Form990
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Department of the TreasuryInternal 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
301 PROSPECT AVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SYRACUSE, NY132031899
D Employer identification number

15-0532254
E Telephone number

G Gross receipts $ 619,091,130
F Name and address of principal officer:
LOWELL A SEIFTER ESQ
301 PROSPECT AVE
SYRACUSE,NY132031899
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
SJHSYR.ORG
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 MediumBullet  
K Form of organization:  
L Year of formation: 1895
M State of legal domicile: NY
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: RELIGIOUS & CHARITABLE, TEACHING HOSPITAL
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 4,695
6 Total number of volunteers (estimate if necessary) ............. 6 524
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -595,866
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -595,866
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,320,951 7,265,837
9 Program service revenue (Part VIII, line 2g) ......... 542,194,840 553,323,910
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,810,270 1,527,037
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 49,265,863 56,678,818
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 603,591,924 618,795,602
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 307,055,709 312,641,418
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 293,203,335 304,314,935
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 600,259,044 616,956,353
19 Revenue less expenses. Subtract line 18 from line 12....... 3,332,880 1,839,249
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 648,957,477 485,398,291
21 Total liabilities (Part X, line 26)............. 438,829,997 409,230,768
22 Net assets or fund balances. Subtract line 21 from line 20..... 210,127,480 76,167,523
Part II
Signature Block
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Date
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Firm's name MediumBullet
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Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
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: OUR MISSION: WE ARE PASSIONATE HEALERS DEDICATED TO HONORING THE SACRED IN OUR SISTERS AND BROTHERS.OUR VISION: TO BE WORLD-RENOWNED FOR PASSIONATE PATIENT CARE AND OUTSTANDING CLINICAL OUTCOMES.CORE VALUES: IN THE SPIRIT OF GOOD STEWARDSHIP, WE HEAL BY PRACTICING: COMPASSION THROUGH OUR KINDNESS, CONCERN AND GENUINE CARING; REVERENCE IN HONORING THE DIGNITY OF THE HUMAN SPIRIT; EXCELLENCE BY EXPECTING THE BEST OF OURSELVES AND OTHERS; INTEGRITY BY BEING AND SPEAKING THE TRUTH.
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 $ 166,623,019 including grants of $   ) (Revenue $ 177,071,796 )
HEART DISEASE AND STROKECARDIOVASCULAR DISEASE IS THE LEADING CAUSE OF DEATH IN THE NATION, NEW YORK STATE AND ONONDAGA COUNTY. SINCE ST. JOSEPH'S PERFORMED THE FIRST OPEN HEART SURGERY IN CENTRAL NEW YORK IN 1958, IT HAS CONTINUED TO LEAD THE WAY IN THE PREVENTION, DETECTION AND TREATMENT OF HEART DISEASE. FOR EXAMPLE:- SURGEONS PERFORM NEARLY 1,000 OPEN HEART SURGERIES YEAR.- INTERVENTIONAL CARDIOLOGISTS PERFORM NEARLY 5,035 CARDIAC CATHETERIZATIONS AND APPROXIMATELY 2,000 PERCUTANEOUS CORONARY INTERVENTIONS.- SPECIALISTS CONDUCT MORE THAN 573 ELECTROPHYSIOLOGY CASES, INCLUDING THREE-DIMENSIONAL MAPPINGS.- SURGEONS IMPLANT APPROXIMATELY 635 PACEMAKERS IN 2015.NATIONAL RECOGNITIONS INCLUDE:-BEST REGIONAL HOSPITAL BY U.S. NEWS AND WORLD REPORT-100 GREAT COMMUNITY HOSPITALS BY BECKER'S HOSPITAL REVIEW-ONLY MAGNET DESIGNATED HOSPITAL IN CENTRAL NEW YORK-AWARDED 3 STARS IN CABG, AVR & AVR+CABG BY SOCIETY OF THORACIC SURGEONS-WOMEN'S CHOICE AWARD FOR HEART CARE AND OBSTETRICS -HIGH PERFORMING IN HIP AND KNEE REPLACEMENTS BY U.S. NEWS AND WORLD REPORT-AWARDED BABY FRIENDLY HOSPITAL BY BABY-FRIENDLY USA, INC. SPONSORED BY UNICEF AND THE WHO-PRIMARY CARE OFFICES CERTIFIED NCQA LEVEL 3 PATIENT CENTERED MEDICAL HOME-LEAPFROG REPORTS ST. JOSEPH'S 3RD LOWEST C-SECTION RATE IN NY-AWARDED LEED GOLD CERTIFICATION BY THE U.S. GREEN BUILDING COUNCIL-MOST WIRED HOSPITAL SEVEN CONSECUTIVE YEARS-CARDIAC ICU RECEIVED THE GOLD BEACON AWARD OF EXCELLENCE-AMERICAN ACADEMY OF SLEEP MEDICINE ACCREDITATION-COMPREHENSIVE CENTER ACCREDITATION FOR BARIATRIC SURGERY-FULL ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE-SURGICAL INTENSIVE CARE RECEIVED BEACON AWARD OF EXCELLENCEREGIONAL DISTINCTIONS:-2015 RISK TAKERS AND DREAM MAKERS AWARD-NAACP COMMUNITY SERVICE AWARD-EXCELLUS BLUECROSS BLUESHIELD COMMUNITY HEALTH AWARD-HANYS 2015 COMMUNITY HEALTH INITIATIVES AWARD-EXCELLENCE IN HEALTH CARE AWARD, COMMUNITY PARTNER-BLUE DISTINCTION CENTER PLUS FOR KNEE AND HIP REPLACEMENT-BLUE DISTINCTION CENTER PLUS FOR SPINE SURGERY-BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE-BLUE DISTINCTION CENTER FOR MATERNITY CAREEKG TRANSMISSION FROM AMBULANCES: ST. JOSEPH'S EMERGENCY DEPARTMENT RECEIVES EKGS FROM AMBULANCES IN THE FIELD THAT ARE IN ROUTE TO THE HOSPITAL. THE NEW, WEB-BASED SYSTEM, CALLED LIFENET STEMI MANAGEMENT SOLUTION FROM PHYSIO-CONTROL, ALLOWS EMERGENCY MEDICAL TECHNICIANS (EMTS) TO ALERT THE ED STAFF TO INCOMING PATIENTS WITH A DANGEROUS FORM OF HEART ATTACK KNOWN AS STEMI (ST ELEVATION MYOCARDIAL INFARCTION). STEMI POSES A SERIOUS THREAT TO THE HEART MUSCLE, AND THE QUICKER PATIENTS RECEIVE TREATMENT THE MORE LIKELY THEY ARE TO HAVE A POSITIVE OUTCOME. EMTS USE THE SYSTEM TO TRANSMIT 12-LEAD EKGS FROM THE FIELD DIRECTLY TO THE ED. THIS HELPS SAVE TIME, WHICH IS THE KEY TO SAVING HEART MUSCLE.BY HAVING THE OPPORTUNITY TO READ THE EKG SOONER, THE ED PHYSICIANS CAN ACTIVATE THE AMI TEAM, THE SPECIFIC STAFF WHO CARE FOR HEART ATTACK PATIENTS, EARLIER. THIS EARLY WARNING SYSTEM PROVIDES AN ENORMOUS BENEFIT TO HEART ATTACK PATIENTS BECAUSE IT WILL RESULT IN A REDUCTION OF DOOR TO WIRE TIMES. THE TOOL IS PARTICULAR HELPFUL DURING OFF-SHIFTS AND WEEKENDS WHEN IT MAY TAKE A BIT LONGER TO CONVENE THE AMI TEAM.ACCORDING TO LOCAL AMBULANCE CORPS, THIS TECHNOLOGY IS A HUGE STEP TOWARD BETTER PATIENT CARE, PARTICULARLY FOR THOSE AMBULANCE CORPS THAT SERVES COUNTIES WITHOUT CARDIAC CATHETERIZATION LABS. OFTEN THOSE EMS PROVIDERS HAVE TO MANAGE UNSTABLE PATIENTS FOR MORE THAN 30 MILES TO DELIVER THEM TO THE LEVEL OF CARE THEY REQUIRE. THE CAPABILITY OF TRANSMITTING 12 LEAD EKGS HELPS PATIENTS GET THE CARE THEY NEED SOONER, SAVING BOTH LIVES AND HEART MUSCLE.CERTIFIED CHEST PAIN CENTER: IN 2013, ST. JOSEPH'S HOSPITAL RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS. ST. JOSEPH'S IS ONE OF TWO HOSPITALS IN CENTRAL NEW YORK WITH THIS ACCREDITATION.ST. JOSEPH'S UNDERTOOK A RIGOROUS RE-EVALUATION AND REFINEMENT OF HEART CARE PROCESSES TO INTEGRATE THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS INTO ITS CARDIAC CARE SERVICES. THE HOSPITAL'S STATE-OF-THE-ART CARDIOVASCULAR PROGRAM WORKS SEAMLESSLY WITH AREA EMERGENCY MEDICAL SERVICES TO ENSURE THAT PATIENTS GET THE TREATMENT THEY NEED DURING THE CRITICAL EARLY STAGES OF A HEART ATTACK.AS AN ACCREDITED CHEST PAIN CENTER, ST. JOSEPH'S ENSURES PATIENTS WHO COME TO THE HOSPITAL COMPLAINING OF CHEST PAIN OR DISCOMFORT ARE GIVEN THE IMMEDIATE TREATMENT NECESSARY TO AVOID AS MUCH HEART DAMAGE AS POSSIBLE. PROTOCOL-BASED PROCEDURES DEVELOPED BY LEADING EXPERTS IN CARDIAC CARE TO REDUCE TIME OF TREATMENT IN THE CRITICAL EARLY STAGES OF A HEART ATTACK ARE PART OF ST. JOSEPH'S OVERALL CARDIAC SERVICES.IN ADDITION TO CHEST PAIN CENTER ACCREDITATION, ST. JOSEPH'S IS THE ONLY HOSPITAL IN SYRACUSE DESIGNATED AS A MISSION LIFELINE STEMI HOSPITAL BY THE AMERICAN HEART ASSOCIATION FOR ITS SYSTEMATIC AND MULTIDISCIPLINARY APPROACH TO TREATING HEART ATTACKS.OUTREACH TO NORTHERN NEW YORK: ST. JOSEPH'S CONTINUED ITS TELEMEDICINE PROGRAM WITH SAMARITAN MEDICAL CENTER IN WATERTOWN, N.Y., TO ACHIEVE OPTIMAL CARDIAC CARE FOR CENTRAL AND NORTHERN NEW YORK.SAMARITAN HOUSES A FREESTANDING CATHETERIZATION LABORATORY THAT SERVICES THE LARGELY RURAL JEFFERSON, ST. LAWRENCE, LEWIS AND FRANKLIN COUNTIES. SAMARITAN'S CATH LAB UTILIZES THE EXPERTISE OF ST. JOSEPH'S INVASIVE CARDIOLOGISTS. ALL PATIENTS ARE SCREENED FOR RISK FACTORS AND ANY CARDIAC CATH CANDIDATES WHO DISPLAY AT-RISK SYMPTOMATOLOGY ARE REFERRED TO ST. JOSEPH'S HOSPITAL FOR INPATIENT CARDIAC CATHETERIZATION PROCEDURES, ANGIOPLASTY OR CARDIAC SURGERY INTERVENTIONS.ST. JOSEPH'S EXPRESS ADMISSION LINE IS A HOTLINE USED PRIMARILY FOR THE SPEEDY TRANSFER OF CARDIAC PATIENTS FROM RURAL HOSPITALS WITHOUT CARDIAC CATHETERIZATION LABS. IT CAN ALSO BE A LIFESAVING TOOL USED TO TRANSFER ANY PATIENT IN NEED TO THE APPROPRIATE LEVEL OF CARE AS SOON AS POSSIBLE. WHEN A PATIENT REQUIRES SPECIALTY CARE UNAVAILABLE AT HIS OR HER CURRENT HEALTH CARE FACILITY, MEDICAL PERSONNEL CALL THE EXPRESS LINE, WHICH IS ANSWERED 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK BY ST. JOSEPH'S ADMINISTRATIVE NURSING COORDINATOR. THE NURSING COORDINATOR LISTENS TO THE DESCRIPTION OF THE PATIENT'S CONDITION, CONTACTS THE ST. JOSEPH'S PHYSICIAN ON CALL FOR THE PARTICULAR SPECIALTY NEEDED, AND WITHIN MINUTES ALL THREE PARTIES ARE ENGAGED IN A THREE-WAY POTENTIALLY LIFESAVING CONVERSATION. THE ST. JOSEPH'S PHYSICIAN CAN OBTAIN CRITICAL PATIENT INFORMATION AND GIVE SPECIFIC INSTRUCTIONS FOR CARE DURING TRANSPORT, WHILE THE NURSING COORDINATOR SIMULTANEOUSLY CHECKS FOR AVAILABLE BEDS AND ALERTS THOSE NEEDED TO PREPARE FOR THE PATIENT'S ARRIVAL. TO EXPEDITE THE PROCESS, HOSPITAL REPRESENTATIVES FROM BOTH LOCATIONS THEN TAKE CARE OF PAPERWORK AND OTHER IMPORTANT INFORMATION, WHILE THE PATIENT IS ENROUTE.THE EXPRESS LINE HAS LITERALLY BEEN A LIFESAVER, BECAUSE PRECIOUS TIME IS NOT SPENT SEARCHING FOR AN OPEN BED OR TRIAGING THE PATIENT A SECOND TIME UPON ARRIVAL AT ST. JOSEPH'S, BUT ONLY ON MAKING SURE THE PATIENT RECEIVES THE BEST POSSIBLE MEDICAL CARE IMMEDIATELY AND THROUGHOUT HIS OR HER STAY.REHABILITATION: ST. JOSEPH'S OFFERS THE ONLY COMPREHENSIVE CARDIAC REHABILITATION PROGRAM THAT IS CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION AND IS THE LARGEST SUCH PROGRAM IN CENTRAL NEW YORK. IN 2015, ST. JOSEPH'S PROVIDED NEARLY 11,184 PATIENT VISITS. A MEDICALLY SUPERVISED EXERCISE PROGRAM IS ALSO HELD AT THE SITE. THIS PROGRAM IS SPECIFICALLY DESIGNED FOR PEOPLE WHO WANT TO EXERCISE AND MAINTAIN THEIR INDEPENDENCE, BUT WHOSE CHRONIC DISEASE STATES PUT THEM AT RISK FOR EXERCISING IN STANDARD GYMS.
4b (Code:   ) (Expenses $ 24,880,196 including grants of $   ) (Revenue $ 18,435,518 )
MISSION SERVICES & OTHERPRIMARY CARE CENTERS & MENTAL HEALTHPRIMARY CARE CENTERSCOMMITTED TO IMPROVING ACCESS TO HEALTH CARE SERVICES FOR THOSE WHO ARE UNDERSERVED, ST. JOSEPH'S HAS ESTABLISHED PRIMARY CARE SITES IN AREAS WHERE MANY OF THESE INDIVIDUALS LIVE. THIS HELPS ADDRESS A KNOWN BARRIER, WHICH IS ACCESS TO TRANSPORTATION FOR THOSE WITHOUT INSURANCE OR WHO USE MEDICAID. PRIMARY CARE CENTER-WEST (PCC WEST): THE PCC WEST PRIMARILY SERVES PATIENTS OF ALL AGES FROM SYRACUSE'S NEAR WEST SIDE. THE BI-LINGUAL STAFF PROVIDES OBSTETRICS, GYNECOLOGICAL CARE, PEDIATRIC WELL AND SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS, BLOOD DRAWS, NUTRITION AND FINANCIAL COUNSELING, AND REFERRALS TO SPECIALISTS, AS NEEDED. PHYSICIANS ARE AVAILABLE 24-HOURS-A-DAY, SEVEN-DAYS-A-WEEK. PCC WEST SAW 17,036 PATIENT VISITS IN 2015. MANY FAMILIES COME FROM CUBA, PUERTO RICO, UKRAINE, SOMALIA, SUDAN, BOSNIA AND BURMA AND 32 PERCENT OF PATIENTS ARE NON-ENGLISH SPEAKING OR HAVE LIMITED ENGLISH PROFICIENCY. SEVENTY-THREE PERCENT OF PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.PRIMARY CARE CENTER OB/GYN (PCC OB/GYN): LOCATED AT PCC MAIN CAMPUS, 101 UNION AVE SUITE 706, SYRACUSE, SPECIALIZES IN WOMEN'S HEALTH CARE. IN ADDITION TO PHYSICIANS, CERTIFIED NURSE MIDWIVES, NURSE PRACTITIONER AND REGISTERED NURSES PROVIDE PREGNANCY CARE AND GYNECOLOGICAL SERVICES. LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS, MATERNAL TESTING AND SONOGRAMS, SOCIAL SERVICES, NUTRITIONAL COUNSELING, FINANCIAL COUNSELING AND PHLEBOTOMY ARE ALSO AVAILABLE AT THE PCC OB/GYN OFFICE. THERE IS A STRONG CONNECTION BETWEEN PRE- AND POST-NATAL CARE FROM OUTPATIENT OBSTETRICS TO INPATIENT MATERNITY AND NEWBORN SERVICES AND THEN BACK TO OUTPATIENT OBSTETRICS AND PEDIATRIC SERVICES. 85% OF OB PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. A LARGE PERCENTAGE OF PATIENTS ARE VIETNAMESE. THE PEDIATRICS OFFICE, WHICH SAW 5,972 PATIENT VISITS IN 2015, PROVIDES PEDIATRIC SERVICES FOR PATIENTS UP TO AGE 17, WELL-CHILD VISITS, SICK VISITS, IMMUNIZATIONS, PHYSICAL EXAMS AND REFERRALS TO SPECIALISTS, AS NEEDED. NUTRITION AND FINANCIAL COUNSELING ALSO ARE AVAILABLE AND SOCIAL WORKERS ARE ON SITE. AT THE PEDIATRIC OFFICE, HEALTH AND FAMILY EDUCATION AND MENTAL HEALTH SCREENINGS ARE ALSO AVAILABLE, AS WELL AS AN INITIATIVE TO IMPROVE CHILD LITERACY THROUGH THE REACH OUT AND READ PROGRAM.PRIMARY CARE CENTER-MAIN (PCC MAIN): LOCATED ON THE HOSPITAL CAMPUS, ST. JOSEPH'S PCC MAIN PRIMARY CARE CENTER IS AVAILABLE TO PROVIDE ALL THE HEALTH CARE NEEDS OF FAMILIES, INCLUDING PRENATAL, PEDIATRIC AND ADULT CARE. SERVICES INCLUDE 24-HOUR PHYSICIAN COVERAGE, OBSTETRICS, CARING FOR CHILDREN, WOMEN'S HEALTH, CARE OF HOSPITALIZED PATIENTS, AND OFFICE CARE FOR MOST MEDICAL PROBLEMS, AS WELL AS FAMILY THERAPY COUNSELING, MENTAL HEALTH SCREENING, LAB SERVICES, WIC ASSISTANCE, PCAP APPLICATIONS AND NUTRITIONAL, FINANCIAL AND SOCIAL WORK COUNSELING. IN 2015, THERE WERE 29,013 PATIENT VISITS, 86% OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY. DENTAL OFFICE: ST. JOSEPH'S DENTAL OFFICE CARES FOR MANY OF THE AREA'S UNDERINSURED, AS WELL AS PATIENTS WITH MENTAL AND/OR PHYSICAL DISABILITIES. A 24-HOUR ON-CALL SYSTEM IS IN PLACE IN ALL OF ST. JOSEPH'S PRIMARY CARE SITES. THERE WERE 9,666 PATIENT VISITS IN 2015, INCLUDING OUR NEW PORTABLE DENTAL UNIT THAT BEGAN IN LATE 2015; 32% OF THE PATIENTS ARE MEDICAID, MEDICARE OR SELF-PAY.IN ADDITION, THE PRIMARY CARE CENTERS INCORPORATE A DENTAL ASSESSMENT IN ALL AGE GROUPS AND IF NECESSARY, REFERRALS ARE MADE TO ST. JOSEPH'S DENTAL OFFICE. IN ADDITION, ST. JOSEPH'S DENTAL OFFICE, THROUGH THE GENEROUS GRANT PROVIDED BY THE HEALTH FOUNDATION OF WESTERN & CENTRAL NY, NOW PROVIDES PORTABLE DENTAL SERVICES TO CHILDREN IN THE COMMUNITY WHO MAY NOT HAVE THE ABILITY TO RECEIVE DENTAL HYGIENE CARE.SPECIALTIES SERVICES: ST. JOSEPH'S TAKES REFERRALS FROM ITS EMERGENCY DEPARTMENT, PRIMARY CARE SERVICES AND PHYSICIANS THROUGHOUT THE COMMUNITY FOR ORTHOPEDICS/SPORTS MEDICINE, ALLERGY/ASTHMA SERVICES, SURGICAL SERVICES AND INFECTIOUS DISEASE. 77% OF THE PATIENTS SEEN IN SPECIALTIES SERVICES ARE MEDICAID, MEDICARE OR SELF-PAY. THERE WERE 2952 PATIENT VISITS IN 2015.MENTAL HEALTH AND MENTAL DISORDERSIN RESPONSE TO A CRITICAL COMMUNITY NEED, ST. JOSEPH'S MENTAL HEALTH SERVICES PROMOTES POSITIVE MENTAL HEALTH AND ADDRESSES A BROAD RANGE OF PSYCHIATRIC ILLNESSES INCLUDING BIPOLAR DISORDER, DEPRESSION, PSYCHOTIC DISORDERS, MOOD AND ANXIETY DISORDERS, SUBSTANCE ABUSE AND ADDICTION, AND CHILD AND ADOLESCENT PSYCHIATRIC DISORDERS. EACH PATIENTS INDIVIDUAL TREATMENT NEEDS ARE RESPONDED TO WITH PLANNING FOR PATIENT-SPECIFIC CARE WHICH MAY INCLUDE INDIVIDUAL PSYCHOTHERAPY, GROUP THERAPY, FAMILY COUNSELING, INPATIENT CARE, PSYCHOPHARMACOLOGY, REHABILITATION SERVICES AND VOCATIONAL COUNSELING.WHILE OUTSTANDING SERVICES ARE GIVEN TO ALL PATIENTS, WITH NEARLY ONE QUARTER OF ITS PATIENT POPULATION 17 YEARS AND YOUNGER, PROVIDERS AT ST. JOSEPH'S WORK DILIGENTLY TO OFFER INNOVATIVE STATE-OF-THE-ART TREATMENT OPTIONS THAT ARE SUCCESSFUL WITH, AND CAPTURE THE INTEREST OF, CHILDREN. ST. JOSEPH'S MENTAL HEALTH SERVICES RECORDS OVER 87,238 OUTPATIENT VISITS AS WELL AS 322 ADMISSIONS INTO THE COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM EOB AND 588 PSYCHIATRIC ADMISSIONS.ST. JOSEPH'S, THE LARGEST PROVIDER OF MENTAL HEALTH SERVICES IN ONONDAGA COUNTY, HAS OFFERED COMPREHENSIVE MENTAL HEALTH CARE TO THE COMMUNITY SINCE 1947. DESIGNATED BY NEW YORK STATE AS A COMMUNITY MENTAL HEALTH CENTER SINCE 1967, ST. JOSEPH'S PROVIDES A FULL CONTINUUM OF MENTAL HEALTH SERVICES. IN ADDITION TO A 30-BED INPATIENT UNIT, ST. JOSEPH'S OFFERS OUTPATIENT PSYCHOTHERAPY, REHABILITATION AND SUPPORTED EMPLOYMENT PROGRAMS, TRANSITIONAL LIVING SERVICES, ACCESS FOR THE HOMELESS AND LINK, A SCHOOL-BASED PROGRAM FOR CHILDREN AND FAMILIES. ST. JOSEPH'S ALSO OPERATES THE REGIONS ONLY PSYCHIATRIC EMERGENCY PROGRAM, PROVIDING COMPASSIONATE CARE FOR COMMUNITY MEMBERS DURING SOME OF THEIR MOST SERIOUS PSYCHIATRIC CRISES. THE MISSION OF ST. JOSEPH'S MENTAL HEALTH SERVICES REFLECTS A CONCERN WITH PREVENTING MENTAL ILLNESS, PROMOTING MENTAL HEALTH AND PROVIDING COMPREHENSIVE CARE FOR THOSE PERSONS SUFFERING FROM MENTAL DISORDERS. MENTAL HEALTH SERVICES PLACES EMPHASIS ON CONSIDERATION OF BIOLOGICAL, CULTURAL, ETHNIC, FAMILY AND SOCIAL ENVIRONMENT IN TREATING PATIENTS, AS WELL AS THE BELIEF THAT COMPREHENSIVE AND APPROPRIATE TREATMENT CAN BEST BE IMPLEMENTED AT THE LEAST RESTRICTIVE LEVEL OF CARE THAT IS THERAPEUTICALLY ADVISABLE. ADEQUATE CARE OF THE MENTALLY ILL HAS BECOME AN URGENT NEED IN THE CENTRAL NEW YORK COMMUNITY, AND ST. JOSEPH'S CONTINUES TO FIND WAYS TO PROVIDE GREATER ACCESS TO MENTAL HEALTH CARE FOR THOSE IN NEED.ST. JOSEPH'S MENTAL HEALTH SERVICES AND CPEP PARTNER WITH A VARIETY OF LOCAL ORGANIZATIONS, INCLUDING ONONDAGA COUNTY DEPARTMENT OF MENTAL HEALTH, SOCIAL SERVICES AND PROBATION, ONONDAGA CASE MANAGEMENT SERVICES, INC., UNITED WAY OF CENTRAL NY, ONONDAGA WRAPAROUND, THE SYRACUSE RESCUE MISSION, SALVATION ARMY, EMERGENCY SHELTER BARNABAS HOUSE, STATE STREET APARTMENTS BOOTH HOUSE, LOCAL LAW ENFORCEMENT, UNIVERSITY HOSPITAL, ONONDAGA CASE MANAGEMENT SERVICES, INC., FAMILY TAPESTRY, ELMCREST CHILDREN'S CENTER, HILLSIDE CHILDREN'S CENTER, LIBERTY RESOURCES, INC., CENTRAL NEW YORK SERVICES, INC., NORTH SYRACUSE SCHOOL DISTRICT, EAST-SYRACUSE MINOA SCHOOL DISTRICT AND THE SYRACUSE BEHAVIORAL HEALTH CENTER.PROGRAMS:- ADULT OUTPATIENT AND CHILDREN AND YOUTH OUTPATIENT CLINICS- COMPREHENSIVE HOMELESS ACCESS TO NONTRADITIONAL CLINICAL EXPERIENCES (CHANCE)- PERSONALIZED RECOVERY ORIENTED SERVICES (PROS)- PSYCHIATRIC HOME CARE SERVICES- RESIDENTIAL SERVICES PROGRAM- ST. JOSEPH'S VOCATIONAL SERVICES- VOLUNTEER PROGRAM FOR SYRACUSE BEHAVIORAL HEALTH CLIENTS- LEADING, INTEGRATING, NETWORKING FOR KIDS (LINK)- COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM (CPEP)- CPEP MOBILE CRISIS OUTREACH PROGRAM- CHILDREN'S HEALTH INNOVATION PROJECT (CHIP)- CPEP FACILITY EXPANSION AND RE-LOCATION- DOCTORS ACROSS NEW YORK PHYSICIAN LOAN REPAYMENT PROGRAM-SCHOOL-BASED PROGRAM AT ONE CITY SCHOOL IN COOPERATION WITH SYRACUSE CITY SCHOOL DISTRICT-TELEPSYCHIATRY SERVICES TO FOUR RURAL SITES
4c (Code:   ) (Expenses $ 20,079,623 including grants of $   ) (Revenue $ 19,816,087 )
HOME CAREST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY: THE ST. JOSEPH'S HOSPITAL HEALTH CENTER NETWORK OFFERS IN-HOME SERVICES TO A DIVERSE POPULATION THROUGH ITS AFFILIATE ORGANIZATION, FRANCISCAN HEALTH SUPPORT, AND THE HOSPITAL-OWNED ST. JOSEPH'S CERTIFIED HOME HEALTH CARE AGENCY. HOME CARE HELPS PATIENTS TRANSITION FROM HOSPITAL TO HOME AND SUPPORTS PEOPLE WHO ARE AT HOME BY PROVIDING SERVICES THEY NEED TO AVOID READMISSION TO THE HOSPITAL OR A NURSING HOME. THE TWO AGENCIES CONDUCTED NEARLY 179,000 HOME VISITS LAST YEAR, HELPING MANY IN CENTRAL NEW YORK TO REMAIN IN THE COMFORT OF THEIR OWN HOMES. OUR CERTIFIED HOME HEALTH CARE AGENCY IS RANKED AMONG THE TOP 100 HOME CARE AGENCIES IN THE NATION AND PROVIDES SUCH SERVICES AS SKILLED NURSING; PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY; HOME HEALTH AIDE AND PERSONAL CARE SERVICES; SOCIAL SERVICES; AND NUTRITIONAL CARE. FRANCISCAN HEALTH SUPPORT OFFERS HOME HEALTH AIDE AND PERSONAL CARE SERVICES, SKILLED NURSING, AND MEDICAL EQUIPMENT.TOGETHER, THE TWO AGENCIES COMBINE FORCES TO PROVIDE THE BEST POSSIBLE CARE TO THOSE THEY SERVE, OFTEN THOSE IN THE COMMUNITY WHO ARE MOST AT NEED, INCLUDING THE ELDERLY, HOMEBOUND, ACUTELY ILL, OR DYING.THE NEED FOR HOME CARE SERVICES IN THE COMMUNITY HAS INCREASED GREATLY DUE TO THE EXPANDING ELDERLY POPULATION, THE EVER-SHORTENING HOSPITAL STAY, AND NURSING HOME DIVERSION INITIATIVES AND OUR AGENCIES CONTINUE TO INCREASE EFFORTS TO MEET THIS DEMAND AND THE NEEDS OF THE COMMUNITY.
(Code:   ) (Expenses $ 305,529,694 including grants of $   ) (Revenue $ 395,275,033 )
4d Other program services (Describe in Schedule O.)
(Expenses $ 305,529,694 including grants of $   ) (Revenue $ 395,275,033 )
4e Total program service expensesMediumBullet517,112,532
Form 990 (2015)
Form 990 (2015)
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 IIIClick 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
Yes
 
