2026-05-11T14:25:24-05:00 2025-06-30 990 2024-07-01 421470935 MERCY MEDICAL CENTER - NEWTON MERC 6417921273 204 N 4TH AVE E NEWTON IA 50208 SANDRA CHRISTENSEN TREASURER & VP FINANCE 6417921273 2026-05-11 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O FOR LIST CHAD KELLEY 204 N 4TH AVE E NEWTON IA 50208 33262479 0 X WWW.MERCYONE.ORG/NEWTON X 1998 IA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 10 8 0 51 0 0 1565014 344965 39526703 32085501 0 266266 543984 565747 41635701 33262479 1102 8932 0 0 13858132 14273216 0 0 0 29124556 19976234 42983790 34258382 -1348089 -995903 59181197 95540720 61367655 97748383 -2186458 -2207663 WE, MERCY MEDICAL CENTER - NEWTON AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. MERCY MEDICAL CENTER - NEWTON IS A MEMBER OF TRINITY HEALTH. 0 0 29426433 8932 32253317 MERCY MEDICAL CENTER - NEWTON (MERCYONE NEWTON) IS A RURAL HOSPITAL LOCATED IN NEWTON, IOWA IN JASPER COUNTY. THE HOSPITAL IS PROUD TO OFFER A FULL SPECTRUM OF SERVICES, FROM FAMILY HEALTH SERVICES AND PRIMARY CARE TO SURGERY TO THE SKILLED CARE PROVIDED BY THE VISITING PHYSICIANS IN THE MERCYONE NEWTON SPECIALTY CLINIC. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES AND SPECIALTIES: WWW.MERCYONE.ORG/NEWTON 29426433 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 82 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X SUSAN MCLEAN 5153589200 1111 6TH AVENUE DES MOINES IA 50314 MICHAEL WEGNER FORMER OFFICER 0.00 0.00 X 0 1198272 455195 MICHAEL TRACHTA DIR; VP RURAL HOSP & REG OPERATIONS 1.00 49.00 X 0 555239 55265 JODIE ROETTGER FORMER OFFICER 0.00 0.00 X 0 428790 30461 CHAD KELLEY DIRECTOR; CHIEF OPERATING OFFICER 50.00 0.00 X X 0 253409 25189 SANDRA CHRISTENSEN TREAS; VP FINANCE CRITICAL ACC HOSP 10.00 40.00 X 0 210751 38794 SCOTT PLINE RESPIRATORY THERAPIST 40.00 0.00 X 0 187416 41744 RANINA ROBINSON MANAGER, PHARMACY 40.00 0.00 X 0 157537 42168 COLLEEN JACOBSEN PHARMACIST 40.00 0.00 X 0 151289 20431 KERI SCHIPPERS DIRECTOR, PATIENT SERVICES 40.00 0.00 X 0 146638 9994 HEATHER WOLF DIRECTOR, OPERATIONS 40.00 0.00 X 0 121148 23430 ADAM OTTO DIRECTOR; CHAIR 1.00 0.00 X X 0 0 0 MARK ALLEN DIRECTOR; VICE CHAIR 1.00 0.00 X X 0 0 0 BEV ROSSOW DIRECTOR; SECRETARY 1.00 0.00 X X 0 0 0 PATRICK EDWARDS MD DIRECTOR AS OF 1/25 1.00 0.00 X 0 0 0 CAROL FARVER DIRECTOR 1.00 0.00 X 0 0 0 VERY REV WILLIAM REYNOLDS DIRECTOR 1.00 0.00 X 0 0 0 ROBERT ROBINSON DIRECTOR 1.00 0.00 X 0 0 0 LOIS VOGEL DIRECTOR 1.00 0.00 X 0 0 0 0 3410489 742671 0 1 1 0 HEARTLAND ANESTHESIA & CONSULTING 8736 NW 27TH CT ANKENY IA 50023 HEALTH CARE SERVICES 1350000 HALLMARK HEALTH CARE SOLUTIONS INC 3000 ATRIUM WAY MOUNT LAUREL NJ 08054 TEMPORARY MEDICAL STAFFING SERVICES 1256477 CCS CAPTURIS LLC 3131 TECHNOLOGY DR NW MANDAN ND 58554 INFORMATION TECHNOLOGY SERVICES 709310 ONENECK IT SOLUTIONS LLC 525 JUNCTION RD MADISON WI 53717 MAINTENANCE SERVICES 662737 IOWA ORTHO 450 LAUREL ST STE A DES MOINES IA 50314 HEALTH CARE SERVICES 638866 14 184275 160690 344965 NET PATIENT SERVICE REVENUE 622110 32085501 32085501 32085501 218261 218261 245664 0 245664 245664 245664 48005 0 48005 48005 48005 OTHER OPERATING