2026-05-04T15:29:58-05:00 2025-06-30 990 2024-07-01 261720984 ST MARY'S GOOD SAMARITAN HOSPITAL INC STMA 7064537331 5401 LAKE OCONEE PARKWAY GREENSBORO GA 306424232 ELENA BARBERIS TREASURER AND VP FINANCE 7064537331 2026-05-04 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O STONISH PIERCE 5401 LAKE OCONEE PARKWAY GREENSBORO GA 306424232 41664200 0 0928 X WWW.STMARYSHEALTHCARESYSTEM.ORG X 2008 GA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 10 9 304 104 0 0 69715 298359 37187721 37344905 579384 871218 4127029 3119651 41963849 41634133 8050 15973 0 0 15726870 16276779 0 0 0 17558313 21860779 33293233 38153531 8670616 3480602 77550140 82465440 36659371 35336476 40890769 47128964 X WE, TRINITY HEALTH GEORGIA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL IS A MEMBER OF TRINITY HEALTH GEORGIA AND TRINITY HEALTH. 0 0 30127679 15973 40302809 ST. MARY'S GOOD SAMARITAN HOSPITAL (GOOD SAMARITAN HOSPITAL) WAS ESTABLISHED TO SERVE THE HEALTH CARE NEEDS OF THE PEOPLE OF GREENSBORO AND THE GREATER GREENE COUNTY AREAS OF EAST GEORGIA. GOOD SAMARITAN HOSPITAL OPERATES A 25-BED CRITICAL ACCESS HOSPITAL FOR THE COMMUNITY, INCLUDING GENERAL SURGERY, A 24-HOUR EMERGENCY DEPARTMENT AND MOST ANCILLARY SERVICES ASSOCIATED WITH A MODERN HEALTH CARE FACILITY. GOOD SAMARITAN HOSPITAL PROVIDES THESE SERVICES ALONG WITH OTHER WELLNESS AND EDUCATIONAL PROGRAMS TO THE COMMUNITY AT REDUCED COST, OR IN SOME CASES NO CHARGE, BASED ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT PROGRAMS AND SERVICES: WWW.STMARYSHEALTHCARESYSTEM.ORG 30127679 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 66 0 1 304 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 1 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 GA X PAUL HUCKLE 9199092920 1230 BAXTER STREET ATHENS GA 30606 STONISH PIERCE DIRECTOR; PRESIDENT & CEO 2.00 53.00 X X 0 801650 192627 JOHN FOOS DIRECTOR; CHAIR THROUGH 12/24 1.00 1.00 X X 0 0 0 JEAN MEYER DIRECTOR; CHAIR AS OF 1/25 1.00 1.00 X X 0 0 0 ROBERT MOORE JR DIRECTOR; VICE CHAIR AS OF 1/25 1.00 1.00 X X 0 0 0 JOAN ANTONE DIRECTOR 1.00 0.00 X 0 0 0 DONNIE HARRISON JR DIRECTOR THROUGH 12/24 1.00 0.00 X 0 0 0 KRISTINE HOPKINS DIRECTOR THROUGH 12/24 1.00 0.00 X 0 0 0 MICHAEL KENNEDY DIRECTOR AS OF 1/25 1.00 0.00 X 0 0 0 STACY MCCLENDON DIRECTOR AS OF 1/25 1.00 0.00 X 0 0 0 JAMES PARKS DIRECTOR 1.00 1.00 X 0 0 0 ELIZABETH STRICKLAND THOMAS DIRECTOR 1.00 0.00 X 0 0 0 JUNE TOMPKINS DIRECTOR THROUGH 12/24 1.00 0.00 X 0 0 0 GARY USRY DIRECTOR 1.00 0.00 X 0 0 0 ELENA BARBERIS TREAS AT 1/25;VP, FIN FL/GA AT 10/24 2.00 48.00 X 0 59597 5685 MICHAEL GUSHO TREAS THR 12/24; CFO SVC AREA SOUTH 1.00 49.00 X 0 1027237 52646 ELIZABETH SCHOEN SECRETARY; ASSOCIATE COUNSEL 2.00 48.00 X 0 267189 50188 JEFFREY BROWN SENIOR VICE PRESIDENT, OPERATIONS 5.00 45.00 X 0 351372 32985 MICHAEL BORN MD INT CHIEF MEDICAL OFFICER THR 12/24 5.00 45.00 X 0 170000 0 DONALD SOUTHARD NURSING SUPERVISOR 45.00 0.00 X 178733 0 22001 JOSEPH HANCOCK PHARMACIST 45.00 0.00 X 148470 0 42269 LISA BATCHELOR SURGICAL NURSE 45.00 0.00 X 130872 0 19734 CYNTHIA DAVIS MANAGER, REHABILITATION 45.00 0.00 X 127665 0 39295 ANITA BROWN UTILIZATION REVIEW PROGRAM MANAGER 45.00 0.00 X 124979 0 17871 TANYA ADCOCK FORMER OFFICER 0.00 0.00 X 0 126325 0 D MONTEZ CARTER FORMER OFFICER; TH OF NE PRES & CEO 0.00 55.00 X 0 1378384 281062 JANICE DUNN FORMER OFFICER 0.00 0.00 X 0 411298 68504 DAVID SPIVEY FORMER OFFICER 0.00 0.00 X 0 656763 387968 710719 5249815 1212835 13 1 1 0 LAKE COUNTRY ANESTHESIA LLC 2601 EXPERIMENT STN RD WATKINSVILLE GA 30677 CONTRACTED CRNA SERVICES 492087 OCONEE VALLEY HEALTHCARE INC 803 S MAIN ST GREENSBORO GA 30642 HOSPITALISTS SERVICES 439200 ATHENS CLARKE MEDICAL ENTERPRISES LLC PO BOX 9605 DAYTONA BEACH FL 32120 CONTRACTED EMERGENCY SERVICES 342250 TRINITY EMS TRANSPORT LLC PO BOX 5860 ATHENS GA 30604 PATIENT TRANSPORTATION 232313 NOVO HEALTH SERVICES LLC 5155 WESTPARK DR SW ATLANTA GA 30336 LAUNDRY/LINEN SERVICES 145690 5 149968 148391 298359 NET PATIENT SERVICE REVENUE 622110 37344905 37344905 37344905 681501 681501 189717 0 189717 189717 189717 53234 30067 23167 23167 OTHER RELATED REVENUE 622110 2957904 2957904 CAFETERIA REVENUE 722514 138580 138580 3096484 41634133 40302809 0 1032965 X 15973 15973 255467 129142 126325 12851459 12750361 101098 2219111 2179872 39239 950742 934488 16254 32025 32025 9029257 2351407 6677850 45605 17948 27657 291729 159650 132079 78783 78783 1054420 1044079 10341 5126 3333 1793 1821 171 1650 1306251 1306251 1882070 1875203 6867 MEDICAL SUPPLIES EXP 4019507 4019507 BAD DEBT EXPENSE 2274631 2274631 I/C PURCHASE SERVICES 1112314 295480 816834 EQUIPMENT MAINTENANCE 643158 643158 84082 48242 35840 38153531 30127679 8025852 0 360490 104146 6366925 5097175 702803 640106 54519 75929 49076893 23731293 26967432 25345600 30003332 35461863 12858570 15197941 236069 542680 77550140 82465440 2905704 2366669 33753667 32969807 36659371 35336476 X 40890769 47128964 40890769 47128964 77550140 82465440 X 3480602 2758559 -966 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6127 0 0 0 6127 0 PART II-B, LINE 1: GOOD SAMARITAN HOSPITAL HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED GOOD SAMARITAN HOSPITAL WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 2741571 2741571 29807041 10979731 18827310 16528281 12751562 3776719 25345600 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 3039588 F HEDGE FUNDS 1519794 F EQUITY METHOD INVESTMENTS 10638559 C 15197941 INTERCOMPANY NOTES PAYABLE 31613198 INTERCOMPANY ACCOUNTS PAYABLE 1101516 OTHER CURRENT LIABILITIES 104194 OTHER LT LIABILITIES 95822 OPERATING LEASE LIABILITIES 55077 32969807 1 1 X 1 X 1 X 1 1 1 0 1 1 1520703 1520703 0.04240 1696894 2896797 0 0.00000 3217597 2896797 1520703 0.04240 5 252 167003 167003 0.00470 2 35 107822 107822 0.00300 1 114570 114570 0.00320 1 32 858 858 0.00000 9 319 390253 390253 0.01090 9 319 3607850 2896797 1910956 0.05330 1 300 1898 1898 0.00010 1 2133 2133 0.00010 2 300 4031 4031 0.00020 1 2274631 0 9135627 9028887 106740 X 1 1 1 1 GOOD SAMARITAN HOSPITAL 5401 LAKE OCONEE PARKWAY GREENSBORO GA 306424232 PERMIT #066-638 X X X X GOOD SAMARITAN HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X 1 24 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:GOOD SAMARITAN HOSPITAL INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS. THROUGH FURTHER PRIORITIZATION AND IDENTIFICATION OF EXISTING COMMUNITY RESOURCES AND ASSETS, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED MOST SIGNIFICANT:1. ACCESS TO HEALTH CARE2, BEHAVIORAL HEALTH3. CARDIOVASCULAR HEALTH4. MATERNAL HEALTH5. DIABETES6. ALZHEIMER'S DISEASE AND RELATED DEMENTIA7. FOOD INSECURITY GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING THE 2024 CHNA, ST. MARY'S HEALTHCARE SYSTEM (INCLUDING ST. MARY'S HOSPITAL, GOOD SAMARITAN HOSPITAL, AND ST. MARY'S SACRED HEART HOSPITAL) CONTRACTED WITH THE ATHENS WELLBEING PROJECT (AWP). THE AWP IS AN INITIATIVE CHAMPIONED BY THE ATHENS AREA COMMUNITY FOUNDATION, WITH RESEARCH LED BY DR. GRACE BAGWELL ADAMS OF THE UNIVERSITY OF GEORGIA'S COLLEGE OF PUBLIC HEALTH. THE PROJECT REPRESENTS A COLLABORATION OF COMMUNITY INSTITUTIONS AND STAKEHOLDERS COMMITTED TO COLLECTING AND UTILIZING REPRESENTATIVE HOUSEHOLD-LEVEL DATA TO UNDERSTAND LIFE IN THE COUNTY ACROSS A VARIETY OF DOMAINS, INCLUDING HEALTH, HOUSING, EDUCATION, COMMUNITY SAFETY, AND CIVIC VITALITY. THE CHNA USED A COMPREHENSIVE MIXED-METHODS APPROACH, WHICH INCLUDED A COMBINATION OF QUALITATIVE AND QUANTITATIVE DATA AND ANALYSES, TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS. THE QUALITATIVE METHODS USED TO SOLICIT INPUT FROM PRIMARY SOURCES INCLUDED FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS. THE QUANTITATIVE METHODS UTILIZED A VARIETY OF PUBLICLY AVAILABLE SECONDARY SOURCES AND DATA COLLECTED THROUGH THE AWP SURVEY. PRIMARY DATA COLLECTION CONSISTED OF FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS CONDUCTED BETWEEN JULY AND AUGUST 2025. INPUT WAS OBTAINED FROM INDIVIDUALS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; REPRESENTATIVES OF FEDERAL, REGIONAL, STATE, AND LOCAL HEALTH DEPARTMENTS OR OTHER AGENCIES WITH CURRENT DATA OR INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED; AND LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY EXPERIENCING OR AT RISK OF CHRONIC