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
Yes
 
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.........
14b
 
No
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 IV.....
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...
16
 
No
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) ....
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............
18
 
No
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...................
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? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
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 domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
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), 501(c)(4), and 501(c)(29) 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 "Yes," 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
Yes
 
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
Yes
 
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..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
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
 
No
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
 
No
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 ...
35b
 
 
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 (2015)
Form 990 (2015)
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
437
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
4,695
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
 
No
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
 
 
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2015)
Form 990 (2015)
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
17
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
12
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
Yes
 
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
Yes
 
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
Yes
 
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMEREDITH PRICE301 PROSPECT AVE   SYRACUSE,NY132031899 (315) 703-2208
Form 990 (2015)
Form 990 (2015)
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) PAWAN RAO MD......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(2) WILLIAM ROBERTS MD......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(3) GEORGE DEPTULA ESQ......................................................................
BOARD TRUSTEE - CHAIR
10.00
.................
2.00
X   X       0 0 0
(4) JOHN MURPHY III......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(5) GINA MYERS PHD......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(6) VINCENT P SWEENEY......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(7) CHARLES ZIMMERMAN......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(8) SR MARY OBRIST......................................................................
BOARD TRUSTEE - TREASURER
10.00
.................
2.00
X   X       0 0 0
(9) LUCINDA DRESCHER......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(10) SHARON MCAULIFFE ESQ......................................................................
BOARD TRUSTEE THROUGH 7/1/15
10.00
.................
 
X           0 0 0
(11) KATHRYN RUSCITTO......................................................................
BOARD TRUSTEE - PRESIDENT,
40.00
.................
16.00
X   X       645,424 447,051 29,750
(12) SANDRA SULIK MD......................................................................
BOARD TRUSTEE TO 7/1/15,VP OF MEDICAL AFFAIRS
40.00
.................
5.00
X           389,980 0 13,812
(13) SR HELEN MARIE BURNS......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(14) RICHARD WALDMAN MD......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(15) MERRIETTE POLLARD......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
(16) JOHN MARSHALL CPA......................................................................
BOARD TRUSTEE
10.00
.................
2.00
X           0 0 0
(17) PAUL TREMONT......................................................................
BOARD TRUSTEE
10.00
.................
 
