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

OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
ST MARY MEDICAL CENTER
 
Employer identification number

23-1913910
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) QUALITY HEALTH ALLIANCE LLC
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
46-5686622 		ACCOUNTABLE CARE ORGANIZATION PA 523,900 -1,492,880 ST MARY MEDICAL CENTER
 
(2) QUALITY HEALTH ALLIANCE-ACO LLC
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
46-5675954 		ACCOUNTABLE CARE ORGANIZATION PA 0 -2,020,970 ST MARY MEDICAL CENTER
 








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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
245 STATE ST SE

GRAND RAPIDS,MI49503
27-2491974 		HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2)ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325 		GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(3)ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET

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

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

PRIMGHAR,IA51245
26-2973307 		FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(6)BEECHWOOD INC
2212 BURDETT AVE

TROY,NY12180
14-1651563 		TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(7)BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET

PITTSBURGH,PA15219
25-1436685 		HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(8)BEVERWYCK INC
40 AUTUMN DRIVE

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

HOLYOKE,MA01040
04-2182395 		HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC
 
Yes
 
(10)CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1701597 		LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(11)CARING PARTNERS HOME HEALTH INC
1200 EARHART RD

ANN ARBOR,MI48105
20-1681131 		HOME HEALTH SERVICES MI 501(C)(3) LINE 10 GLACIER HILLS INC
 
Yes
 
(12)CATHERINE MCAULEY HEALTH SERVICES CORP
PO BOX 995

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

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

NEWARK,NJ07102
26-2616342 		INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(15)CRANBROOK HOSPICE CARE
1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320699 		HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(16)DILEY RIDGE MEDICAL CENTER
6150 EAST BROAD STREET

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

DUBUQUE,IA52001
26-2227941 		FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(18)DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271 		FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(19)EAST NORRITON PHYSICIANS SERVICES INC
ONE WEST ELM STREET SUITE 100

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

TROY,NY12180
14-1818568 		HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(21)EMBRACING AGE INC
333 BUTTERNUT DRIVE SUITE 100

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

MALTA,NY12020
14-1795732 		HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(23)FARREN CARE CENTER INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-2501711 		LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(24)FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500

WILMINGTON,DE19805
22-3008680 		LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL
 
Yes
 
(25)GLACIER HILLS FOUNDATION
1200 EARHART RD

ANN ARBOR,MI48105
20-8072723 		FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC
 
Yes
 
(26)GLACIER HILLS INC
1200 EARHART RD

ANN ARBOR,MI48105
38-1891500 		SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(27)GLEN EDDY INC
1 GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150 		SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(28)GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527 		HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(29)GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY

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

MELROSE PARK,IL60160
36-3332852 		COMMUNITY OUTREACH IL 501(C)(3) LINE 10 GOTTLIEB MEMORIAL HOSPITAL
 
Yes
 
(31)GOTTLIEB MEMORIAL FOUNDATION
701 W NORTH AVE

MELROSE PARK,IL60160
74-3260011 		FOUNDATION IL 501(C)(3) LINE 12C, III-FI N/A
 
No
(32)GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE

MELROSE PARK,IL60160
36-2379649 		HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(33)GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC
945 OTTAWA AVE NW

GRAND RAPIDS,MI49503
23-7270669 		MEDICAL EDUCATION TRAINING PROGRAMS MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(34)HACKLEY LIFE COUNSELING
125 E SOUTHERN AVENUE

MUSKEGON,MI49442
38-1386362 		HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS
 
Yes
 
(35)HAWTHORNE RIDGE INC
30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840 		SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(36)HEART CENTER OF GREATER WATERBURY INC
PO BOX 2153

WATERBURY,CT06722
83-0416893 		MANAGEMENT CT 501(C)(3) LINE 12A, I N/A
 
No
(37)HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE

TROY,NY12180
14-1725101 		LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(38)HOLY CROSS CARENET INC
PO BOX 9184

FARMINGTON HILLS,MI48152
52-1945054 		LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(39)HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN RD

SILVER SPRING,MD20910
20-8428450 		FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC
 
