
Net unrealized gains (losses) on investments ...............
5
4,931,632
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
22,582,587
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
222,751,348
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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 IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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 IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
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
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. 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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2013)

Additional Data


Software ID:  
Software Version:  
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 See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ......................................

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 instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (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) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
6,209
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
6,209
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: HOLY CROSS HOSPITAL, INC. HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED HOLY CROSS HOSPITAL, INC. WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. HOLY CROSS HOSPITAL, INC. MADE NO CONTRIBUTIONS TO ANY LEGISLATORS OR CANDIDATES.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
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 contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .......................................
9
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.
1a
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.
b
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)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,235,505 2,235,505
b Buildings ................   341,817,937 139,270,709 202,547,228
c Leasehold improvements ............        
d Equipment ................   184,557,336 165,228,945 19,328,391
e Other .................   4,135,363   4,135,363
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 228,246,487
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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.)Small Bullet  
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) MISCELLANEOUS RECEIVABLES 3,529,247
(2) ASSETS HELD FOR SALE 17,329,500
(3) OTHER LONG-TERM ASSETS 11,615,164
(4) INVESTMENT IN UNCONSOL. AFFILIATES 2,585,434





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 35,059,345
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  
INTERCOMPANY ACCOUNTS PAYABLE 6,103,250
INTERCOMPANY OTHER LIABILITIES 2,005,395
INTERCOMPANY NOTES PAYABLE 109,335,869
OTHER CURRENT LIABILITIES 2,907,739
OTHER LONG-TERM LIABILITIES 3,937,666
ASSET RETIREMENT OBLIGATION (FIN 47 866,965
DEFERRED COMPENSATION LIABILITY 4,123,171


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 129,280,055
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) 2013

Schedule D (Form 990) 2013
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 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) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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 See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
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? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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
NORTH AMERICA 0 0 ASSISTANCE TO INDIVIDUAL SEE PART V 28,600
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 28,600
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 28,600
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
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)
(c) Region (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)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 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
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 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)
AIR AMBULANCE NORTH AMERICA 1     28,600 TRANSPORTATION FMV
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
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)......................................
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).......................................
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)..............................
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)...............................................
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)....................................
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)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
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
PART III ACCOUNTING METHOD: WHILE HOLY CROSS HOSPITAL, INC. USES THE ACCRUAL METHOD OF ACCOUNTING, THIS EXPENSE WAS INCURRED, PAID, AND REPORTED IN THE CURRENT FISCAL YEAR.
PART III, COLUMN G DESCRIPTION: HOLY CROSS HOSPITAL, INC. TREATED A PATIENT WHO, UPON DISCHARGE, WAS UNABLE TO AFFORD TRANSPORTATION HOME TO CANADA. THE HOSPITAL PAID $28,600 TO REVA, INC., AN AIR AMBULANCE SERVICE, TO FLY THE PATIENT BACK HOME TO CANADA.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

GOLF TOURNAMENT
(event type)
(b) Event #2

 
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 135,905     135,905
2 Less: Contributions . . 84,400     84,400
3 Gross income (line 1
minus line 2) . . .
51,505     51,505
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . 33,552     33,552
8 Entertainment . . . 675     675
9 Other direct expenses . 7,361     7,361
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 41,588
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 9,917
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria 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.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
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? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) ..
  667 7,982,850   7,982,850 1.850 %
b Medicaid (from Worksheet 3,
column a) ....
  9,036 21,470,278 7,591,529 13,878,749 3.220 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
  9,703 29,453,128 7,591,529 21,861,599 5.070 %
Other Benefits
  35,603 2,168,865 152,954 2,015,911 0.470 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
  280 599,298   599,298 0.140 %
g Subsidized health services
(from Worksheet 6) ..
    2,533,482   2,533,482 0.590 %
h Research (from Worksheet 7)   17 18,225   18,225 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
  9,461 247,014   247,014 0.060 %
j Total. Other Benefits ..   45,361 5,566,884 152,954 5,413,930 1.260 %
k Total. Add lines 7d and 7j .   55,064 35,020,012 7,744,483 27,275,529 6.330 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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 1   9,247   9,247 0 %
8 Workforce development            
9 Other            
10 Total 1   9,247   9,247  
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
7,291,340
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
188,442,207
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
207,618,338
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-19,176,131
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