X           0 0 0
Form 990 (2015)
Form 990 (2015)
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) RICHARD O'CONNELL........................................................................
BOARD TRUSTEE
10.00
.......................  
X           0 0 0
(19) SANTO DIFINO MD........................................................................
BOARD TRUSTEE
10.00
.......................  
X           0 0 0
(20) ANNE MARIE CZYZ........................................................................
SR VP OPERATIONS, COO/CNO
40.00
.......................  
      X     348,803 0 18,727
(21) FRANK SMITH JR........................................................................
VP SPECIAL PROGRAMS
40.00
.......................35.00
      X     385,132 74,039 27,454
(22) MARY W BROWN........................................................................
SR VP, FORMER COO
40.00
.......................  
      X     223,956 0 2,434
(23) CHARLES J FENNELL........................................................................
VP INFORMATION MGMT, CIO
40.00
.......................20.00
      X     268,213 0 24,606
(24) JOSEPH A SCICCHITANO........................................................................
VP SUPPORT SERVICES
40.00
.......................4.00
      X     247,799 0 9,443
(25) MARK E MURPHY........................................................................
SR VP SYSTEM DEVELOP/AMBULATORY CARE
40.00
.......................20.00
      X     322,772 0 22,028
(26) FREDERICK LETOURNEAU........................................................................
SR VP PHYSICIAN ENTERPRISE
40.00
.......................35.00
      X     355,766 0 28,654
(27) DEBORAH WELCH........................................................................
VP PEOPLE AND MISSION INTEGRATION
40.00
.......................  
      X     174,875 0 22,091
(28) LOWELL A SEIFTER ESQ........................................................................
VP GENERAL COUNSEL
40.00
.......................10.00
      X     330,197 0 23,987
(29) DOUGLAS SMITH........................................................................
VP DEVELOPMENT
40.00
.......................40.00
      X     232,188 0 16,582
(30) ERIKA DUNCAN........................................................................
VP HUMAN RESOURCES
40.00
.......................4.00
      X     162,793 0 2,596
(31) MEREDITH PRICE........................................................................
VP FINANCIAL SERVICES, CFO
40.00
.......................10.00
      X     410,560 0 24,687
(32) JAMES TUCKER MD........................................................................
PHYSICIAN
40.00
.......................  
        X   434,025 0 17,704
(33) KWAME ADUSEI MD........................................................................
PHYSICIAN
40.00
.......................  
        X   396,466 0 25,410
(34) AHMED NIZAR MD........................................................................
PHYSICIAN
40.00
.......................  
        X   424,696 0 24,268
(35) JUSTIN BETRAND MD........................................................................
PHYSICIAN
40.00
.......................  
        X   392,854 0 30,793
(36) DAVID KELLEY MD........................................................................
PHYSICIAN
40.00
.......................  
        X   355,440 0 14,448
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 6,501,939 521,090 379,474
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet365
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
 
No
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
THE HAYNER HOYT CORPORATION

625 ERIE BLVD WEST
SYRACUSE,NY13204
CONSTRUCTION 2,736,591
BETTE & CRING LLC

22 CENTURY HILL DRIVE SUITE 201
LATHAM,NY12110
CONSTRUCTION 1,313,322
GRANT THORNTON

175 W JACKSON BLVD 20TH FLOOR
CHICAGO,IL60604
CONSULTANT 1,239,680
TEK SYSTEMS

10 TENTH STREET NE SUITE 300
ATLANTA,GA30309
CONSULTANT 830,545
PRECYSE SOLUTIONS LLC

1275 DRUMMERS LA SUITE 200
WAYNE,PA19087
CONSULTANT 829,776
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet22
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 2,514,925
e Government grants (contributions)1e 4,750,912
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$ 95,796
h Total.Add lines 1a-1f.......MediumBullet 7,265,837
 Program Service RevenueAmt Business Code
2a PATIENT SERVICE REVENUE 621990 553,323,910 553,323,910    
b
c
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 553,323,910
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 1,585,098     1,585,098
4 Income from investment of tax-exempt bond proceedsMediumBullet 2,506     2,506
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   122,514
b Less: rental expenses   122,354
c Rental income or (loss)   160
d Net rental income or (loss)......MediumBullet 160     160
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 109,738 2,869
b Less: cost or other basis and sales expenses 173,174 0
c Gain or (loss) -63,436 2,869
d Net gain or (loss).....MediumBullet -60,567     -60,567
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
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        
Business Code Miscellaneous Revenue
11a INTERCOMPANY REIMBURSEMENT REVENU 900099 39,181,197 39,181,197    
b OTHER EXEMPT OPERATING INCOME 900099 12,673,324 12,673,324    
c INCOME FROM JOINT VENTURES 621500 519,607 1,115,473 -595,866  
d All other revenue .... 4,304,530 4,304,530    
e Total. Add lines 11a–11d ...... MediumBullet 56,678,658
12 Total revenue. See Instructions......MediumBullet 618,795,602 610,598,434 -595,866 1,527,197
Form 990 (2015)
Form 990 (2015)
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 domestic organizations and domestic governments. See Part IV, line 21    
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    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 4,761,913 771,323 3,990,590  
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 244,995,387 206,223,978 38,771,409  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 6,245,774 4,981,182 1,264,592  
9 Other employee benefits ....... 39,341,959 27,318,901 12,023,058  
10 Payroll taxes ........... 17,296,385 13,794,357 3,502,028  
11 Fees for services (non-employees):        
a Management ...... 6,806,911 964,711 5,842,200  
b Legal ......... 985,195 128,909 856,286  
c Accounting ........... 686,945 5,762 681,183  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 3   3  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 72,194,192 61,419,459 10,774,733  
12 Advertising and promotion .... 1,660,014 274,398 1,385,616  
13 Office expenses ....... 1,946,449 1,024,161 922,288  
14 Information technology ...... 6,182,205 4,930,484 1,251,721  
15 Royalties ..        
16 Occupancy ........... 13,288,812 10,612,652 2,676,160  
17 Travel ............ 883,385 747,666 135,719  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 795,525 462,432 333,093  
20 Interest ........... 12,842,959 12,842,959    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 36,556,604 29,154,927 7,401,677  
23 Insurance ... 2,361,704 1,883,525 478,179  
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 SUPPLY EXPENSE 128,491,225 123,903,135 4,588,090  
b BAD DEBT EXPENSE 9,409,085 9,409,085    
c NYS ASSESSMENT 1,936,964 1,936,964    
d
e All other expenses 7,286,758 4,321,562 2,965,196  
25 Total functional expenses. Add lines 1 through 24e 616,956,353 517,112,532 99,843,821 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 5,043,418 1 2,881,953
2 Savings and temporary cash investments ......... 34,795,603 2 33,902,139
3 Pledges and grants receivable, net ...... 5,653,388 3 6,691,914
4 Accounts receivable, net ............. 84,327,477 4 78,173,431
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 .... 2,895,728 7 3,210,089
8 Inventories for sale or use ........ 6,351,919 8 6,085,889
9 Prepaid expenses and deferred charges ...... 5,236,301 9 3,422,897
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 261,595,267
b Less: accumulated depreciation 10b 16,494,421 365,387,103 10c 245,100,846
11 Investments—publicly traded securities . 93,869,165 11 62,944,193
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 45,397,375 15 42,984,940
16 Total assets. Add lines 1 through 15 (must equal line 34)... 648,957,477 16 485,398,291
Liabilities 17 Accounts payable and accrued expenses ..... 86,901,006 17 86,433,047
18 Grants payable ...   18  
19 Deferred revenue .........   19 436,940
20 Tax-exempt bond liabilities .........   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 .. 285,120,932 23 7,947,029
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 66,808,059 25 314,413,752
26 Total liabilities. Add lines 17 through 25.. 438,829,997 26 409,230,768
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 196,514,811 27 63,730,807
28 Temporarily restricted net assets ........... 10,380,959 28 9,103,099
29 Permanently restricted net assets 3,231,710 29 3,333,617
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 ........... 210,127,480 33 76,167,523
34 Total liabilities and net assets/fund balances ........ 648,957,477 34 485,398,291
Form 990 (2015)
Form 990 (2015)
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
618,795,602
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
616,956,353
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,839,249
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
210,127,480
5
Net unrealized gains (losses) on investments ...............
5
695,650
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
-136,494,856
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
76,167,523
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 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
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 (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10.  
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 section 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) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

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

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2015
(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2016. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


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
2015
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number
15-0532254
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


(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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I
(b) Purpose of gift (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) (2015)

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 BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2012 (b) 2013 (c) 2014 (d) 2015 (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) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on 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
 
74,162
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? ...................................................................................................................
Yes
 
68,093
j
Total. Add lines 1c through 1i ....................................................................................................
142,255
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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: LINE 1(F), GRANTS FOR LOBBYING PURPOSES DUES PAID HANYS - $37,057 ,IROQUOIS HEALTHCARE ALLIANCE - $16,808, AND AHA - $20,297 LINE 1(I), OTHER ACTIVITIES BROWN & WEINRAUB PLLC- $60,593 TRINITY HEALTH CORPORATION- $7,500
Schedule C (Form 990 or 990EZ) 2015


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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on 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
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on 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, for escrow or custodial account liability?
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 13,612,669 13,028,076 16,045,585 13,325,942 15,859,880
b Contributions ... 3,174,919 3,986,922 724,983 2,422,941 6,558,936
c Net investment earnings, gains, and losses -74,476 223,532 625,008 536,966 78,557
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
4,276,396 3,625,861 4,367,500 240,264 9,171,431
f Administrative expenses ....          
g End of year balance ...... 12,436,716 13,612,669 13,028,076 16,045,585 13,325,942
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 Bullet27.000 %
c
Temporarily restricted endowment SchDMd Bullet73.000 %
The percentages on 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)
 
No
(ii) related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
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' on 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 ...   3,925,693 3,925,693
b Buildings   158,187,834 3,145,600 155,042,234
c Leasehold improvements   12,029 647 11,382
d Equipment ...   95,290,763 13,339,030 81,951,733
e Other ...   4,178,948 9,144 4,169,804
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 245,100,846
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE FROM SJLS 783,319
(2) DUE FROM SJHHC FOUNDATION -118,456
(3) DUE FROM FRANCISCAN MGT/HEALTH SUPPORT SERVICES-NET 1,518,170
(4) DUE FROM AFFILIATE-MDR/MRI 915,504
(5) DUE FROM AFFILIATE-LACNY 14,191,344
(6) EQUITY INTEREST IN NET ASSETS OF SJHHC FOUNDATION 18,675,514
(7) RESTRICTED ASSETS 164,264
(8) DUE FROM LIVERPOOL DIALYSIS 104,000
(9) BOND INTEREST CAP PREMIUM 10,786
(10) TELP INTEREST AMORTIZATION 8,209
(11) DUE FROM IROQUOIS/ROSEWOOD 300,479
(12) DUE FROM LORETTO 557,500
(13) DUE TO/FROM SJPE 932,653
(14) LEWIS COUNTY HOSPITAL AR 14,000
(15) ST. JOSEPH'S IMAGING 11,244
(16) DUE TO/FROM TRINITY -1,603,009
(17) DUE TO/FROM PLAZA 652,063
(18) DSRIP PPS 203,374
(19) INSURANCE RECEIVABLE 5,663,982
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 42,984,940
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
ACCRUED POST RETIRE HEALTH BENEFITS-LT 19,843,122
ACCRUED WORKERS COMP 19,899,716
PENSION PLAN LIABILITY 1,762,584
SJHHC PROPERTIES 9,003,533
MALPRACTICE LIABILITY 8,976,244
457B PLAN LIABILITY 3,175,374
THIRD PARTY PAYOR 8,895,589
SECURED NOTE TO RELATED 3RD PARTY (TRINITY) 242,857,590
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 314,413,752
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on 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
PART V, LINE 4: ENDOWMENTS ARE INTENDED TO SUPPORT HOSPITAL MISSION SERVICES, EDUCATION, AND TECHNOLOGY ADVANCEMENTS.
PART X, LINE 2: THE HOSPITAL, SJPHPC, SJMPC AND CNY AIM ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE ("CODE") AND ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. BOTH SJPHPC AND SJMPC ARE SUBJECT TO TAX FOR NYS INCOME TAX PURPOSES, DUE TO LAWS SURROUNDING THE CORPORATE PRACTICE OF MEDICINE. SJHACO IS A SINGLE MEMBER LIMITED LIABILITY CORPORATION AND AS SUCH IS TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES. THE ACTIVITIES OF SJHACO WILL BE REPORTED IN THE INCOME TAX RETURN OF THE HOSPITAL, ITS SOLE MEMBER. SJM IS A PARTNER IN SJLS AND AS SUCH, INCOME FROM SJLS IS PASSED THROUGH TO SJM AND ITS OTHER MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. THE INCOME ALLOCATED TO SJM FROM SJLS IS CONSIDERED TO BE EXEMPT-PURPOSE INCOME TO SJM. SJPE IS A FOR-PROFIT ENTITY SUBJECT TO FEDERAL AND STATE INCOME TAXES. AS OF DECEMBER 31, 2015 AND 2014, THE HEALTH CENTER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2012 THROUGH 2015.
Schedule D (Form 990) 2015


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" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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 criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
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) . . .
    5,313,649   5,313,649 0.870 %
b Medicaid (from Worksheet 3, column a) . . . . .     100,702,036 72,427,186 28,274,850 4.650 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     106,015,685 72,427,186 33,588,499 5.520 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .     20,694,278 12,120,588 8,573,690 1.410 %
g Subsidized health services (from Worksheet 6) . . . .     16,580,590 7,079,975 9,500,615 1.560 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     3,300   3,300 0 %
j Total. Other Benefits . .     37,278,168 19,200,563 18,077,605 2.970 %
k Total. Add lines 7d and 7j .     143,293,853 91,627,749 51,666,104 8.490 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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     1,257   1,257 0 %
3 Community support     26,631   26,631 0 %
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     5,000   5,000 0 %
9 Other            
10 Total     32,888   32,888  
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
4,168,262
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
150,855,178
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
220,407,522
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-69,552,344
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 LABORATORY ALLIANCE OF CNY
 
LABORATORY SERVICES 50.000 % 0 % 0 %
22 MDR
 
MRI SERVICES 40.000 % 0 % 60.000 %
33 SJLS
 
DIALYSIS SERVICES 51.000 % 0 % 49.000 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVE
SYRACUSE,NY13203
X X   X     X   HOME CARE AGENCY, OP PRIMARY CARE AND OP MENTAL HEALTH SERVICES  
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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)
ST JOSEPH'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.SJHSYR.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST JOSEPH'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.SJHSYR.ORG
b
 