Yes
 
(40)HOLY CROSS HEALTH INC
1500 FOREST GLEN RD

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

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

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

FT LAUDERDALE,FL33308
46-5421068 		HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(44)HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
81-2531495 		HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(45)HOME & COMMUNITY HEALTH SERVICES INC
114 WOODLAND STREET

HARTFORD,CT06105
81-0723591 		HOME HEALTH SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(46)HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867 		HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(47)HOSPICE OF NORTH IOWA
232 SECOND STREET SE

MASON CITY,IA50401
42-1173708 		HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(48)HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD

SIOUX CITY,IA51104
38-3320710 		HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A
 
No
(49)IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559 		HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(50)JOHNSON HEALTH CARE INC
114 WOODLAND STREET

HARTFORD,CT06105
81-0709903 		HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(51)JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
47-5676956 		HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(52)JOHNSON MEMORIAL MEDICAL CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
81-0696923 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(53)LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529 		HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(54)LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699 		HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(55)LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE

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

WILMINGTON,DE19805
45-2569214 		PACE PROGRAM DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL
 
Yes
 
(57)LIFE ST FRANCIS CORPORATION
1435 LIBERTY STREET

HAMILTON,NJ08629
22-2797282 		PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(58)LIFE ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE

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

LANGHORNE,PA19047
26-2976184 		PACE PROGRAM PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(60)LOURDES ANCILLARY SERVICES
1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568525 		VOLUNTEER SERVICE AUXILIARY NJ 501(C)(3) LINE 12B, II OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(61)LOURDES CARDIOLOGY SERVICES PC
1600 HADDON AVENUE

CAMDEN,NJ08103
27-4357794 		HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(62)LOURDES MEDICAL CENTER OF BURLINGTON COUNTY
218 SUNSET ROAD

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

MELROSE PARK,IL60160
47-4147171 		TRANSPORATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER
 
Yes
 
(64)LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3342448 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(65)LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE

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

TROY,NY12180
22-2564710 		MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(67)MARIAN COMMUNITY HOSPITAL
3805 WEST CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
24-0711230 		HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 MAXIS HEALTH SYSTEM
 
Yes
 
(68)MARIAN HOME HEALTHCARE
801 5TH STREET

SIOUX CITY,IA51101
38-3320705 		HOME HEALTH SERVICES (INACTIVE) IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(69)MAXIS HEALTH SYSTEM
3805 WEST CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
91-1940902 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(70)MCAULEY CENTER INC
275 STEELE ROAD

WEST HARTFORD,CT06117
06-1058086 		SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC
 
Yes
 
(71)MCAULEY CLINIC CORPORATION
PO BOX 992

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

PITTSBURGH,PA15213
94-3436142 		GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(73)MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BLVD

ALBANY,NY12204
14-1338457 		HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(74)MERCY AMICARE HOME HEALTHCARE OAKLAND
1111 W LONG LAKE RD STE 102

TROY,MI48098
38-3320698 		HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(75)MERCY AMICARE HOME HEALTHCARE PORT HURON
17410 COLLEGE PARKWAY STE 150

LIVONIA,MI48152
38-3320701 		HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(76)MERCY CARE FOUNDATION
424 DECATUR STREET

ATLANTA,GA30312
58-1448522 		FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(77)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100

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

WEST HARTFORD,CT06117
06-1492707 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(79)MERCY FAMILY SUPPORT
1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325059 		HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES
 
Yes
 
(80)MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE

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

MUSKEGON,MI49440
38-3321856 		HOSPICE & HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(82)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
23-2829864 		FOUNDATION PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(83)MERCY HEALTH NETWORK INC
1111 6TH AVENUE

DES MOINES,IA50314
42-1478417 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II N/A
 
No
(84)MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD

MUSKEGON,MI49444
38-2589966 		HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(85)MERCY HEALTH PLAN
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
22-2483605 		MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(86)MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW

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

CHICAGO,IL60616
36-3163327 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(88)MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
23-2212638 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(89)MERCY HEALTHCARE CENTER
114 WAWBEEK AVENUE

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

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

SPRINGFIELD,PA19064
23-1352099 		HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES
 