REVENUE 622110 167816 167816 CAFETERIA REVENUE 722514 152267 152267 320083 33262479 32253317 0 664197 X 8932 8932 278598 278598 11409191 10507324 901867 1771484 1618698 152786 813943 752543 61400 20000 20000 74228 74228 24822 24822 4987274 4762520 224754 43689 1174 42515 548921 429250 119671 946974 411204 535770 1376320 1303306 73014 2320 2109 211 220 220 202051 202051 997041 997041 173088 173088 MEDICAL SUPPLIES EXP 4146974 4146974 I/C PURCHASED SERVICES 2229202 200144 2029058 HOSPITAL PROVIDER TAX 2102927 2102927 BAD DEBT EXPENSE 1133585 1133585 966598 826431 140167 34258382 29426433 4831949 0 850 850 755 0 8056298 4361113 689181 404342 83243 14016 9694844 2392667 6058129 7302177 8050412 26089060 3450177 11181026 32792152 46188136 59181197 95540720 3504921 2836951 57862734 94911432 61367655 97748383 X -2186458 -2207663 -2186458 -2207663 59181197 95540720 -995903 974698 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3647 0 0 0 3647 0 PART II-B, LINE 1: MERCYONE NEWTON HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MERCYONE NEWTON WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 400000 400000 3082127 862625 2219502 4285542 1530042 2755500 1927175 1927175 7302177 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 2236205 F HEDGE FUNDS 1118103 F EQUITY METHOD INVESTMENTS 7826718 C 11181026 INVESTMENT IN UNCONSOLIDATED AFFILIATES 18225 MISCELLANEOUS RECEIVABLES 25738 INTERCOMPANY ACCOUNTS RECEIVABLES 45908571 OTHER CURRENT ASSETS 235602 46188136 INTERCOMPANY ACCOUNTS PAYABLE 94529263 OTHER CURRENT LIABILITIES 180118 ASSET RETIREMENT OBLIGATION 202051 94911432 PART V, LINE 4: PART V: ENDOWMENTS HELD BY MERCY FOUNDATION OF DES MOINES, IA (MERCY FOUNDATION) FOR THE BENEFIT OF MERCYONE NEWTON ARE REPORTED ON THE FORM 990 OF MERCY FOUNDATION. MERCY FOUNDATION USES THE ENDOWMENT FUNDS AS DIRECTED BY THE ENDOWMENT DOCUMENTS. THE ENDOWMENTS FUND EQUIPMENT PURCHASES FOR TAX-EXEMPT HEALTH CARE NEEDS AND HOSPITAL TAX-EXEMPT OPERATIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 417568 417568 0.01260 7463635 10576713 0 0.00000 7881203 10576713 417568 0.01260 9 800 46813 46813 0.00140 3 12 57304 57304 0.00170 1 258899 39061 219838 0.00660 9 52433 1778 50655 0.00150 22 812 415449 40839 374610 0.01120 22 812 8296652 10617552 792178 0.02380 1 336 336 0.00000 1 27 2338 2338 0.00010 2 27 2674 2674 0.00010 1 1133585 0 5211999 6276122 -1064123 X 1 1 1 JASPER COUNTY HEALTH VENTURES HEALTH SERVICES 0.50000 0.50000 1 1 MERCYONE NEWTON MEDICAL CENTER 204 N 4TH AVE E NEWTON IA 50208 WWW.MERCYONE.ORG/NEWTON 500041H X X X MERCYONE NEWTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 0 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 MERCYONE NEWTON MEDICAL CENTER PART V, SECTION B, LINE 3J: N/ALINE 3E:MERCY MEDICAL CENTER - NEWTON (MERCYONE NEWTON) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH AND SUBSTANCE MISUSE2. SHORTAGE OF HEALTH CARE PROFESSIONALS3. HOUSING4. FOOD INSECURITY5. CHILDCARE6. TRANSPORTATION MERCYONE NEWTON MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA ADVISORY COMMITTEE MET FOR THE FIRST TIME IN MAY 2024 TO DISCUSS THE PURPOSE AND REQUIREMENTS