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

ST JOSEPH'S HOSPITAL HEALTH CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 5: ST. JOSEPH'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012 THROUGH 2013, IN COLLABORATION WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT, UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL. IN ADDITION, THE LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY FACILITATED COMMUNITY FORUMS IN COLLABORATION WITH THE ONONDAGA COUNTY ADVISORY BOARD OF HEALTH, THE SYRACUSE CITY SCHOOLS, AND SAY YES TO EDUCATION. THE ASSESSMENT PROCESS WAS ALSO INCLUSIVE OF FEEDBACK FROM THE FOLLOWING STAKEHOLDER GROUPS: CATHOLIC CHARITIES OF ONONDAGA COUNTY; THURSDAY MORNING ROUNDTABLE MEETING - STATE OF ONONDAGA COUNTY HEALTH; ONONDAGA COUNTY MEDICAL SOCIETY; NYS HEALTH ADVISORY BOARD; FOCUS ACADEMY; COMMUNITY PHYSICIANS; PATIENTS; NEIGHBORHOOD RESIDENTS AND LOCAL BUSINESS, RELIGIOUS AND POLITICAL LEADERS.
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6A: UPSTATE UNIVERSITY HOSPITAL AND CROUSE HOSPITAL
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 6B: THE ONONDAGA COUNTY HEALTH DEPARTMENT AND LERNER CENTER FOR PUBLIC HEALTH PROMOTION AT THE MAXWELL SCHOOL FOR CITIZENSHIP AND PUBLIC AFFAIRS AT SYRACUSE UNIVERSITY
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 7D: THE CHNA WAS AVAILABLE TO BE MAILED OUT BY REQUEST FREE OF CHARGE.
ST. JOSEPH'S HOSPITAL HEALTH CENTER, INC PART V, SECTION B, LINE 11: THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PREVENTING CHRONIC DISEASE:A.) A DIABETES EDUCATION INITIATIVE HAS BEEN IMPLEMENTED AT PRIMARY CARE CENTER - WEST, TARGETING THE POOR AND UNDERSERVED. PATIENTS ARE PROVIDED COUNSELING BY A DIETITIAN WITH GUIDANCE ON MANAGING DIABETES AND OTHER CHRONIC CONDITIONS. B.) UNDER THE GUIDANCE OF A ST. JOSEPH'S DIETITIAN, "PRE-DIABETIC" PATIENTS WERE ENROLLED IN A DIABETES EDUCATION GROUP WITH THE YMCA, WITH THE GOAL OF PROMOTING WEIGHT LOSS.C.) TO IMPROVE HEALTH OUTCOMES FOR ADULTS WITH TWO OR MORE CHRONIC CONDITIONS IN ONONDAGA COUNTY, ST. JOSEPH'S INVESTED SIGNIFICANT TIME AND RESOURCES IN BECOMING THE LEAD HEALTH HOME PROGRAM IN ONONDAGA COUNTY. THROUGH THE HEALTH HOME PROGRAM, MEDICAID PATIENTS IN THE COMMUNITY WITH 2+ CHRONIC CONDITIONS ARE PROVIDED CASE MANAGEMENT SERVICES TO ENSURE THAT THE SUPPORT SERVICES REQUIRED TO KEEP COMMUNITY MEMBERS HEALTHY ARE IN PLACE AND ACCESSIBLE TO OUR COMMUNITY'S MOST VULNERABLE.D.) TO PREVENT CHRONIC DISEASE, AN ADDITIONAL FOCUS IS THE IMPROVEMENT OF ACCESS TO PRIMARY CARE. ST. JOSEPH'S HAS IMPLEMENTED A PATIENT NAVIGATOR PROGRAM IN THE EMERGENCY DEPARTMENT AND AT PRIMARY CARE CENTERS, TO ASSIST VULNERABLE COMMUNITY MEMBERS/PATIENTS WITH ACCESSING APPROPRIATE CARE AND TRANSITIONING BETWEEN CARE SETTINGS. AT THIS TIME THE NAVIGATOR PROGRAM IS FULLY FUNCTIONAL.E.) TO PREVENT CHRONIC DISEASE, ST. JOSEPH'S ALSO TARGETED THE IMPROVEMENT OF ACCESS TO DENTAL CARE IN OUR COMMUNITY. TO DO THIS, A GRANT HAS BEEN SUBMITTED FOR A MOBILE DENTAL CLINIC, WHICH, ONCE OPERATIONALIZED, WILL BE STATIONED WITHIN UNDERSERVED NEIGHBORHOODS IN ONONDAGA COUNTY. TO-DATE THE CLINIC PLAN IS UNDER REVIEW FOR APPROVAL BY THE NYS DOH PRIOR TO LAUNCH OF THE PROGRAM.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING OBESITY IN CHILDREN AND ADULTS:A.) ST. JOSEPH'S HAS COMMITTED TO THE IMPLEMENTATION OF THE HEALTHY SHOPPER REWARDS PROGRAM IN COLLABORATION WITH THE LERNER CENTER OF SYRACUSE UNIVERSITY; NOJAIM'S SUPERMARKET; AND THE NEAR WESTSIDE INITIATIVE. THE PROGRAM WILL ULTIMATELY OFFER SHOPPERS IN THIS UNDERSERVED NEIGHBORHOOD THE OPPORTUNITY TO ACCESS INCENTIVES FOR PURCHASING NUTRITIOUS FOOD, AS DEEMED SO BY THE NUVAL FOOD SCORING/LABELING SYSTEM. AT THIS TIME, THE REWARDS PROGRAM IS READY TO BE LAUNCHED, AND CLINICIANS AT PRIMARY CARE CENTER - WES HAVE BEEN TRAINED IN HOW TO USE THE NUVAL WEBSITE AS A TOOL FOR PATIENT COUNSELING.THE ULTIMATE GOAL OF THIS PROGRAM IS TO INTEGRATE, WITH CONSENT, INDIVIDUAL PURCHASING DATA INTO THE MEDICAL RECORD, TO PROVIDE A COMPREHENSIVE APPROACH TO REDUCING OBESITY THROUGH THE IMPROVEMENT OF NUTRITIONAL HABITS. B.) THROUGH A NORTH SIDE COMMUNITY HEALTH IMPROVEMENT PROJECT, ST. JOSPEH'S HAS DONATED FRUITS AND VEGETABLES REGULARLY TO A FOOD PANTRY SERVING SOME OF THE CITY'S MOST VULNERABLE RESIDENTS. IN ADDITION, ST. JOSEPH'S OFFERED A HEALTHY COOKING DEMONSTRATION FOR PANTRY CLIENTS, UTILIZING INGREDIENTS AVAILABLE WITHIN THE PANTRY.C.) TO FURTHER ADDRESS OBESITY, ST. JOSEPH'S HAS ALTERED THE CAFETERIA MENU TO OFFER HEALTHIER FOOD OPTIONS IN THE WORKPLACE. SEVERAL MENU CHANGES HAVE BEEN IMPLEMENTED RESULTING IN AN INCREASED PERCENTAGE OF "HEALTHY" MEALS OPTIONS CONSUMED BY STAFF. FURTHER DEVELOPMENT OF THIS INITIATIVE IS FOCUSED ON THE IMPLEMENTATION OF POLICIES THAT SUPPORT USE OF HEALTHY FOODS IN CAFETERIA/PATIENT ROOM SERVICE MENU.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF REDUCING ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE:A.) THROUGH ITS TOBACCO CESSATION CENTER, ST. JOSEPH'S HAS FOCUSED ON DECREASING THE PREVALENCE OF CIGARETTE USE AND DECREASING THE EXPOSURE TO SMOKE AND OTHER SECONDHAND PRODUCTS BY PROVIDING TRAINING TO LOCAL CLINICIANS. PLANS ARE ALSO IN PLACE TO FURTHER STREAMLINE COMMUNICATIONS/REFERRALS BETWEEN PROVIDERS AND THE CESSATION CENTER TO ENSURE INCREASED COMPLIANCE WITH PATIENT FOLLOW-UP.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE:A.) TO DECREASE THE INCIDENCE OF NEONATAL ABSTINENCE SYNDROME, A RECOMMENDED EDUCATION PROGRAM (SBIRT) HAS BEEN IDENTIFIED THROUGH A COMMUNITY COLLABORATIVE ADDRESSING NEONATAL ABSTINENCE. SEVERAL PROVIDERS HAVE BEEN EDUCATED ON THE PROGRAM'S BEST PRACTICES, AND ADDITIONAL EDUCATION IS PLANNED.B.) TO PROMOTE MENTAL, EMOTIONAL AND BEHAVIORAL WELL-BEING THROUGH THE EARLY DETECTION OF BEHAVIORAL HEALTH ISSUES, A BEHAVIORAL HEALTH SCREEN HAS BEEN INCORPORATED INTO PRIMARY CARE CLINIC VISIT PROTOCOL. PROVIDERS AND NURSES HAVE BEEN TRAINED, AND THE PROTOCOL IS FULLY OPERATIONAL.THE FOLLOWING INITIATIVES ARE IN PROCESS TO MEET THE GOAL OF PROMOTING A HEALTHY AND SAFE ENVIRONMENT:A.) TO REDUCE FALL RISKS AMONG VULNERABLE POPULATIONS, ST. JOSEPH'S HAS HOSTED A COMMUNITY FALLS DAY OPEN TO ALL COMMUNITY MEMBERS, PROVIDING EDUCATION ON THE PREVENTION OF FALLS. IN ADDITION, PLANS ARE UNDERWAY TO PROVIDE EDUCATION TO COMMUNITY PROVIDERS, AND TO PROVIDE A TOOLKIT FOR VULNERABLE PERSONS.PRIORITIES NOT ADDRESSED:IT WAS DETERMINED THAT TO BE MOST EFFECTIVE IN THE IMPROVEMENT OF COMMUNITY HEALTH, WE SHOULD ALIGN AND FOCUS OUR RESOURCES CONSISTENT WITH ST. JOSEPH'S ORGANIZATIONAL STRENGTHS, DIRECTION AND MISSION. WHILE ST. JOSEPH'S HOSPITAL HEALTH CENTER ACKNOWLEDGES THAT THE IMPLEMENTATION STRATEGY PLAN DOES NOT ADDRESS ALL THE COMMUNITY HEALTH NEEDS IDENTIFIED, WE BELIEVE THE FOCUS AREAS SELECTED IN THIS PLAN WILL INDIRECTLY HAVE A POSITIVE IMPACT ON OTHER ITEMS REFLECTED IN THE CHNA.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
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?8
Name and address Type of Facility (describe)
1 1 - ST JOSEPH'S HOME HEALTH CARE
7246 JANUS PARK DRIVE
LIVERPOOL,NY13088
HOME HEALTH CARE SERVICES
2 2 - LABORATORY ALLIANCE OF CENTRAL NEW YORK
1304 BUCKLEY ROAD
SYRACUSE,NY13212
CLINICAL AND ANATOMIC PATHOLOGY TESTING
3 3 - REGIONAL DIALYSIS CENTER
973 JAMES STREET
SYRACUSE,NY13203
HEMODIALYSIS AND PERITONEAL
4 4 - NORTHEAST SURGERY CENTER
4208 MEDICAL CENTER DRIVE
FAYETTEVILLE,NY13066
WOUND CARE, ORTHO, GENERAL SURGERY, UROLOGY
5 5 - NORTH SURGERY CENTER
5100 WEST TAFT ROAD
LIVERPOOL,NY13088
GENERAL SURGERY, UROLOGY, ENT, ORTHOPEDICS, PODIATRY
6 6 - CNY INFUSION SERVICES
333 BUTTERNUT DRIVE SUITE 102
DEWITT,NY13214
INFUSION THERAPIES
7 7 - SLEEP LABORATORY SERVICES
945 EAST GENESSE STREET SUITE 300
SYRACUSE,NY13210
TREATS CHRONIC SLEEP DISORDERS
8 8 - ST FRANCIS SOCIAL ADULT DAY CARE
1108 COURT STREET
SYRACUSE,NY13208
SUPPORTIVE SERVICES FOR THE ELDERLY
9
10
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
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
PART I, LINE 7: COMBINATION OF THE RATIO OF COSTS TO CHARGES AS WELL AS SPECIFICALLY IDENTIFIED COSTS AND OFFSETS DERIVED FROM ACCOUNTING AND PATIENT ACCOUNTING SYSTEMS. WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENFITS AT COST, TOTAL COST EXCLUDE BAD DEBT EXPENSE.
PART I, LINE 7G: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,409,084.
PART III, LINE 4: BAD DEBT EXPENSE IS REPORTED BASED ON ALLOWANCE FOR DOUBTFUL ACCOUNTS ($12,069,251) LESS ANY RECOVERY OF BAD DEBTS ($2,660,167). AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.PART III, SECTION A, LINE 3: CHARITY CARE IS REPORTED IN PART I, LINE 7A AND IS NOT DUPLICATED IN BAD DEBT REPORTED IN PART III, SECTION A, LINE 2.PART III SECTION A LINE 4: SEE FINANCIAL STATEMENT PAGE 15. THE HOSPITAL HAS AGREEMENTS WITH CERTAIN THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, COST-BASED REIMBURSEMENT, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE AND THE RELATED RECEIVABLES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS,THIRD-PARTY PAYORS AND OTHERS AS SERVICES ARE RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS AND INVESTIGATIONS.AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE IS ESTIMATED BY MANAGEMENT BASED ON MONTHLY REVIEWS OF THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE CONSIDERING HISTORICAL EXPERIENCE AND PREVAILING ECONOMIC CONDITIONS.REVENUE FROM THE MEDICARE AND MEDICAID PROGRAMS ACCOUNTED FORAPPROXIMATELY 47 PERCENT AND 11 PERCENT, RESPECTIVELY, OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2015 AND 45 PERCENT AND 11 PERCENT, RESPECTIVELY OF THE HOSPITALS NET PATIENT SERVICE REVENUE FOR 2014.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE EXTREMELY COMPLEX AND SUBJECT TO INTERPRETATION. AS A RESULT, THERE IS AT LEAST A REASONABLE POSSIBILITY THAT RECORDED ESTIMATES WILL CHANGE BY A MATERIAL AMOUNT IN THE NEAR TERM. NET PATIENT SERVICE REVENUE DECREASED BY APPROXIMATELY $1.3 MILLION AND DECREASED BY $3.3 MILLION IN 2015 AND 2014, RELATED TO EITHER SETTLEMENT OF PRIOR YEAR ISSUES OR CHANGES IN ESTIMATES ASSOCIATED WITH THIRD-PARTY ISSUES.THE HOSPITAL GRANTS UNSECURED CREDIT TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYOR AGREEMENTS. THE MIX OF RECEIVABLES FROM PATIENTS AND THIRD-PARTY PAYORS AT DECEMBER 31 WASAS FOLLOWS:2015MEDICARE 43%MEDICAID 14%PRIVATE PAYORS 3%INSURANCE AND ALL OTHERS 40%2014MEDICARE 34%MEDICAID 16%PRIVATE PAYORS 13%INSURANCE AND ALL OTHERS 40%
PART III, LINE 8: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS. THE METHODOLOGY USED TO CALCULATE THE MEDICARE SHORTFALL IS MEDICARE COSTS BASED ON THE MEDICARE COST REPORT RCC LESS MEDICARE PAYMENTS FROM THE PS&R AND PHYSICIAN RELATED PAYMENTS NOT REPORTED ON THE PS&R.
PART III, LINE 9B: ANY PATIENT AT SJHHC WILL RECEIVE MEDICAL TREATMENT WHETHER OR NOT THE PATIENT IS INSURED OR UNINSURED IN ACCORDANCE WITH THE POLICY AND THE PROCEDURES HEREWITH. SJHHC MAY RESERVE THE RIGHT TO REFUSE FINANCIAL AID ON PRE-SCHEDULED ELECTIVE PROCEDURES ONLY. IT IS THE INTENT OF THE FINANCIAL COUNSELING REPRESENTATIVES, TO FOLLOW-UP ON EVERY CLAIM WITHIN A 30-DAY PERIOD, IN AN EFFORT TO PROVIDE FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE PROGRAMS DEFINED IN OUR FINANCIAL ASSISTANCE POLICY. THE ACCOUNT WILL BE NOTED EACH MONTH AS TO THE FOLLOW-UP EFFORTS MADE BY THE FINANCIAL COUNSELORS BARING ANY UNFORESEEN ISSUES, DELAYS WITH PATIENT CONTACTS, DELAYS WITH THE DSS, ETC.FOR THOSE PATIENTS WHO ARE INTERESTED IN FINANCIAL ASSISTANCE, PATIENTS WILL BE CONTACTED BY A SJHHC FINANCIAL COUNSELOR (FC) AND INSTRUCTED ON THE AVAILABILITY TO ENROLL IN MEDICAID, CHILD HEALTH PLUS (CHP) AND FAMILY HEALTH PLUS (FHP), THROUGH A REFERRAL TO THOSE MEDICAID MANAGED CARE (MMC) FACILITATED ENROLLER WHO HAS A MEDICAID MANAGED CARE CONTRACT WITH SJHHC,OR A REFERRAL TO THE LOCAL COUNTY DEPARTMENT OF SOCIAL SERVICES DEPENDING ON THE PATIENTS DEMOGRAPHICS. REGARDLESS OF WHO COMPLETES THE MEDICAID APPLICATION, THE COMPLETION OF ONE MEDICAID APPLICATION ALLOWS A PATIENT ACCESS TO ENROLL IN MEDICAID, CHP OR FHP, DEPENDING ON THE COMBINED INCOME AND ASSETS OF THE PATIENT AND THEIR FAMILY (IF APPLICABLE). OTHER OPTIONSTO BE DISCUSSED WILL BE FINANCIAL AID AND MONTHLY PAYMENT PLANS.AT ALL PATIENT ACCESS POINTS THERE WILL BE FA PAMPHLETS NOTIFYING PATIENTS AND FAMILY MEMBERS OF THE EXISTENCE AND AVAILABILITY OF THE FINANCIAL COUNSELING UNIT. PATIENTS AND FAMILY MEMBERS MAY DISCUSS ALL PROGRAMS OFFERED EITHER IN PERSON OR BY PHONE.NOTE: PATIENTS WHO MAY BE ELIGIBLE FOR MEDICAID, CHILD HEALTH PLUS OR FAMILY HEALTH PLUS, WHO DO NOT COMPLY WITH THE APPLICATION REQUIREMENTS OF THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES MAY NOT BE ELIGIBLE FOR FINANCIAL AID. THESE PATIENTS MAY ALSO BE SUBJECT TO BAD DEBT, IN ACCORDANCE WITH THE RULES AND REGULATIONS OF THE SJHHC BAD DEBT POLICY.IN ADDITION, OUR DATA MAILERS BEING SENT TO PATIENTS FOR ANY AMOUNT THEY MAY OWE ON A BILL NOW INCLUDES THE PHONE NUMBER OF OUR FINANCIAL COUNSELING UNIT IF THE PATIENT NEEDS FINANCIAL ASSISTANCE. THIS SECTION IS ALSO COLORIZED FOR EASY RECOGNITION.
PART VI, LINE 2: PLEASE SEE DESCRIPTION OF COMMUNITY BENEFIT ACTIVITIES NOTED IN THE 990 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS.
PART VI, LINE 3: PLEASE SEE DESCRIPTION OF FINANCIAL AID POLICY AT SCHEDULE H, PART III LINE 9B FOR A DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE.
PART VI, LINE 4: PLEASE SEE FORM 990, PART III
PART VI, LINE 5: PLEASE SEE FORM 990, PART III
PART VI, LINE 6: PLEASE SEE FORM 990, PART III
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2015
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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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 on 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 on 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
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on 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" on 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) 2015

Schedule J (Form 990) 2015
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 on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KATHRYN RUSCITTOBOARD TRUSTEE - PRESIDENT, (i)

(ii)
314,770
-------------
334,042
0
-------------
113,009
330,654
-------------
0
6,454
-------------
0
23,296
-------------
0
675,174
-------------
447,051
0
-------------
0
2SANDRA SULIK MDBOARD TRUSTEE TO 7/1/15,VP OF MEDICA (i)

(ii)
346,906
-------------
0
2,146
-------------
0
40,928
-------------
0
13,812
-------------
0
0
-------------
0
403,792
-------------
0
0
-------------
0
3ANNE MARIE CZYZSR VP OPERATIONS, COO/CNO (i)

(ii)
305,626
-------------
0
0
-------------
0
43,177
-------------
0
3,056
-------------
0
15,671
-------------
0
367,530
-------------
0
0
-------------
0
4FRANK SMITH JRVP SPECIAL PROGRAMS (i)

(ii)
199,553
-------------
74,039
0
-------------
0
185,579
-------------
0
14,979
-------------
0
9,078
-------------
3,397
409,189
-------------
77,436
0
-------------
0
5MARY W BROWNSR VP, FORMER COO (i)

(ii)
84,865
-------------
0
0
-------------
0
139,091
-------------
0
1,478
-------------
0
956
-------------
0
226,390
-------------
0
0
-------------
0
6CHARLES J FENNELLVP INFORMATION MGMT, CIO (i)

(ii)
241,016
-------------
0
0
-------------
0
27,197
-------------
0
8,935
-------------
0
15,671
-------------
0
292,819
-------------
0
0
-------------
0
7JOSEPH A SCICCHITANOVP SUPPORT SERVICES (i)

(ii)
218,970
-------------
0
0
-------------
0
28,829
-------------
0
8,783
-------------
0
660
-------------
0
257,242
-------------
0
0
-------------
0
8MARK E MURPHYSR VP SYSTEM DEVELOP/AMBULATORY CARE (i)

(ii)
288,072
-------------
0
0
-------------
0
34,700
-------------
0
9,764
-------------
0
12,264
-------------
0
344,800
-------------
0
0
-------------
0
9FREDERICK LETOURNEAUSR VP PHYSICIAN ENTERPRISE (i)

(ii)
314,758
-------------
0
0
-------------
0
41,008
-------------
0
12,515
-------------
0
16,139
-------------
0
384,420
-------------
0
0
-------------
0
10DEBORAH WELCHVP PEOPLE AND MISSION INTEGRATION (i)

(ii)
174,875
-------------
0
0
-------------
0
0
-------------
0
5,952
-------------
0
16,139
-------------
0
196,966
-------------
0
0
-------------
0
11LOWELL A SEIFTER ESQVP GENERAL COUNSEL (i)