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 %
11 PHYSICIANS OUTPATIENT SURGERY CENTER LLC
 
OUTPATIENT MULTI-SPECIALTY AMBULATORY SURGERY SERVICES 73.000 %   27.000 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 HOLY CROSS HOSPITAL INC
4725 N FEDERAL HIGHWAY
FORT LAUDERDALE,FL333084603
WWW.HOLY-CROSS.COM
LICENSE # 4
X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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)
HOLY CROSS HOSPITAL INC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 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 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 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 Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a 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)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, 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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 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 includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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 actions the hospital facility may take upon non-payment?....... 15 Yes  
16 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:
a
b
c
d
e
17 Did the hospital facility or an 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?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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.
a
b
c
d
21 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? ............................ 21   No
If "Yes," explain in Part VI.
22 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? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A CHNA ADVISORY COUNCIL. THESE INDIVIDUALS ASSISTED IN: GUIDING THE ASSESSMENT PROCESS, ACTED AS A SOUNDING BOARD AND ASSISTED IN OBTAINING COMMUNITY INPUT, PARTICIPATED WITH THE PLANNING TEAM IN EVALUATING HEALTH ISSUES AND PRIORITIES ONCE THE ASSESSMENT WAS COMPLETED. THE CHNA ADVISORY COUNCIL MET TOGETHER FOR THIRTEEN MEETINGS. PARTICIPANTS INCLUDED: GERMAINE SMITH-BAUGH, ED.D. (URBAN LEAGUE), TRECIA MATTHEWS HOSEIN (HEALTHY MOTHERS HEALTHY BABIES), SANDY LOZANO (LIGHT OF THE WORLD CLINIC), PAT KRAMER (DEPARTMENT OF CHILDREN & FAMILY SERVICES - MENTAL HEALTH), ROBIN MARTIN (HOPE SOUTH FLORIDA), MIKE DELUCCA (MHM - PRESIDENT & CEO), REGINE KANZKI AND NATASHA MARTIN (BROWARD REGIONAL HEALTH PLANNING COUNCIL).
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 7: NEEDS AND PRIORITY AREAS IDENTIFIED WHEN ASSESSED THAT WERE NOT ADDRESSED, AS IMPLEMENTATION DETAILS REVEALED THAT THE APPROACH WAS UNFEASIBLE, BECAUSE CERTAIN KEY INPUTS (SUCH AS SKILLED STAFF, TIME FRAMES, REQUIRED ORGANIZATIONAL/POLICY CHANGES, COMMUNITY SUPPORT) WERE NOT ATTAINABLE, AND TO AVOID DUPLICATION OF SERVICES IN THE COMMUNITY.AN EXAMPLE OF UNFEASIBILITY WERE NEEDS RELATED TO AFFORDABILITY OF HEALTHCARE INCLUDING: HIGH COST OF CARE, LACK OF LOW COST OPTIONS, LACK OF INSURANCE AND ACCESS TO MEDICAID (ESPECIALLY 18-44 AGE RANGE), UNDERINSURED, ECONOMIC IMPACT AND PRESCRIPTIONS AND TREATMENT.AN EXAMPLE OF UNFEASIBLE DUE TO SKILLED STAFF WAS BEHAVIORAL AND MENTAL HEALTH RELATED INTENDED AND UNINTENDED INJURIES, CONTINUITY OF CARE, BEHAVIORAL, MENTAL HEALTH FIRST AID.AN EXAMPLE OF AVOIDANCE OF DUPLICATION OF SERVICES WOULD BE DEDICATED EFFORTS RELATED TO LOW BIRTH WEIGHT AND INFANT MORTALITY. RATHER THAN FOCUS RESOURCES ON THIS PARTICULAR NEED, THE HOSPITAL IS SUPPORTIVE AND COLLABORATES WITH DEDICATED COMMUNITY ORGANIZATIONS, SUCH AS HEALTHY MOTHERS HEALTHY BABIES, HEALTHY START, AND THE MARCH OF DIMES AND THEIR EFFORTS.
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG ARE CHARGED THE APPROPRIATE MEDICAID PAYMENT RATE FOR INPATIENTS AND OUTPATIENTS.
HOLY CROSS HOSPITAL, INC. - PART V, SECTION B, LINE 5A: HTTP://WWW.HOLY-CROSS.COM/COMMUNITY-NEEDS-ASSESSMENT
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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?45
Name and address Type of Facility (describe)
1 HOLY CROSS HEALTHPLEX
1000 NORTH EAST 56TH STREET
OAKLAND PARK,FL33334
AMBULATORY SURG, ORTHOPEDICS, IMAGING AND LAB
2 THE LEON CENTER FOR ORTHOPEDIC CARE
1000 NE 56TH ST
FORT LAUDERDALE,FL33334
ORTHOPEDICS PRACTICE
3 HOLY CROSS ORTHOPEDIC INSTITUTE
5597 N DIXIE HIGHWAY
FORT LAUDERDALE,FL33334
SPINE CENTER
4 HEALTHPLEX PRACTICE
5597 N DIXIE HIGHWAY
FORT LAUDERDALE,FL33334
ORTHOPEDICS PRACTICE, REHABILITATION
5 PODIATRY PRACTICE
5597 N DIXIE HIGHWAY
FORT LAUDERDALE,FL33334
PODIATRY PRACTICE
6 INT SPINE AND PAIN MGMT PRACTICE
5601 N DIXIE HGHWAY 209
FORT LAUDERDALE,FL33334
PAIN MANAGEMENT PRACTICE
7 GALLAGHER ADULT PRACTICE
1900 E COMMERCIAL BLVD 101
FORT LAUDERDALE,FL33308
INTERNAL MEDICINE
8 OBSTETRICS AND GYNECOLOGY PRACTICE
4701 N FEDERAL HWY B BLDG
FORT LAUDERDALE,FL33308
OB/GYN PRACTICE
9 CARDIO PULMONARY PRACTICE
333 NW 70TH AVE 116
PLANTATION,FL33317
CARDIOLOGY PRACTICE
10 CARDIOLOGY ASSOCIATES OF BOYNTON BEACH
10151 ENTERPRISE CENTER 203
BOYNTON BEACH,FL33437
CARDIOLOGY PRACTICE
11 CARDIOLOGY ASSOCIATES OF BOCA RATON
9980 CENTRAL PARK BLVD 304
BOCA RATON,FL33428
CARDIOLOGY PRACTICE
12 GALLAGHER PEDIATRICS
1900 E COMMERCIAL BLVD 202
FORT LAUDERDALE,FL33308
PEDIATRICS PRACTICE
13 LIGHTHOUSE ORTHOPEDICS PRACTICE
1821 NE 25 ST
LIGHTHOUSE POINT,FL33064
ORTHOPEDICS PRACTICE
14 BOCA RATON ORTHOPEDICS PRACTICE
9970 CENTRAL PARK BLVD 400
BOCA RATON,FL33428
ORTHOPEDICS PRACTICE, REHABILITATION
15 RIO VISTA PRACTICE
1309 S FEDERAL HWY
FORT LAUDERDALE,FL33316
INTERNAL MEDICINE, REHABILITATION
16 ENDO AND INTERNAL MEDICINE PRACTICE
4701 N FEDERAL HWY A27
FORT LAUDERDALE,FL33308
INTERNAL MEDICINE
17 GALLAGHER GASTROENTEROLOGY PRACTICE
1900 E COMMERCIAL BLVD 201
FORT LAUDERDALE,FL33308
GASTROENTEROLOGY PRACTICE
18 NORTH RIDGE INTERNAL MEDICINE PRACTICE
5601 N DIXIE HWY 412
FORT LAUDERDALE,FL33334
INTERNAL MEDICINE
19 COLORECTAL SURGERY PRACTICE
1940 NE 47TH ST SUITE 1
FORT LAUDERDALE,FL33308
COLORECTAL SURGERY PRACTICE
20 MEDICAL MULTI-SPECIALTY GROUP
8391 W OAKLAND PARK BLVD
SUNRISE,FL33351
INTERNAL MEDICINE
21 HEART GROUP POMPANO
1 W SAMPLE RD SUITE 208
POMPANO BEACH,FL33064
CARDIOLOGY PRACTICE
22 HEART GROUP BOCA RATON
9980 CENTRAL PARK BLVD SUITE 210
BOCA RATON,FL33428
CARDIOLOGY PRACTICE
23 POMPANO BEACH OFFICE
2700 NE 14TH ST CSWY SUITE 103
POMPANO BEACH,FL33062
FAMILY PRACTICE
24 OFFICE OF RICKY SCHNEIDER MD
2901 CORAL HILLS DRIVE SUITE 240
CORAL SPRINGS,FL33065
CARDIOLOGY PRACTICE
25 NORTH BROWARD CARDIOLOGY
2800 N STATE RD 7 SUITE 101-102
POMPANO BEACH,FL33063
CARDIOLOGY PRACTICE
26 PULMONARY PRACTICE
1930 NE 47TH STREET 205
FORT LAUDERDALE,FL33308
PULMONARY PRACTICE
27 GALT OCEAN MILE PRACTICE
4004 N OCEAN BLVD
FORT LAUDERDALE,FL33308
FAMILY PRACTICE
28 BROWARD MEDICAL
1100 E BROWARD BLVD
FORT LAUDERDALE,FL33301
FAMILY PRACTICE
29 INFECTIOUS DISEASE PRACTICE
5601 N DIXIE HWY 107
FORT LAUDERDALE,FL33334
INFECTIOUS DISEASE PRACTICE
30 BAYVIEW PRACTICE
1124 BAYVIEW DRIVE
FORT LAUDERDALE,FL33308
INTERNAL MEDICINE
31 WILTON MANORS PRACTICE
1402 NE 26TH STREET
FORT LAUDERDALE,FL33305
PEDIATRICS PRACTICE
32 DR KARL CARDIOLOGY
880 N W 13TH STREET 1B
BOCA RATON,FL33486
CARDIOLOGY PRACTICE
33 COCONUT CREEK PRACTICE
4917 COCONUT CREEK PARKWAY
POMPANO BEACH,FL33063
INTERNAL MEDICINE
34 BARIATRICSGENERAL SURGERY PRACTICE
4800 NORTHEAST 20TH TERRACE SUITE
303
FORT LAUDERDALE,FL33308
BARIATRICS/GENERAL SURGERY PRACTICE
35 LIGHTHOUSE POINT PRACTICE
2100 E SAMPLE ROAD SUITE 101
POMPANO BEACH,FL33064
FAMILY PRACTICE
36 DOROTHY MANGURIAN COMP WOMEN'S CENTER
1000 NE 56TH ST
FORT LAUDERDALE,FL33334
FAMILY PRACTICE, REHABILITATION
37 OFFICE OF SALVATORE DIGIORGI MD
1900 E COMMERCIAL BLVD 101
FORT LAUDERDALE,FL33308
CARDIOVASCULAR DISEASE
38 OFFICE OF ANIBAL LOZA MD
2000 NE 49TH STREET
FORT LAUDERDALE,FL33308
FAMILY PRACTICE
39 OFFICES OF MELLIN AND SCHWARTZ
4800 NE 20TH TERRACE SUITE 211
FORT LAUDERDALE,FL33308
INTERNAL MEDICINE
40 FAMILY LIFE CENTER PRACTICE
114 N FLAGLER AVE
POMPANO BEACH,FL33060
FAMILY PRACTICE
41 FAMILY PHYSICIANS OF SOUTH FLORIDA
2001 N FEDERAL HWY 301
POMPANO BEACH,FL33062
FAMILY PRACTICE
42 OFFICE OF ANGELA BUSCH DO
1930 NE 47TH STREET SUITE 104
FORT LAUDERDALE,FL33308
FAMILY PRACTICE
43 RIO VISTA URGENT CARE
1115 S FEDERAL HWY
FORT LAUDERDALE,FL33316
URGENT CARE, IMAGING, OCCUPATIONAL MEDICINE
44 JIM MORAN HEART AND VASC RESEARCH INS
1951 NE 47TH STREET
FORT LAUDERDALE,FL33308
HEART AND VASCULAR RESEARCH INSTITUTE
45 BOCA URGENT CARE
1799 S FEDERAL HWY
FORT LAUDERDALE,FL33432
URGENT CARE, IMAGING, OCCUPATIONAL MEDICINE
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED A CHNA ADVISORY COUNCIL. THESE INDIVIDUALS ASSISTED IN: GUIDING THE ASSESSMENT PROCESS, ACTED AS A SOUNDING BOARD AND ASSISTED IN OBTAINING COMMUNITY INPUT, PARTICIPATED WITH THE PLANNING TEAM IN EVALUATING HEALTH ISSUES AND PRIORITIES ONCE THE ASSESSMENT WAS COMPLETED. THE CHNA ADVISORY COUNCIL MET TOGETHER FOR THIRTEEN MEETINGS. PARTICIPANTS INCLUDED: GERMAINE SMITH-BAUGH, ED.D. (URBAN LEAGUE), TRECIA MATTHEWS HOSEIN (HEALTHY MOTHERS HEALTHY BABIES), SANDY LOZANO (LIGHT OF THE WORLD CLINIC), PAT KRAMER (DEPARTMENT OF CHILDREN & FAMILY SERVICES - MENTAL HEALTH), ROBIN MARTIN (HOPE SOUTH FLORIDA), MIKE DELUCCA (MHM - PRESIDENT & CEO), REGINE KANZKI AND NATASHA MARTIN (BROWARD REGIONAL HEALTH PLANNING COUNCIL).
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 7: NEEDS AND PRIORITY AREAS IDENTIFIED WHEN ASSESSED THAT WERE NOT ADDRESSED, AS IMPLEMENTATION DETAILS REVEALED THAT THE APPROACH WAS UNFEASIBLE, BECAUSE CERTAIN KEY INPUTS (SUCH AS SKILLED STAFF, TIME FRAMES, REQUIRED ORGANIZATIONAL/POLICY CHANGES, COMMUNITY SUPPORT) WERE NOT ATTAINABLE, AND TO AVOID DUPLICATION OF SERVICES IN THE COMMUNITY.AN EXAMPLE OF UNFEASIBILITY WERE NEEDS RELATED TO AFFORDABILITY OF HEALTHCARE INCLUDING: HIGH COST OF CARE, LACK OF LOW COST OPTIONS, LACK OF INSURANCE AND ACCESS TO MEDICAID (ESPECIALLY 18-44 AGE RANGE), UNDERINSURED, ECONOMIC IMPACT AND PRESCRIPTIONS AND TREATMENT.AN EXAMPLE OF UNFEASIBLE DUE TO SKILLED STAFF WAS BEHAVIORAL AND MENTAL HEALTH RELATED INTENDED AND UNINTENDED INJURIES, CONTINUITY OF CARE, BEHAVIORAL, MENTAL HEALTH FIRST AID.AN EXAMPLE OF AVOIDANCE OF DUPLICATION OF SERVICES WOULD BE DEDICATED EFFORTS RELATED TO LOW BIRTH WEIGHT AND INFANT MORTALITY. RATHER THAN FOCUS RESOURCES ON THIS PARTICULAR NEED, THE HOSPITAL IS SUPPORTIVE AND COLLABORATES WITH DEDICATED COMMUNITY ORGANIZATIONS, SUCH AS HEALTHY MOTHERS HEALTHY BABIES, HEALTHY START, AND THE MARCH OF DIMES AND THEIR EFFORTS.
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS.
HOLY CROSS HOSPITAL, INC. PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 400% OF THE FPG ARE CHARGED THE APPROPRIATE MEDICAID PAYMENT RATE FOR INPATIENTS AND OUTPATIENTS.
HOLY CROSS HOSPITAL, INC. - PART V, SECTION B, LINE 5A: HTTP://WWW.HOLY-CROSS.COM/COMMUNITY-NEEDS-ASSESSMENT
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number
59-0791028
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) AMERICAN DIABETES ASSOCIATION
1701 N BEAUREGARD STREET
ALEXANDRIA,VA22311
13-1623888 501 (C)(3) 13,750       VALOR AWARDS AND FATHER OF THE YEAR SPONSORSHIP
(2) AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NW
ATLANTA,GA30303
13-1788491 501 (C)(3) 25,000       BIRTHDAY BALL AND RELAY FOR LIFE SPONSORSHIP
(3) ARCHDIOCESE OF MIAMI
9401 BISCAYNE BLVD
MIAMI SHORES,FL33138
65-0909504 501 (C)(3) 5,500       ARCHBISHOP'S GALA FRIEND SPONSORSHIP
(4) CATHOLIC HEALTH SERVICES FOUNDATION
4790 N STATE ROAD 7
LAUDERDALE LAKES,FL33319
65-0312041 501 (C)(3) 6,000       BLACK & WHITE CHARITY BALL SPONSOR
(5) JACK & JILL CHILDREN'S CTR
1315 WEST BROWARD BOULEVARD
FT LAUDERDALE,FL33312
59-0637870 501 (C)(3) 15,500       IPAD FOR EDUCATION CHALLENGE
(6) LEADERSHIP BROWARD FOUNDATION
1640 WEST OAKLAND PARK BLVD
FT LAUDERDALE,FL33311
65-0387636 501 (C)(3) 13,050       BEES KNEES 2013 GALA AND EYE OPENER BREAKFAST
(7) MINORITY DEVELOPMENT & EMPOWERMENT INC
1400 NW 14TH COURT
FT LAUDERDALE,FL33311
65-0693623 501 (C)(3) 5,300       CARIBEAN CARNIVAL AND MDE HAPPY HOUR DONATION
(8) WOMEN IN DISTRESS OF BROWARD COUNTY INC
PO BOX 50187
LIGHTHOUSE POINT,FL33074
59-1592524 501 (C)(3) 26,287       40TH ANNIVERSERY GALA SPONSOR PRESENTATION/LUNCHEON
(9) CATHOLIC HEALTH EAST
3805 WEST CHESTER PIKE
NEWTOWN SQUARE,PA19073
23-2929748 501 (C)(3) 53,883       HERITAGE FUND CONTRIBUTION