Yes
 
(92)MERCY HOME HEALTH SERVICES
1001 BALTIMORE PIKE SUITE 310

SPRINGFIELD,PA19064
23-2325058 		MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(93)MERCY HOSPITAL AND MEDICAL CENTER
2525 SOUTH MICHIGAN AVENUE

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

KENTWOOD,MI49508
20-3357131 		FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(95)MERCY HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791034 		HEALTH CARE SERVICES (INACTIVE) FL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(96)MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115 		COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(97)MERCY LIFE OF ALABAMA
PO BOX 7957

MOBILE,AL36670
27-3163002 		PACE PROGRAM AL 501(C)(3) LINE 3 TRINITY HEALTH PACE
 
Yes
 
(98)MERCY LIFE INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-3086711 		PACE PROGRAM MA 501(C)(3) LINE 3 SISTERS OF PROVIDENCE CARE CENTERS INC
 
Yes
 
(99)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
ONE WEST ELM STREET SUITE 100

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

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

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

MASON CITY,IA50401
42-1229151 		FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(103)MERCY MEDICAL CORPORATION
PO BOX 7957

MOBILE,AL36670
63-6002215 		PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(104)MERCY MEDICAL GROUP INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4884805 		HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(105)MERCY PHYSICIAN NETWORK
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
46-1187365 		MANAGEMENT SERVICES FOR PHYSICIAN SERVICE ORGANIZATIONS PA 501(C)(3) LINE 12B, II MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(106)MERCY SENIOR CARE INC
424 DECATUR STREET

ATLANTA,GA30312
58-1366508 		COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(107)MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET

ATLANTA,GA30312
27-2046353 		TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(108)MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2719605 		LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(109)MERCY SPECIALIST PHYSICIANS INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
26-4033168 		HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(110)MERCY SUBURBAN HOSPITAL
ONE WEST ELM STREET SUITE 100

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

NEWTOWN SQUARE,NY19073
16-1535133 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(112)MISSION HEALTH CORPORATION
37595 SEVEN MILE ROAD

LIVONIA,MI48152
38-3181557 		BUILDING MANAGEMENT SERVICES DE 501(C)(3) LINE 12A, I N/A
 
No
(113)MOUNT CARMEL COLLEGE OF NURSING
6150 EAST BROAD STREET

COLUMBUS,OH43213
31-1308555 		COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(114)MOUNT CARMEL HEALTH INSURANCE COMPANY
6150 EAST BROAD STREET

COLUMBUS,OH43213
25-1912781 		HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(115)MOUNT CARMEL HEALTH PLAN INC
6150 EAST BROAD STREET

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

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

COLUMBUS,OH43213
31-1113966 		FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(118)MOUNT CARMEL HOME CARE LLC
501 WEST SCHROCK ROAD

WESTERVILLE,OH43081
26-2729300 		HOME HEALTH SERVICES OH 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(119)MOUNT SINAI HOSPITAL FOUNDATION INC
500 BLUE HILLS AVENUE

HARTFORD,CT06112
22-2584082 		FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A
 
No
(120)MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1422973 		HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(121)MOUNT ST JOSEPH
7 HIGHTOWER STREET

WATERVILLE,ME04901
01-0274998 		LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(122)MRI MOBILE SERVICES OF WEST MICHIGAN
1820 44TH STREET

KENTWOOD,MI49508
38-3073745 		HEALTH CARE SERVICES (INACTIVE) MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(123)MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE

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

PHILADELPHIA,PA19152
23-2300951 		FOUNDATION PA 501(C)(3) LINE 12A, I NAZARETH HOSPITAL
 
Yes
 
(125)NAZARETH HOSPITAL
2601 HOLME AVENUE

PHILADELPHIA,PA19152
23-2794121 		HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(126)NAZARETH PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
20-3261266 		HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(127)NE PHYSICIAN SERVICES INC
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
23-2497355 		HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(128)OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET

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

OAKLAND,NE68045
31-1678345 		FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL
 
Yes
 
(130)ONE THOUSAND CORPORATION
114 WOODLAND STREET

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

COLUMBUS,OH43213
31-1654603 		COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A
 