FOR CONDUCTING A CHNA AS WELL AS THE ROLE OF THE ADVISORY COMMITTEE. THE ADVISORY COMMITTEE CONSISTED OF JASPER COUNTY HEALTH DEPARTMENT, MERCYONE NEWTON MEDICAL CENTER, JASPER COUNTY GENERAL ASSISTANCE, CAPSTONE BEHAVIORAL HEALTH CENTER, PREGNANCY CENTER OF CENTRAL IOWA, AND THE NEWTON POLICE DEPARTMENT.IN MAY 2024, INPUT WAS COLLECTED FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH A 43-QUESTION SURVEY DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS THROUGHOUT JASPER COUNTY, INCLUDING, BUT NOT LIMITED TO, COMMUNITY-BASED ORGANIZATIONS, THE HOSPITAL, CLINICS, COUNTY EMPLOYEES, SCHOOLS, AND LOCAL BUSINESSES. THE SURVEY WAS AVAILABLE BOTH ELECTRONICALLY AND VIA A PAPER FORM, AS WELL AS IN BOTH ENGLISH AND SPANISH. PAPER COPIES AND ACCESS VIA AN IPAD WERE AVAILABLE DURING LUNCH AT A LOCAL RECOVERY COMMUNITY ORGANIZATION. IN ALL, 373 AREA RESIDENTS RESPONDED. A COMMUNITY TOWN HALL WAS HELD IN SEPTEMBER 2024 WITH 82 LOCAL PARTNERS, INCLUDING COUNTY SERVICES, MEDICAL PROVIDERS, SCHOOLS, CHURCHES, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY ACTION AGENCIES, AND PUBLIC SAFETY DIVISIONS, TO ASSIST IN PRIORITIZING COMMUNITY NEEDS. MERCYONE NEWTON MEDICAL CENTER PART V, SECTION B, LINE 6B: THE ASSESSMENT WAS CONDUCTED WITH JASPER COUNTY HEALTH DEPARTMENT, JASPER COUNTY GENERAL ASSISTANCE, CAPSTONE BEHAVIORAL HEALTH CENTER, PREGNANCY CENTER OF IOWA, AND NEWTON POLICE DEPARTMENT. MERCYONE NEWTON MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING SIGNIFICANT NEEDS WERE ADDRESSED BY MERCYONE NEWTON IN FY25: MENTAL HEALTH AND SUBSTANCE MISUSE:MERCYONE NEWTON CONTINUED TO REFER PATIENTS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY. THE HOSPITAL PARTNERED WITH INTEGRATED TELEHEALTH PARTNERS (ITP) TO EVALUATE PATIENTS THAT COME TO THE EMERGENCY ROOM WITH A MENTAL HEALTH DIAGNOSIS AND FACILITATE PLACEMENT IF NEEDED.MERCYONE NEWTON PARTICIPATED IN THE JASPER COUNTY CARES COALITION, A COMMUNITY GROUP FOCUSED ON ENHANCING AWARENESS OF HEALTH AND HUMAN SERVICE RESOURCES AND PROMOTING COLLABORATION. THE HOSPITAL SHARED AVAILABLE RESOURCES WITH THIS GROUP AND DISSEMINATED COMMUNITY RESOURCES VIA SOCIAL MEDIA. THE HOSPITAL EMERGENCY DEPARTMENT COORDINATED WITH CAPSTONE AND CENTRAL IOWA COMMUNITY SERVICES TO IDENTIFY HIGH-RISK PATIENTS WHO COULD UTILIZE THEIR SERVICES. MEETINGS ARE HELD QUARTERLY TO CONTINUE TO ENHANCE THE PARTNERSHIP. PLANNING CONTINUED FOR COORDINATION WITH NEWTON CLINIC ON AWARENESS OF THESE RESOURCES.MERCYONE NEWTON MET QUARTERLY WITH LOCAL AUTHORITIES TO DISCUSS RESOURCES, PROCESSES, AND OPPORTUNITIES RELATED TO PLACEMENT OF PATIENTS EXPERIENCING MENTAL HEALTH AND/OR SUBSTANCE USE DISORDERS.MERCYONE NEWTON CONTINUED TO PROMOTE AND PROVIDE KETAMINE CLINIC SERVICES, COMPLETING 472 KETAMINE TREATMENTS IN FY25. THE KETAMINE CLINIC OFFERS SUPPORT FOR PATIENTS WHO ARE DIAGNOSED WITH PTSD AND DEPRESSION.THE HOSPITAL CONTINUED THE PLANNING PHASES OF RENOVATING THE EMERGENCY DEPARTMENT, INCLUDING ADDING A SECOND BEHAVIORAL HEALTH TREATMENT ROOM AND OUTFITTING BOTH BEHAVIORAL HEALTH TREATMENT ROOMS WITH UPDATED SAFETY EQUIPMENT.MERCYONE NEWTON FINANCIALLY