2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
9
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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 See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
 
 
2
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? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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) and 501(c)(4) organizations only must complete lines 5-9.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)PATRICK A TAYLOR MDTRUSTEE; PRESIDENT & CEO (i)
(ii)
0
456,709
0
213,771
0
217,405
0
18,975
0
25,123
0
931,983
0
0
(2)RAUL TAPIA MDTRUSTEE (i)
(ii)
424,922
0
88,376
0
1,711
0
0
0
10,498
0
525,507
0
0
0
(3)ARISTIDES ZACHAROUDIS MDTRUSTEE AS OF 1/14 (i)
(ii)
325,269
0
0
0
1,290
0
0
0
19,673
0
346,232
0
0
0
(4)LINDA V WILFORDSVP & CFO (i)
(ii)
323,431
0
97,142
0
83,466
0
60,100
0
12,963
0
577,102
0
0
0
(5)KENNETH HOMER MDCMO (i)
(ii)
329,442
0
58,125
0
39,989
0
10,100
0
19,939
0
457,595
0
0
0
(6)MARK R DISSETTESVP AND ADMINISTRATION (i)
(ii)
260,096
0
60,625
0
99,964
0
5,000
0
19,586
0
445,271
0
0
0
(7)LUISA GUTMANSVP & COO (i)
(ii)
306,130
0
72,811
0
19,191
0
11,112
0
20,587
0
429,831
0
0
0
(8)TAREN RUGGIEROCNO (i)
(ii)
168,917
0
9,659
0
226
0
5,952
0
16,822
0
201,576
0
0
0
(9)JAMES DESMARTEAUVP OPERATIONS MG THROUGH 6/14 (i)
(ii)
223,811
0
27,563
0
33,899
0
11,176
0
19,379
0
315,828
0
0
0
(10)MARGARET M SCHEAFFELVP & CNO THROUGH 2/14 (i)
(ii)
227,348
0
44,563
0
11,763
0
7,131
0
21,518
0
312,323
0
0
0
(11)MARTIN ROCHE MDPHYSICIAN (i)
(ii)
629,639
0
814,602
0
2,760
0
0
0
17,113
0
1,464,114
0
0
0
(12)JONATHAN C LEVY MDPHYSICIAN (i)
(ii)
498,085
0
867,464
0
1,887
0
0
0
23,784
0
1,391,220
0
0
0
(13)W PORTER MCROBERTS MDPHYSICIAN (i)
(ii)
295,223
0
1,015,770
0
1,964
0
0
0
16,716
0
1,329,673
0
0
0
(14)WILLIAM LEONE JR MDPHYSICIAN (i)
(ii)
738,146
0
516,981
0
5,358
0
0
0
27,719
0
1,288,204
0
0
0
(15)PAUL WU MDPHYSICIAN (i)
(ii)
366,128
0
515,404
0
1,331
0
0
0
26,247
0
909,110
0
0
0
(16)JOHN C JOHNSONFORMER OFFICER (i)
(ii)
0
567,750
0
599,525
0
1,047,784
0
969,112
0
20,094
0
3,204,265
0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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
PART I, LINE 3 HOLY CROSS HOSPITAL'S CEO IS PAID DIRECTLY BY A RELATED ORGANIZATION, CATHOLIC HEALTH EAST. CATHOLIC HEALTH EAST USED ONE OR MORE OF THE METHODS DESCRIBED BELOW TO ESTABLISH THE COMPENSATION OF HOLY CROSS HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B JOHN JOHNSON IS REPORTED ON HOLY CROSS HOSPITAL, INC.'S FORM 990, PART VII AND SCHEDULE J AS A FORMER OFFICER. HE HAD BEEN SERVING AS THE HOSPITAL'S CEO UNTIL HE WAS PROMOTED IN 2010 TO SERVE AS EXECUTIVE VICE PRESIDENT OF MINISTRY OPERATIONS FOR CATHOLIC HEALTH EAST (CHE), THE HOSPITAL'S PARENT COMPANY. HIS COMPENSATION, AND LATER SEVERANCE, AFTER 2010 WERE PAID BY CHE AND WERE SOLELY RELATED TO HIS POSITION WITH CHE. THEREFORE, THE AMOUNTS BEING REPORTED ON THIS 2013 RETURN ARE ALSO RELATED TO HIS EVP POSITION WITH CHE. THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM CHE IN CALENDAR 2013. THIS AMOUNT IS INCLUDED IN COLUMN B(III): JOHN JOHNSON - $942,365 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS FROM CHE, WHICH WERE UNPAID AS OF 12/31/13: JOHN JOHNSON - $950,137 ($475,069 WILL BE PAID IN 2015 AND $475,068 WILL BE PAID IN 2016) PART II: THE FOLLOWING INDIVIDUAL IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER SECTION 457(F). THE FOLLOWING DEFERRALS FOR CALENDAR 2013 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LINDA WILFORD - $50,000 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN JOHNSON - $21,813 PATRICK TAYLOR - $186,138
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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 See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) 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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting 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) 2013
Schedule L (Form 990 or 990-EZ) 2013
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?
Yes No
(1) NEUROLOGIC CONSULTANTS PA
 
MARC SWERDLOFF, TRUSTEE, IS A BOARD MEMBER OF NEUROLOGIC CONSULTANTS PA 141,073 HOLY CROSS HOSPITAL, INC. PURCHASED SERVICES FROM NEUROLOGIC CONSULTANTS PA   No
(2) JM FAMILY ENTERPRISES INC
 
JANICE MORAN, TRUSTEE, IS A BOARD MEMBER OF JM FAMILY ENTERPRISES, INC. 1,190,791 HOLY CROSS HOSPITAL, INC. PROVIDES MEDICAL CARE TO THE EMPLOYEES OF JM FAMILY ENTERPRISES, INC.   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) 2013

Additional Data


Software ID:  
Software Version:  




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 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
2013
Open to Public
Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOLY CROSS HOSPITAL, INC. IS CATHOLIC HEALTH EAST. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A CATHOLIC HEALTH EAST IS THE SOLE MEMBER OF HOLY CROSS HOSPITAL, INC. CATHOLIC HEALTH EAST HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF HOLY CROSS HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, CATHOLIC HEALTH EAST MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. CATHOLIC HEALTH EAST MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 FOR HOLY CROSS HOSPITAL, INC. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C HOLY CROSS HOSPITAL, INC. HAS ADOPTED CATHOLIC HEALTH EAST'S POLICY 103, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. ANNUALLY, ALL THOSE SERVING HOLY CROSS HOSPITAL, INC. IN A FIDUCIARY CAPACITY, INCLUDING TRUSTEES, OFFICERS, AND KEY EMPLOYEES RECEIVE A COPY OF THE POLICY AND ANNUAL DISCLOSURE STATEMENT TO BE COMPLETED. DISCLOSURES OF FINANCIAL INTEREST OR OTHER REPORTABLE CIRCUMSTANCES AS DEFINED IN THE POLICY ARE SUBMITTED AND REVIEWED BY THE ORGANIZATION'S CEO AND BOARD CHAIR. SUMMARY INFORMATION IS REPORTED TO THE ENTIRE BOARD AND IS AVAILABLE TO THE BOARD THROUGHOUT THE YEAR AS BUSINESS COMES BEFORE THE BOARD OR MANAGEMENT FOR ACTION. THE POLICY CONTAINS A CONTINUING AFFIRMATIVE OBLIGATION ON ALL AFFECTED INDIVIDUALS TO DISCLOSE COMPENSATION OR OTHER CIRCUMSTANCES THROUGHOUT THE YEAR WHICH MAY RISE TO THE LEVEL OF AN ACTUAL OR APPARENT CONFLICT. THE DETERMINATION OF WHETHER A DISCLOSED FINANCIAL OR OTHER INTEREST CONSTITUTES A CONFLICT OF INTEREST IS MADE BY THE BOARD OR AN APPROPRIATE COMMITTEE THEREOF COMPRISED OF DISINTERESTED PERSONS AND WITHOUT THE PARTICIPATION OF THE AFFECTED INDIVIDUAL EXCEPT TO RESPOND TO QUESTIONS ABOUT THE DISCLOSURE. THE POLICY FURTHER ADDRESSES THE PROCEDURE FOR THE BOARD'S FURTHER CONSIDERATION OF THE PROPOSED TRANSACTION/MATTER WITHOUT THE PARTICIPATION OF THE AFFECTED PERSON AND THE DOCUMENTATION OF THE PROCEEDINGS. LASTLY, THE POLICY ADDRESSES POTENTIAL DISCIPLINARY ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION FOR HOLY CROSS HOSPITAL, INC.'S CHIEF EXECUTIVE OFFICER IS ESTABLISHED BY CATHOLIC HEALTH EAST'S COMPENSATION COMMITTEE USING ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART III. FOR OTHER EMPLOYEES, HOLY CROSS HOSPITAL, INC. HAS ADOPTED CATHOLIC HEALTH EAST'S 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 ORGANIZATION'S 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.
FORM 990, PART VI, SECTION C, LINE 19 HOLY CROSS HOSPITAL, INC. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, HOLY CROSS HOSPITAL, INC. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. HOLY CROSS HOSPITAL, INC.'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1: SR. SUSAN WELSH, RSM, IS A MEMBER OF THE RELIGIOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. SUSAN WELSH DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO PITTSBURGH MERCY HEALTH SYSTEM, A RELATED ENTITY, EXCEPT FOR INSURANCE BENEFITS ($10,897). INSTEAD, A TOTAL OF $373,161 WAS PAID BY CATHOLIC HEALTH EAST DIRECTLY TO THE ORDER OF THE RELIGIOUS SISTERS OF MERCY FOR SR. SUSAN WELSH'S SERVICES.
FORM 990, PART XI, LINE 9: POOLING OF INTEREST 21,165,871. NET ASSETS RELEASED FROM RESTRICTIONS 241,980. EQUITY TRANSFERS TO/FROM AFFILIATES 5,802,862. LOSS FROM DISCONTINUED OPERATIONS -1,406,975. OTHER TRANSACTIONS -3,221,151.
FORM 990, PART XII, LINE 2: HOLY CROSS HOSPITAL, INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HOLY CROSS HOSPITAL INC
 
Employer identification number

59-0791028
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

(1) HOLY CROSS PHYSICIAN PARTNERS LLC
4725 N FEDERAL HWY
FT LAUDERDALE,FL33308
36-4712116
MEDICAL SERVICES FL 189,258 1,057,228 HOLY CROSS HOSPITAL INC
 