DISEASE. ADDITIONAL INPUT WAS RECEIVED FROM OTHER INDIVIDUALS AND ORGANIZATIONS LOCATED IN AND/OR SERVING THE COMMUNITY. ORGANIZATIONS THAT PROVIDED INPUT FOR PRIMARY DATA INCLUDE ADVANTAGE BEHAVIORAL HEALTH SYSTEMS, GEORGIA FAMILY CONNECTION, OCONEE VALLEY HEALTHCARE, AND UNITED WAY OF NORTHEAST GEORGIA. ADDITIONALLY, A REPRESENTATIVE FROM THE GEORGIA DEPARTMENT OF PUBLIC HEALTH, NORTHEAST HEALTH DISTRICT, PROVIDED WRITTEN INPUT IDENTIFYING THE MOST PRESSING REGIONAL HEALTH NEEDS FROM THEIR PERSPECTIVE, INCLUDING HEALTH CARE ACCESS, MATERNAL HEALTH, AND BEHAVIORAL HEALTH. SECONDARY DATA SOURCES WERE USED TO GATHER DEMOGRAPHIC AND HEALTH INDICATOR DATA FOR THE ASSESSMENT. QUANTITATIVE ANALYSES WERE PERFORMED USING REPORTS GENERATED BY THE TRINITY HEALTH DATA HUB, WHICH ARE BASED ON EACH HOSPITAL'S DEFINED SERVICE AREA. THESE REPORTS PROVIDED COMPREHENSIVE INFORMATION ACROSS THE FOLLOWING INDICATORS: HEALTH CARE ACCESS, ECONOMIC STABILITY, EDUCATION, SOCIAL SUPPORT AND COMMUNITY CONTEXT, NEIGHBORHOOD AND PHYSICAL ENVIRONMENT, AND HEALTH OUTCOMES AND BEHAVIORS. SEVERAL INDICATORS WERE CALCULATED USING AREAL-WEIGHTED INTERPOLATION TO ESTIMATE THE VALUES FOR EACH CENSUS TRACT OVERLAPPING A HOSPITAL'S SERVICE AREAS. TRACT-LEVEL ESTIMATES WERE THEN AGGREGATED TO THE HOSPITAL REGION LEVEL. A RULE WAS APPLIED TO ENSURE THAT THE COMBINED PERCENTAGE OF ALL SELECTED HOSPITAL SERVICE AREAS DID NOT EXCEED 100 PERCENT FOR ANY CENSUS TRACT. EACH HOSPITAL REPORT INCLUDES THE MOST CURRENT DATA AVAILABLE FROM NATIONALLY RECOGNIZED SOURCES, SUCH AS THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, AND BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM.THE AWP SURVEY WAS DEVELOPED THROUGH AN ITERATIVE AND COLLABORATIVE PROCESS BETWEEN THE RESEARCH TEAM AND AWP INSTITUTIONAL PARTNERS. THE APPROACH FOCUSED ON CREATING A QUANTITATIVE SURVEY INSTRUMENT THAT ADDRESSED THE NEEDS OF COMMUNITY STAKEHOLDERS OPERATING ACROSS SURVEY DOMAINS, SUPPORTING STRONGER CROSS-SECTOR ALIGNMENT. THE DATA COLLECTION GARNERED 3,996 UNIQUE HOUSEHOLD RESPONSES. GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 6A: THE 2024 CHNA WAS CONDUCTED BY ST. MARY'S HEALTH CARE SYSTEM (INCLUDING ST. MARY'S HOSPITAL, GOOD SAMARITAN HOSPITAL, AND ST. MARY'S SACRED HEART HOSPITAL). GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 6B: THE 2024 CHNA WAS CONDUCTED IN COLLABORATION WITH THE AWP AND ITS PARTNERS, INCLUDING THE ATHENS AREA COMMUNITY FOUNDATION, FAMILY CONNECTION-COMMUNITIES IN SCHOOLS OF ATHENS, ADVANTAGE BEHAVIORAL HEALTH, ATHENS HOUSING AUTHORITY, PIEDMONT ATHENS REGIONAL MEDICAL CENTER, FOOD BANK OF NORTHEAST GEORGIA, ATHENS-CLARKE UNIFIED GOVERNMENT, ATHENS-CLARK COUNTY POLICE DEPARTMENT, CLARKE COUNTY SCHOOL DISTRICT, UNITED WAY OF NORTHEAST GEORGIA, JACKSON ELECTRIC MEMBERSHIP CORPORATION (EMC) FOUNDATION, ENVISION ATHENS, UNIVERSITY OF GEORGIA, AND ATHENS HOMELESS COALITION. GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 11: GOOD SAMARITAN HOSPITAL ACKNOWLEDGES THE BROAD RANGE OF PRIORITY HEALTH AND SOCIAL NEEDS IDENTIFIED THROUGH THE CHNA PROCESS. AFTER CAREFUL REVIEW, THE HOSPITAL DETERMINED IT COULD MOST EFFECTIVELY FOCUS ITS RESOURCES ON THOSE NEEDS THAT ARE THE MOST PRESSING, INSUFFICIENTLY ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. HEALTH CARE ACCESS EMERGED AS THE PRIMARY CONCERN OF THE FOCUS GROUP MEMBERS AND THE ADVISORY COUNCIL, AND WAS A COMMON THEME REFLECTED IN THE QUANTITATIVE DATA. BY PRIORITIZING HEALTH CARE ACCESS, GOOD SAMARITAN HOSPITAL COULD CREATE A MORE INCLUSIVE AND COMPREHENSIVE HEALTH CARE ENVIRONMENT ACROSS ITS SERVICE AREA. AS A RESULT OF THIS FOCUSED APPROACH, GOOD SAMARITAN HOSPITAL DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IDENTIFIED THROUGH THE CHNA PROCESS: BEHAVIORAL HEALTH, CARDIOVASCULAR DISEASE, MATERNAL HEALTH, DIABETES, ALZHEIMER'S DISEASE AND RELATED DEMENTIA, AND FOOD INSECURITY.GOOD SAMARITAN HOSPITAL ADDRESSED HEALTH CARE ACCESS IN FISCAL YEAR 2025 BY DEMONSTRATING A STRONG COMMITMENT TO IMPROVING COMMUNITY HEALTH, MEETING BOTH MEDICAL AND SOCIAL NEEDS, AND FOSTERING LONG-TERM HEALTH OUTCOMES IN RURAL AND UNDERSERVED POPULATIONS. THIS COMMITMENT WAS ADVANCED THROUGH THE FOLLOWING COMPREHENSIVE EFFORTS: CONTINUING ITS SUPPORT FOR OCONEE VALLEY HEALTHCARE, THE ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN THE AREA, GOOD SAMARITAN HOSPITAL ENHANCED ACCESS TO PRIMARY CARE SERVICES. THIS COLLABORATION, ALONG WITH ST. MARY'S MEDICAL GROUP, OFFERED EXPANDED OPPORTUNITIES FOR PRIMARY CARE PHYSICIANS TO SERVE IN RURAL COMMUNITIES. ADDITIONALLY, THE HOSPITAL PARTNERED WITH AUGUSTA UNIVERSITY/UNIVERSITY OF GEORGIA MEDICAL SCHOOL TO PROVIDE A RURAL ROTATION FOR RESIDENT PHYSICIANS, INTEGRATING THEM INTO HOSPITAL PRACTICES AND OCONEE VALLEY HEALTHCARE, THEREBY EXPANDING RURAL HEALTH CARE CAPACITY. THE HOSPITAL ALSO OFFERED CLINICAL TRAINING HOURS FOR STUDENTS, HELPING TO PREPARE THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS.PROVIDING INCREASED ACCESS TO LIFE-SAVING CARE, GOOD SAMARITAN HOSPITAL CONTINUED ITS COMMUNITY-BASED CPR TRAINING AND CERTIFICATION PROGRAM, CERTIFYING COMMUNITY MEMBERS IN FISCAL YEAR 2025. GOOD SAMARITAN HOSPITAL PARTNERED WITH FIRSTSOURCE, A PATIENT FINANCIAL SERVICES PROVIDER, TO ASSIST UNSERVED AND UNDERSERVED PATIENTS NAVIGATING MEDICAID AND FINANCIAL ASSISTANCE PROGRAMS, REDUCING FINANCIAL BARRIERS TO NECESSARY HEALTH CARE SERVICES. THE HOSPITAL PROVIDED NO-COST MAMMOGRAMS TO UNINSURED AND UNDERINSURED PATIENTS THROUGHOUT THE YEAR, PROMOTING EARLY DETECTION OF BREAST CANCER. IN COLLABORATION WITH THE GREENE COUNTY SENIOR CENTER, THE HOSPITAL ALSO DELIVERED QUARTERLY EDUCATIONAL PROGRAMS ON NUTRITION, PHYSICAL THERAPY, MENTAL HEALTH, AND BREAST CANCER AWARENESS, SPECIFICALLY TAILORED TO THE NEEDS OF SENIOR CITIZENS.RECOGNIZING THE CRITICAL ROLE FOOD SECURITY PLAYS IN OVERALL HEALTH, GOOD SAMARITAN HOSPITAL CONTINUED ITS COLLABORATION WITH THE GREENE COUNTY FOOD PANTRY AND SECOND HARVEST, INC. TO EXPAND ACCESS TO NUTRITIOUS FOOD. THIS PARTNERSHIP ENSURES EFFICIENT FOOD DISTRIBUTION TO RESIDENTS IN NEED AND MINIMIZES DUPLICATIVE EFFORTS. GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 7A:WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 9:AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 10A:WWW.STMARYSHEALTHCARESYSTEM.ORG/ABOUT-US/COMMUNITY-BENEFIT GOOD SAMARITAN HOSPITAL: PART V, LINE 16A, FAP WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE GOOD SAMARITAN HOSPITAL: PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE GOOD SAMARITAN HOSPITAL: PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.STMARYSHEALTHCARESYSTEM.ORG/FOR-PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: GOOD SAMARITAN HOSPITAL REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.GOOD SAMARITAN HOSPITAL ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $2,274,631, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: GOOD SAMARITAN HOSPITAL ENGAGES IN A VARIETY OF COMMUNITY BUILDING ACTIVITIES THAT STRENGTHEN THE CAPACITY OF THE COMMUNITY TO PROMOTE THE HEALTH AND WELL-BEING OF ITS RESIDENTS. THESE ACTIVITIES AIM TO IMPROVE ACCESS TO HEALTH SERVICES, ENHANCE PUBLIC HEALTH, AND ADVANCE KNOWLEDGE. GOOD SAMARITAN HOSPITAL PARTICIPATED IN THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2025:COALITION BUILDING - GOOD SAMARITAN HOSPITAL'S STAFF ACTIVELY SERVE ON THE ROTARY CLUB OF GREENE AND PUTNAM COUNTIES, GREENE COUNTY CHAMBER OF COMMERCE, GREENE COUNTY FAMILY CONNECTIONS, AND THE GREENE COUNTY HOUSING AND HOMELESS COMMITTEE. THE HOSPITAL'S INVOLVEMENT IN THESE ORGANIZATIONS DEMONSTRATES ITS COMMITMENT TO FOSTERING COLLABORATION AND COMMUNITY ENGAGEMENT TO ADDRESS PRESSING SOCIAL ISSUES. THROUGH PARTICIPATION IN THE ROTARY CLUB OF GREENE AND PUTNAM COUNTIES, THE HOSPITAL SUPPORTS LOCAL INITIATIVES THAT ENHANCE COMMUNITY WELL-BEING AND SERVICE PROJECTS AIMED AT IMPROVING QUALITY OF LIFE FOR RESIDENTS. COLLABORATING WITH THE GREENE COUNTY CHAMBER OF COMMERCE HELPS THE HOSPITAL ADVOCATE FOR ECONOMIC DEVELOPMENT AND BUSINESS GROWTH, WHICH IN TURN SUPPORTS THE HEALTH OF THE COMMUNITY. BY ENGAGING WITH GREENE COUNTY FAMILY CONNECTIONS, THE HOSPITAL CONTRIBUTES TO REDUCING BARRIERS, SERVICE GAPS, AND INEFFICIENCIES THAT IMPEDE PROGRESS AND POSITIVE OUTCOMES FOR CHILDREN, FAMILIES, AND COMMUNITIES. FURTHERMORE, INVOLVEMENT IN THE GREENE COUNTY HOUSING AND HOMELESS COMMITTEE ALLOWS THE HOSPITAL TO ADDRESS HOUSING INSECURITY, ENSURING THAT ALL RESIDENTS HAVE ACCESS TO SAFE AND STABLE LIVING CONDITIONS, WHICH ARE ESSENTIAL FOR OVERALL HEALTH.THE HOSPITAL PARTICIPATED IN MEETINGS WITH THE GEORGIA HOSPITAL ASSOCIATION (GHA), INCLUDING THE GHA RURAL HEALTH CARE SUMMIT. GOOD SAMARITAN HOSPITAL'S CHIEF ASSOCIATE NURSING OFFICER ALSO TOOK PART IN THE OCONEE VALLEY HEALTHCARE BOARD MEETING AND THE OCONEE HEALTHCARE BRUNCH, WHICH BROUGHT TOGETHER 15 LEADERS AND PROVIDERS WITHIN THE GREENE COUNTY AREA. THESE ENGAGEMENTS FOSTERED COLLABORATION AND DIALOGUE AROUND IMPROVING HEALTH CARE DELIVERY AND ECONOMIC SUSTAINABILITY IN THE REGION.COMMUNITY SUPPORT - GOOD SAMARITAN HOSPITAL SUPPORTED THE BOYS AND GIRLS CLUB, CONTRIBUTING TO PROGRAMS THAT ADDRESS FAMILY SUPPORT, YOUTH DEVELOPMENT, AND SOCIAL SERVICES. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: GOOD SAMARITAN HOSPITAL USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, GOOD SAMARITAN HOSPITAL IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, GOOD SAMARITAN HOSPITAL IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: GOOD SAMARITAN HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - GOOD SAMARITAN HOSPITAL ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY STAKEHOLDERS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, SOLICIT INPUT FROM FOCUS GROUPS AND STAKEHOLDER DISCUSSIONS, AND UTILIZE SECONDARY DATA SOURCES SUCH AS THE TRINITY HEALTH DATA HUB FOR SERVICE AREA DATA AND THE EMERGENCY DEPARTMENT FOR HOSPITAL-SPECIFIC DATA. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - GOOD SAMARITAN HOSPITAL COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. GOOD SAMARITAN HOSPITAL OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION - THE GEOGRAPHIC SERVICE AREA WAS DEFINED AT THE COUNTY-LEVEL FOR THE PURPOSES OF THE 2025 CHNA. THE FOLLOWING FIVE COUNTIES ARE DEFINED AS THE SERVICE AREA FOR GOOD SAMARITAN HOSPITAL: GREEN, HANCOCK, MORGAN, PUTNAM AND TALIAFERRO. GOOD SAMARITAN HOSPITAL IS THE ONLY HOSPITAL IN GREENE COUNTY AND THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER, OCONEE VALLEY HEALTHCARE.IN 2023, 18% OF THE SERVICE AREA POPULATION WAS UNDER THE AGE OF 18, WHILE 26% WERE AGE 65 AND OLDER. ON AVERAGE, 85% OF THE SERVICE AREA POPULATION HAD A HIGH SCHOOL DIPLOMA, AND 22% HAD A BACHELOR'S DEGREE. THE TOTAL POPULATION WITHIN THE SERVICE AREA IS 75,596. THE MAJORITY OF HOUSEHOLDS IN THE GOOD SAMARITAN HOSPITAL SERVICE AREA IDENTIFY AS NON-HISPANIC WHITE (53%), FOLLOWED BY AFRICAN AMERICAN (39%), HISPANIC (25%), ASIAN (1%), AND OTHER (2%). THE MEDIAN HOUSEHOLD INCOME FOR THE RESIDENTS WITHIN THE GOOD SAMARITAN CAMPUS RANGED FROM $38,570 TO $74,488. INCOME DATA REVEALED DISPARITIES BETWEEN RACIAL GROUPS, WITH WHITE HOUSEHOLDS REPORTING MEDIAN INCOME RANGING FROM $57,304 TO $94,877, COMPARED TO BLACK HOUSEHOLDS, WHOSE MEDIAN INCOME RANGED FROM $24,790 TO $66,000. THESE DISPARITIES HIGHLIGHT THE LACK OF FINANCIAL MOBILITY THAT DISPROPORTIONATELY AFFECT COMMUNITIES OF COLOR. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - GOOD SAMARITAN HOSPITAL IS GUIDED BY THE ST. MARY'S HEALTH CARE SYSTEM MISSION OF IMPROVING THE HEALTH OF THE PEOPLE OF OUR COMMUNITIES. GOOD SAMARITAN HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS. THE HOSPITAL OFFERS A WIDE RANGE OF SERVICES, INCLUDING GENERAL SURGERY AND A 24-HOUR EMERGENCY DEPARTMENT SERVING ALL WHO NEED EMERGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. AS A ST. MARY'S HEALTH CARE SYSTEM HOSPITAL, WE OFFER SPECIALTY SERVICES PROVIDED BY A NETWORK OF PHYSICIANS AND WE PROVIDE COMMUNITY MEMBERS ACCESS TO EXPERTS AND SPECIALTY SERVICES AT ST. MARY'S HOSPITAL IN ATHENS WHEN THEY REQUIRE CARE NOT AVAILABLE LOCALLY.COMMUNITY BENEFIT IS ONE WAY GOOD SAMARITAN HOSPITAL CARRIES OUT ITS MISSION AND DEMONSTRATES A COMMITMENT TO OUR CORE VALUES, REFLECTING HOW WE SERVE OUR COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION. GOOD SAMARITAN HOSPITAL OFFERS MANY PROGRAMS AND SERVICES TO ENSURE THE BEST QUALITY OF CARE IS GIVEN TO OUR PATIENTS, AS WELL AS HELPING THOSE IN NEED IN THE COMMUNITY. THROUGH OUR HEALTH EDUCATION PROGRAMS, HEALTH CARE SUPPORT SERVICES, VALUED COMMUNITY PARTNERSHIPS, AND CHARITY CARE PROVISIONS, GOOD SAMARITAN HOSPITAL IS IMPROVING THE HEALTH AND WELL-BEING OF INDIVIDUALS AND FAMILIES THAT MAKE UP OUR COMMUNITY. EACH YEAR, GOOD SAMARITAN HOSPITAL WELCOMES STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES WHO ARE STUDYING TO BECOME THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS. THE STAFF OF GOOD SAMARITAN HOSPITAL MENTOR AND EDUCATE THESE STUDENTS IN THE UNIQUE SETTINGS OF A HEALTH CARE FACILITY. THE EXPERIENCE AND KNOWLEDGE GAINED THROUGH THESE PROGRAMS IS INVALUABLE TO THE STUDENTS' FUTURE CAREERS, WHILE BENEFITING THE HEALTH CARE FIELD AND THE COMMUNITY. IN FISCAL YEAR 2025, GOOD SAMARITAN HOSPITAL STRENGTHENED ITS COMMUNITY ENGAGEMENT BY PARTICIPATING IN NUMEROUS COMMITTEES, COALITIONS, AND ADVISORY GROUPS. HOSPITAL LEADERSHIP AND STAFF WERE ACTIVE MEMBERS OF THE GREENE COUNTY CHAMBERS OF COMMERCE, REFLECTING THE HOSPITAL'S COMMITMENT TO ADDRESSING COMMUNITY HEALTH AND SOCIOECONOMIC CHALLENGES.GOOD SAMARITAN HOSPITAL ALSO CONTINUED ITS ACTIVE INVOLVEMENT IN COMMUNITY EVENTS AND HEALTH FAIRS ACROSS GREENE AND PUTNAM COUNTIES, OFFERING FREE HEALTH EDUCATIONAL RESOURCES. THESE INITIATIVES INCREASE PUBLIC AWARENESS OF HEALTH ISSUES AND PROVIDE DIRECT SUPPORT TO COMMUNITY MEMBERS, ESPECIALLY THOSE IN UNDERSERVED POPULATIONS.ST. MARY'S HEALTH CARE SYSTEM CONTINUED TO ADVOCATE FOR AND ADVANCED THE ROLE OF COMMUNITY HEALTH WORKERS (CHW'S) ACROSS GEORGIA, IN A COMMITMENT TO ADDRESS HEALTH DISPARITIES AND IMPROVE ACCESS TO CARE FOR THOSE WHO ARE UNDERSERVED. GEORGIA WATCH, A CONSUMER ADVOCACY ORGANIZATION, AND HOSPITAL REPRESENTATIVES WORKED WITH STATE LEGISLATORS TO SUPPORT LEGISLATION THAT WOULD ESTABLISH A FORMAL LICENSURE PROCESS FOR CHW'S. THIS LEGISLATION AIMED TO ENSURE STANDARDIZED TRAINING, CERTIFICATION, AND PROFESSIONAL RECOGNITION OF CHW'S THROUGHOUT THE STATE, WHILE ALSO ENABLING REIMBURSEMENT THROUGH MEDICAID AND OTHER PAYERS. THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, THE HOSPITAL EDUCATED THE PUBLIC AND POLICYMAKERS ON THE IMPORTANCE OF EXPANDING THE CHW WORKFORCE TO ADDRESS HEALTH INEQUITIES, PARTICULARLY IN RURAL AND UNDERSERVED AREAS.DURING FISCAL YEAR 2025, GOOD SAMARITAN HOSPITAL MADE THE FOLLOWING EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH WITHIN THE COMMUNITY AS PART OF THE HOSPITAL'S BROADER COMMITMENT TO IMPROVING HEALTH OUTCOMES: FOOD SECURITY - UNDERSTANDING THE CRITICAL LINK BETWEEN NUTRITION AND HEALTH, GOOD SAMARITAN HOSPITAL PARTNERED WITH LOCAL ORGANIZATIONS LIKE THE SECOND HARVEST, INC. AND THE GREENE COUNTY FOOD PANTRY TO EXPAND ACCESS TO NUTRITIOUS FOOD FOR UNDERSERVED POPULATIONS.CHW-LED SOCIAL CARE NAVIGATION - ST. MARY'S HEALTH CARE SYSTEM CONTINUED THE CHW PROGRAM IN RURAL AREAS TO ASSESS PATIENT'S SOCIAL NEEDS SUCH AS EMPLOYMENT, HOUSING, FOOD ACCESS, AND TRANSPORTATION. THE CHW PROGRAM CONNECTS PATIENTS TO COMMUNITY RESOURCES AND SERVICES, WHILE ALSO ASSISTING THEM IN NAVIGATING SOCIAL SYSTEMS THAT COULD IMPROVE THEIR ECONOMIC AND SOCIAL CONDITIONS. THIS HOLISTIC APPROACH HELPS ADDRESS UNDERLYING SOCIAL INFLUENCERS THAT OFTEN GO UNRECOGNIZED DURING STANDARD HEALTH CARE INTERACTIONS. IN FISCAL YEAR 2025, ST. MARY'S HEALTH CARE SYSTEM CEO, STONISH PIERCE, JOINED TRINITY HEALTH LEADERS AND THE GEORGIA HOSPITAL ASSOCIATION ON CAPITOL HILL TO RAISE AWARENESS AMONG LOCAL ELECTED OFFICIALS ON THE IMPACTS OF PROPOSED CUTS TO MEDICAID AND OTHER HEALTH CARE PROGRAMS AND FUNDING SOURCES. IN FISCAL YEAR 2025, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. ST. MARY'S HEALTH CARE SYSTEM'S COMMUNITY IMPACT IN FISCAL YEAR 2025 TOTALED $54.2 MILLION. PART VI, LINE 6: GOOD SAMARITAN HOSPITAL IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. 