CONTRIBUTED TO DISCOVER HOPE 517 TO SUPPORT THEIR EFFORTS IN PROVIDING RECOVERY AND RESTORATION FOR THOSE STRUGGLING WITH ADDICTION.SHORTAGE OF HEALTH CARE PROFESSIONALS:MERCYONE NEWTON PARTNERED WITH MERCYONE DES MOINES TO PROVIDE AN ON-THE-JOB TRAINING PROGRAM FOR PATIENT CARE ASSOCIATES TRANSITIONING TO PATIENT CARE TECHNICIANS. MERCYONE NEWTON CONTINUED TO INVESTIGATE CRITICAL CARE PARAMEDIC STAFFING MODELS AND WEEKEND PACKAGE STAFFING MODELS TO ATTRACT MORE CANDIDATES, AND CONTINUED CROSS TRAINING STAFF TO HELP WITH SHORTAGES. THE HOSPITAL CONTINUED TO OFFER TUITION REIMBURSEMENT, SIGN-ON BONUSES, AND FLEXIBLE SCHEDULING TO ATTRACT TALENT.MERCYONE NEWTON PARTICIPATED IN LOCAL CAREER FAIRS TO EDUCATE COMMUNITY MEMBERS ON HEALTH CARE CAREERS AND JOB OPPORTUNITIES. THE HOSPITAL ALSO PARTNERED WITH LOCAL HIGH SCHOOLS TO PROVIDE EDUCATIONAL PRESENTATIONS TO STUDENTS ON HEALTH CARE CAREERS AND OFFERED VOCATIONAL EXPERIENCES ONSITE TO MULTIPLE STUDENTS THROUGHOUT THE YEAR. MERCYONE NEWTON CONTINUED TO EXPLORE INNOVATIVE WAYS TO DELIVER CARE THROUGH PARTNERSHIPS AND VIRTUAL CARE DUE TO THE SHORTAGE OF HEALTH CARE PROFESSIONALS. MERCYONE NEWTON CONTINUED TO ASSIST THE NEWTON CLINIC WITH RECRUITMENT AND RETENTION OF PRIMARY CARE PROVIDERS. IN FY25, THE HOSPITAL ASSISTED WITH PHYSICIAN RECRUITMENT INCENTIVES FOR ONE FAMILY PRACTICE/OB PHYSICIAN IN THE AMOUNT OF $25,000 TO HELP SERVE THE HOSPITAL'S MEDICALLY UNDERSERVED PRIMARY SERVICE AREA.MERCYONE NEWTON PROVIDED CLINICAL ROTATION AND PRECEPTORSHIP EXPERIENCES TO STUDENTS TRAINING IN VARIOUS DISCIPLINES, INCLUDING NURSING, LAB, PHARMACY, PHYSICAL THERAPY, AND OCCUPATIONAL THERAPY.CHILDCARE:MERCYONE NEWTON CONTRIBUTED FINANCIALLY TO THE NEWTON YMCA TO SUPPORT THEIR EFFORTS IN PROVIDING CHILDCARE PROGRAMS FOR JASPER COUNTY RESIDENTS. THE HOSPITAL INCLUDED INFORMATION ON CHILDCARE RESOURCES IN BIRTH PACKETS FOR NEW MOTHERS AND SHARED CHILDCARE RESOURCE INFORMATION ON SOCIAL MEDIA.A WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES EMERGED FROM THE CHNA PROCESS. MERCYONE NEWTON DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IN FY25 DUE TO COMPETING PRIORITIES, LACK OF RESOURCES, AND BECAUSE OTHER AGENCIES ARE ALREADY ADDRESSING THESE ISSUES: HOUSING, FOOD INSECURITY, AND TRANSPORTATION. MERCYONE NEWTON MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.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. PART V, SECTION B, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING PART V, SECTION B, LINE 16A-C: FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM 1 1 - JASPER COUNTY HEALTH VENTURES 1501 1ST AVE E NEWTON IA 50208 EXPRESS CARE CLINIC 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: MERCY MEDICAL CENTER - NEWTON (MERCYONE NEWTON) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.MERCYONE NEWTON 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, $1,133,585, 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: WORKFORCE DEVELOPMENT: TO ADDRESS THE NEED FOR PEOPLE IN THE HEALTH CARE FIELD, MERCYONE NEWTON PROVIDED AWARENESS AND EXPLORATION ACTIVITIES THAT PROVIDED THE COMMUNITY WITH EXPOSURE