No
(132)OUR LADY OF LOURDES HEALTH CARE SERVICES INC
1600 HADDON AVENUE

CAMDEN,NJ08103
22-2568528 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NJ 501(C)(3) LINE 12B, II MAXIS HEALTH SYSTEM
 
Yes
 
(133)OUR LADY OF LOURDES HEALTH FOUNDATION INC
1600 HADDON AVENUE

CAMDEN,NJ08103
22-2351960 		FOUNDATION NJ 501(C)(3) LINE 7 OUR LADY OF LOURDES HEALTH CARE SERVICES
 
Yes
 
(134)OUR LADY OF LOURDES MEDICAL CENTER
1600 HADDON AVENUE

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

GUILDERLAND,NY12084
14-1743506 		LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
(136)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
45-4208896 		HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(137)PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUE

PITTSBURGH,PA15213
25-1464211 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(138)PROBILITY THERAPY SERVICES
2058 S STATE STREET

ANN ARBOR,MI48104
20-2020239 		HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(139)PROFESSIONAL MED TEAM
965 FORK STREET

MUSKEGON,MI49442
38-2638284 		HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS
 
Yes
 
(140)RIVERBEND MEDICAL GROUP INC
271 CAREW ST

SPRINGFIELD,MA01104
81-1807730 		HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(141)SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-1763712 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(142)SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713 		HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(143)SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324 		HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER
 
Yes
 
(144)SAINT ALPHONSUS BUILDING COMPANY INC
1055 NORTH CURTIS RD

BOISE,ID83706
82-0401011 		BUILDING MANAGEMENT SERVICES ID 501(C)(3) LINE 10 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(145)SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978 		HEALTH CARE SYSTEM SUPPORT ID 501(C)(3) LINE 12A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(146)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD

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

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

BOISE,ID83706
27-1929502 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(149)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET

ONTARIO,OR97914
94-3059469 		VOLUNTEER SERVICE AUXILIARY OR 501(C)(3) LINE 10 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO
 
Yes
 
(150)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD

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

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

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

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

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

HARTFORD,CT06105
45-1994612 		HEALTH CARE SERVICES CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND PNO INC
 
Yes
 
(156)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0646813 		HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(157)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1008255 		FOUNDATION CT 501(C)(3) LINE 12B, II SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
 
Yes
 
(158)SAINT JAMES CARE INC
111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616230 		INACTIVE ENTITY NJ 501(C)(3) LINE 10 SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(159)SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY

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

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

MISHAWAKA,IN46545
35-0868157 		HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(162)SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC
1915 LAKE AVENUE

PLYMOUTH,IN46563
35-6043563 		VOLUNTEER SERVICE AUXILIARY IN 501(C)(3) LINE 12B, II SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
 
Yes
 
(163)SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-1568821 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(164)SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET

ATLANTA,GA30312
58-1744848 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(165)SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET

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

FARMINGTON HILLS,MI48333
31-1040468 		SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES - INDIANA INC
 
Yes
 
(167)SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120

GRAND RAPIDS,MI49505
38-3320700 		HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(168)SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602 		FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(169)SAINT MARY'S HOSPITAL FOUNDATION INC
56 FRANKLIN STREET

WATERBURY,CT06706
22-2528400 		FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC
 
Yes
 
(170)SAINT MARY'S HOSPITAL INC
56 FRANKLIN STREET

WATERBURY,CT06706
06-0646844 		HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(171)SAINT MICHAEL'S FOUNDATION INC
111 CENTRAL AVENUE

NEWARK,NJ07102
22-3311976 		FOUNDATION NJ 501(C)(3) LINE 12A, I SAINT MICHAEL'S MEDICAL CENTER
 
Yes
 
(172)SAINT MICHAEL'S MEDICAL CENTER INC
111 CENTRAL AVENUE

NEWARK,NJ07102
26-2616046 		HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM
 
Yes
 
(173)SAMARITAN CHILD CARE CENTER INC
2215 BURDETT AVE

TROY,NY12180
14-1710225 		CHILD CARE SERVICES NY 501(C)(3) LINE 10 ST PETER'S HEALTH PARTNERS
 
Yes
 
(174)SAMARITAN HOSPITAL
2215 BURDETT AVE

TROY,NY12180
14-1338544 		HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(175)SENIOR CARE CONNECTION INC
504 STATE ST