(2) HOLY CROSS PHYSICIAN PARTNERS ACO LLC
4725 N FEDERAL HWY
FT LAUDERDALE,FL33308
46-5530455
ACCOUNTABLE CARE ORGANIZATION FL 0 0 HOLY CROSS HOSPITAL INC
 








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?
Yes No
(1) ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP

245 STATE ST SE

GRAND RAPIDS,MI49503
27-2491974
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2) ALLEGANY FRANCISCAN MINISTRIES INC

33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325
MANAGEMENT & SUPPORT SERVICES FL 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(3) AMICARE HOSPICE SERVICES INC

20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2949053
PROVIDE HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(4) AUXILIARY OF HOLY ROSARY HOSPITAL

351 SW 9TH STREET

ONTARIO,OR97914
94-3059469
SUPPORTS SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(5) BAUM HARMON MERCY HOSPITAL

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
42-1500277
ACUTE/AMBULATORY HEALTHCARE SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(6) BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION

255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
26-2973307
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(7) BEECHWOOD INC

2212 BURDETT AVE

TROY,NY12180
14-1651563
REAL ESTATE HOLDING NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(8) BEVERWYCK INC

40 AUTUMN DRIVE

SLINGERLANDS,NY12159
14-1717028
INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(9) BRIGHTSIDE INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2182395
BEHAVIORAL CARE MA 501(C)(3) LINE 9 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(10) CAPITAL REGION GERIATRIC CENTER INC

421 WEST COLUMBIA ST

COHOES,NY12047
14-1701597
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(11) CATHERINE MCAULEY HEALTH SERVICES CORP

PO BOX 995

ANN ARBOR,MI48106
38-2507173
FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES MI 501(C)(3) LINE 11B, II TRINITY HEALTH-MICHIGAN
 
Yes
 
(12) CATHOLIC HEALTH EAST

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2929748
MANAGEMENT SERVICES PA 501(C)(3) LINE 11C, III-FI CHE TRINITY INC
 
Yes
 
(13) CHE TRINITY INC

20555 VICTOR PARKWAY

LIVONIA,MI48152
90-0931907
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II N/A
 
No
(14) COLUMBUS ACQUISITION CORP

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616342
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(15) COMMUNITY HEALTH PARTNERS OF SOUTH BEND

PO BOX 3998

SOUTH BEND,IN46619
26-3051440
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(16) CONTINUING CARE MANAGEMENT SERVICES NETWORK

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
35-2336834
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(17) CRANBROOK HOSPICE CARE

1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320699
PROVIDE HOSPICE HEALTH SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(18) DILEY RIDGE MEDICAL CENTER

6150 EAST BROAD STREET

COLUMBUS,OH43213
34-2032340
HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(19) DUBUQUE MERCY HEALTH FOUNDATION INC

250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(20) DYERSVILLE HEALTH FOUNDATION INC

1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(21) EAST NORRITON PHYSICIAN SERVICES

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2515999
PHYSICIAN SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(22) EDDY LICENSED HOME CARE AGENCY

433 RIVER ST SUITE 3000

TROY,NY12180
14-1818568
HOME HEALTH NY 501(C)(3) LINE 3 LTC(EDDY) INC
 
Yes
 
(23) EMPIRE HOME INFUSION SERVICES INC

10 BLACKSMITH DRIVE

MALTA,NY12020
14-1795732
HOME CARE NY 501(C)(3) LINE 9 HOME AIDE SERVICE OF EASTERN NEW YORK INC
 
Yes
 
(24) FARREN CARE CENTER INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2501711
LONG TERM CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(25) FRANCISCAN ELDERCARE CORPORATION

PO BOX 2500

WILMINGTON,DE19805
22-3008680
ELDERCARE DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(26) GLEN EDDY INC

ONE GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150
INDEPENDENT/ASSISTED LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(27) GLOBAL HEALTH MINISTRY

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-3068656
HEALTH CARE PA 501(C)(3) LINE 7 CATHOLIC HEALTH EAST
 
Yes
 
(28) GOOD SAMARITAN HOSPITAL INC

5401 LAKE OCONEE PARKWAY

GREENSBORO,GA30642
26-1720984
HOSPITAL GA 501(C)(3) LINE 3 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(29) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

701 W NORTH AVE

MELROSE PARK,IL60160
36-3332852
SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 9 GOTTLIEB MEMORIAL HOSPITAL
 
Yes
 
(30) GOTTLIEB MEMORIAL FOUNDATION

701 W NORTH AVE

MELROSE PARK,IL60160
74-3260011
SUPPORT THE SERVICES OF RELATED HOSPITAL IL 501(C)(3) LINE 11C, III-FI N/A
 
No
(31) GOTTLIEB MEMORIAL HOSPITAL

701 W NORTH AVE

MELROSE PARK,IL60160
36-2379649
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(32) GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC

1000 MONROE AVENUE NW

GRAND RAPIDS,MI49503
23-7270669
MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(33) HACKLEY HOSPITAL

1700 CLINTON ST PO BOX 3302

MUSKEGON,MI49443
38-1358196
HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(34) HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST

PO BOX 3302

MUSKEGON,MI49443
38-2299878
SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY MI 501(C)(3) LINE 11C, III-FI MERCY HEALTH PARTNERS
 
Yes
 
(35) HACKLEY LIFE COUNSELING

1352 TERRACE ST

MUSKEGON,MI49442
38-1386362
COUNSELING, EDUCATION, AND SUPPORT MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS
 
Yes
 
(36) HAWTHORNE RIDGE INC

30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840
INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(37) HERITAGE HOUSE NURSING CENTER INC

2920 TIBBITS AVE

TROY,NY12180
14-1725101
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(38) HOLY CROSS CARENET INC

PO BOX 9184

FARMINGTON HILLS,MI48333
52-1945054
LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY MD 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(39) HOLY CROSS HEALTH FOUNDATION INC

11801 TECH ROAD

SILVER SPRING,MD20904
20-8428450
CHARITABLE FUNDRAISING MD 501(C)(3) LINE 11A, I HOLY CROSS HEALTH INC
 
Yes
 
(40) HOLY CROSS HEALTH INC

1500 FOREST GLEN RD

SILVER SPRING,MD20910
52-0738041
HEALTHCARE SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(41) HOLY CROSS HOSPITAL INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791028
HOSPITAL-HEALTHCARE PROVIDER FL 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
 
No
(42) HOLY CROSS LONG TERM CARE INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
65-0787320
MEDICAL SERVICES FL 501(C)(3) LINE 3 HOLY CROSS HOSPITAL INC
 
Yes
 
(43) HOLY CROSS MEDICAL CENTER

20555 VICTOR PARKWAY

LIVONIA,MI48152
95-1985442
HEALTHCARE SERVICES (FORMERLY) CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(44) HOLY CROSS MEDICAL PROPERTIES INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
65-0666283
MEDICAL BUILDING REAL ESTATE MANAGEMENT FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC
 
Yes
 
(45) HOME AIDE SERVICE OF EASTERN NEW YORK

433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867
HOME CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(46) HOSPICE OF NORTH IOWA

232 SECOND STREET SE

MASON CITY,IA50401
42-1173708
HOSPICE HEALTH CARE SERVICES IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(47) HOSPICE OF SIOUXLAND

4300 HAMILTON BLVD

SIOUX CITY,IA51104
38-3320710
HOSPICE SERVICES IA 501(C)(3) LINE 11A, I N/A
 
No
(48) HOSPICE OF WASHTENAW II

806 AIRPORT BLVD

ANN ARBOR,MI48108
38-3320707
HOSPICE HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(49) IHA HEALTH SERVICES CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559
PROVIDES OFFICE-BASED MEDICAL CARE MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(50) INTRACOASTAL HEALTH SYSTEMS INC

3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
65-0556413
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(51) JAMES A EDDY MEMORIAL GERIATRIC CENTER INC

2256 BURDETT AVE

TROY,NY12180
22-2570478
NURSING HOME NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(52) LAKESHORE COMMUNITY HOSPITAL INC

72 S STATE STREET

SHELBY,MI49455
38-2549295
ACUTE HEALTHCARE SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(53) LANGHORNE MRI INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529
INACTIVE ENTITY PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(54) LANGHORNE PHYSICIAN SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699
PHYSICIAN SERVICES PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(55) LIFE AT LOURDES INC

2475 MCCLELLAN AVENUE

PENNSAUKEN,NJ08109
26-1854750
ELDERLY CARE NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(56) LIFE AT ST FRANCIS HEALTHCARE INC

7TH CLAYTON STREETS

WILMINGTON,DE19805
45-2569214
ELDERLY CARE DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(57) LIFE ST FRANCIS CORPORATION

601 HAMILTON AVENUE

TRENTON,NJ08629
22-2797282
HEALTH SERVICES NJ 501(C)(3) LINE 11A, I ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(58) LIFE ST JOSEPH OF THE PINES INC

100 GOSSMAN DRIVE SUITE B

SOUTHERN PINES,NC28387
27-2159847
HEALTHCARE SERVICES NC 501(C)(3) LINE 3 ST JOSEPH'S OF THE PINES INC
 
Yes
 
(59) LIFE ST MARY

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
26-2976184
ELDERLY CARE PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(60) LOURDES ANCILLARY SERVICES

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568525
SUPPORTING ORGANIZATION NJ 501(C)(3) LINE 11B, II OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(61) LOURDES CARDIOLOGY SERVICES PC

1600 HADDON AVENUE

CAMDEN,NJ08103
27-4357794
CARDIOLOGY SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(62) LOURDES DIALYSIS AT INNOVA INC

3716 CHURCH ROAD

MT LAUREL,NJ08054
26-3237625
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(63) LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

218 SUNSET ROAD

WILLINGBORO,NJ08046
22-3612265
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(64) LOYOLA UNIVERSITY HEALTH SYSTEM

2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3342448
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(65) LOYOLA UNIVERSITY MEDICAL CENTER

2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-4015560
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(66) LTC (EDDY) INC

2212 BURDETT AVE

TROY,NY12180
22-2564710
ELDERLY HEALTH/HOUSING SUPPORTING ORG NY 501(C)(3) LINE 11B, II NORTHEAST HEALTH INC
 
Yes
 
(67) MARIAN COMMUNITY HOSPITAL

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
24-0711230
HOSPITAL PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM
 
Yes
 
(68) MARIAN COMMUNITY HOSPITAL AUXILIARY

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
25-1874733
FUNDRAISING PA 501(C)(3) LINE 11B, II MAXIS FOUNDATION
 
Yes
 
(69) MARIAN HOME HEALTHCARE

801 5TH STREET

SIOUX CITY,IA51101
38-3320705
PROVIDE HOME HEALTH CARE SERVICES IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(70) MARYCREST HEIGHTS

PO BOX 9184

FARMINGTON HILLS,MI48333
27-0291722
PROVIDES HOUSING FOR ELDERLY INDIVIDUALS MI 501(C)(3) LINE 11A, I TRINITY CONTINUING CARE SERVICES
 