TO A VARIETY OF HEALTH CARE CAREERS. IN FY25, THE HOSPITAL PARTICIPATED IN LOCAL CAREER FAIRS TO EDUCATE COMMUNITY MEMBERS ON HEALTH CARE CAREERS AND JOB OPPORTUNITIES. THE HOSPITAL ALSO PARTNERED WITH LOCAL HIGH SCHOOLS TO PROVIDE EDUCATIONAL PRESENTATIONS TO STUDENTS ON HEALTH CARE CAREERS. THE HOSPITAL OFFERED VOCATIONAL EXPERIENCES ONSITE TO MULTIPLE STUDENTS THROUGHOUT THE YEAR. ENVIRONMENTAL IMPROVEMENTS: TO HELP PROTECT THE COMMUNITY FROM ENVIRONMENTAL HAZARDS, THE HOSPITAL PROVIDED MEDICATION DISPOSAL BOXES AT THE HOSPITAL FOR PATIENTS AND VISITORS TO SAFELY DISPOSE OF THEIR EXPIRED OR UNUSED MEDICATIONS, AND MAINTAINS A SECURE PROCESS FOR THEIR PROPER DISPOSAL. 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: MERCYONE NEWTON 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, MERCYONE NEWTON IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCYONE NEWTON IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MERCYONE NEWTON IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - MERCYONE NEWTON ASSESSES THE HEALTH STATUS OF ITS COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, 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 OF THE COMMUNITY, THE HOSPITAL USES PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE NEWTON COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. MERCYONE NEWTON 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 - MERCYONE NEWTON IS A RURAL HOSPITAL IN JASPER COUNTY THAT PRIMARILY SERVES THE RESIDENTS OF JASPER COUNTY. THE POPULATION OF JASPER COUNTY IS 37,808 RESIDENTS ACCORDING TO LATEST CENSUS ESTIMATES, WITH A POPULATION DENSITY OF 52 PERSONS PER SQUARE MILE. MERCYONE NEWTON IS LOCATED IN THE CITY OF NEWTON, IOWA, THE COUNTY SEAT. NEWTON IS ABOUT 30 MILES EAST OF THE DES MOINES METROPOLITAN AREA. OLDER ADULTS (65+) REPRESENT 19.10% OF THE POPULATION, AND INDIVIDUALS UNDER AGE 18 COMPRISE 22.04%. THE POPULATION'S RACIAL MAKEUP IS PRIMARILY WHITE (93.82%), AND 2.79% OF THE POPULATION IS HISPANIC OR LATINO. NEARLY 30% OF INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH -MERCYONE NEWTON REMAINS FOCUSED ON IMPROVING THE HEALTH OF OUR COMMUNITY. MERCYONE NEWTON HAS AN OPEN MEDICAL STAFF AND IS PROUD TO OFFER A FULL SPECTRUM OF SERVICES, FROM FAMILY HEALTH SERVICES AND PRIMARY CARE TO SURGERY AND THE SKILLED CARE PROVIDED BY THE VISITING PHYSICIANS IN THE MERCYONE NEWTON SPECIALTY CLINIC. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL CONTINUES TO PROVIDE FREE AND DISCOUNTED CARE TO PATIENTS THROUGH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PROVIDES ENROLLMENT ASSISTANCE FOR GOVERNMENTAL INSURANCE PLANS. MERCYONE NEWTON IS INVOLVED IN COMMUNITY COLLABORATIONS AND PARTICIPATES ON LOCAL COMMUNITY BOARDS. THE HOSPITAL PARTNERS WITH COMMUNITY ORGANIZATIONS TO HOST AND SUPPORT COMMUNITY EVENTS, WHICH RAISE AWARENESS OF COMMUNITY HEALTH NEEDS. IN ADDITION, MERCYONE NEWTON COLLABORATES WITH HEALTH EDUCATION PROGRAMS IN THE AREA INCLUDING DES MOINES AREA COMMUNITY COLLEGE, INDIAN HILLS, MERCY COLLEGE OF HEALTH SCIENCES, UNIVERSITY OF IOWA, AND DES MOINES UNIVERSITY.MANY HOSPITAL LEADERS ATTEND EVENTS