SCHENECTADY,NY12305
14-1708754 		PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(176)SETON AUXILIARY INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1505031 		VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 10 SETON HEALTH SYSTEM INC
 
Yes
 
(177)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD

CLIFTON PARK,NY12065
14-1756230 		LONG TERM CARE NY 501(C)(3) LINE 10 SETON HEALTH SYSTEM INC
 
Yes
 
(178)SETON HEALTH FOUNDATION INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
22-2345416 		FOUNDATION NY 501(C)(3) LINE 12A, I SETON HEALTH SYSTEM INC
 
Yes
 
(179)SETON HEALTH SYSTEM INC
1300 MASSACHUSETTS AVENUE

TROY,NY12180
14-1776186 		HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(180)SISTERS OF PROVIDENCE CARE CENTERS INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
22-2541103 		LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(181)SISTERS OF PROVIDENCE HEALTH SYSTEM INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398374 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT MA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(182)SJHSJOC HOLDINGS INC
424 DECATUR STREET

ATLANTA,GA30312
47-2299757 		HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(183)ST AGNES CONTINUING CARE CENTER
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
23-2840137 		PACE PROGRAM PA 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA
 
Yes
 
(184)ST AGNES CONTINUING CARE CENTER FOUNDATION
ONE WEST ELM STREET SUITE 100

CONSHOHOCKEN,PA19428
23-2415137 		FOUNDATION PA 501(C)(3) LINE 12A, I ST AGNES CONTINUING CARE CENTER
 
Yes
 
(185)ST FRANCIS FOUNDATION
PO BOX 2500

WILMINGTON,DE19805
51-0374158 		FOUNDATION DE 501(C)(3) LINE 12A, I ST FRANCIS HOSPITAL
 
Yes
 
(186)ST FRANCIS HOSPITAL INC
PO BOX 2500

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

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

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

HORNELL,NY14843
22-3127184 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(190)ST JOSEPH MERCY OAKLAND FOUNDATION
44405 WOODWARD AVE

PONTIAC,MI48341
35-2356789 		FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(191)ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE

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

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

SYRACUSE,NY13203
23-7219294 		BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(194)ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
47-4754987 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(195)ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE

SYRACUSE,NY13203
15-0532254 		HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC
 
Yes
 
(196)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
22-2149775 		FOUNDATION NY 501(C)(3) LINE 12A, I ST JOSEPH'S HEALTH INC
 
Yes
 
(197)ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-3899821 		HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(198)ST JOSEPH'S PHYSICIAN HEALTH PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
16-1516863 		HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(199)ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502 		TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER
 
Yes
 
(200)ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-5354512 		HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(201)ST MARY HOME INCORPORATED
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0646843 		LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(202)ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910 		HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
 
No
(203)ST MARY MEDICAL CENTER FOUNDATION INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2567468 		FOUNDATION PA 501(C)(3) LINE 7 ST MARY MEDICAL CENTER
 
Yes
 
(204)ST MARY'S FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
58-2544232 		FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(205)ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
81-1660088 		FOUNDATION GA 501(C)(3) LINE 12A, I ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(206)ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET

ATHENS,GA30606
58-0566223 		HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(207)ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET

ATHENS,GA30606
02-0576648 		SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(208)ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET

ATHENS,GA30606
26-1858563 		HEALTH CARE SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(209)ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY

LAVONIA,GA30553
47-3752176 		HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 ST MARY'S HEALTH CARE SYSTEM INC
 
Yes
 
(210)ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(211)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD

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

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

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

SCHENECTADY,NY12308
14-1338386 		HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(215)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127 		FOUNDATION NY 501(C)(3) LINE 12A, I SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
 
Yes
 
(216)THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD

ALBANY,NY12205
22-2692940 		FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(217)THE COMMUNITY HOSPICE INC
445 NEW KARNER RD

ALBANY,NY12205
14-1608921 		HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(218)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER
707 EAST CEDAR STREET

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

TROY,NY12180
22-2570478 		LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(220)THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885 		LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(221)THE MERCY HOSPITAL INC
1221 MAIN STREET SUITE 213