Yes
 
(71) MAXIS FOUNDATION

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-2330090
FUNDRAISING PA 501(C)(3) LINE 11B, II MAXIS HEALTH SYSTEM
 
Yes
 
(72) MAXIS HEALTH SYSTEM

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
91-1940902
HEALTH CARE SYSTEM PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(73) MAXIS MEDICAL SERVICES

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-2577185
PHYSICIAN PRACTICES PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM
 
Yes
 
(74) MCAULEY CENTER INC

275 STEELE ROAD

WEST HARTFORD,CT06117
06-1058086
INDEPENDENT LIVING CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(75) MCAULEY CLINIC CORPORATION

PO BOX 992

ANN ARBOR,MI48106
38-2561013
HEALTHCARE SERVICES (FORMERLY) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP
 
Yes
 
(76) MCAULEY MINISTRIES

3333 FIFTH AVENUE

PITTSBURGH,PA15213
94-3436142
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11A, I PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(77) MEMORIAL HOSPITAL ALBANY NY

600 NORTHERN BLVD

ALBANY,NY12204
14-1338457
GENERAL HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(78) MERCY AMICARE HOME HEALTHCARE OAKLAND

1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320698
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(79) MERCY AMICARE HOME HEALTHCARE PORT HURON

505 HURON AVENUE

PORT HURON,MI48060
38-3320701
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(80) MERCY CARE FOUNDATION

424 DECATUR STREET

ATLANTA,GA30312
58-1448522
FUNDRAISING GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(81) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1352191
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(82) MERCY COMMUNITY HEALTH INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1492707
MANAGEMENT & SUPPORT SERVICES CT 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(83) MERCY COMMUNITY HOMECARE SERVICES

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1488137
IN HOME HEALTH CARE CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(84) MERCY FAMILY SUPPORT

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325059
HOME HEALTH PA 501(C)(3) LINE 9 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(85) MERCY FOUNDATION INC

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3227350
SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM IL 501(C)(3) LINE 11A, I MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(86) MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE

684 HARVEY STREET

MUSKEGON,MI49442
38-3321856
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(87) MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2829864
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(88) MERCY HEALTH NETWORK

1111 6TH AVENUE

DES MOINES,IA50314
42-1478417
HEALTHCARE MANAGEMENT DE 501(C)(3) LINE 11A, I N/A
 
No
(89) MERCY HEALTH PARTNERS

1415 LEAHY STREET

MUSKEGON,MI49442
38-2589966
HEALTHCARE SYSTEM SUPPORT MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(90) MERCY HEALTH PLAN

C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
22-2483605
HEALTH PLANS PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(91) MERCY HEALTH SERVICES - IOWA CORP

1000 4TH STREET SW

MASON CITY,IA50401
31-1373080
HEALTHCARE SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(92) MERCY HEALTH SYSTEM OF CHICAGO

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3163327
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(93) MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST

BK OF AMERICA 231 S LASALLE

CHICAGO,IL60697
91-2092113
SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY IL 501(C)(3) LINE 11C, III-FI MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(94) MERCY HEALTH SYSTEM OF MAINE

144 STATE STREET

PORTLAND,ME04101
01-0484074
MANAGEMENT & SUPPORT SERVICES ME 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(95) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2212638
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(96) MERCY HEALTHCARE CENTER

114 WAWBEEK AVENUE

TUPPER LAKE,NY12986
15-0532211
IN DISSOLUTION NY 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(97) MERCY HEALTHCARE FOUNDATION-CLINTON

1410 N 4TH ST

CLINTON,IA52732
42-1316126
FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES IA 501(C)(3) LINE 11C, III-FI N/A
 
No
(98) MERCY HOME HEALTH

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-1352099
HOME HEALTH PA 501(C)(3) LINE 9 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(99) MERCY HOME HEALTH SERVICES

1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325058
HOME HEALTH PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(100) MERCY HOSPITAL

144 STATE STREET

PORTLAND,ME04101
01-0211534
HOSPITAL ME 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF MAINE
 
Yes
 
(101) MERCY HOSPITAL AND MEDICAL CENTER

2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-2170152
HEALTHCARE SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(102) MERCY HOSPITAL CADILLAC FOUNDATION

400 HOBART

CADILLAC,MI49601
20-3357131
SUPPORT THE SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(103) MERCY HOSPITAL GIFT SHOP

2601 ELECTRIC AVE

PORT HURON,MI48060
38-1630480
VOLUNTEER SERVICE AUXILIARY MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(104) MERCY HOSPITAL INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398280
ACUTE CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(105) MERCY HOSPITAL INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791034
HOSPITAL FL 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(106) MERCY JEANNETTE HOSPITAL

3805 WEST CHESTER PIKE

NEWTOWN SQUARE,PA19073
25-1310602
INACTIVE ENTITY PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(107) MERCY LIFE CENTER CORPORATION

1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115
COMMUNITY TREATMENT PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(108) MERCY LIFE OF ALABAMA

PO BOX 1090 101 VILLA DRIVE

DAPHNE,AL36526
27-3163002
HOSPITAL AL 501(C)(3) LINE 3 MERCY MEDICAL CORPORATION
 
Yes
 
(109) MERCY LIFE INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-3086711
ACUTE CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(110) MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2627944
PHYSICIAN PRACTICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(111) MERCY MEDICAL CENTER - CLINTON INC

1410 NORTH 4TH ST

CLINTON,IA52732
42-1336618
TO PROVIDE QUALITY HEALTH CARE DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(112) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION

801 5TH STREET

SIOUX CITY,IA51102
14-1880022
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(113) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA

1000 4TH STREET SW

MASON CITY,IA50401
42-1229151
SUPPORT THE SERVICES OF RELATED HOSPITAL IA 501(C)(3) LINE 11C, III-FI N/A
 
No
(114) MERCY MEDICAL CORPORATION

PO BOX 1090 101 VILLA DRIVE

DAPHNE,AL36526
63-6002215
HOSPITAL AL 501(C)(3) LINE 9 CATHOLIC HEALTH EAST
 
Yes
 
(115) MERCY MEDICAL DEVELOPMENT INC

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-2789194
OUTPATIENT SERVICES FL 501(C)(3) LINE 9 MERCY HOSPITAL INC
 
Yes
 
(116) MERCY MISSION SERVICES INC

3661 SOUTH MIAMI AVENUE

MIAMI,FL33133
65-0435764
HEALTH CARE FL 501(C)(3) LINE 3 MERCY HOSPITAL INC
 
Yes
 
(117) MERCY NORTH HOMECARE AND HOSPICE

7985 MACKINAW TRAIL

CADILLAC,MI49601
38-3313897
HOME HEALTH AND HOSPICE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(118) MERCY ONCOLOGY SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4884805
ONCOLOGY MEDICAL SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(119) MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL

4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
51-0461511
HOSPITAL FL 501(C)(3) LINE 9 MERCY HOSPITAL INC
 
Yes
 
(120) MERCY SENIOR CARE INC

424 DECATUR STREET

ATLANTA,GA30312
58-1366508
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(121) MERCY SERVICES CORPORATION

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1453323
SUPPORT SERVICES CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(122) MERCY SERVICES DOWNTOWN INC

424 DECATUR STREET

ATLANTA,GA30312
27-2046353
REAL ESTATE HOLDING COMPANY GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(123) MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION

PO BOX 9184

FARMINGTON HILLS,MI48333
38-2719605
PROVIDES LONG-TERM CARE FOR THE ELDERLY MI 501(C)(3) LINE 11B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(124) MERCY SPECIALIST PHYSICIANS INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
26-4033168
NEUROSURGERY MEDICAL SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(125) MERCY SUBURBAN HOSPITAL

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1396763
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(126) MERCY UIHLEIN HEALTH CORPORATION

185 OLD MILITARY ROAD

LAKE PLACID,NY12946
16-1535133
MGT. & SUPPORT SERVICES NY 501(C)(3) LINE 11B, II MERCY HEALTHCARE CENTER
 
Yes
 
(127) MERCYKNOLL INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0757380
SKILLED NURSING CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(128) MIDWEST MEDFLIGHT

1300 VICTORS WAY

ANN ARBOR,MI48108
38-2684671
AEROMEDICAL TRANSPORT MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(129) MISSION HEALTH CORPORATION

37595 SEVEN MILE ROAD

LIVONIA,MI48152
38-3181557
FACILITY USED FOR AMBULATORY CARE DE 501(C)(3) LINE 11A, I N/A
 
No
(130) MOUNT CARMEL COLLEGE OF NURSING

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1308555
COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(131) MOUNT CARMEL HEALTH INSURANCE COMPANY

6150 EAST BROAD STREET

COLUMBUS,OH43213
25-1912781
HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(132) MOUNT CARMEL HEALTH PLAN INC

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1471229
MEDICARE HMO FOR SENIORS OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(133) MOUNT CARMEL HEALTH SYSTEM

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1439334
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(134) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1113966
SUPPORT THE SERVICES OF RELATED HOSPITAL OH 501(C)(3) LINE 11A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(135) MOUNT CARMEL HOME CARE LLC

1144 DUBLIN ROAD SUITE B

COLUMBUS,OH43215
26-2729300
PROVIDE HOME HEALTH CARE SERVICES OH 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(136) MRI MOBILE SERVICES OF WEST MICHIGAN

1820 - 44TH STREET

KENTWOOD,MI49508
38-3073745
OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(137) MUSKEGON COMMUNITY HEALTH PROJECT

565 W WESTERN AVENUE

MUSKEGON,MI49440
91-1932918
FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS
 
Yes
 
(138) NAZARETH HEALTH CARE FOUNDATION

2701 HOLME AVENUE

PHILADELPHIA,PA19152
23-2300951
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(139) NAZARETH HOSPITAL

2601 HOLME AVENUE

PHILADELPHIA,PA19152
23-2794121
ACUTE CARE HOSPITAL PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(140) NAZARETH PHYSICIAN SERVICES INC

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
20-3261266
PHYSICIAN PRACTICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(141) NE PHYSICIAN SERVICES

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2497355
PHYSICIAN PRACTICES PA 501(C)(3) LINE 9 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(142) NORTHEAST HEALTH INC

2212 BURDETT AVE

TROY,NY12180
04-2450756
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 11B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(143) OAKLAND MERCY HOSPITAL

601 EAST 2ND STREET

OAKLAND,NE68045
20-8072234
HEALTHCARE SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(144) OAKLAND MERCY HOSPITAL FOUNDATION

601 E 2ND STREET

OAKLAND,NE68045
31-1678345
SUPPORTS SERVICES OF RELATED HOSPITAL NE 501(C)(3) LINE 11C, III-FI N/A
 
No
(145) OSUMOUNT CARMEL HEALTH ALLIANCE

793 WEST STATE STREET

COLUMBUS,OH43222
31-1654603
COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 11A, I N/A
 