(ii)
289,766
-------------
0
0
-------------
0
40,431
-------------
0
11,564
-------------
0
12,423
-------------
0
354,184
-------------
0
0
-------------
0
12DOUGLAS SMITHVP DEVELOPMENT (i)

(ii)
215,277
-------------
0
0
-------------
0
16,911
-------------
0
2,158
-------------
0
14,424
-------------
0
248,770
-------------
0
0
-------------
0
13ERIKA DUNCANVP HUMAN RESOURCES (i)

(ii)
110,575
-------------
0
49,710
-------------
0
2,508
-------------
0
2,596
-------------
0
0
-------------
0
165,389
-------------
0
0
-------------
0
14MEREDITH PRICEVP FINANCIAL SERVICES, CFO (i)

(ii)
363,101
-------------
0
0
-------------
0
47,459
-------------
0
9,016
-------------
0
15,671
-------------
0
435,247
-------------
0
0
-------------
0
15JAMES TUCKER MDPHYSICIAN (i)

(ii)
432,831
-------------
0
642
-------------
0
552
-------------
0
17,335
-------------
0
369
-------------
0
451,729
-------------
0
0
-------------
0
16KWAME ADUSEI MDPHYSICIAN (i)

(ii)
396,466
-------------
0
0
-------------
0
0
-------------
0
12,987
-------------
0
12,423
-------------
0
421,876
-------------
0
0
-------------
0
17AHMED NIZAR MDPHYSICIAN (i)

(ii)
424,696
-------------
0
0
-------------
0
0
-------------
0
6,789
-------------
0
17,479
-------------
0
448,964
-------------
0
0
-------------
0
18JUSTIN BETRAND MDPHYSICIAN (i)

(ii)
384,104
-------------
0
8,750
-------------
0
0
-------------
0
14,654
-------------
0
16,139
-------------
0
423,647
-------------
0
0
-------------
0
19DAVID KELLEY MDPHYSICIAN (i)

(ii)
355,440
-------------
0
0
-------------
0
0
-------------
0
2,843
-------------
0
11,605
-------------
0
369,888
-------------
0
0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 4B AFTER-TAX 457(B/F) PLAN ELIGIBILITY FOR THE AFTER-TAX 457(B/F) PLAN SHALL BE LIMITED TO THOSE INDIVIDUALS WHO ARE PRIMARILY UPPER MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE HOSPITAL WHO ARE SELECTED IN THE SOLE DISCRETION OF THE HOSPITAL'S BOARD OF TRUSTEES OR ITS DESIGNEE. ELIGIBLE EMPLOYEES WHO HAVE BEEN SELECTED BY THE EXECUTIVE COMMITTEE OF THE BOARD ARE SET FORTH ON EXHIBIT A OF THE PLAN. ALL EMPLOYER CONTRIBUTIONS TO THE PLAN ARE IMMEDIATELY VESTED. THIS PLAN IS AN INCENTIVE TO CONTINUE TO PROVIDE VALUABLE SERVICES TO THE HOSPITAL AND AS AN INCENTIVE TO RECRUIT NEW EMPLOYEES TO PROVIDE NEEDED HEALTHCARE SERVICES TO THE COMMUNITY, AND AS SUCH IS REVIEWED ON AN ANNUAL BASIS BY THE COMPENSATION COMMITTEE. PARTICIPANTS MARK MURPHY $ 34,340 SANDRA SULIK, MD $ 17,582 ANNE MARIE CZYZ $ 31,777 JOSEPH A SCICCHITANO $ 15,236 FREDERICK LETOURNEAU $ 29,608 CHARLES J. FENNELL $ 14,343 LOWELL A SEIFTER, ESQ $ 27,257 DOUGLAS SMITH $ 10,848 MEREDITH PRICE $ 34,276
Schedule J (Form 990) 2015
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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (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 Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
Schedule L (Form 990 or 990-EZ) 2015
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) SYRACUSE OFFICE ENVIRONMENT
 
BUSINESS 35% OWNED BY BOARD MEMBER & RELATIVE 264,621 BUSINESS TRANSACTION   No
(2) LOWELL SEIFTER FAMILY OF BOARD MEMBER 354,184 COMPENSATION ARRANGEMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
PART IV LINES 1 - 3 1. SYRACUSE OFFICE ENVIRONMENT IS AN ENTITY THAT DOES BUSINESS WITH ST. JOSEPH'S AND IS OWNED >35% BY A BOARD MEMBER, VINCENT SWEENEY.2. LOWELL SEIFTER IS A KEY EMPLOYEE AND FAMILY MEMBER OF A BOARD MEMBER, SHARON MCAULIFFE.
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( TVS FOR PATIENT ROOMS ) X 108 95,796 FAIR MARKET VALUE
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2015)
Schedule M (Form 990) (2015)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2015)

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING KEY EMPLOYEE HAS A FAMILY RELATIONSHIP WITH A BOARD MEMBER: 1. LOWELL SEIFTER, HUSBAND OF SHARON MCAULIFFE THE FOLLOWING COMPANY RECEIVED COMPENSATION FROM A BUSINESS TRANSACTION OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND A BOARD MEMBER, VINCENT SWEENEY AND HIS FAMILY, OWN THE COMPANY: 1. SYRACUSE OFFICE ENVIRONMENT THE FOLLOWING INTERESTED PERSON(S) HAD A BUSINESS TRANSACTION (COMPENSATION ARRANGEMENT) OF MORE THAN $100,000 FROM ST. JOSEPH'S HOSPITAL HEALTH CENTER AND WERE BOARD MEMBERS, PLEASE SEE PART VII FOR FURTHER DETAIL: 1. KATHRYN RUSCITTO 2. SANDRA SULIK, MD
FORM 990, PART VI, SECTION A, LINE 4 IN NOVEMBER 2014, ST. JOSEPH'S HOSPITAL HEALTH CENTER CREATED A SYSTEM PARENT, ST. JOSEPH'S HEALTH, INC. TO BECOME THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER, ST. JOSEPH'S HEALTH CENTER PROPERTIES, ST. JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION, INC. AND EMBRACING AGE. EFFECTIVE JULY 1, 2015, TRINITY HEALTH CORPORATION BECAME THE SOLE CORPORATE MEMBER OF ST. JOSEPH'S HEALTH, INC. TRINITY HEALTH IS AN INDIANA NOT-FOR-PROFIT CORPORATION, SPONSORED BY CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE HOLY ROMAN CATHOLIC CHURCH.
FORM 990, PART VI, SECTION A, LINE 6 ST. JOSEPH'S HEALTH, INC. IS THE SOLE MEMBER OF ST. JOSEPH'S HOSPITAL HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION, ST. JOSEPH'S HEALTH, INC. MAY ELECT THE BOARD OF TRUSTEES AND REMOVE BOARD MEMBERS
FORM 990, PART VI, SECTION A, LINE 7B MEMBER AUTHORITY: THE FOLLOWING ACTIONS SHALL BE RESERVED EXCLUSIVELY TO THE MEMBER OF THE CORPORATION. SUBJECT TO THE RESERVED POWERS OF TRINITY HEALTH, THE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING, OR IF ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING IS OTHERWISE INITIATED, IT SHALL NOT BECOME EFFECTIVE UNLESS THE REQUISITE APPROVALS AND OTHER ACTIONS SHALL HAVE BEEN TAKEN BY THE MEMBER AND TRINITY HEALTH, AS REQUIRED PURSUANT TO THE CORPORATION'S GOVERNANCE DOCUMENTS: (A) APPROVE THE AMENDMENT OR RESTATEMENT OF THE CERTIFICATE OF INCORPORATION AND KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION; (B) APPROVE THE AMENDMENT OR RESTATEMENT OF NON-KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART; (C) APPOINT AND REMOVE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS; (D) APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; (E) APPROVE THE STRATEGIC PLAN OF THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AS PART OF THE CONSOLIDATED STRATEGIC PLAN OF THE REGIONAL HEALTH MINISTRY IN WHICH THE, CORPORATION PARTICIPATES; (F) APPROVE THOSE SIGNIFICANT FINANCE MATTERS WHICH PURSUANT TO THE SYSTEM AUTHORITY MATRIX ARE SUBJECT TO THE AUTHORITY OF THE MEMBER, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (G) APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AS PART OF THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE REGIONAL HEALTH MINISTRY IN WHICH THE CORPORATION PARTICIPATES; (H) APPROVE ANY MERGER, CONSOLIDATION, TRANSFER OR RELINQUISHMENT OF MEMBERSHIP RIGHTS, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE OPERATING ASSETS OF THE CORPORATION (CERTAIN TRANSACTIONS AND TRANSFERS OF REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (I) APPROVE ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; J) APPROVE ANY FONNATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS, COSPONSORSHIPS, JOINT MEMBERSHIP ARRANGEMENTS, AND OTHER JOINT VENTURES INVOLVING THE CORPORATION, AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (K) APPROVE ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY TRINITY HEALTH (PLEDGES OR ENCUMBRANCES OF CERTAIN REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), AND IF REQUIRED BY THE SYSTEM AUTHORITY MATRIX, RECOMMEND THE SAME TO TRINITY HEALTH FOR ADOPTION AND AUTHORIZATION; (L) APPROVE ANY CHANGE TO THE STRUCTURE OR OPERATIONS OF THE CORPORATIONWHICH WOULD AFFECT ITS STATUS AS A NOT-FOR-PROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501 ( C )(3) OF THE INTERNAL REVENUE CODE, AND RECOMMEND THE SAME TO TRINITY HEALTH FOR APPROVAL; AND (M) APPROVE ALL OTHER MATTERS AND TAKE ALL OTHER ACTIONS RESERVED TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS (OR SHAREHOLDERS OF FOR-PROFIT CORPORATIONS, AS THE CASE MAY BE) BY THE LAWS OF THE STATE IN WHICH THE CORPORATION IS DOMICILED OR AS RESERVED IN THE GOVERNANCE DOCUMENTS OF THE CORPORATION. RESERVED POWERS OF TRINITY HEALTH: THE FOLLOWING ACTIONS SHALL BE RESERVED EXCLUSIVELY TO TRINITY HEALTH. TRINITY HEALTH MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING, OR IF A PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING IS OTHERWISE INITIATED, IT SHALL NOT BECOME EFFECTIVE UNLESS THE REQUISITE APPROVAL AND OTHER ACTIONS SHALL HAVE BEEN TAKEN BY TRINITY HEALTH, AS REQUIRED PURSUANT TO THE CORPORATION'S GOVERNANCE DOCUMENTS: (A) ADOPT, AMEND, MODIFY OR RESTATE THE CERTIFICATE OF LNCORPORATION AND KEY BYLAWS PROVISIONS OF THE CORPORATION, IN WHOLE OR IN PART, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (B) APPROVE THOSE SIGNIFICANT FINANCE MATTERS WHICH PURSUANT TO THE SYSTEM AUTHORITY MATRIX ARE SUBJECT TO THE AUTHORITY OF TRINITY HEALTH, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (C) APPROVE ANY MERGER, CONSOLIDATION, TRANSFER OR RELINQUISHMENT OF MEMBERSHIP RIGHTS, OR THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE OPERATING ASSETS OF THE CORPORATION (CERTAIN TRANSACTIONS AND TRANSFERS OF REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (D) APPROVE ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE CORPORATION, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (E) APPROVE ANY FORMATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS, COSPONSORSHIPS, JOINT MEMBERSHIP ARRANGEMENTS, AND OTHER JOINT VENTURES INVOLVING THE CORPORATION, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (F) APPROVE ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY TRINITY HEALTH (PLEDGES OR ENCUMBRANCES OF CERTAIN REAL PROPERTY AND IMMOVABLE GOODS MAY ALSO BE SUBJECT TO THE APPROVAL OF CATHOLIC HEALTH MINISTRIES), OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (G) APPROVE ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION WHICH WOULD AFFECT ITS STATUS AS A NOT-FOR-PROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OFTHE INTEMAL REVENUE CODE, OR IF TRINITY HEALTH RECEIVES A RECOMMENDATION AS TO ANY SUCH ACTION, APPROVE SUCH ACTION AS RECOMMENDED; (H) APPOINT AND REMOVE THE INDEPENDENT FISCAL AUDITOR OF THE CORPORATION; (I) IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM TRINITY HEALTH, AND IN ACCORDANCE TO ANY OTHER RIGHTS RESERVED TO TRINITY HEALTH UNDER APPLICABLE LAW OR GOVERNANCE DOCUMENTS OF THE CORPORATION, TRINITY HEALTH SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE CORPORATION, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO TRINITY HEALTH OR AN ENTITY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH TRINITY HEALTH WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT NECESSARY TO ACCOMPLISH TRINITY HEALTH'S GOALS AND OBJECTIVES. THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS CORPORATE OR CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY APPLICABLE JURISDICTION AS A RESULT OF ANY ASSET TRANSFERS TO BE MADE TO OR DIRECTED BY THE MEMBER OR TRINITY HEALTH PURSUANT TO THIS PROVISION; AND J) NEITHER THE CORPORATION, NOR ANY OF ITS AFFILIATES, SHALL TRANSFER ASSETS TO ENTITIES OTHER THAN TRINITY HEALTH WITHOUT THE APPROVAL OF TRINITY HEALTH, EXCEPT FOR (I) TRANSFERS PREVIOUSLY APPROVED BY TRINITY HEALTH, EITHER INDIVIDUALLY OR AS PART OF TRINITY HEALTH'S BUDGET PROCESS, (II) TRANSFERS TO ANY ENTITY WHICH IS A DIRECT OR INDIRECT SUBSIDIARY OF TRINITY HEALTH AND THAT IS SUBJECT TO THE RESERVED POWERS SET FORTH IN THESE BYLAWS, OR (III) TRANSFERS IN THE ORDINARY COURSE OF BUSINESS.
FORM 990, PART VI, SECTION B, LINE 11 THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES WILL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION. A COPY OF THE 990 WILL BE PROVIDED TO THE COMMITTEE AND BOARD PRIOR TO THE MEETING FOR DISCUSSION.
FORM 990, PART VI, SECTION B, LINE 12C CONSISTENT WITH THE HOSPITAL BYLAWS WHICH REQUIRES A DUTY TO DISCLOSE, ON AN ANNUAL BASIS AT A DEFINED TIME, ALL BOARD OF TRUSTEES ARE GIVEN THE CONFLICT OF INTEREST POLICY AND FORM TO REVIEW AND COMPLETE. THE PRESIDENT OF THE BOARD OF TRUSTEES TRACKS THE SUBMISSION PROCESS TO ENSURE THAT ALL FORMS ARE COMPLETED AND SUBMITTED. THE INFORMATION FROM THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AT A SUBSEQUENT BOARD MEETING. ANY NEW INDIVIDUALS APPOINTED AS A TRUSTEE WILL COMPLETE THIS REVIEW AND SUBMISSION PROCESS AFTER THEY HAVE BEEN CONFIRMED. THE INTERESTED PERSON IS REQUIRED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT THAT RESULTS FROM THE CONFLICT OF INTEREST. THE BOARD OF TRUSTEE MEETING MINUTES REFLECT WHENEVER A BOARD MEMBER ABSTAINS FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL BYLAWS ESTABLISHES AN EXECUTIVE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF INDEPENDENT BOARD MEMBERS DETERMINED TO BE FREE OF ANY CONFLICT OF INTEREST, IS CHARGED WITH DETERMINING EXECUTIVE COMPENSATION AND ESTABLISHING PERFORMANCE CRITERIA ACCORDING TO AN APPROVED COMPENSATION PHILOSOPHY. THE COMMITTEE WORKS WITH AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING AND ADVISORY FIRM, YAFFE & COMPANY, THAT PROVIDES MARKET SURVEY DATA CONCERNING COMPENSATION AND BENEFIT LEVELS FOR FUNCTIONALLY COMPARABLE HEALTHCARE EXECUTIVES IN SIMILAR HOSPITALS ACROSS THE REGION AND THE NATION BASED ON SEVERAL FACTORS INCLUDING SIZE, GEOGRAPHY, HOSPITAL TYPE AND COMPLEXITY. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVES AND ENSURES THAT ALL FORMS OF EXECUTIVE COMPENSATION ARE REASONABLE, APPROPRIATE AND CONSISTENT WITH ITS COMPENSATION PHILOSOPHY. THE COMMITTEE CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS IN MEETING MINUTES AND REPORTS ITS DECISIONS TO THE FULL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19 ST. JOSEPH'S HOSPITAL HEALTH CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. IT DOES HOWEVER PRODUCE AN ANNUAL REPORT WHICH CONTAINS FINANCIAL INFORMATION AND IS READILY DISTRIBUTED AND MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 61,419,459. MANAGEMENT AND GENERAL EXPENSES 10,774,733. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,194,192.
FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS OF ST. JOSEPH'S FOUNDATION -3,150,943. PENSION & POST RETIREMENT CHANGES -4,175,840. EQUITY TRANSFERS -130,624,397. INTEREST RATE CAP -76,097. RECLASSIFICATION OF GRANT REVENUE AND EXPENDITURES 72,421. GRANT REVENUE RECORDED AS INCOME IN A PRIOR YEAR 1,460,000.
FORM 990, PART XII, LINE 2C: DUE TO THE ACQUISITION OF THE ORGANIZATION BY TRINITY HEALTH, INC., THE ORGANIZATION HAS CHANGED ITS INDEPENDENT AUDITORS FOR THE PERIOD SUBSEQUENT TO JANUARY 1, 2016.
FORM 990 PART IX LINE 11G PHYSICIAN CONTRACTS $21,845,422 MEDICAL PURCHASESD SERVICES 16,591,374 MAINTENANCE CONTRACTS 5,799,644 OTHER PURCHASED SERVICES 8,854,857 CONTRACTED SERVICES 4,978,431 COLLECTION AGENCY FEES 2,097,854 TEMPORARY EMPLOYMENT SERVICES 4,514,611 LAUNDRY AND LINEN 2,374,920 MAINTENANCE AND REPAIR 1,738,505 OTHER PROFESSIONAL 1,100,704 EPIC SOFTWARE MAINTENANCE 453,152 TRANSCRIPTION SERVICES 323,906 RECRUITMENT FEES 228,092 SOFTWARE SUBSCRIPTIONS 1,255,568 LOBBYING 30,014 OTHER DESIGN FEES 6,908 PHOTOGRAPHY SERVICES 230
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
ST JOSEPHS HOSPITAL HEALTH CENTER
 