IN THE COMMUNITY TO SHOW THE HOSPITAL'S SUPPORT, INCLUDING ROTARY, KIWANIS, AND NEWTON DEVELOPMENT CORE TO NAME A FEW. MERCYONE NEWTON PARTNERS WITH LIFESERVE BLOOD BANK TO HOST BLOOD DRAW STATIONS. THE HOSPITAL ALSO OFFERS OFFICE SPACE FOR SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP) SERVICES WITHIN THE HOSPITAL. MERCYONE NEWTON HOSTED THE PINK RIBBON SUPPORT GROUP, A BREAST CANCER SUPPORT GROUP, AT THE HOSPITAL. MERCYONE NEWTON PROVIDED EDUCATION ON HEALTH AND NUTRITION AT VARIOUS LOCAL EVENTS THROUGHOUT FY25. THE HOSPITAL ALSO PROVIDED COMMUNITY-BASED TRAUMA EDUCATION.MERCYONE NEWTON SCREENS PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH WHEN ADMITTED TO THE HOSPITAL AND PROVIDES THEM WITH RESOURCES AS NEEDED.IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. IN FY25, THE REGIONAL COMMUNITY IMPACT FOR MERCYONE TOTALED $357.3 MILLION. PART VI, LINE 6: MERCYONE NEWTON 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 1 0 0 0 0 0 0 0 MICHAEL WEGNER FORMER OFFICER 0 16232 0 202370 0 979670 0 452451 0 2744 0 1653467 0 0 MICHAEL TRACHTA DIR; VP RURAL HOSP & REG OPERATIONS 0 403508 0 141890 0 9841 0 20425 0 34840 0 610504 0 0 JODIE ROETTGER FORMER OFFICER 0 8323 0 50800 0 369667 0 18398 0 12063 0 459251 0 0 CHAD KELLEY DIRECTOR; CHIEF OPERATING OFFICER 0 198212 0 55033 0 164 0 14774 0 10415 0 278598 0 0 SANDRA CHRISTENSEN TREAS; VP FINANCE CRITICAL ACC HOSP 0 203324 0 0 0 7427 0 14231 0 24563 0 249545 0 0 SCOTT PLINE RESPIRATORY THERAPIST 0 184346 0 0 0 3070 0 12866 0 28878 0 229160 0 0 RANINA ROBINSON MANAGER, PHARMACY 0 157315 0 0 0 222 0 11176 0 30992 0 199705 0 0 COLLEEN JACOBSEN PHARMACIST 0 150741 0 0 0 548 0 10022 0 10409 0 171720 0 0 KERI SCHIPPERS DIRECTOR, PATIENT SERVICES 0 124950 0 18298 0 3390 0 9526 0 468 0 156632 0 0 PART I, LINE 3 MERCY MEDICAL CENTER - NEWTON'S (MERCYONE NEWTON) CHIEF OPERATING OFFICER IS PAID DIRECTLY BY ITS SOLE MEMBER, CATHOLIC HEALTH INITIATIVES-IOWA, CORP. (MERCYONE DES MOINES). MERCYONE DES MOINES USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCYONE NEWTON'S CHIEF OPERATING OFFICER: - INDEPENDENT COMPENSATION CONSULTANT - 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: JODIE ROETTGER - $357,966 MICHAEL WEGNER - $827,852 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/24: JODIE ROETTGER - $14,262 (PAID IN 2025) MICHAEL WEGNER - $441,521 (PAID IN 2025) THE FOLLOWING IS A PARTICIPANT 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 PAYOUT FOR 2024 FOR THE PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MICHAEL WEGNER - $147,715 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: JODIE ROETTGER - $4,801 MICHAEL TRACHTA - $6,377 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCYONE NEWTON IS CATHOLIC HEALTH INITIATIVES - IOWA (MERCYONE DES MOINES). SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A MERCYONE DES MOINES IS THE SOLE MEMBER OF MERCYONE NEWTON. MERCYONE DES MOINES HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCYONE NEWTON. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, MERCYONE DES MOINES MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCYONE DES MOINES 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 OF DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MERCYONE NEWTON IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MERCYONE NEWTON HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE NEWTON, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DESIGNATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE NEWTON AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE NEWTON (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE NEWTON OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE NEWTON (OR A DELEGATED COMMITTEE OF THE BOARD) 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 (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE NEWTON. 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 PART VI, LINE 15A: LINE 15A IS ANSWERED "NO" BECAUSE THE COMPENSATION OF THE COO OF MERCYONE NEWTON IS ESTABLISHED BY MERCYONE DES MOINES. MERCYONE DES MOINE USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND TO RECOMMEND COMPENSATION RANGES FOR THE COO. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. PART VI, LINE 15B: QUESTION 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MERCYONE NEWTON IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING VICE PRESIDENT OF 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 VICE PRESIDENT OF FINANCE 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 MERCYONE NEWTON IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCYONE NEWTON INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MERCYONE NEWTON'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 671,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 671,110. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 1,475,353. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,475,353. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 360,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,616. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,249,990. MANAGEMENT AND GENERAL EXPENSES 181,792. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,431,782. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 5,451. MANAGEMENT AND GENERAL EXPENSES 1,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,412. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,965. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,036. PART IX, LINES 5 - 9: INDIVIDUALS WHO WORK AT MERCYONE NEWTON ARE ON THE PAYROLL OF A RELATED ORGANIZATION. THESE INDIVIDUALS' SALARIES AND BENEFITS ARE ALLOCATED TO MERCYONE NEWTON AND ARE REPORTED ON PART IX, LINES 5 THROUGH 9. FORM 990, PART XII, LINE 2: MERCYONE NEWTON'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. FORM 990, PAGE 1, DOING BUSINESS AS NAMES: IOWA NEPHROLOGY ASSOCIATES MERCYONE NEWTON MEDICAL CENTER SKIFF MEDICAL CENTER 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 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 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 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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 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