No
(146) OUR LADY OF LOURDES HEALTH CARE SERVICES

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568528
MANAGEMENT & SUPPORT SERVICES NJ 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(147) OUR LADY OF LOURDES HEALTH FOUNDATION INC

1600 HADDON AVENUE

CAMDEN,NJ08103
22-2351960
FOUNDATION NJ 501(C)(3) LINE 7 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(148) OUR LADY OF LOURDES MEDICAL CENTER

1600 HADDON AVENUE

CAMDEN,NJ08103
21-0635001
HOSPITAL NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(149) OUR LADY OF MERCY LIFE CENTER

2 MERCYCARE LANE

GUILDERLAND,NY12084
14-1743506
NURSING HOME FACILITY NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(150) PIONEER VALLEY CARDIOLOGY ASSOCIATES INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4208896
CARDIOLOGY SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(151) PITTSBURGH MERCY HEALTH SYSTEM

3333 5TH AVENUE

PITTSBURGH,PA15213
25-1464211
MANAGEMENT & SUPPORT SERVICES PA 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(152) PORT HURON MERCY FAMILY CARE INC

2601 ELECTRIC AVE

PORT HURON,MI48060
20-1855647
HEALTHCARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(153) PROFESSIONAL MED TEAM

965 FORK STREET

MUSKEGON,MI49442
38-2638284
MEDICAL CARE, TRANSPORTATION AND EDUCATION MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(154) PROFESSIONAL OFFICE CORPORATION

1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324
HEALTHCARE SERVICES CA 501(C)(3) LINE 11A, I SAINT AGNES MEDICAL CENTER
 
Yes
 
(155) SAINT AGNES MEDICAL CENTER

1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713
HEALTHCARE SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(156) SAINT ALPHONSUS BUILDING COMPANY INC

1055 NORTH CURTIS RD

BOISE,ID83706
82-0401011
SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 11A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(157) SAINT ALPHONSUS DIVERSIFIED CARE INC

1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978
SUPPORTS SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 11A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(158) SAINT ALPHONSUS FOUNDATION-BAKER CITY INC

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869
SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 11A, I SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
 
Yes
 
(159) SAINT ALPHONSUS FOUNDATION-ONTARIO INC

351 SW 9TH STREET

ONTARIO,OR97914
20-2683560
SUPPORT THE SERVICES OF RELATED HOSPITAL OR 501(C)(3) LINE 11A, I SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(160) SAINT ALPHONSUS HEALTH SYSTEM INC

1055 N CURTIS ROAD

BOISE,ID83706
27-1929502
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(161) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052
TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(162) SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
26-1737256
SUPPORT THE SERVICES OF RELATED HOSPITAL ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA
 
Yes
 
(163) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

1512 12TH AVENUE ROAD

NAMPA,ID83686
82-0200896
TO PROVIDE QUALITY HEALTH CARE ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(164) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

351 SW 9TH STREET

ONTARIO,OR97914
27-1789847
TO PROVIDE QUALITY HEALTH CARE OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(165) SAINT ALPHONSUS REGIONAL MEDICAL CENTER

1055 NORTH CURTIS RD

BOISE,ID83706
82-0200895
HEALTHCARE SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(166) SAINT JAMES CARE INC

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616230
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(167) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

1915 LAKE AVENUE PO BOX 670

PLYMOUTH,IN46563
35-1142669
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(168) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

PO BOX 1935

SOUTH BEND,IN46634
35-0868157
HEALTHCARE SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(169) SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC

5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-6033285
HOSPITAL SERVICE AUXILIARY IN 501(C)(4) N/A SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND
 
Yes
 
(170) SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC

1915 LAKE AVENUE

PLYMOUTH,IN46563
35-6043563
HOSPITAL SERVICE AUXILIARY IN 501(C)(3) LINE 11B, II SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH
 
Yes
 
(171) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

801 EAST LASALLE AVE

SOUTH BEND,IN46617
35-1568821
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(172) SAINT JOSEPH'S HEALTH SYSTEM INC

424 DECATUR STREET

ATLANTA,GA30312
58-1744848
MANAGEMENT & SUPPORT SERVICES GA 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(173) SAINT JOSEPH'S MERCY CARE SERVICES INC

424 DECATUR STREET

ATLANTA,GA30312
58-1752700
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(174) SAINT JOSEPH'S TOWER INC

PO BOX 9184

FARMINGTON HILLS,MI48333
31-1040468
PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES-INDIANA
 
Yes
 
(175) SAINT MARY HOME II INC

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1164104
ELDERLY CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(176) SAINT MARY'S AMICARE HOME HEALTHCARE

1430 MONROE NW

GRAND RAPIDS,MI49505
38-3320700
PROVIDE HOME HEALTH CARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HOME HEALTH SERVICES INC
 
Yes
 
(177) SAINT MARY'S FOUNDATION

200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602
SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(178) SAINT MICHAELS MEDICAL CENTER

111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616046
HOSPITAL NJ 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(179) SAMARITAN CHILD CARE CENTER INC

2213 BURDETT AVE

TROY,NY12180
14-1710225
CHILD DAY CARE NY 501(C)(3) LINE 9 NORTHEAST HEALTH INC
 
Yes
 
(180) SAMARITAN HOSPITAL OF TROY NEW YORK

2215 BURDETT AVE

TROY,NY12180
14-1338544
GENERAL HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(181) SENIOR CARE CONNECTION INC

504 STATE ST

SCHENECTADY,NY12305
14-1708754
PACE PROGRAM NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(182) SETON AUXILIARY INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1505031
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(183) SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE

1 ABELE BLVD

CLIFTON PARK,NY12065
14-1756230
SKILLED NURSING NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(184) SETON HEALTH FOUNDATION INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
22-2345416
SUPPORTING ORGANIZATION NY 501(C)(3) LINE 11A, I SETON HEALTH SYSTEM INC
 
Yes
 
(185) SETON HEALTH SYSTEM INC

1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1776186
HOSPITAL NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(186) SISTERS OF PROVIDENCE CARE CENTERS INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
22-2541103
LONG TERM CARE MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(187) SISTERS OF PROVIDENCE HEALTH SYSTEM INC

C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398374
MANAGEMENT & SUPPORT SERVICES MA 501(C)(3) LINE 11A, I CATHOLIC HEALTH EAST
 
Yes
 
(188) SJHSJOC HOLDINGS INC

424 DECATUR STREET

ATLANTA,GA30312
47-2299757
REAL ESTATE HOLDING COMPANY GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(189) SSJ HEALTH FOUNDATION INC

3661 SOUTH MIAMI AVENUE

MIAMI,FL33133
59-1709438
FUNDRAISING FL 501(C)(3) LINE 7 MERCY HOSPITAL INC
 
Yes
 
(190) ST JOSEPH MERCY OAKLAND FOUNDATION

44405 WOODWARD AVE

PONTIAC,MI48341
35-2356789
SUPPORTS SERVICES OF RELATED HOSPITAL MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(191) ST AGNES CONTINUING CARE CENTER

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2840137
CONTINUING CARE SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(192) ST AGNES CONTINUING CARE CENTER FOUNDATION

ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2415137
FUNDRAISING PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(193) ST FRANCIS FOUNDATION

PO BOX 2500

WILMINGTON,DE19805
51-0374158
FOUNDATION DE 501(C)(3) LINE 11B, II ST FRANCIS HOSPITAL
 
Yes
 
(194) ST FRANCIS HOSPITAL

PO BOX 2500

WILMINGTON,DE19805
51-0064326
HOSPITAL DE 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(195) ST FRANCIS HOSPITAL INC

33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
59-0624442
GRANT-MAKING ORGANIZATION FL 501(C)(3) LINE 11A, I ALLEGANY FRANCISCAN MINISTRIES INC
 
Yes
 
(196) ST FRANCIS MEDICAL CENTER FOUNDATION INC

601 HAMILTON AVENUE

TRENTON,NJ08629
52-1025476
FOUNDATION NJ 501(C)(3) LINE 11A, I ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(197) ST FRANCIS MEDICAL CENTER TRENTON NJ

601 HAMILTON AVENUE

TRENTON,NJ08629
22-3431049
HOSPITAL NJ 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(198) ST JAMES MERCY FOUNDATION INC

411 CANISTEO STREET

HORNELL,NY14843
16-1486437
FOUNDATION NY 501(C)(3) LINE 7 ST JAMES MERCY HEALTH SYSTEM INC
 
Yes
 
(199) ST JAMES MERCY HEALTH SYSTEM INC

411 CANISTEO STREET

HORNELL,NY14843
22-3127184
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 11C, III-FI CATHOLIC HEALTH EAST
 
Yes
 
(200) ST JAMES MERCY HOSPITAL

411 CANISTEO STREET

HORNELL,NY14843
16-0743310
HOSPITAL NY 501(C)(3) LINE 3 ST JAMES MERCY HEALTH SYSTEM INC
 
Yes
 
(201) ST JOSEPH OF THE PINES INC

100 GOSSMAN DRIVE SUITE B

SOUTHERN PINES,NC28387
56-0694200
HOSPITAL NC 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(202) ST MARY BUILDING AND DEVELOPMENT COMPANY

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502
BUILDING DEVELOPMENT COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER
 
Yes
 
(203) ST MARY EMERGENCY MEDICAL SERVICES

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-5354512
EMERGENCY MEDICAL SERVICES PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(204) ST MARY HOME INCORPORATED

2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0646843
SKILLED NURSING CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(205) ST MARY MEDICAL CENTER

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910
HOSPITAL PA 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(206) ST MARY MEDICAL CENTER FOUNDATION INC

1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2567468
FOUNDATION PA 501(C)(3) LINE 7 ST MARY MEDICAL CENTER
 
Yes
 
(207) ST MARY'S FOUNDATION INC

1230 BAXTER STREET

ATHENS,GA30606
58-2544232
FUNDRAISING GA 501(C)(3) LINE 11A, I ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(208) ST MARY'S HEALTH CARE SYSTEM INC

1230 BAXTER STREET

ATHENS,GA30606
58-0566223
HOSPITAL GA 501(C)(3) LINE 3 CATHOLIC HEALTH EAST
 
Yes
 
(209) ST MARY'S HIGHLAND HILLS INC

1230 BAXTER STREET

ATHENS,GA30606
02-0576648
ASSISTED LIVING & RETIREMENT COMMUNITY GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(210) ST MARY'S MEDICAL GROUP INC

1230 BAXTER STREET

ATHENS,GA30606
26-1858563
HOSPITAL / PHYSICIAN SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(211) ST MICHAEL'S FOUNDATION INC

111 CENTRAL AVENUE

NEWARK,NJ07102
22-3311976
FOUNDATION NJ 501(C)(3) LINE 11A, I SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(212) ST PETER'S AUXILIARY

315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2843206
AUXILIARY NY 501(C)(3) LINE 11A, I ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(213) ST PETER'S HEALTH CARE SERVICES