Employer identification number

15-0532254
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) 310 LAFAYETTE LLC
200 JEFFERSON AVE SE
GRAND RAPIDS,MI49503
47-1987664
REAL ESTATE DE     MERCY HEALTH PARTNERS
 
(2) ACCOUNTABLE CARE ORGANIZATION OF NEW ENGLAND LLC
C/O SPHS 1221 MAIN STREET SUITE 213
HOLYOKE,MA01040
45-4565187
ACCOUNTABLE CARE ORGANIZATION MA     SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
(3) AFFINIA HEALTH ACO LLC
20555 VICTOR PARKWAY
LIVONIA,MI48152
47-3870396
ACCOUNTABLE CARE ORGANIZATION MI     MERCY HEALTH PARTNERS
 
(4) BIG RUN URGENT CARE LTD
6150 E BROAD STREET 3RD FLOOR
COLUMBUS,OH43213
31-1581575
MEDICAL SERVICES OH     MOUNT CARMEL HEALTH SYSTEM
 
(5) CLR INVESTMENTS LLC
120 W HARRIS ST
CADILLAC,MI49601
32-0008631
REAL ESTATE RENTAL & DEVELOPMENT MI     TRINITY HEALTH-MICHIGAN
 
(6) CENTRAL OHIO SLEEP MEDICINE LLC
6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1701029
SLEEP MEDICINE SERVICES OH     MOUNT CARMEL HEALTH SYSTEM
 
(7) CNY AIM LLC
301 PROSPECT AVENUE
SYRACUSE,NY13203
81-1461678
ACCOUNTABLE CARE ORGANIZATION NY     ST JOSEPH'S HOSPITAL HEALTH CENTER
 
(8) COLLABORATIVE LABORATORY SERVICES
114 WOODLAND STREET
HARTFORD,CT06105
06-1520109
LABORATORY SERVICES CT     ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
(9) CONNECTED CARE LLC
2601 ELECTRIC AVE
PORT HURON,MI48060
46-5671411
ACCOUNTABLE CARE ORGANIZATION MI     TRINITY HEALTH-MICHIGAN
 
(10) DELAWARE CARE COLLABORATION DCC LLC
701 N CLAYTON STREET
WILMINGTON,DE19805
47-4069475
ACCOUNTABLE CARE ORGANIZATION DE     ST FRANCIS HOSPITAL INC
 
(11) GREATER CENTRAL VALLEY HEALTHCARE LLC
1303 E HERNDON AVE
FRESNO,CA93720
46-5551144
ACCOUNTABLE CARE ORGANIZATION CA     SAINT AGNES MEDICAL CENTER
 
(12) HACKLEY CONDO UNITS OWNERSHIP LLC
1700 CLINTON STREET
MUSKEGON,MI49442
REAL ESTATE MI     MERCY HEALTH PARTNERS
 
(13) HEALTH ALLIANCE INTEGRATED CARE LLC
1055 NORTH CURTIS ROAD
BOISE,ID83706
37-1755768
ACCOUNTABLE CARE ORGANIZATION ID     SAINT ALPHONSUS HEALTH SYSTEM INC
 
(14) HEALTH COLLABORATIVE OF CENTRAL OHIO LLC
6150 E BROAD ST
COLUMBUS,OH43213
46-5603895
ACCOUNTABLE CARE ORGANIZATION OH     MOUNT CARMEL HEALTH SYSTEM
 
(15) HOLY CROSS PHYSICIAN PARTNERS ACO LLC
4725 N FEDERAL HWY
FT LAUDERDALE,FL33308
46-5530455
ACCOUNTABLE CARE ORGANIZATION FL     HOLY CROSS HOSPITAL INC
 
(16) HOLY CROSS PHYSICIAN PARTNERS LLC
4725 N FEDERAL HWY
FT LAUDERDALE,FL33308
36-4712116
MEDICAL SERVICES FL     HOLY CROSS HOSPITAL INC
 
(17) LOYOLA AMBULATORY CENTERS LLC
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-4321058
AMBULATORY SERVICES IL     LOYOLA UNIVERSITY MEDICAL CENTER
 
(18) LOYOLA PHYSICIAN PARTNERS ACO LLC
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
38-3930598
ACCOUNTABLE CARE ORGANIZATION IL     LOYOLA UNIVERSITY HEALTH SYSTEM
 
(19) LOYOLA PHYSICIAN PARTNERS LLC
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
37-1756257
ACCOUNTABLE CARE ORGANIZATION IL     LOYOLA UNIVERSITY HEALTH SYSTEM
 
(20) MANNING MEDICAL PLLC
315 S MANNING BLVD
ALBANY,NY12208
46-4331512
MEDICAL SERVICES NY     ST PETER'S HEALTH PARTNERS
 
(21) MERCY ACCOUNTABLE CARE NETWORK LLC
ONE WEST ELM STREET SUITE 100
CONSHOHOCKEN,PA19428
47-3945793
ACCOUNTABLE CARE ORGANIZATION PA     ST AGNES CONTINUING CARE CENTER
 
(22) MERCY ACCOUNTABLE CARE LLC
ONE WEST ELM STREET SUITE 100
CONSHOHOCKEN,PA19428
46-2774097
ACCOUNTABLE CARE ORGANIZATION PA     ST AGNES CONTINUING CARE CENTER
 
(23) MERCY CARE ALLIANCE LLC
C/O SPHS 1221 MAIN STREET SUITE 213
HOLYOKE,MA01041
47-1561725
ACCOUNTABLE CARE ORGANIZATION MA     SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
(24) MERCY CARE CONNECTIONS LLC
1000 4TH STREET SW
MASON CITY,IA50401
35-2473948
ACCOUNTABLE CARE ORGANIZATION IA     MERCY HEALTH SERVICES-IOWA CORP
 
(25) MERCY HEALTH CLINICALLY INTEGRATED NETWORK LLC
1415 LEAHY STREET
MUSKEGON,MI49442
47-2070753
ACCOUNTABLE CARE ORGANIZATION MI     MERCY HEALTH PARTNERS
 
(26) MERCY QUALITY HEALTH PARTNERS ACO LLC
2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
38-3971072
ACCOUNTABLE CARE ORGANIZATION IL     MERCY HEALTH SYSTEM OF CHICAGO
 
(27) MERCY QUALITY HEALTH PARTNERS LLC
2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
36-4798692
ACCOUNTABLE CARE ORGANIZATION IL     MERCY HEALTH SYSTEM OF CHICAGO
 
(28) MERCY-CLINTON ANESTHESIA GROUP LLC
1410 NORTH 4TH STREET
CLINTON,IA52732
46-1906752
ANESTHESIOLOGISTS IA     MERCY MEDICAL CENTER - CLINTON INC
 
(29) MOUNT CARMEL HEALTH PARTNERS LLC
6150 E BROAD ST
COLUMBUS,OH43213
47-1139205
ACCOUNTABLE CARE ORGANIZATION OH     MOUNT CARMEL HEALTH SYSTEM
 
(30) MOUNT CARMEL HEALTH PROVIDERS III LLC
10 WEST BROAD ST STE 2100
COLUMBUS,OH43215
20-4145781
MEDICAL SERVICES OH     MOUNT CARMEL HEALTH PROVIDERS INC
 
(31) MOUNT CARMEL HEALTHPROVIDERS TWO LLC
6150 E BROAD STREET
COLUMBUS,OH43213
20-1983271
MEDICAL SERVICES OH     MOUNT CARMEL HEALTH PROVIDERS INC
 
(32) QUALITY HEALTH ALLIANCE LLC
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
46-5686622
ACCOUNTABLE CARE ORGANIZATION PA     ST MARY MEDICAL CENTER
 
(33) QUALITY HEALTH ALLIANCE-ACO LLC
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
46-5675954
ACCOUNTABLE CARE ORGANIZATION PA     ST MARY MEDICAL CENTER
 
(34) SAINT AGNES HOME HEALTH AND HOSPICE LLC
17410 COLLEGE PARKWAY STE 150
LIVONIA,MI48152
HOSPICE & HOME HEALTH SERVICES CA     TRINITY HOME HEALTH SERVICES
 
(35) SAINT FRANCIS INDEMNITY COMPANY
76 ST PAUL ST SUITE 500
BURLINGTON,VT05401
90-0656448
MALPRACTICE INSURANCE VT     ST FRANCIS HOSPITAL AND MEDICAL CENTER
 
(36) SAINT JOSEPH REGIONAL MEDICAL CENTER-HEALTH INSURANCE SERVICES LLC
5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
46-2814097
HEALTH INSURANCE IN     SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
(37) SAINT MARY'S PHARMACY LLC
200 JEFFERSON AVE SE
GRAND RAPIDS,MI49503
38-3404443
PHARMACY MI     TRINITY HEALTH-MICHIGAN
 
(38) SETON REAL PROPERTY HOLDINGS LLC
1300 MASSACHUSETTS AVENUE
TROY,NY12180
32-0393870
MANAGEMENT REAL ESTATE NY     SETON HEALTH SYSTEM INC
 
(39) ST FRANCIS CENTER FOR DIGESTIVE DISEASES LLC
601 HAMILTON AVE
TRENTON,NJ08629
46-4021558
AMBULATORY SURGERY CENTER NJ     ST FRANCIS MEDICAL CENTER TRENTON NJ
 
(40) ST JOSEPH'S HEALTH ACCOUNTABLE CARE ORGANIZATION LLC
301 PROSPECT AVENUE
SYRACUSE,NY13203
47-4081578
ACCOUNTABLE CARE ORGANIZATION NY     ST JOSEPH'S HOSPITAL HEALTH CENTER
 
(41) THE CARE ALLIANCE
36475 FIVE MILE ROAD
LIVONIA,MI48154
46-5648536
ACCOUNTABLE CARE ORGANIZATION MI     TRINITY HEALTH-MICHIGAN
 
(42) THE SAINT JOSEPH MERCY HEALTH PARTNERS CLINICALLY INTEGRATED NETWORK
PO BOX 995
ANN ARBOR,MI48106
47-1340852
ACCOUNTABLE CARE ORGANIZATION MI     TRINITY HEALTH-MICHIGAN
 
(43) TRINITY HEALTH-WARDE LAB LLC
20555 VICTOR PARKWAY
LIVONIA,MI48152
27-2681908
REAL ESTATE RENTAL DE     TRINITY HEALTH-MICHIGAN
 
(44) WESTERN CARE ALLIANCE LLC
36475 FIVE MILE ROAD
LIVONIA,MI48154
46-5620128
ACCOUNTABLE CARE ORGANIZATION MI     TRINITY HEALTH-MICHIGAN
 
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)ALBANY MEMORIAL HOSPITAL
600 NORTHERN BLVD

ALBANY,NY12204
14-1338457
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(3)ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT FL 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(4)AMICARE HOSPICE SERVICES INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2949053
HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(5)ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450170
HEALTHCARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH - NEW ENGLAND INC
 
Yes
 
(6)BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
42-1500277
HEALTHCARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(7)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
26-2973307
FOUNDATION IA 501(C)(3) LINE 11A, I BAUM HARMON MERCY HOSPITAL
 
 
No
(8)BEECHWOOD INC
2212 BURDETT AVE

TROY,NY12180
14-1651563
TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(9)BEVERWYCK INC
40 AUTUMN DRIVE

SLINGERLANDS,NY12159
14-1717028
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(10)BRIGHTSIDE INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2182395
HEALTHCARE SERVICES MA 501(C)(3) LINE 9 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(11)CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1701597
LONG TERM CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(12)CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995

ANN ARBOR,MI48106
38-2507173
HEALTHCARE SERVICES (INACTIVE) MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(13)CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY

LIVONIA,MI48152
GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A
 
No
(14)COLUMBUS ACQUISITION CORP
111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616342
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAEL'S 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)CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320699
HOSPICE SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(17)DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET

COLUMBUS,OH43213
34-2032340
HEALTHCARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(18)DUBUQUE MERCY HEALTH FOUNDATION INC
250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941
FOUNDATION IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(19)DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271
FOUNDATION IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(20)EAST NORRITON PHYSICIAN SERVICES
C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2515999
HEALTHCARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(21)EDDY LICENSED HOME CARE AGENCY INC
433 RIVER ST SUITE 3000

TROY,NY12180
14-1818568
HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(22)EMBRACING AGE INC
333 BUTTERNUT DRIVE SUITE 300

DEWITT,NY13214
46-1051881
PACE PROGRAM NY 501(C)(3) LINE 9 ST JOSEPH'S HEALTH INC
 
Yes
 
(23)EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE

MALTA,NY12020
14-1795732
HOME HEALTH SERVICES NY 501(C)(3) LINE 9 LTC (EDDY) 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
LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(26)GLEN EDDY INC
ONE GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(27)GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527
HEALTHCARE SERVICES MI 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(28)GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY

GREENSBORO,GA30642
26-1720984
HEALTHCARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(29)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE

MELROSE PARK,IL60160
36-3332852
COMMUNITY OUTREACH IL 501(C)(3) LINE 9 GOTTLIEB MEMORIAL HOSPITAL
 
Yes
 
(30)GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE

MELROSE PARK,IL60160
74-3260011
FOUNDATION 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 AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(32)GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
945 OTTAWA AVE NW

GRAND RAPIDS,MI49503
23-7270669
MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(33)HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST
PO BOX 3302

MUSKEGON,MI49443
38-2299878
SELF INSURANCE MI 501(C)(3) LINE 11B, II MERCY HEALTH PARTNERS
 
Yes
 
(34)HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUE

MUSKEGON,MI49442
38-1386362
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS
 
Yes
 
(35)HAWTHORNE RIDGE INC
30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(36)HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE

TROY,NY12180
14-1725101
LONG TERM CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(37)HOLY CROSS CARENET INC
PO BOX 9184

FARMINGTON HILLS,MI48152
52-1945054
LONG TERM CARE MD 501(C)(3) LINE 9 HOLY CROSS HEALTH INC
 
Yes
 
(38)HOLY CROSS HEALTH FOUNDATION INC
11801 TECH ROAD

SILVER SPRING,MD20904
20-8428450
FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC
 
Yes
 
(39)HOLY CROSS HEALTH INC
1500 FOREST GLEN RD

SILVER SPRING,MD20910
52-0738041
HEALTHCARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(40)HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791028
HEALTHCARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(41)HOLY CROSS MEDICAL PROPERTIES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
65-0666283
BUILDING MANAGEMENT SERVICES FL 501(C)(2) N/A HOLY CROSS HOSPITAL INC
 
Yes
 
(42)HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
46-5421068
HEALTHCARE SERVICES FL 501(C)(3) LINE 9 HOLY CROSS HOSPITAL INC
 
Yes
 
(43)HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867
HOME HEALTH SERVICES NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(44)HOSPICE OF NORTH IOWA
232 SECOND STREET SE

MASON CITY,IA50401
42-1173708
HOSPICE SERVICES IA 501(C)(3) LINE 9 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(45)HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD

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

ANN ARBOR,MI48108
38-3320707
HOSPICE SERVICES (INACTIVE) MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(47)IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(48)LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529
HEALTHCARE SERVICES (INACTIVE) PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(49)LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699
HEALTHCARE SERVICES PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(50)LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE

PENNSAUKEN,NJ08109
26-1854750
PACE PROGRAM NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(51)LIFE AT ST FRANCIS HEALTHCARE INC
7TH CLAYTON STREETS

WILMINGTON,DE19805
45-2569214
PACE PROGRAM DE 501(C)(3) LINE 9 ST FRANCIS HOSPITAL
 
Yes
 
(52)LIFE ST FRANCIS CORPORATION
1435 LIBERTY STREET

HAMILTON,NJ08629
22-2797282
PACE PROGRAM NJ 501(C)(3) LINE 9 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(53)LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE

SOUTHERN PINES,NC28387
27-2159847
PACE PROGRAM NC 501(C)(3) LINE 3 ST JOSEPH OF THE PINES INC
 
Yes
 
(54)LIFE ST MARY
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
26-2976184
PACE PROGRAM PA 501(C)(3) LINE 9 ST MARY MEDICAL CENTER
 
Yes
 
(55)LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568525
VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 11B, II OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(56)LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE

CAMDEN,NJ08103
27-4357794
HEALTHCARE SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(57)LOURDES DIALYSIS AT INNOVA INC
3716 CHURCH ROAD

MT LAUREL,NJ08054
26-3237625
HEALTHCARE SERVICES (INACTIVE) NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(58)LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROAD

WILLINGBORO,NJ08046
22-3612265
HEALTHCARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(59)LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE

MELROSE PARK,IL60160
47-4147171
TRANSPORTATION SERVICES IL 501(C)(3) LINE 9 LOYOLA UNIVERSITY MEDICAL CENTER
 
Yes
 
(60)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
 
(61)LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-4015560
HEALTHCARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(62)LTC (EDDY) INC
2212 BURDETT AVE

TROY,NY12180
22-2564710
MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 11B, II NORTHEAST HEALTH INC
 
Yes
 
(63)MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
24-0711230
HEALTHCARE SERVICES (INACTIVE) PA 501(C)(3) LINE 9 MAXIS HEALTH SYSTEM
 
Yes
 
(64)MARIAN HOME HEALTHCARE
801 5TH STREET

SIOUX CITY,IA51101
38-3320705
HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 11A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(65)MARYCREST HEIGHTS
PO BOX 9184

FARMINGTON HILLS,MI48333
27-0291722
SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(66)MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
91-1940902
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(67)MCAULEY CENTER INC
275 STEELE ROAD

WEST HARTFORD,CT06117
06-1058086
SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(68)MCAULEY CLINIC CORPORATION
PO BOX 992

ANN ARBOR,MI48106
38-2561013
HEALTHCARE SERVICES (INACTIVE) MI 501(C)(3) LINE 3 CATHERINE MCAULEY HEALTH SERVICES CORP
 
Yes
 
(69)MCAULEY MINISTRIES
3333 FIFTH AVENUE

PITTSBURGH,PA15213
94-3436142
GRANT MAKING PA 501(C)(3) LINE 11B, II PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(70)MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320698
HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(71)MERCY AMICARE HOME HEALTHCARE PORT HURON
505 HURON AVENUE

PORT HURON,MI48060
38-3320701
HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(72)MERCY CARE FOUNDATION
424 DECATUR STREET

ATLANTA,GA30312
58-1448522
FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(73)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1352191
HEALTHCARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(74)MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1492707
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 11B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(75)MERCY COMMUNITY HOMECARE SERVICES
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1488137
HOME HEALTH SERVICES CT 501(C)(3) LINE 9 MERCY COMMUNITY HEALTH INC
 
Yes
 
(76)MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325059
HOME HEALTH SERVICES PA 501(C)(3) LINE 9 MERCY HOME HEALTH SERVICES
 
Yes
 
(77)MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3227350
FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(78)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREET

MUSKEGON,MI49440
38-3321856
HOSPICE & HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(79)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2829864
FOUNDATION PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(80)MERCY HEALTH NETWORK
1111 6TH AVENUE

DES MOINES,IA50314
42-1478417
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 11B, II N/A
 
No
(81)MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD

MUSKEGON,MI49444
38-2589966
HEALTHCARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(82)MERCY HEALTH PLAN
C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
22-2483605
MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(83)MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW

MASON CITY,IA50401
31-1373080
HEALTHCARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(84)MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3163327
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(85)MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2212638
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 11C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(86)MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE

TUPPER LAKE,NY12986
15-0532211
HEALTHCARE AND HOSPITAL SERVICES (INACTIVE) NY 501(C)(3) LINE 3 MERCY UIHLEIN HEALTH CORPORATION
 
Yes
 
(87)MERCY HEALTHCARE FOUNDATION-CLINTON
1410 N 4TH ST

CLINTON,IA52732
42-1316126
FOUNDATION IA 501(C)(3) LINE 7 N/A
 
No
(88)MERCY HOME HEALTH
1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-1352099
HOME HEALTH SERVICES PA 501(C)(3) LINE 9 MERCY HOME HEALTH SERVICES
 
Yes
 
(89)MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325058
MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(90)MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-2170152
HEALTHCARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(91)MERCY HOSPITAL CADILLAC FOUNDATION
1820 44TH ST SE

KENTWOOD,MI49508
20-3357131
FOUNDATION MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(92)MERCY HOSPITAL GIFT SHOP
2601 ELECTRIC AVE

PORT HURON,MI48060
38-1630480
VOLUNTEER SERVICE AUXILIARY MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(93)MERCY HOSPITAL INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398280
HEALTHCARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(94)MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791034
HEALTHCARE SERVICES (INACTIVE) FL 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(95)MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115
COMMUNITY OUTREACH PA 501(C)(3) LINE 9 PITTSBURGH MERCY HEALTH SYSTEM
 
Yes
 
(96)MERCY LIFE OF ALABAMA
PO BOX 1090

DAPHNE,AL36526
27-3163002
PACE PROGRAM AL 501(C)(3) LINE 3 MERCY MEDICAL CORPORATION
 
Yes
 
(97)MERCY LIFE INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-3086711
PACE PROGRAM MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE CARE CENTERS INC
 
Yes
 
(98)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2627944
HEALTHCARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(99)MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST

CLINTON,IA52732
42-1336618
HEALTHCARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(100)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET

SIOUX CITY,IA51102
14-1880022
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(101)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW

MASON CITY,IA50401
42-1229151
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(102)MERCY MEDICAL CORPORATION
PO BOX 1090

DAPHNE,AL36526
63-6002215
HOSPICE & HOME HEALTH SERVICES AL 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(103)MERCY MEDICAL GROUP
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4884805
HEALTHCARE SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(104)MERCY NORTH HOMECARE AND HOSPICE
7985 MACKINAW TRAIL

CADILLAC,MI49601
38-3313897
HOSPICE & HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(105)MERCY PHYSICIAN NETWORK
C/O ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
46-1187365
MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 11B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(106)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
 
(107)MERCY SERVICES CORPORATION
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1453323
HEALTHCARE SYSTEM SUPPORT (INACTIVE) CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(108)MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET

ATLANTA,GA30312
27-2046353
TITLE HOLDING COMPANY GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(109)MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2719605
LONG TERM CARE MI 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(110)MERCY SPECIALIST PHYSICIANS INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
26-4033168
HEALTHCARE SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(111)MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-1396763
HEALTHCARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(112)MERCY UIHLEIN HEALTH CORPORATION
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,NY19073
16-1535133
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(113)MERCYKNOLL INC
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0757380
LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(114)MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD

LIVONIA,MI48152
38-3181557
BUILDING MANAGEMENT SERVICES DE 501(C)(3) LINE 11A, I N/A
 
No
(115)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
 
(116)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
 
(117)MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1471229
MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(118)MOUNT CARMEL HEALTH SYSTEM
6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1439334
HEALTHCARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(119)MOUNT CARMEL HEALTH SYSTEM FOUNDATION
6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1113966
FOUNDATION OH 501(C)(3) LINE 11A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(120)MOUNT CARMEL HOME CARE LLC
501 WEST SCHROCK ROAD

WESTERVILLE,OH43081
26-2729300
HOME HEALTH SERVICES OH 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(121)MOUNT SINAI HOSPITAL FOUNDATION INC
500 BLUE HILLS AVENUE

HARTFORD,CT06112
22-2584082
FOUNDATION CT 501(C)(3) LINE 11C, III-FI N/A
 
No
(122)MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1422973
HEALTHCARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH - NEW ENGLAND INC
 
Yes
 
(123)MRI MOBILE SERVICES OF WEST MICHIGAN
1820 44TH STREET

KENTWOOD,MI49508
38-3073745
HEALTHCARE SERVICES (INACTIVE) MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(124)MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE

MUSKEGON,MI49440
91-1932918
COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS
 
Yes
 
(125)NAZARETH HEALTH CARE FOUNDATION
2701 HOLME AVENUE

PHILADELPHIA,PA19152
23-2300951
FOUNDATION PA 501(C)(3) LINE 11A, I NAZARETH HOSPITAL
 
Yes
 
(126)NAZARETH HOSPITAL
2601 HOLME AVENUE

PHILADELPHIA,PA19152
23-2794121
HEALTHCARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(127)NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
20-3261266
HEALTHCARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(128)NE PHYSICIAN SERVICES INC
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2497355
HEALTHCARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(129)NORTHEAST HEALTH INC
2212 BURDETT AVE

TROY,NY12180
04-2450756
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 11B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(130)OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET

OAKLAND,NE68045
20-8072234
HEALTHCARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(131)OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET

OAKLAND,NE68045
31-1678345
FOUNDATION NE 501(C)(3) LINE 11C, III-FI N/A
 
No
(132)ONE THOUSAND CORPORATION
1000 ASYLUM AVENUE

HARTFORD,CT06105
06-0922325
BUILDING MANAGEMENT SERVICES CT 501(C)(2) N/A SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
 
Yes
 
(133)OSUMOUNT CARMEL HEALTH ALLIANCE
6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1654603
COOPERATIVE HEALTHCARE DELIVERY SYSTEM OH 501(C)(3) LINE 11A, I N/A
 
No
(134)OUR LADY OF LOURDES HEALTH CARE SERVICES
1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568528
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NJ 501(C)(3) LINE 11B, II MAXIS HEALTH SYSTEM
 
Yes
 
(135)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
 
(136)OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE

CAMDEN,NJ08103
21-0635001
HEALTHCARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(137)OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE

GUILDERLAND,NY12084
14-1743506
LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(138)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4208896
HEALTHCARE SERVICES MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE HEALTH SYSTEM INC
 
Yes
 
(139)PITTSBURGH MERCY HEALTH SYSTEM
3333 5TH AVENUE

PITTSBURGH,PA15213
25-1464211
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(140)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
 
(141)PROBILITY THERAPY SERVICES
2058 S STATE STREET

ANN ARBOR,MI48104
20-2020239
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 TRINITY HEALTH-MICHIGAN
 
Yes
 
(142)PROFESSIONAL MED TEAM
965 FORK STREET

MUSKEGON,MI49442
38-2638284
HEALTHCARE SERVICES MI 501(C)(3) LINE 9 MERCY HEALTH PARTNERS
 
Yes
 
(143)SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713
HEALTHCARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(144)SAINT AGNES MEDICAL FOUNDATION (FKA 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
 
(145)SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD

BOISE,ID83706
82-0401011
BUILDING MANAGEMENT SERVICES ID 501(C)(3) LINE 9 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(146)SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978
HEALTHCARE SYSTEM SUPPORT ID 501(C)(3) LINE 11A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(147)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY
 
Yes
 
(148)SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
20-2683560
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(149)SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD

BOISE,ID83706
27-1929502
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(150)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET

ONTARIO,OR97914
94-3059469
VOLUNTEER SERVICE AUXILIARY OR 501(C)(3) LINE 9 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(151)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052
HEALTHCARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(152)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
1512 12TH AVENUE ROAD

NAMPA,ID83686
26-1737256
FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA
 
Yes
 
(153)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
1512 12TH AVENUE ROAD

NAMPA,ID83686
82-0200896
HEALTHCARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(154)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
27-1789847
HEALTHCARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(155)SAINT ALPHONSUS REGIONAL MEDICAL CENTER
1055 NORTH CURTIS RD

BOISE,ID83706
82-0200895
HEALTHCARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(156)SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
45-1994612
HEALTHCARE SERVICES CT 501(C)(3) LINE 3 SAINT FRANCIS MEDICAL GROUP INC
 
Yes
 
(157)SAINT FRANCIS FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1008255
FOUNDATION CT 501(C)(3) LINE 11B, II TRINITY HEALTH - NEW ENGLAND INC
 
Yes
 
(158)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0646813
HEALTHCARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH - NEW ENGLAND INC
 
Yes
 
(159)SAINT FRANCIS MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450168
HEALTHCARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH - NEW ENGLAND INC
 
Yes
 
(160)SAINT JAMES CARE INC
111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616230
INACTIVE ENTITY NJ 501(C)(3) LINE 9 SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(161)SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3129127
PACE PROGRAM IN 501(C)(3) LINE 7 TRINITY HEALTH PACE
 
Yes
 
(162)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670

PLYMOUTH,IN46563
35-1142669
HEALTHCARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(163)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-0868157
HEALTHCARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(164)SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-6033285
VOLUNTEER SERVICE AUXILIARY IN 501(C)(4) N/A SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
 
Yes
 
(165)SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE

PLYMOUTH,IN46563
35-6043563
VOLUNTEER SERVICE AUXILIARY IN 501(C)(3) LINE 11B, II SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
 
Yes
 
(166)SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-1568821
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(167)SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET

ATLANTA,GA30312
58-1744848
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 11C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(168)SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET

ATLANTA,GA30312
58-1752700
HEALTHCARE SERVICES GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(169)SAINT JOSEPH'S TOWER INC
PO BOX 9184

FARMINGTON HILLS,MI48333
31-1040468
SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES - INDIANA INC
 
Yes
 
(170)SAINT MARY HOME II INC
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1164104
LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(171)SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW

GRAND RAPIDS,MI49505
38-3320700
HOME HEALTH SERVICES MI 501(C)(3) LINE 9 TRINITY HOME HEALTH SERVICES
 
Yes
 
(172)SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602
FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(173)SAINT MICHAEL'S MEDICAL CENTER
111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616046
HEALTHCARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM
 
Yes
 
(174)SAMARITAN CHILD CARE CENTER INC
2213 BURDETT AVE

TROY,NY12180
14-1710225
CHILD CARE NY 501(C)(3) LINE 9 NORTHEAST HEALTH INC
 
Yes
 
(175)SAMARITAN HOSPITAL
2215 BURDETT AVE

TROY,NY12180
14-1338544
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(176)SENIOR CARE CONNECTION INC
504 STATE ST

SCHENECTADY,NY12305
14-1708754
PACE PROGRAM NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(177)SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1505031
VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(178)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
1 ABELE BLVD

CLIFTON PARK,NY12065
14-1756230
LONG TERM CARE NY 501(C)(3) LINE 9 SETON HEALTH SYSTEM INC
 
Yes
 
(179)SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
22-2345416
FOUNDATION NY 501(C)(3) LINE 11A, I SETON HEALTH SYSTEM INC
 
Yes
 
(180)SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1776186
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(181)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
 
(182)SISTERS OF PROVIDENCE HEALTH SYSTEM INC
C/O SPHS 1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398374
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT MA 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(183)SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-1763712
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 11C, III-FI ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(184)SJHSJOC HOLDINGS INC
424 DECATUR STREET

ATLANTA,GA30312
47-2299757
HEALTHCARE SYSTEM SUPPORT GA 501(C)(3) LINE 11B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(185)ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2840137
PACE PROGRAM PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(186)ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET

CONSHOHOCKEN,PA19428
23-2415137
FOUNDATION PA 501(C)(3) LINE 11A, I ST AGNES CONTINUING CARE CENTER
 
Yes
 
(187)ST FRANCIS FOUNDATION
PO BOX 2500

WILMINGTON,DE19805
51-0374158
FOUNDATION DE 501(C)(3) LINE 11A, I ST FRANCIS HOSPITAL
 
Yes
 
(188)ST FRANCIS HOSPITAL INC
PO BOX 2500

WILMINGTON,DE19805
51-0064326
HEALTHCARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(189)ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUE

TRENTON,NJ08629
52-1025476
FOUNDATION NJ 501(C)(3) LINE 7 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(190)ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE

TRENTON,NJ08629
22-3431049
HEALTHCARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM
 
Yes
 
(191)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
 
(192)ST JAMES MERCY HEALTH SYSTEM INC
411 CANISTEO STREET

HORNELL,NY14843
22-3127184
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(193)ST JAMES MERCY HOSPITAL
411 CANISTEO STREET

HORNELL,NY14843
16-0743310
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JAMES MERCY HEALTH SYSTEM INC
 
Yes
 
(194)ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE

PONTIAC,MI48341
35-2356789
FOUNDATION MI 501(C)(3) LINE 11A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(195)ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE

SOUTHERN PINES,NC28387
56-0694200
LONG TERM CARE NC 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(196)ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE

SYRACUSE,NY13203
20-2497520
COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(197)ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
23-7219294
BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 11B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(198)ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
47-4754987
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 11C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(199)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
22-2149775
FOUNDATION NY 501(C)(3) LINE 11B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(200)ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-3899821
HEALTHCARE SERVICES NY 501(C)(3) LINE 11A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(201)ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
16-1516863
HEALTHCARE SERVICES NY 501(C)(3) LINE 11A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(202)ST MARY BUILDING AND DEVELOPMENT COMPANY
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502
TITLE HOLDING 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
HEALTHCARE 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
LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(205)ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910
HEALTHCARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
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
FOUNDATION 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
HEALTHCARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(209)ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET

ATHENS,GA30606
02-0576648
SENIOR LIVING 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
HEALTHCARE SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(211)ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY

LAVONIA,GA30553
47-3752176
HEALTHCARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(212)ST MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUE

NEWARK,NJ07102
22-3311976
FOUNDATION NJ 501(C)(3) LINE 11A, I SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(213)ST PETER'S AUXILIARY
315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2843206
VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 11A, I ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(214)ST PETER'S HEALTH CARE SERVICES
315 SOUTH MANNING BLVD

ALBANY,NY12208
22-2702507
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 9 ST PETER'S HEALTH PARTNERS
 
Yes
 
(215)ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 11B, II TRINITY HEALTH CORPORATION
 
Yes
 
(216)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD

ALBANY,NY12208
46-1177336
HEALTHCARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(217)ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD

ALBANY,NY12208
14-1348692
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(218)ST PETER'S HOSPITAL FOUNDATION INC
319 SOUTH MANNING BLVD