1 ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 811660088 501(C)(3) 15823 0 PROGRAM SUPPORT 1 0 PART I, LINE 2: DONATIONS MADE BY GOOD SAMARITAN HOSPITAL TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 D MONTEZ CARTER FORMER OFFICER; TH OF NE PRES & CEO 0 846241 0 409155 0 122988 0 245931 0 35131 0 1659446 0 100506 MICHAEL GUSHO TREAS THR 12/24; CFO SVC AREA SOUTH 0 678393 0 220404 0 128440 0 20425 0 32221 0 1079883 0 0 DAVID SPIVEY FORMER OFFICER 0 99885 0 0 0 556878 0 372703 0 15265 0 1044731 0 0 STONISH PIERCE DIRECTOR; PRESIDENT & CEO 0 528535 0 240139 0 32976 0 156644 0 35983 0 994277 0 7543 JANICE DUNN FORMER OFFICER 0 45789 0 51555 0 313954 0 53040 0 15464 0 479802 0 0 JEFFREY BROWN SENIOR VICE PRESIDENT, OPERATIONS 0 276928 0 70916 0 3528 0 20425 0 12560 0 384357 0 0 ELIZABETH SCHOEN SECRETARY; ASSOCIATE COUNSEL 0 233830 0 31782 0 1577 0 18200 0 31988 0 317377 0 0 DONALD SOUTHARD NURSING SUPERVISOR 176403 0 0 0 2330 0 9945 0 12056 0 200734 0 0 0 JOSEPH HANCOCK PHARMACIST 147901 0 0 0 569 0 10172 0 32097 0 190739 0 0 0 MICHAEL BORN MD INT CHIEF MEDICAL OFFICER THR 12/24 0 170000 0 0 0 0 0 0 0 0 0 170000 0 0 CYNTHIA DAVIS MANAGER, REHABILITATION 127511 0 0 0 154 0 8783 0 30512 0 166960 0 0 0 LISA BATCHELOR SURGICAL NURSE 130698 0 0 0 174 0 7392 0 12342 0 150606 0 0 0 TANYA ADCOCK FORMER OFFICER 0 0 0 0 0 126325 0 0 0 0 0 126325 0 126325 PART I, LINE 3 GOOD SAMARITAN HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. GOOD SAMARITAN HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF GOOD SAMARITAN HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2024. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: TANYA ADCOCK - $126,325 JANICE DUNN - $299,934 DAVID SPIVEY - $534,765 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/24: JANICE DUNN - $46,656 (PAID IN 2025) DAVID SPIVEY - $368,445 (PAID IN 2025) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: D. MONTEZ CARTER - $105,121 MICHAEL GUSHO - $106,209 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: D. MONTEZ CARTER - $225,506 STONISH PIERCE - $139,969 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JANICE DUNN - $498 STONISH PIERCE - $19,169 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. REBECCA HOPKINS FAMILY MEMBER OF KRISTINE HOPKINS, BOARD MEMBER 129142 EMPLOYMENT ARRANGEMENT 0 FORM 990, PART VI, SECTION A, LINE 4 GOOD SAMARITAN HOSPITAL, INC. FILED THE CERTIFICATE OF AMENDMENT OF ITS ARTICLES OF INCORPORATION TO CHANGE ITS NAME TO ST. MARY'S GOOD SAMARITAN HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. MARY'S GOOD SAMARITAN HOSPITAL (GOOD SAMARITAN HOSPITAL) IS TRINITY HEALTH GEORGIA. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH GEORGIA IS THE SOLE MEMBER OF GOOD SAMARITAN HOSPITAL. TRINITY HEALTH GEORGIA HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH GEORGIA MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH GEORGIA MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION A, LINE 8B LINE 8B IS ANSWERED "NO" BECAUSE GOOD SAMARITAN HOSPITAL HAD NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR GOOD SAMARITAN HOSPITAL IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C GOOD SAMARITAN HOSPITAL HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF GOOD SAMARITAN HOSPITAL, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, AND KEY EMPLOYEES. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF GOOD SAMARITAN HOSPITAL AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO GOOD SAMARITAN HOSPITAL OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF GOOD SAMARITAN HOSPITAL. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF GOOD SAMARITAN HOSPITAL IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING SYSTEM CEO, CFO, AND VICE PRESIDENT FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE SYSTEM CEO, CFO, AND VICE PRESIDENT FINANCE OF GOOD SAMARITAN HOSPITAL ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOOD SAMARITAN HOSPITAL IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, GOOD SAMARITAN HOSPITAL INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. GOOD SAMARITAN HOSPITAL'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 113,897. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,897. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 1,438,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,438,017. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 9,500. MANAGEMENT AND GENERAL EXPENSES 8,223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,723. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 133,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,812. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 314,571. MANAGEMENT AND GENERAL EXPENSES 6,669,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,984,198. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 341,610. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 341,610. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFLIATES 14,798. ASSET IMPAIRMENT -15,764. FORM 990, PART XII, LINE 2: GOOD SAMARITAN HOSPITAL'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, PART C, DOING BUSINESS AS NAMES: ST. MARY'S GOOD SAMARITAN HOSPITAL ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 1000 4TH STREET SW MASON CITY IA 50401 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICE CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW ELKADER IA 52043 420818642 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC 1 COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(C)(3) LINE 7 COVENANT MEDICAL CENTER INC 1 COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE HOME INFUSION SERVICE INC 10 BLACKSMITH DRIVE MALTA NY 12020 141795732 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC 1 FARREN CARE CENTER INC PO BOX 9184 FARMINGTON HILLS MI 48333 042501711 LONG TERM CARE MA 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES 1 FRANCISCAN ELDERCARE CORPORATION PO BOX 2500 WILMINGTON DE 19805 223008680 LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC 1 GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 FOUNDATION IA 501(C)(3) LINE 7 GENESIS HEALTH SYSTEM 1 GENESIS HEALTH SYSTEM 1227 E RUSHOLME STREET DAVENPORT IA 52803 421418847 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM (IL) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE BENEFIT TRUST IA 501(C)(3) LINE 12A, I GENESIS HEALTH SYSTEM 1 GENESIS MEDICAL CENTER ALEDO 409 NW 9TH AVENUE ALEDO IL 61231 454475683 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (IL) 1 GLACIER HILLS FOUNDATION PO BOX 530009 LIVONIA MI 48152 208072723 FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC 1 GLACIER HILLS INC PO BOX 500039 LIVONIA MI 48152 381891500 SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 GLEN EDDY INC 1 GLEN EDDY DRIVE NISKAYUNA NY 12309 141794150 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 GLOBAL HEALTH MINISTRY 20555 VICTOR PARKWAY LIVONIA MI 48152 421253527 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION 701 W NORTH AVE MELROSE PARK IL 60160 363332852 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 GOTTLIEB MEMORIAL FOUNDATION 701 WEST NORTH AVENUE MELROSE PARK IL 60160 743260011 FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A 0 GOTTLIEB MEMORIAL HOSPITAL 701 W NORTH AVE MELROSE PARK IL 60160 362379649 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 HAWTHORNE RIDGE INC 30 COMMUNITY WAY EAST GREENBUSH NY 12061 800102840 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HEARTWOOD LODGE TRINITY HEALTH PO BOX 530009 LIVONIA MI 48152 382602971 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HERITAGE HOUSE NURSING CENTER INC 2920 TIBBITS AVE TROY NY 12180 141725101 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOLY CROSS CARENET INC PO BOX 530009 LIVONIA MI 48152 521945054 LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 HOLY CROSS HEALTH FOUNDATION INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 208428450 FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC 1 HOLY CROSS HEALTH INC 1500 FOREST GLEN ROAD SILVER SPRING MD 20910 520738041 HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS HOSPITAL INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 590791028 HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 HOLY CROSS OUTPATIENT SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 465421068 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS PRIMARY CARE INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 812531495 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOLY CROSS SENIOR SERVICES INC 4725 NORTH FEDERAL HIGHWAY FT LAUDERDALE FL 33308 832256461 HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC 1 HOME AIDE SERVICE OF EASTERN NEW YORK INC 433 RIVER ST SUITE 3000 TROY NY 12180 141514867 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 HOSPICE OF NORTH IOWA 232 SECOND STREET SE MASON CITY IA 50401 421173708 HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP 1 HOSPICE OF NORTH OTTAWA COMMUNITY INC PO BOX 532020 LIVONIA MI 48153 382370192 HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 421323808 HEALTH CARE SERVICES IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 IHA HEALTH SERVICES CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48105 383316559 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 JOHNSON MEMORIAL HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 475676956 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 LANGHORNE MRI INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232519529 HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 LIFE AT LOURDES INC 2475 MCCLELLAN AVENUE PENNSAUKEN NJ 08109 261854750 PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE AT ST FRANCIS HEALTHCARE INC 1072 JUSTISON STREET WILMINGTON DE 19801 452569214 PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST JOSEPH OF THE PINES INC 4900 RAEFORD ROAD FAYETTEVILLE NC 28304 272159847 PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LIFE ST MARY 2500 NORTHGATE ROAD TREVOSE PA 19053 262976184 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 LOYOLA MEDICINE TRANSPORT LLC 905 W NORTH AVE MELROSE PARK IL 60160 474147171 TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER 1 LOYOLA UNIVERSITY HEALTH SYSTEM 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363342448 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 LOYOLA UNIVERSITY MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364015560 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM 1 LTC (EDDY) INC 2212 BURDETT AVE TROY NY 12180 222564710 MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS 1 MAXIS HEALTH SYSTEM 20555 VICTOR PARKWAY LIVONIA MI 48152 911940902 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 MCAULEY CENTER INC PO BOX 530009 LIVONIA MI 48152 061058086 SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC 1 MCAULEY MINISTRIES 3333 FIFTH AVENUE PITTSBURGH PA 15213 943436142 GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY AUXILARY 814 13TH AVE N UNIT 6A CLINTON IA 53732 421348035 VOLUNTEER SERVICE AUXILIARY IA 501(C)(3) LINE 12A, I N/A 0 MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 426076069 VOLUNTEER SERVICE AUXILIARY IA 501(C)(3) LINE 12A, I MERCY FOUNDATION OF DES MOINES IOWA 1 MERCY CARE CENTER 3753 SOUTH COTTAGE GROVE AVE CHICAGO IL 60653 853904921 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY CARE FOUNDATION INC 424 DECATUR STREET ATLANTA GA 30312 581448522 FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA 3805 W CHESTER PIKE STE 100 NEWTOWN SQUARE PA 19073 231352191 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY CLINICS INC 1111 6TH AVENUE DES MOINES IA 50314 421193699 HEALTH CARE SERVICES IA 501(C)(3) LINE 10 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY COLLEGE OF HEALTH SCIENCES 928 6TH AVENUE DES MOINES IA 50309 421511682 COLLEGE OF HEALTH SCIENCE IA 501(C)(3) LINE 2 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY COMMUNITY HEALTH INC PO BOX 530009 LIVONIA MI 48152 061492707 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES 1 MERCY FAMILY SUPPORT 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325059 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES 1 MERCY FOUNDATION OF DES MOINES IOWA 1111 6TH AVENUE DES MOINES IA 50314 237358794 FOUNDATION IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY FOUNDATION INC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363227350 FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE PO BOX 532020 LIVONIA MI 48153 383321856 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232829864 FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HEALTH NETWORK INC 411 LAUREL STREET SUITE 200 DES MOINES IA 50314 421478417 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTH PARTNERS 1500 E SHERMAN BLVD MUSKEGON MI 49444 382589966 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MERCY HEALTH SYSTEM OF CHICAGO 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363163327 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 MERCY HEALTHCARE FOUNDATION - CLINTON 1410 N 4TH ST CLINTON IA 52732 421316126 FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC 1 MERCY HOME HEALTH PO BOX 532020 LIVONIA MI 48153 231352099 HOME HEALTH SERVICES PA 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 MERCY HOME HEALTH SERVICES 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232325058 MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MERCY HOSPITAL AND MEDICAL CENTER 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 362170152 HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO 1 MERCY HOSPITAL CADILLAC FOUNDATION 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 203357131 FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN 1 MERCY HOSPITAL OF FRANCISCAN SISTERS INC 201 8TH AVENUE SE OELWEIN IA 50662 421178403 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 MERCY LIFE 1930 SOUTH BROAD STREET PHILADELPHIA PA 19145 232840137 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE CENTER CORPORATION 1200 REEDSDALE STREET PITTSBURGH PA 15233 251604115 COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC 1 MERCY LIFE OF ALABAMA PO BOX 7957 MOBILE AL 36670 273163002 PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY LIFE INC 200 HILLSIDE CIRCLE WEST SPRINGFIELD MA 01089 453086711 PACE PROGRAM MA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232627944 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 MERCY MEDICAL CENTER - CENTERVILLE 1 ST JOSEPHS DRIVE CENTERVILLE IA 52544 420680308 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY MEDICAL CENTER - CLINTON INC 1410 NORTH 4TH ST CLINTON IA 52732 421336618 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER - NEWTON 204 N 4TH AVE E NEWTON IA 50208 421470935 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1 MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 141880022 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA 1000 4TH STREET SW MASON CITY IA 50401 421229151 FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP 1 MERCY MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 454884805 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SENIOR CARE INC 424 DECATUR STREET ATLANTA GA 30312 581366508 COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES DOWNTOWN INC 424 DECATUR STREET ATLANTA GA 30312 272046353 TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION PO BOX 530009 LIVONIA MI 48152 382719605 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 MERCY SPECIALIST PHYSICIANS INC 114 WOODLAND STREET HARTFORD CT 06105 264033168 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 MERCY SUBURBAN HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 231396763 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 MOUNT CARMEL COLLEGE OF NURSING 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311308555 COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH INSURANCE COMPANY 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 251912781 HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 873948434 MEDICARE HMO CT 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF IDAHO INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 831422704 MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN OF NEW YORK INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 833278543 MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 MOUNT CARMEL HEALTH PLAN INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311471229 MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM 1 MOUNT CARMEL HEALTH SYSTEM 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311439334 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 MOUNT CARMEL HEALTH SYSTEM FOUNDATION 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311113966 FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM 1 MOUNT SINAI HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222584082 FOUNDATION CT 501(C)(3) LINE 12A, I N/A 0 MOUNT SINAI REHABILITATION HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 061422973 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 MOUNT ST JOSEPH PO BOX 530009 LIVONIA MI 48152 010274998 LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 MUSKEGON COMMUNITY HEALTH PROJECT 1675 LEAHY ST SUITE 210 MUSKEGON MI 49442 911932918 COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS 1 NAZARETH HOSPITAL 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232794121 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 NAZARETH PHYSICIAN SERVICES INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 203261266 HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK 1 NORTH OTTAWA HOSPITAL AUXILIARY INC 1309 SHELDON ROAD GRAND HAVEN MI 49417 386088836 FUNDRAISING MI 501(C)(3) LINE 12D, III-O N/A 0 NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD 3421 WEST NINTH STREET WATERLOO IA 50702 421207432 TITLE HOLDING COMPANY IA 501(C)(2) N/A WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 OAKLAND MERCY HOSPITAL 1000 4TH STREET SW MASON CITY IA 50401 208072234 HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 OAKLAND MERCY HOSPITAL FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 311678345 FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL 1 OSUMOUNT CARMEL HEALTH ALLIANCE 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311654603 COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A 0 OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND NY 12084 141743506 LONG TERM CARE NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 PIONEER VALLEY CARDIOLOGY ASSOCIATES INC 114 WOODLAND STREET HARTFORD CT 06105 454208896 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 PITTSBURGH MERCY HEALTH SYSTEM INC 1200 REEDSDALE STREET PITTSBURGH PA 15233 251464211 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 PROBILITY THERAPY SERVICES 2058 S STATE STREET ANN ARBOR MI 48104 202020239 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 PROFESSIONAL MED TEAM 965 FORK STREET MUSKEGON MI 49442 382638284 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS 1 RIVERBEND MEDICAL GROUP INC 114 WOODLAND STREET HARTFORD CT 06105 811807730 HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC 1 SJ MANAGEMENT COMPANY OF SYRACUSE INC 301 PROSPECT AVENUE SYRACUSE NY 13203 271763712 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 SAINT AGNES MEDICAL CENTER 1303 EAST HERNDON AVE FRESNO CA 93720 941437713 HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 SAINT AGNES MEDICAL FOUNDATION 1303 EAST HERNDON AVE FRESNO CA 93720 942839324 HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER 1 SAINT ALPHONSUS FOUNDATION-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 943164869 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC 1 SAINT ALPHONSUS FOUNDATION-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 202683560 FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC 1 SAINT ALPHONSUS HEALTH SYSTEM INC 1055 NORTH CURTIS ROAD BOISE ID 83706 271929502 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 271790052 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 4300 E FLAMINGO AVENUE NAMPA ID 83687 261737256 FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC 1 SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC 4300 E FLAMINGO AVENUE NAMPA ID 83687 820200896 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 271789847 HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC 1055 NORTH CURTIS ROAD BOISE ID 83706 820200895 HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 060646813 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 061008255 FOUNDATION CT 501(C)(3) LINE 7 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER 1 SAINT JOSEPH PACE INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473129127 PACE PROGRAM IN 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46563 351142669 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 350868157 HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 351568821 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S HEALTH SYSTEM INC 424 DECATUR STREET ATLANTA GA 30312 581744848 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION 1 SAINT JOSEPH'S MERCY CARE SERVICES INC 424 DECATUR STREET ATLANTA GA 30312 581752700 HEALTH CARE SERVICES GA 501(C)(3) LINE 10 SAINT JOSEPH'S HEALTH SYSTEM INC 1 SAINT JOSEPH'S TOWER INC PO BOX 530009 LIVONIA MI 48152 311040468 SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES-INDIANA INC 1 SAINT MARY HOME INCORPORATED PO BOX 530009 LIVONIA MI 48152 060646843 LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC 1 SAINT MARY'S AMICARE HOME HEALTHCARE PO BOX 532020 LIVONIA MI 48153 383320700 HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 SAINT MARY'S FOUNDATION 200 JEFFERSON ST SE GRAND RAPIDS MI 49503 381779602 FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN 1 SAINT MARY'S HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 060646844 HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 SAMARITAN HOSPITAL 2215 BURDETT AVE TROY NY 12180 141338544 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SAMARITAN HOSPITAL AND THE EDDY FOUNDATION 310 SOUTH MANNING BLVD ALBANY NY 12208 222743478 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 SARTORI HEALTH CARE FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421240996 FOUNDATION IA 501(C)(3) LINE 7 SARTORI MEMORIAL HOSPITAL INC 1 SARTORI MEMORIAL HOSPITAL INC 515 COLLEGE STREET CEDAR FALLS IA 50613 420758901 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 SENIOR CARE CONNECTION INC 1938 CURRY ROAD SCHENECTADY NY 12303 141708754 PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE ONE ABELE BLVD CLIFTON PARK NY 12065 141756230 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 SJHSJOC HOLDINGS INC 424 DECATUR STREET ATLANTA GA 30312 472299757 HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC 1 ST MARY'S HOSPITAL FOUNDATION INC 114 WOODLAND STREET HARTFORD CT 06105 222528400 FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC 1 ST FRANCIS HOSPITAL INC PO BOX 2500 WILMINGTON DE 19805 510064326 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 ST JAMES MERCY HEALTH SYSTEM INC 20555 VICTOR PARKWAY LIVONIA MI 48152 223127184 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ST JOSEPH MERCY CHELSEA INC 775 SOUTH MAIN ST CHELSEA MI 48118 824757260 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 ST JOSEPH OF THE PINES INC PO BOX 530009 LIVONIA MI 48152 560694200 LONG TERM CARE NC 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER 206 PROSPECT AVENUE SYRACUSE NY 13203 202497520 COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S HEALTH AT HOME INC PO BOX 532020 LIVONIA MI 48153 871012253 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES 1 ST JOSEPH'S HEALTH CENTER PROPERTIES INC 301 PROSPECT AVENUE SYRACUSE NY 13203 237219294 BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HEALTH INC 301 PROSPECT AVENUE SYRACUSE NY 13203 474754987 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 ST JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE SYRACUSE NY 13203 150532254 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC 301 PROSPECT AVENUE SYRACUSE NY 13203 222149775 FOUNDATION NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 ST JOSEPH'S MEDICAL PC 301 PROSPECT AVENUE SYRACUSE NY 13203 273899821 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER 1 ST JOSEPH'S PHYSICIAN HEALTH PC 315 SOUTH MANNING BLVD ALBANY NY 12208 161516863 HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST PETER'S HEALTH PARTNERS 1 ST MARY BUILDING AND DEVELOPMENT 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 461827502 TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER 1 ST MARY EMERGENCY MEDICAL SERVICES 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 465354512 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER 1 ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 231913910 HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 ST MARY'S FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 582544232 FOUNDATION GA 