315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2702507
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 9 ST PETER'S HEALTH PARTNERS
 
Yes
 
(214) ST PETER'S HEALTH PARTNERS

315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715
MANAGEMENT & SUPPORT SERVICES NY 501(C)(3) LINE 11B, II CATHOLIC HEALTH EAST
 
Yes
 
(215) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC

315 SOUTH MANNING BLVD

ALBANY,NY12208
46-1177336
PHYSICIANS PRACTICE NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(216) ST PETER'S HOSPITAL

315 SOUTH MANNING BLVD

ALBANY,NY12208
14-1348692
HOSPITAL NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(217) ST PETER'S HOSPITAL FOUNDATION INC

319 SOUTH MANNING BLVD SUITE 114

ALBANY,NY12208
22-2262982
FUNDRAISING & PUBLIC RELATIONS NY 501(C)(3) LINE 7 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(218) SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION

1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127
SUPPORTING FOUNDATION NY 501(C)(3) LINE 11A, I SUNNYVIEW HOSPITAL & REHABILITATION CTR
 
Yes
 
(219) SUNNYVIEW HOSPITAL & REHABILITATION CTR

1270 BELMONT AVE

SCHENECTADY,NY12308
14-1338386
REHABILITATION HOSPITAL NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(220) THE COMMUNITY HOSPICE FOUNDATION INC

295 VALLEY VIEW BLVD

RENSSELAER,NY12144
22-2692940
FUNDRAISING & PUBLIC RELATIONS NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(221) THE COMMUNITY HOSPICE INC

295 VALLEY VIEW BLVD

RENSSELAER,NY12144
14-1608921
SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(222) THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER

4215 EDISON LAKES PARKWAY

MISHAWAKA,IN46545
35-1654543
SUPPORTS SERVICES OF RELATED HOSPITAL IN 501(C)(3) LINE 11A, I SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(223) THE MARJORIE DOYLE ROCKWELL CENTER INC

421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885
ADULT HOME/ALZHEIMERS NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(224) THE NORTHEAST HEALTH FOUNDATION INC

2224 BURDETT AVE

TROY,NY12180
22-2743478
SUPPORTING FOUNDATION NY 501(C)(3) LINE 7 NORTHEAST HEALTH INC
 
Yes
 
(225) TRI-COUNTY HUMAN SERVICES CENTER INC

3805 WEST CHESTER PIKE NO 100

NEWTOWN SQUARE,PA19073
23-1938528
BEHAVIORAL HEALTH ORGANIZATION PA 501(C)(3) LINE 7 MAXIS HEALTH SYSTEM
 
Yes
 
(226) TRI-HOSPITAL EMERGENCY MEDICAL SERVICES

309 GRAND RIVER

PORT HURON,MI48060
38-2485700
PROVIDE EMERGENCY AMBULANCE SERVICES MI 501(C)(3) LINE 11D, III-O N/A
 
No
(227) TRI-HOSPITAL MRI CENTER

4190 24TH AVENUE

FORT GRATIOT,MI48054
38-2884297
MRI SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(228) TRINITY CONTINUING CARE SERVICES

PO BOX 9184

FARMINGTON HILLS,MI48333
38-2559656
MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(229) TRINITY CONTINUING CARE SERVICES - INDIANA INC

PO BOX 9184

FARMINGTON HILLS,MI48333
93-0907047
PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(230) TRINITY HEALTH - MICHIGAN

20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393
HEALTHCARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(231) TRINITY HEALTH CORPORATION

20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II CHE TRINITY INC
 
Yes
 
(232) TRINITY HEALTH INTERNATIONAL

20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527
HEALTHCARE TRAINING AND SUPPORT SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(233) TRINITY HEALTH WELFARE BENEFIT TRUST

20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733
RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(234) TRINITY HOME HEALTH SERVICES INC

17410 COLLEGE PARKWAY

LIVONIA,MI48152
38-2621935
HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(235) UIHLEIN MERCY CENTER

185 OLD MILITARY ROAD

TUPPER LAKE,NY12986
15-0532190
IN DISSOLUTION NY 501(C)(3) LINE 3 MERCY HEALTHCARE CENTER
 
Yes
 
(236) UNIVERSITY HEIGHTS PROPERTY COMPANY INC

111 CENTRAL AVENUE

NEWARK,NJ07102
22-3100162
MEDICAL PROPERTY HOLDING COMPANY NJ 501(C)(2) N/A SAINT MICHAELS MEDICAL CENTER
 
Yes
 
(237) VILLA MARY IMMACULATE

301 HACKETT BLVD

ALBANY,NY12208
14-1438749
NURSING HOME & PHYSICAL REHAB NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
(238) VNA HOME HEALTH & HOSPICE

50 FODEN ROAD

SOUTH PORTLAND,ME04106
01-0246804
HOME HEALTH & HOSPICE ME 501(C)(3) LINE 11A, I MERCY HEALTH SYSTEM OF MAINE
 
Yes
 
(239) WESTSHORE HEALTH NETWORK

1820 44TH STREET

KENTWOOD,MI49508
38-3280200
SUPPORT SERVICES MI 501(C)(4) N/A MERCY HEALTH PARTNERS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVENT REHABILITATION LLC

607 DEWEY AVENUE SUITE 300
GRAND RAPIDS,MI49504
38-3306673
REHABILITATION THERAPY SERVICES MI N/A
                 
(2) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1608125
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(3) CATHERINE HORAN BUILDING LIMITED PARTNERSHIP

1221 MAIN STREET ROOM 108
HOLYOKE,MA01040
04-2723429
PROPERTY MANAGEMENT MA N/A
                 
(4) CENTENNIAL SURGUNIT LLC

502 CENTENNIAL BLVD SUITE 1
VOORHEES,NJ08043
22-3580847
HEALTHCARE SERVICES NJ N/A
                 
(5) CENTER FOR DIGESTIVE CARE LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
03-0447062
PROVIDE GASTROINTESTINAL SERVICES MI N/A
                 
(6) CENTRAL NEW JERSEY HEART SERVICES LLC

PO BOX 148
BAYONNE,NJ07002
20-8525458
CARDIAC PROGRAM NJ N/A
                 
(7) CENTRAL OHIO SLEEP MEDICINE LTD

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1701029
SLEEP MEDICINE SERVICES OH N/A
                 
(8) CLINTON IMAGING SERVICES LLC

615 VALLEY VIEW DR STE 202
MOLINE,IL61265
41-2044739
MRI DIAGNOSTIC SERVICES IA N/A
                 
(9) EAST NORRITON MEDICAL ASSOCIATES

ONE WEST ELM STREET
CONSHOHOCKEN,PA19428
23-2319531
MEDICAL OFFICE BUILDING PA N/A
                 
(10) FOREST PARK IMAGING LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4365966
X-RAY AND MAMMOGRAPHY SERVICES IA N/A
                 
(11) FRANCES WARDE MEDICAL LABORATORY

300 WEST TEXTILE ROAD
ANN ARBOR,MI48104
38-2648446
LABORATORY MI N/A
                 
(12) FRESNO IMAGING CENTER

1303 E HERNDON AVE
FRESNO,CA93720
77-0363563
DIAGNOSTIC IMAGING CA N/A
                 
(13) GATEWAY HEALTH PLAN

300 GRANT STREET
PITTSBURGH,PA15219
25-1691945
MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A
                 
(14) HAWARDEN REGIONAL HEALTH CLINICS LLC

1122 AVENUE L
HAWARDEN,IA51023
20-1444339
MEDICAL CLINIC IA N/A
                 
(15) IDAHO ASC HOLDINGS LLC

4400 E FLAMINGO AVE
NAMPA,ID83687
36-4729605
HOLDING COMPANY FOR AMBULATORY SURGERY ID N/A
                 
(16) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
36-4119522
SURGICAL SERVICES IL N/A
                 
(17) MAGNETIC RESONANCE SERVICES PARTNERSHIP

1416 SIXTH STREET SW
MASON CITY,IA50401
42-1328388
MRI SERVICES IA N/A
                 
(18) MASON CITY AMBULATORY SURGERY CENTER LLC

990 4TH STREET SW
MASON CITY,IA50401
20-1960348
SURGERY-SAME DAY IA N/A
                 
(19) MCE MOB IV LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
42-1544707
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(20) MCMC POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1392994
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(21) MEDILUCENT MOB I

793 W STATE STREET
COLUMBUS,OH43222
20-4911370
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(22) MERCY ADVANCED MRI LLC

2525 SOUTH MICHIGAN AVE
CHICAGO,IL60616
26-2116721
SUBLEASE MRI EQUIPMENT IL N/A
                 
(23) MERCY HEART CTR OP SERVICES LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4237594
CARDIOVASCULAR SERVICES IA N/A
                 
(24) MERCYMANOR PARTNERSHIP

PO BOX 10086
TOLEDO,OH43699
52-1931012
NURSING HOME PA N/A
                 
(25) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1369473
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(26) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP

C/O NAZARETH HOSP 2601 HOLME AVE
PHILADELPHIA,PA19152
23-2388040
MEDICAL OFFICE BUILDING PA N/A
                 
(27) NEWCO AMBULATORY SURGERY CTR LLP

4190 24TH AVENUE
FORT GRATIOT,MI48059
30-0136708
OUTPATIENT SURGERY CENTER MI N/A
                 
(28) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

1000 NE 56TH STREET
OAKLAND PARK,FL33334
35-2325646
AMBULATORY SURGERY CENTER FL HOLY CROSS HOSPITAL INC
 
RELATED 751,981 2,519,174   No   Yes   73.000 %
(29) SARMED OUTPATIENT PHARMACY LLC

999 N CURTIS RD STE 102
BOISE,ID83706
51-0483218
PHARMACY ID N/A
                 
(30) SIXTY FOURTH STREET LLC

2373 64TH ST STE 2200
BYRON CENTER,MI49315
20-2443646
PROVIDE OUTPATIENT SURGICAL CARE MI N/A
                 
(31) SJV MANAGEMENT LLC

200 CENTURY PKWY STE 200E
MOUNT LAUREL,NJ08054
20-2273476
RADIOLOGY NJ N/A
                 
(32) SMMC MOB II LP

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869
INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A
                 
(33) ST AGNES LONG-TERM INTENSIVE CARE LLP

C/O MHS ONE WEST ELM ST STE 100
CONSHOHOCKEN,PA19428
20-0984882
LONG TERM INTENSIVE CARE PA N/A
                 
(34) ST ALPHONSUS CALDWELL CANCER CTR LLC

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861
RADIATION ONCOLOGY ID N/A
                 
(35) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1603660
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(36) ST MARY REHABILITATION HOSPITAL LLP