ALBANY,NY12208
22-2262982
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(219)SUNNYVIEW HOSPITAL & REHABILITATION CENTER
1270 BELMONT AVE

SCHENECTADY,NY12308
14-1338386
HEALTHCARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 NORTHEAST HEALTH INC
 
Yes
 
(220)SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127
FOUNDATION NY 501(C)(3) LINE 11A, I SUNNYVIEW HOSPITAL & REHABILITATION CENTER
 
Yes
 
(221)THE COMMUNITY HOSPICE FOUNDATION INC
295 VALLEY VIEW BLVD

RENSSELAER,NY12144
22-2692940
FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(222)THE COMMUNITY HOSPICE INC
295 VALLEY VIEW BLVD

RENSSELAER,NY12144
14-1608921
HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH CARE SERVICES
 
Yes
 
(223)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
707 EAST CEDAR STREET

SOUTH BEND,IN46617
35-1654543
FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(224)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE

TROY,NY12180
22-2570478
LONG TERM CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(225)THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885
LONG TERM CARE NY 501(C)(3) LINE 9 LTC (EDDY) INC
 
Yes
 
(226)THE NORTHEAST HEALTH FOUNDATION INC
2224 BURDETT AVE

TROY,NY12180
22-2743478
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(227)THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
06-0660403
VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 11A, I N/A
 
No
(228)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER

PORT HURON,MI48060
38-2485700
HEALTHCARE SERVICES MI 501(C)(3) LINE 11D, III-O N/A
 
No
(229)TRI-HOSPITAL MRI CENTER
4190 24TH AVENUE

FORT GRATIOT,MI48054
38-2884297
HEALTHCARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(230)TRINITY CONTINUING CARE SERVICES
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2559656
LONG TERM CARE MI 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(231)TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184

FARMINGTON HILLS,MI48333
93-0907047
LONG TERM CARE IN 501(C)(3) LINE 9 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(232)TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393
HEALTHCARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(233)TRINITY HEALTH - NEW ENGLAND INC (FKA SAINT FRANCIS CARE INC)
114 WOODLAND STREET

HARTFORD,CT06105
06-1491191
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 11A, I TRINITY HEALTH CORPORATION
 
Yes
 
(234)TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425
HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 11B, II CATHOLIC HEALTH MINISTRIES
 
Yes
 
(235)TRINITY HEALTH LIFE PENNSYLVANIA INC
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
47-5244984
PACE PROGRAM PA 501(C)(3) LINE 9 TRINITY HEALTH PACE
 
Yes
 
(236)TRINITY HEALTH PACE
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3073124
PACE PROGRAM MI 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(237)TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733
RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(238)TRINITY HOME HEALTH SERVICES
17410 COLLEGE PARKWAY

LIVONIA,MI48152
38-2621935
MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 9 TRINITY HEALTH CORPORATION
 
Yes
 
(239)UIHLEIN MERCY CENTER
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
15-0532190
HEALTHCARE SERVICES (INACTIVE) NY 501(C)(3) LINE 3 MERCY UIHLEIN HEALTH CORPORATION
 
Yes
 
(240)UNIVERSITY HEIGHTS PROPERTY COMPANY INC
111 CENTRAL AVENUE

NEWARK,NJ07102
22-3100162
TITLE HOLDING COMPANY NJ 501(C)(2) N/A SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(241)VILLA MARY IMMACULATE
301 HACKETT BLVD

ALBANY,NY12208
14-1438749
LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
(242)WESTSHORE HEALTH NETWORK
1820 44TH STREET

KENTWOOD,MI49508
38-3280200
HEALTH NETWORK 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) 2015
Schedule R (Form 990) 2015
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 ASSOCIATES LP

1221 MAIN STREET SUITE 105
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) CLINTON IMAGING SERVICES LLC

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

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

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

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

1303 E HERNDON AVE
FRESNO,CA93720
77-0363563
FORMERLY DIAGNOSTIC IMAGING, IN DISSOLUTION CA N/A
                 
(12) GATEWAY HEALTH PLAN LP

444 LIBERTY AVE
PITTSBURGH,PA15222
25-1691945
MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A
                 
(13) GREATER HARTFORD LITHOTRIPSY LLC

144 WOODLAND ST
HARTFORD,CT06105
06-1578891
LITHOTRIPSY SERVICES CT 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

1055 N CURTIS ROAD
BOISE,ID83706
36-4729605
HOLDING COMPANY FOR AMBULATORY SURGERY ID N/A
                 
(16) INNOVATIVE HEALTH ALLIANCE OF NEW YORK LLC

14 COLUMBIA CIRCLE DRIVE
ALBANY,NY12203
46-5676066
ACCOUNTABLE CARE ORGANIZATION NY N/A
                 
(17) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
36-4119522
SURGICAL SERVICES IL N/A
                 
(18) MAGNETIC RESONANCE SERVICES PARTNERSHIP

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

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

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

793 W STATE STREET
COLUMBUS,OH43222
31-1392994
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(22) MDRMRI TECHNICAL SERVICES LLC

5640 EAST TAFT ROAD 3770
SYRACUSE,NY13220
16-1590982
MRI SERVICES NY ST JOSEPH'S HOSPITAL HEALTH CENTER
 
RELATED 155,094 135,036   No   Yes   40.000 %
(23) MEDILUCENT MOB I

793 W STATE STREET
COLUMBUS,OH43222
20-4911370
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(24) MEDWORKS LLC

375 EAST CEDAR STREET
NEWINGTON,CT06111
06-1490483
REHABILITATION SERVICES CT N/A
                 
(25) MERCY ADVANCED MRI LLC

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

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

PO BOX 10086
TOLEDO,OH43699
52-1931012
NURSING HOME PA N/A
                 
(28) MERCYUSP HEALTH VENTURES LLC

15305 DALLAS PARKWAY STE 1600 LB 28
ADDISON,TX75001
47-1290300
OUTPATIENT SURGERY IA N/A
                 
(29) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP

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

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

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

1000 NE 56TH STREET
OAKLAND PARK,FL33334
35-2325646
AMBULATORY SURGERY CENTER FL N/A
                 
(33) RADISSON SJH PROPERTIES LLC

5000 CAMPUSWOOD DRIVE SUITE 100
EAST SYRACUSE,NY13057
46-1892799
MEDICAL OFFICE BUILDING NY N/A
                 
(34) SARMED OUTPATIENT PHARMACY LLC

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

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

7650 SE 27TH ST STE 200
MERCER ISLAND,WA98040
20-1796650
DIALYSIS SERVICES NY N/A
                 
(37) SJV MANAGEMENT LLC

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

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869
INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A
                 
(39) 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
                 
(40) ST ALPHONSUS CALDWELL CANCER CTR LLC

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

793 W STATE STREET
COLUMBUS,OH43222
31-1603660
MEDICAL OFFICE BUILDING RENTAL OH N/A
                 
(42) ST JOSEPH'S IMAGING ASSOCIATES PLLC

104 UNION AVE SUITE 905
SYRACUSE,NY13203
16-1104293
RADIOLOGY SERVICES NY N/A
                 
(43) ST MARY REHABILITATION HOSPITAL LLP

680 SOUTH FORTH STREET
LOUISVILLE,KY40202
27-3938747
HEALTHCARE SERVICES DE N/A
                 
(44) ST PETER'S AMBULATORY SURGERY CENTER LLC

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

402 LAKE CASCADE PARKWAY
CASCADE,ID83611
20-1637921
OUTPATIENT MEDICAL SERVICES ID N/A
                 
(46) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2871206
OUTPATIENT SURGERY PA N/A
                 
(47) TOTAL LAUNDRY COLLABORATIVE LLC

114 WOODLAND STREET
HARTFORD,CT06105
20-8335788
LAUNDRY SERVICES CT N/A
                 
(48) TRINITY HEALTH PARTNERS LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
47-2798085
POPULATION HEALTH MANAGEMENT DE N/A
                 
(49) WOODLAND IMAGING CENTER LLC

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959
RADIOLOGY/IMAGING MI N/A
                 
(50) LABORATORY ALLIANCE OF CNY

1304 BUCKLEY ROAD
SYRACUSE,NY13212
16-1536202
LABORATORY SERVICES NY N/A
RELATED   8,887,725   No     No 50.000 %
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         No
(2) CARBONDALE PHYSICIANS' SERVICES INC

100 LINCOLN AVE
CARBONDALE,PA18407
23-2365077
PHARMACY PA N/A
C         No
(3) CATHERINE HORAN BUILDING CORP

1233 MAIN STREET
HOLYOKE,MA01040
04-2938160
BUILDING MANAGEMENT MA N/A
C         No
(4) CATHOLIC HEALTH EAST SENIOR SERVICES

PO BOX 9184
FARMINGTON HILLS,MI48333
37-1572595
SENIOR SERVICES PA N/A
C         No
(5) CHESTNUT RISK SERVICES LTD

11 VICTORIA STREET
HAMILTON    
BD
INSURANCE BD N/A
C         No
(6) DIVERSIFIED COMMUNITY SERVICES INC

1233 MAIN STREET
HOLYOKE,MA01040
04-3128890
MEDICAL SERVICES MA N/A
C         No
(7) FHS SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
27-2995699
MEDICAL SERVICES NY N/A
C         No
(8) FRANCISCAN ASSOCIATES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
20-2991688
MEDICAL SERVICES NY N/A
C         No
(9) FRANCISCAN HEALTH SUPPORT INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1236354
MEDICAL SERVICES NY N/A
C         No
(10) FRANCISCAN MANAGEMENT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1351193
MANAGEMENT SERVICES NY N/A
C         No
(11) GOTTLIEB MANAGEMENT SERVICES INC

701 W NORTH AVE
MELROSE PARK,IL60160
36-3330529
MANAGEMENT SERVICES IL N/A
C         No
(12) HEF INC

1415 LEAHY ST
MUSKEGON,MI49442
38-3086401
OFFICE STAFFING MI N/A
C         No
(13) HACKLEY HEALTH MANAGEMENT INC

1415 LEAHY ST
MUSKEGON,MI49442
38-2961814
WEIGHT MANAGEMENT MI N/A
C         No
(14) HACKLEY HEALTH VENTURES INC

1415 LEAHY ST
MUSKEGON,MI49442
38-2589959
OTHER MEDICAL SERVICES MI N/A
C         No
(15) HACKLEY HEALTHCARE EQUIPMENT CORP

1415 LEAHY ST
MUSKEGON,MI49442
38-2578569
HOME MEDICAL EQUIPMENT MI N/A
C         No
(16) HACKLEY PROFESSIONAL CENTER INC

1415 LEAHY ST
MUSKEGON,MI49442
38-3024797
REAL ESTATE RENTAL MI N/A
C         No
(17) HACKLEY PROFESSIONAL PHARMACY INC

1415 LEAHY ST
MUSKEGON,MI49442
38-2447870
PHARMACY MI N/A
C         No
(18) HEALTH CARE MANAGEMENT ADMINISTRATORS INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1450960
HEALTHCARE MANAGEMENT NY N/A
C         No
(19) HEALTH MANAGEMENT SERVICES ORG INC

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3366580
MEDICAL ADMINISTRATION NJ N/A
C         No
(20) HOLY CROSS PRIVATE HOME SERVICES CORP

11801 TECH ROAD
SILVER SPRING,MD20904
52-1986562
HOME CARE SERVICES MD N/A
C         No
(21) HPC CO-OWNERS ASSOCIATION

1700 CLINTON
MUSKEGON,MI49442
27-0734448
CONDOMINIUM ASSOCIATION MI N/A
C         No
(22) HURON ARBOR CORPORATION

5301 EAST HURON RIVER DR
YPSILANTI,MI48197
38-2475644
PROVIDES OFFICE RENTAL SPACE MI N/A
C         No
(23) IHA AFFILIATION CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895
MEDICAL MANAGEMENT MI N/A
C         No
(24) LANGHORNE SERVICES II INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
25-3795549
GENERAL PARTNER OF LMOB PARTNERS, II PA N/A
C         No
(25) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981
GENERAL PARTNER OF LMOB PARTNERS PA N/A
C         No
(26) LIFECARE PHYSICIANS PC

601 HAMILTON AVENUE
TRENTON,NJ08629
26-1649038
HEALTH CARE SERVICES NJ N/A
C         No
(27) LOURDES MEDICAL ASSOCIATES PA

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3361862
MEDICAL SERVICES NJ N/A
C         No
(28) LOURDES URGENT CARE SERVICES PC

1600 HADDON AVENUE
CAMDEN,NJ08103
46-4188202
URGENT CARE CENTER NJ N/A
C         No
(29) MARYLAND CARE GROUP INC

11801 TECH ROAD
SILVER SPRING,MD20904
52-1815313
HEALTHCARE HOLDING MD N/A
C         No
(30) MCMC EASTWICK INC

C/O MHS ONE WEST ELM STREET STE 100
CONSHOHOCKEN,PA19428
23-2184261
MEDICAL OFFICE BUILDINGS PA N/A
C         No
(31) MEDNOW INC

1512 12TH AVENUE ROAD
NAMPA,ID83686
82-0389927
MEDICAL SERVICES ID N/A
C         No
(32) MERCY INPATIENT MEDICAL ASSOCIATES INC

1233 MAIN STREET
HOLYOKE,MA01040
04-3029929
MEDICAL SERVICES MA N/A
C         No
(33) MERCY MEDICAL SERVICES

801 5TH STREET
SIOUX CITY,IA51101
42-1283849
PRIMARY CARE PHYSICIANS IA N/A
C         No
(34) MERCY SERVICES CORPORATION

2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
36-3227348
DORMANT IL N/A
C         No
(35) MICHIGAN ATHLETIC CLUB

2500 BURTON
GRAND RAPIDS,MI49506
38-2647304
ATHLETIC CLUB MI N/A
C         No
(36) MOUNT CARMEL HEALTH PROVIDERS INC

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1382442
MEDICAL SERVICES OH N/A
C         No
(37) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192
MEDICAL SERVICES FL N/A
C         No
(38) PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST

1221 MAIN STREET SUITE 108
HOLYOKE,MA01040
04-6608649
PROPERTY MANAGEMENT MA N/A
C         No
(39) PRIORITY PLUS OF CALIFORNIA

PO BOX 27230
FRESNO,CA93729
77-0395267
FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS CA N/A
C         No
(40) PROVIDENCE HOME CARE INC

1233 MAIN STREET
HOLYOKE,MA01040
04-3317426
HEALTH CARE SERVICES MA N/A
C         No
(41) SAINT ALPHONSUS HEALTH ALLIANCE INC

1055 NORTH CURTIS ROAD
BOISE,ID83706
82-0524649
ACCOUNTABLE CARE ORGANIZATION ID N/A
C         No
(42) SAINT ALPHONSUS PHYSICIANS PA

1055 NORTH CURTIS ROAD
BOISE,ID83706
33-1078261
PHYSICIANS ID N/A
C         No
(43) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1384686
MEDICAL SERVICES CT N/A
C         No
(44) SAINT FRANCIS CARE MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1432373
MEDICAL SERVICES CT N/A
C         No
(45) SAINT MARY'S HEALTH MANAGEMENT COMPANY

200 JEFFERSON AVENUE SE
GRAND RAPIDS,MI49503
38-3450733
ATHLETIC CLUB MI N/A
C         No
(46) SAMARITAN MEDICAL OFFICE BUILDING INC

2212 BURDETT AVENUE
TROY,NY12180
14-1607244
REAL ESTATE NY N/A
C         No
(47) SJM PROPERTIES INC

411 CANISTEO STREET
HORNELL,NY14843
16-1294991
PROPERTY HOLDINGS NY N/A
C         No
(48) SJPE PRACTICE MANAGEMENT SERVICES INC

301 PROSPECT AVE
SYRACUSE,NY13203
45-4164964
MANAGEMENT SERVICES NY N/A
C         No
(49) SJRMC HOLDINGS INC

5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
47-4763735
PROPERTY HOLDINGS IN N/A
C         No
(50) ST ELIZABETH HEALTH SUPPORT SERVICES INC

2209 GENESEE STREET
UTICA,NY13501
16-1540486
MEDICAL SERVICES NY N/A
C         No
(51) ST MARY'S HIGHLAND HILLS VILLAGE INC

1230 BAXTER STREET
ATHENS,GA30606
58-2276801
ASSISTED LIVING GA N/A
C         No
(52) SURGERY CENTER FINANCING CORPORATION

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1531102
FINANCE, INSURANCE AND REAL ESTATE OH N/A
C         No
(53) SYSTEM COORDINATED SERVICES INC

1233 MAIN STREET
HOLYOKE,MA01040
04-2938181
LAB SERVICES MA N/A
C         No
(54) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654
REAL ESTATE BROKERAGE SERVICES MI N/A
C         No
(55) TRINITY ASSURANCE LTD

PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602
PROVISION OF INSURANCE COVERAGE CJ N/A
C         No
(56) TRINITY HEALTH ACO INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
47-3794666
ACCOUNTABLE CARE ORGANIZATION DE N/A
C         No
(57) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377
GRANTOR TRUST MI N/A
T         No
(58) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM

1820 44TH STREET SE
KENTWOOD,MI49508
38-2700166
CONDOMINIUM ASSOCIATION MI N/A
C         No
(59) WORKPLACE HEALTH OF GRAND HAVEN INC

1415 LEAHY ST
MUSKEGON,MI49442
38-3112035
OCCUPATIONAL HEALTH MI N/A
C         No
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
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





Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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) 2015
Schedule R (Form 990) 2015
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) 2015

Additional Data


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