501(C)(3) LINE 7 TRINITY HEALTH GEORGIA INC 1 ST MARY'S GOOD SAMARITAN FOUNDATION INC 1230 BAXTER STREET ATHENS GA 30606 811660088 FOUNDATION GA 501(C)(3) LINE 7 TRINITY HEALTH GEORGIA INC 1 ST MARY'S GOOD SAMARITAN HOSPITAL INC 5401 LAKE OCONEE PARKWAY GREENSBORO GA 30642 261720984 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 0 ST MARY'S HIGHLAND HILLS INC 1230 BAXTER STREET ATHENS GA 30606 020576648 SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 ST MARY'S HOSPITAL INC 1230 BAXTER STREET ATHENS GA 30606 580566223 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 ST MARY'S MEDICAL GROUP INC 1230 BAXTER STREET ATHENS GA 30606 261858563 HEALTH CARE SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 ST MARY'S SACRED HEART HOSPITAL INC 367 CLEAR CREEK PARKWAY LAVONIA GA 30553 473752176 HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC 1 ST PETER'S HEALTH PARTNERS 315 SOUTH MANNING BLVD ALBANY NY 12208 453570715 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC 315 SOUTH MANNING BLVD ALBANY NY 12208 461177336 HEALTH CARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL 315 SOUTH MANNING BLVD ALBANY NY 12208 141348692 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 ST PETER'S HOSPITAL FOUNDATION INC 310 SOUTH MANNING BLVD ALBANY NY 12208 222262982 FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1270 BELMONT AVENUE SCHENECTADY NY 12308 141338386 HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC 1270 BELMONT AVE SCHENECTADY NY 12308 222505127 FOUNDATION NY 501(C)(3) LINE 7 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER 1 THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC 301 PROSPECT AVENUE SYRACUSE NY 13203 203018640 VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 12C, III-FI ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC 1 THE COMMUNITY HOSPICE FOUNDATION INC 445 NEW KARNER RD ALBANY NY 12205 222692940 FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC 1 THE COMMUNITY HOSPICE INC 445 NEW KARNER RD ALBANY NY 12205 141608921 HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS 1 THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 351654543 FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC 1 THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC 2256 BURDETT AVE TROY NY 12180 222570478 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MARJORIE DOYLE ROCKWELL CENTER INC 421 WEST COLUMBIA ST COHOES NY 12047 141793885 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 THE MERCY HOSPITAL INC 114 WOODLAND STREET HARTFORD CT 06105 043398280 HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER 114 WOODLAND STREET HARTFORD CT 06105 060660403 VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12A, I N/A 0 TRI-HOSPITAL EMERGENCY MEDICAL SERVICES 309 GRAND RIVER PORT HURON MI 48060 382485700 HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A 0 TRINITY CONTINUING CARE SERVICES PO BOX 530009 LIVONIA MI 48152 382559656 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 TRINITY CONTINUING CARE SERVICES - INDIANA PO BOX 530009 LIVONIA MI 48152 930907047 LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS PO BOX 530009 LIVONIA MI 48152 824005577 LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES 1 TRINITY HEALTH - MICHIGAN 20555 VICTOR PARKWAY LIVONIA MI 48152 382113393 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 TRINITY HEALTH CORPORATION 20555 VICTOR PARKWAY LIVONIA MI 48152 351443425 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES 1 TRINITY HEALTH GEORGIA INC 1230 BAXTER STREET ATHENS GA 30606 880878641 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL) 1309 SHELDON ROAD GRAND HAVEN MI 49417 383330803 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 1 TRINITY HEALTH LIFE PENNSYLVANIA INC 20555 VICTOR PARKWAY LIVONIA MI 48152 475244984 PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232571699 HEALTH CARE SERVICES PA 501(C)(3) LINE 10 TRINITY HEALTH OF THE MID-ATLANTIC REGION 1 TRINITY HEALTH OF NEW ENGLAND CORPORATION INC 114 WOODLAND STREET HARTFORD CT 06105 061491191 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 833546613 HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC 114 WOODLAND STREET HARTFORD CT 06105 061450168 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 TRINITY HEALTH OF THE MID-ATLANTIC REGION 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232212638 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH PACE 20555 VICTOR PARKWAY LIVONIA MI 48152 473073124 PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION 1 TRINITY HEALTH PACE ALEXANDRIA INC 3403 GOVERNMENT STREET ALEXANDRIA LA 71302 923433625 PACE PROGRAM LA 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC 200 PERRY PARKWAY GAITHERSBURG MD 20877 923450659 PACE PROGRAM MD 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH PACE OF PENSACOLA INC 5020 COMMERCE PARK CIRCLE PENSACOLA FL 32505 922940854 PACE PROGRAM FL 501(C)(3) LINE 10 TRINITY HEALTH PACE 1 TRINITY HEALTH PLAN OF MICHIGAN INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 843836552 MEDICARE HMO MI 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC 1 TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN 1309 SHELDON ROAD GRAND HAVEN MI 49417 933727867 HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS 1 TRINITY HEALTH WELFARE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 208151733 RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION 1 TRINITY HOME HEALTH SERVICES PO BOX 532020 LIVONIA MI 48153 382621935 MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION 1 VILLA MARY IMMACULATE 301 HACKETT BLVD ALBANY NY 12208 141438749 LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL 1 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 3421 WEST NINTH STREET WATERLOO IA 50702 421177001 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IA 501(C)(3) LINE 12B, II MERCY HEALTH NETWORK INC 1 ADVENT REHABILITATION LLC 625 KENMOOR AVE SE SUITE 100 GRAND RAPIDS MI 49546 383306673 REHABILITATION THERAPY SERVICES MI N/A 0 1 BH VENTURE ONE LP 905 WATSON STREET PITTSBURGH PA 15219 384098074 REAL ESTATE PA N/A 0 1 BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP 6150 EAST BROAD STREET COLUMBUS OH 48213 311608125 MEDICAL OFFICE BUILDING RENTAL OH N/A 0 1 CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DRIVE YPSILANTI MI 48197 030447062 PROVIDE GASTROINTESTINAL SERVICES MI N/A 0 0 CONVENIENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 721439481 URGENT CARE CENTER LA N/A 0 1 DIAGNOSTIC IMAGING OF SOUTHBURY LLC 385 MAIN STREET SOUTH SOUTHBURY CT 06488 061487582 IMAGING CENTER CT N/A 0 1 EVERETT ROAD ASC LLC 30 CENTURY HILL DRIVE LATHAM NY 12110 833542382 MEDICAL SERVICES NY N/A 0 1 FOREST PARK IMAGING LLC 1000 4TH STREET SW MASON CITY IA 50401 134365966 X-RAY AND MAMMOGRAPHY SERVICES IA N/A 0 1 GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 562315623 AMBULATORY SURGERY CENTER IA N/A 0 0 GENRAD IMAGING ILLINOIS LLC 1970 E 53RD STREET DAVENPORT IA 52807 473785124 DIAGNOSTIC IMAGING CENTER IL N/A 0 1 GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT IA 52807 453571628 DIAGNOSTIC IMAGING CENTER IA N/A 0 1 HAWARDEN REGIONAL HEALTH CLINICS LLC 1111 11TH ST HAWARDEN IA 51023 201444339 MEDICAL CLINIC IA N/A 0 1 HEALTHRISE BUSINESS INTELLIGENCE LLC 31700 MIDDLEBELT FARMINGTON HILLS MI 48334 845053960 REVENUE CYCLE MANAGEMENT DE N/A 0 0 HURON GASTRO ENDOSCOPY CENTER LLC 5300 ELLIOTT DRIVE YPSILANTI MI 48197 853580801 MEDICAL SERVICES MI N/A 0 0 INTERMOUNTAIN MEDICAL IMAGING LLC 877 WEST MAIN ST STE 603 BOISE ID 83702 820514422 IMAGING CENTER ID N/A 0 1 LANGHORNE MOB PARTNERS LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232622772 MEDICAL OFFICE BUILDING RENTAL PA N/A 0 1 LCMC URGENT CARE LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 300951534 URGENT CARE CENTER DE N/A 0 1 LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP 1 WESTBROOK CORP CTR WESTCHESTER IL 60154 364119522 SURGICAL SERVICES IL N/A 0 1 MAGNETIC RESONANCE SERVICES PARTNERSHIP 1416 SIXTH STREET SW MASON CITY IA 50401 421328388 MRI SERVICES IA N/A 0 1 MASON CITY AMBULATORY SURGERY CENTER LLC 990 4TH STREET SW MASON CITY IA 50401 201960348 SURGERY-SAME DAY IA N/A 0 1 MCE MOB IV LIMITED PARTNERSHIP 3100 EASTON SQUARE PL SUITE 300 COLUMBUS