113 SEABOARD LANE SUITE B201
FRANKLIN,TN37067
27-3938747
MEDICAL SERVICES DE N/A
                 
(37) ST PETER'S AMBULATORY SURGERY CENTER LLC

1375 WASHINGTON AVENUE STE 201
ALBANY,NY12206
46-0463892
OUTPATIENT SURGERY NY N/A
                 
(38) TAMARACK MEDICAL CLINIC LLC

402 OLD STATE HWY
CASCADE,ID83611
20-1637921
OUTPATIENT MEDICAL SERVICES ID N/A
                 
(39) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2871206
OUTPATIENT SURGERY PA N/A
                 
(40) WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

793 W STATE STREET
COLUMBUS,OH43222
31-1784409
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(41) WOODLAND IMAGING CENTER LLC

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959
RADIOLOGY/IMAGING MI N/A
                 
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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AFFILIATED MANAGEMENT SERVICES CORPORATION INC

1300 MASSACHUSETTS AVENUE
TROY,NY12180
14-1668024
REAL ESTATE NY N/A
C       Yes  
(2) CARBONDALE AREA PHYSICIANS' ASSOCIATION PC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2801677
MEDICAL INSURANCE CONTRACTING PA N/A
C       Yes  
(3) CARBONDALE AREA PHYSICIANS' PHO INC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2801676
INACTIVE PA N/A
C       Yes  
(4) CARBONDALE PHYSICIANS' SERVICES INC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2365077
PHARMACY PA N/A
C       Yes  
(5) CATHERINE HORAN BUILDING INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-2938160
BUILDING MANAGEMENT MA N/A
C       Yes  
(6) CATHOLIC HEALTH EAST SENIOR SERVICES

3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
37-1572595
SENIOR SERVICES PA N/A
C       Yes  
(7) CHESTNUT RISK SERVICES LTD

11 VICTORIA STREET
HAMILTON    
BD
INSURANCE BD N/A
C       Yes  
(8) DIVERSIFIED COMMUNITY SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3128890
MEDICAL SERVICES MA N/A
C       Yes  
(9) GATEWAY HEALTH PLAN INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1505506
HEALTH CARE PA N/A
C       Yes  
(10) GATEWAY HEALTH PLAN INC OF OHIO

600 GRANT STREET
PITTSBURGH,PA15219
30-0282076
HEALTH CARE PA N/A
C       Yes  
(11) GEORGIA HEALTH ENTERPRISES LLC

1230 BAXTER STREET
ATHENS,GA30606
54-1806329
HEALTHCARE GA N/A
C       Yes  
(12) GHE PHYSICIANS PC

3500 PIEDMONT ROAD
ATLANTA,GA30305
58-2277939
PRACTICE MANAGEMENT GA N/A
C       Yes  
(13) GOTTLIEB MANAGEMENT SERVICES INC

701 W NORTH AVE
MELROSE PARK,IL60160
36-3330529
MANAGEMENT SERVICES IL N/A
C       Yes  
(14) HACKLEY HEALTH MANAGEMENT CENTER

1415 LEAHY ST
MUSKEGON,MI49442
38-2961814
WEIGHT MANAGEMENT MI N/A
C       Yes  
(15) HACKLEY HEALTH VENTURES INC

1415 LEAHY ST
MUSKEGON,MI49442
38-2589959
OTHER MEDICAL SERVICES MI N/A
C       Yes  
(16) HACKLEY HEALTHCARE EQUIPMENT

1415 LEAHY ST
MUSKEGON,MI49442
38-2578569
HOME MEDICAL EQUIPMENT MI N/A
C       Yes  
(17) HACKLEY PROFESSIONAL CENTER

1415 LEAHY ST
MUSKEGON,MI49442
38-3024797
REAL ESTATE RENTAL MI N/A
C       Yes  
(18) HACKLEY PROFESSIONAL PHARMACY

1415 LEAHY ST
MUSKEGON,MI49442
38-2447870
PHARMACY MI N/A
C       Yes  
(19) HEALTH MANAGEMENT SERVICES ORG INC

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3366580
HEALTH CARE BILLING NJ N/A
C       Yes  
(20) HEF INC

1415 LEAHY ST
MUSKEGON,MI49442
38-3086401
OFFICE STAFFING MI N/A
C       Yes  
(21) HOLY CROSS PRIVATE HOME SERVICES CORP

11801 TECH ROAD
SILVER SPRING,MD20904
52-1986562
HOME CARE SERVICES MD N/A
C       Yes  
(22) HPC CO-OWNERS ASSOCIATION

1700 CLINTON
MUSKEGON,MI49442
27-0734448
CONDOMINIUM ASSOCIATION MI N/A
C       Yes  
(23) HURON ARBOR CORPORATION

5301 EAST HURON RIVER DR PO BOX 992
ANN ARBOR,MI48106
38-2475644
PROVIDES OFFICE RENTAL SPACE MI N/A
C       Yes  
(24) IHA AFFILIATION CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895
MEDICAL MANAGEMENT MI N/A
C       Yes  
(25) LANGHORNE SERVICES II INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
25-3795549
GENERAL PARTNER OF LMOB PARTNERS, II PA N/A
C       Yes  
(26) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981
GENERAL PARTNER OF LMOB PARTNERS, PA N/A
C       Yes  
(27) LIFECARE PHYSICIANS PC

601 HAMILTON AVENUE
TRENTON,NJ08629
26-1649038
HEALTH CARE SERVICES NJ N/A
C       Yes  
(28) LOURDES MEDICAL ASSOCIATES PA

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3361862
MEDICAL SERVICES NJ N/A
C       Yes  
(29) MARYLAND CARE GROUP INC

11801 TECH ROAD
SILVER SPRING,MD20904
52-1815313
HEALTHCARE HOLDING MD N/A
C       Yes  
(30) MCMC EASTWICK INC

C/O MHS ONE WEST ELM STREET STE 100
CONSHOHOCKEN,PA19428
23-2184261
MEDICAL OFFICE BUILDINGS PA N/A
C       Yes  
(31) MEDNOW INC

1512 12TH AVENUE ROAD
NAMPA,ID83686
82-0389927
OUTPATIENT PHARMACY ID N/A
C       Yes  
(32) MERCY INPATIENT MEDICAL ASSOCIATES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3029929
MEDICAL SERVICES MA N/A
C       Yes  
(33) MERCY MEDICAL SERVICES

801 5TH STREET
SIOUX CITY,IA51101
42-1283849
PRIMARY CARE PHYSICIANS IA N/A
C       Yes  
(34) MERCY SERVICES CORPORATION

2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
36-3227348
DORMANT IL N/A
C       Yes  
(35) MICHIGAN ATHLETIC CLUB

2500 BURTON
GRAND RAPIDS,MI49546
38-2647304
ATHLETIC CLUB MI N/A
C       Yes  
(36) MOUNT CARMEL HEALTH PROVIDERS INC

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1382442
MEDICAL SERVICES OH N/A
C       Yes  
(37) NORTH IOWA MERCY MEDICAL SERVICES INC

1000 4TH ST SW
MASON CITY,IA50401
42-1382308
MEDICAL SERVICES IA N/A
C       Yes  
(38) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192
MEDICAL SERVICES FL HOLY CROSS HOSPITAL INC
 
C 95,772 343,142 100.000 % Yes  
(39) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST

1221 MAIN STREET ROOM 108
HOLYOKE,MA01040
04-6608649
PROPERTY MANAGEMENT MA N/A
C       Yes  
(40) PRIORITY PLUS OF CALIFORNIA

PO BOX 27230
FRESNO,CA93729
77-0395267
FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS CA N/A
C       Yes  
(41) PROVIDENCE HOME CARE INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-3317426
HEALTH CARE SERVICES MA N/A
C       Yes  
(42) SAINT ALPHONSUS HEALTH ALLIANCE INC

1055 NORTH CURTIS ROAD
BOISE,ID83706
82-0524649
ACCOUNTABLE CARE ORGANIZATION ID N/A
C       Yes  
(43) SAINT ALPHONSUS PHYSICIANS PA

1055 NORTH CURTIS ROAD
BOISE,ID83706
33-1078261
PHYSICIANS ID N/A
C       Yes  
(44) SAINT MARY'S HEALTH MANAGEMENT COMPANY

1640 EAST PARIS SE
GRAND RAPIDS,MI49546
38-3450733
ATHLETIC CLUB MI N/A
C       Yes  
(45) SAMARITAN MEDICAL OFFICE BUILDING INC

2212 BURDETT AVENUE
TROY,NY12180
14-1607244
REAL ESTATE NY N/A
C       Yes  
(46) SJM PROPERTIES INC

411 CANISTEO STREET
HORNELL,NY14843
16-1294991
PROPERTY HOLDINGS NY N/A
C       Yes  
(47) ST MARY'S HIGHLAND HILLS VILLAGE INC

1230 BAXTER STREET
ATHENS,GA30606
58-2276801
ASSISTED LIVING GA N/A
C       Yes  
(48) STELLA MARIS INSURANCE COMPANY LIMITED

PO BOX 69
GRAND CAYMAN,CAYMAN ISLANDSKY1-1102
CJ
98-0632008
INSURANCE CJ N/A
C       Yes  
(49) SURGERY CENTER FINANCING CORPORATION

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1531102
FINANCE, INSURANCE AND REAL ESTATE OH N/A
C       Yes  
(50) SYSTEM COORDINATED SERVICES INC

C/O SPHS 1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-2938181
LAB SERVICES MA N/A
C       Yes  
(51) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654
REAL ESTATE BROKERAGE SERVICES MI N/A
C       Yes  
(52) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377
GRANTOR TRUST MI N/A
T       Yes  
(53) VENZKE INSURANCE COMPANY LTD

PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602
PROVISION OF INSURANCE COVERAGE CJ N/A
C       Yes  
(54) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM

1820 44TH STREET SE
KENTWOOD,MI49508
38-2700166
CONDOMINIUM ASSOCIATION MI N/A
C       Yes  
(55) WORKPLACE HEALTH OF GRAND HAVEN

1415 LEAHY ST
MUSKEGON,MI49442
38-3112035
OCCUPATIONAL HEALTH MI N/A
C       Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
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) CATHOLIC HEALTH EAST

B 53,883 PER BOOKS
(2) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

J 539,400 PER BOOKS
(3) HOLY CROSS MEDICAL PROPERTIES INC

K 635,004 PER BOOKS
(4) CATHOLIC HEALTH EAST

M 12,114,885 PER BOOKS
(5) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

C 930,312 PER TAX RETURN
(6) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

L 953,579 PER BOOKS
(7) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

Q 1,447,206 PER BOOKS
(8) MERCY HOSPITAL INC

Q 339,240 PER BOOKS
(9) CATHOLIC HEALTH EAST

P 15,356,478 PER BOOKS
(10) TRINITY HEALTH CORPORATION

C 5,289,350 PER BOOKS
(11) CATHOLIC HEALTH EAST

C 52,405 PER BOOKS
(12) TRINITY HEALTH CORPORATION

P 549,141 PER BOOKS
(13) TRINITY HEALTH CORPORATION

R 2,001,388 PER BOOKS
(14) HOLY CROSS MEDICAL PROPERTIES INC

S 619,101 PER BOOKS
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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