OH 43219 421544707 MEDICAL OFFICE BUILDING RENTAL OH N/A 0 1 MERCY HEART CTR OP SERVICES LLC 1000 4TH STREET SW MASON CITY IA 50401 134237594 CARDIOVASCULAR SERVICES IA N/A 0 0 MERCY REHABILITATION HOSPITAL LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 814437201 HEALTH CARE SERVICES IA N/A 0 0 MERCYMANOR PARTNERSHIP PO BOX 10086 TOLEDO OH 43699 521931012 NURSING HOME PA N/A 0 1 MERCYUSP HEALTH VENTURES LLC 14201 DALLAS PARKWAY DALLAS TX 75254 471290300 OUTPATIENT SURGERY IA N/A 0 0 MERCYONE - HFH HOME MEDICAL SHOP LLC 1000 4TH STREET SW MASON CITY IA 50401 854007472 MEDICAL EQUIPMENT SALES IA N/A 0 0 MERCYONE - KRHC HOME MEDICAL SHOP LLC 1000 4TH STREET SW MASON CITY IA 50401 923276114 MEDICAL EQUIPMENT SALES IA N/A 0 0 NAUGATUCK VALLEY MRI LLC 385 MAIN STREET SOUTH SOUTHBURY CT 06488 061239526 IMAGING CENTER CT N/A 0 0 NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP 2601 HOLME AVE PHILADELPHIA PA 19152 232388040 MEDICAL OFFICE BUILDING PA N/A 0 1 NUCO HEALTH LLC 31700 MIDDLEBELT RD STE 175 FARMINGTON HILLS MI 48334 460951661 REVENUE CYCLE MANAGEMENT DE N/A 0 0 PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH STREET OAKLAND PARK FL 33334 352325646 AMBULATORY SURGERY CENTER FL N/A 0 1 PREMIER HEALTH HOLDINGS LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 472665226 URGENT CARE CENTERS DE N/A 0 0 PRIMARY CARE PHYSICIAN CENTER LLC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 364038505 OFFICE BUILDING RENTAL IL N/A 0 1 RAPIDES AFTER HOURS CLINIC LLC 10319 JEFFERSON HIGHWAY BATON ROUGE LA 70809 451772383 URGENT CARE CENTER LA N/A 0 1 SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC 14201 DALLAS PARKWAY DALLAS TX 75254 843522377 OUTPATIENT SURGERY CA N/A 0 0 SAINT ALPHONSUS CALDWELL CANCER CENTER LLC 3123 MEDICAL DR CALDWELL ID 83605 820526861 HEALTH CARE SERVICES ID N/A 0 1 SIXTY FOURTH STREET LLC 2373 64TH ST STE 2200 BYRON CENTER MI 49315 202443646 PROVIDE OUTPATIENT SURGICAL CARE MI N/A 0 0 SJLS LLC 920 WINTER ST WALTHAM MA 02451 201796650 HEALTH CARE SERVICES NY N/A 0 0 SMMC MOB II LP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 364559869 INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A 0 0 ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP 3100 EASTON SQUARE PLACE SUITE 300 COLUMBUS OH 43219 311603660 MEDICAL OFFICE BUILDING RENTAL OH N/A 0 1 ST JOSEPH'S IMAGING ASSOCIATES PLLC 104 UNION AVE SUITE 905 SYRACUSE NY 13203 161104293 HEALTH CARE SERVICES NY N/A 0 1 ST MARY REHABILITATION HOSPITAL LLP 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 273938747 HEALTH CARE SERVICES DE N/A 0 0 ST PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVE 201 ALBANY NY 12206 460463892 OUTPATIENT SURGERY NY N/A 0 1 TEN MILE SURGERY CENTER LLC 875 S VANGUARD WAY STE 120 MERIDIAN ID 83642 845119941 OUTPATIENT SURGERY ID N/A 0 0 THE AMBULATORY SURGERY CENTER AT ST MARY LLC 1203 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 272871206 OUTPATIENT SURGERY PA N/A 0 1 THPH URGENT CARE LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 852464958 URGENT CARE CENTERS DE N/A 0 0 WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVENUE SUITE 100 CLIVE IA 50325 205345295 OUTPATIENT SURGERY IA N/A 0 0 WOODLAND PARTNERS REAL ESTATE LLC 129 WOODLAND STREET HARTFORD CT 06105 833371094 REAL ESTATE CT N/A 0 0 BH VENTURE MGMT LLC 905 WATSON STREET PITTSBURGH PA 15219 832416426 ASSET MANAGEMENT COMPANY PA N/A C 1 CENTRAL VALLEY HEALTH PLAN INC 1303 E HERNDON AVE FRESNO CA 93720 611846844 HEALTH INSURANCE CA N/A C 1 DES MOINES MEDICAL CENTER INC 1111 6TH AVENUE DES MOINES IA 50314 420837382 REAL ESTATE IA N/A C 1 FHS SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 272995699 MEDICAL SERVICES NY N/A C 1 FRANCISCAN ASSOCIATES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 202991688 MEDICAL SERVICES NY N/A C 1 FRANCISCAN HEALTH SUPPORT INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161236354 MEDICAL SERVICES NY N/A C 1 FRANCISCAN MANAGEMENT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161351193 MANAGEMENT SERVICES NY N/A C 1 GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC 1227 E RUSHOLME STREET DAVENPORT IA 52803 863949369 PROPERTY MANAGEMENT IA N/A C 1 GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421269171 HOSPITAL SERVICES IA N/A C 1 HACKLEY HEALTH VENTURES INC 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 382589959 OTHER MEDICAL SERVICES MI N/A C 1 HACKLEY PROFESSIONAL PHARMACY INC 318 RIVER RIDGE DR NW SUITE 100 WALKER MI 49544 382447870 PHARMACY MI N/A C 1 HEALTH CARE MANAGEMENT ADMINISTRATORS INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161450960 HEALTH CARE MANAGEMENT NY N/A C 1 HURON ARBOR CORPORATION 5301 EAST HURON RIVER DR ANN ARBOR MI 48106 382475644 OFFICE RENTAL MI N/A C 1 IHA AFFILIATION CORPORATION 24 FRANK LLOYD WRIGHT DR LOBBY J ANN ARBOR MI 48106 383188895 MEDICAL MANAGEMENT MI N/A C 1 LANGHORNE SERVICES II INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 263795549 GENERAL PARTNER OF LMOB PARTNERS, II PA N/A C 1 LANGHORNE SERVICES INC 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232625981 GENERAL PARTNER OF LMOB PARTNERS PA N/A C 1 MACNEAL HEALTH PROVIDERS INC 2160 SOUTH FIRST AVENUE MAYWOOD IL 60153 363361297 MEDICAL SERVICES IL N/A C 1 MARYLAND CARE GROUP INC 1500 FOREST GLEN RD SILVER SPRING MD 20910 521815313 HEALTH CARE HOLDING MD N/A C 1 MAXIS HEALTH TRENTON INC 20555 VICTOR PKWY LIVONIA MI 48152 884267557 PROPERTY HOLDINGS NJ N/A C 1 MEDNOW INC 4300 E FLAMINGO AVE NAMPA ID 83687 820389927 MEDICAL SERVICES ID N/A C 1 MERCY EASTWICK INC 3805 WEST CHESTER PIKE SUITE 100 NEWTOWN SQUARE PA 19073 232184261 MEDICAL OFFICE BUILDINGS PA N/A C 1 MERCY INPATIENT MEDICAL ASSOCIATES INC 114 WOODLAND STREET HARTFORD CT 06105 043029929 MEDICAL SERVICES MA N/A C 1 MERCY MEDICAL SERVICES 1000 4TH STREET SW MASON CITY IA 50401 421283849 PRIMARY CARE PHYSICIANS IA N/A C 1 MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 270865075 PROPERTY MANAGEMENT IA N/A C 1 MOUNT CARMEL HEALTHPROVIDERS INC 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 311382442 MEDICAL SERVICES OH N/A C 1 NURSING NETWORK INC 4725 NORTH FEDERAL HIGHWAY FORT LAUDERDALE FL 33308 591145192 MEDICAL SERVICES FL N/A C 1 SAINT ALPHONSUS HEALTH ALLIANCE INC 1055 NORTH CURTIS ROAD BOISE ID 83706 820524649 ACCOUNTABLE CARE ORGANIZATION ID N/A C 1 SAINT FRANCIS CARE MEDICAL GROUP PC 114 WOODLAND STREET HARTFORD CT 06105 061432373 MEDICAL SERVICES CT N/A C 1 SAINT JOSEPH'S MCAULEY PARK I LLC 424 DECATUR ST ATLANTA GA 30312 880592157 PROPERTY MANAGEMENT GA N/A C 1 SAMARITAN MEDICAL OFFICE BUILDING INC 2212 BURDETT AVENUE TROY NY 12180 141607244 REAL ESTATE NY N/A C 1 SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC 114 WOODLAND STREET HARTFORD CT 06105 061232868 PROPERTY MANAGEMENT CT N/A C 1 SJM PROPERTIES INC 20555 VICTOR PARKWAY LIVONIA MI 48152 161294991 PROPERTY HOLDINGS NY N/A C 1 SJPE PRACTICE MANAGEMENT SERVICES INC 301 PROSPECT AVE SYRACUSE NY 13203 454164964 MANAGEMENT SERVICES NY N/A C 1 SJRMC HOLDINGS INC 5215 HOLY CROSS PARKWAY MISHAWAKA IN 46545 474763735 PROPERTY HOLDINGS IN N/A C 1 ST ELIZABETH HEALTH SUPPORT SERVICES INC 333 BUTTERNUT DRIVE SUITE 100 DEWITT NY 13214 161540486 MEDICAL SERVICES NY N/A C 1 SYNANON INC 1309 SHELDON ROAD GRAND HAVEN MI 49417 382715568 URGENT CARE MI N/A C 1 SYSTEM COORDINATED SERVICES INC 114 WOODLAND STREET HARTFORD CT 06105 042938161 LAB SERVICES MA N/A C 1 THRE SERVICES LLC 20555 VICTOR PARKWAY LIVONIA MI 48152 452603654 REAL ESTATE BROKERAGE SERVICES MI N/A C 1 TRINITY ASSURANCE LTD GOV SQ BLDG 4 34 LIME TREE BAY GRAND CAYMAN CJ 980453602 SELF-INSURANCE CJ N/A C 1 TRINITY HEALTH ACO INC 20555 VICTOR PARKWAY LIVONIA MI 48152 473794666 ACCOUNTABLE CARE ORGANIZATION DE N/A C 1 TRINITY HEALTH EMPLOYEE BENEFIT TRUST 20555 VICTOR PARKWAY LIVONIA MI 48152 383410377 GRANTOR TRUST MI N/A T 1 TRINITY SENIOR SERVICES MANAGEMENT INC PO BOX 530009 LIVONIA MI 48153 371572595 SENIOR SERVICES PA N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 ST MARY'S GOOD SAMARITAN FOUNDATION INC C 152477 PER BOOKS ST MARY'S MEDICAL GROUP INC M 773030 PER BOOKS TRINITY HEALTH - MICHIGAN M 100141 PER BOOKS TRINITY HEALTH CORPORATION M 860201 PER BOOKS TRINITY HEALTH CORPORATION P 113897 PER BOOKS TRINITY HEALTH CORPORATION R 1307905 PER BOOKS