HOLYOKE,MA01040
04-3398280 		HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(222)THE NORTHEAST HEALTH FOUNDATION INC
310 SOUTH MANNING BLVD

ALBANY,NY12208
22-2743478 		FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(223)THE WOMEN'S AUXILIARY OF SAINT FRANCIS HOSPITAL AND MEDICAL CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
06-0660403 		VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12B, II N/A
 
No
(224)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER

PORT HURON,MI48060
38-2485700 		HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A
 
No
(225)TRINITY CONTINUING CARE SERVICES
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2559656 		LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(226)TRINITY CONTINUING CARE SERVICES - INDIANA INC
PO BOX 9184

FARMINGTON HILLS,MI48333
93-0907047 		LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(227)TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393 		HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(228)TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES
 
Yes
 
(229)TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-5244984 		PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(230)TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1491191 		HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(231)TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450168 		HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(232)TRINITY HEALTH PACE
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3073124 		PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(233)TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733 		RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(234)TRINITY HOME HEALTH SERVICES
17410 COLLEGE PARKWAY STE 150

LIVONIA,MI48152
38-2621935 		MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(235)UIHLEIN MERCY CENTER
3805 WEST CHESTER PIKE SUITE 100

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

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

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

KENTWOOD,MI49508
38-3280200 		HEALTH NETWORK MI 501(C)(4) N/A MERCY HEALTH PARTNERS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2016
Schedule R (Form 990) 2016
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ADVENT REHABILITATION LLC

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

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

1221 MAIN STREET SUITE 105
HOLYOKE,MA01040
04-2723429 		PROPERTY MANAGEMENT MA N/A
                  
(4) CENTENNIAL SURGUNIT LLC

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

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

PO BOX 148
BAYONNE,NJ07002
20-8525458 		CARDIAC PROGRAM NJ N/A
                  
(7) CLINTON IMAGING SERVICES LLC

615 VALLEY VIEW DR STE 202
MOLINE,IL61265
41-2044739 		MRI DIAGNOSTIC SERVICES IA N/A
                  
(8) DIAGNOSTIC IMAGING OF SOUTHBURY LLC

385 MAIN STREET SOUTH
SOUTHBURY,CT06488
06-1487582 		IMAGING CENTER CT N/A
                  
(9) FOREST PARK IMAGING LLC

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

300 WEST TEXTILE ROAD
ANN ARBOR,MI48104
38-2648446 		LABORATORY MI N/A
                  
(11) GATEWAY HEALTH PLAN LP

444 LIBERTY AVE SUITE 2100
PITTSBURGH,PA15222
25-1691945 		MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A
                  
(12) GREATER HARTFORD LITHOTRIPSY LLC

144 WOODLAND ST
HARTFORD,CT06105
06-1578891 		LITHOTRIPSY SERVICES CT N/A
                  
(13) HAWARDEN REGIONAL HEALTH CLINICS LLC

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

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

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

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

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

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

793 W STATE STREET
COLUMBUS,OH43222
42-1544707 		MEDICAL OFFICE BUILDING RENTAL OH N/A
                  
(20) MDRMRI TECHNICAL SERVICES LLC

5640 EAST TAFT ROAD 3770
SYRACUSE,NY13220
16-1590982 		MRI SERVICES NY N/A
                  
(21) MEDILUCENT MOB I

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

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

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

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

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

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

793 W STATE STREET
COLUMBUS,OH43222
31-1369473 		MEDICAL OFFICE BUILDING RENTAL OH N/A
                  
(28) NAUGATUCK VALLEY MRI LIMITED PARTNERSHIP

1389 WEST MAIN ST
WATERBURY,CT06708
06-1239526 		IMAGING CENTER CT N/A
                  
(29) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP

C/O NAZARETH HOSP 2601 HOLME AVE
PHILADELPHIA,PA19152
23-2388040 		MEDICAL OFFICE BUILDING PA N/A
                  
(30) OSWEGO HEALTH HOME CARE LLC

113 SCHUYLER STREET
FULTON,NY13069
47-2463736 		HOME HEALTH CARE NY N/A
                  
(31) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

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

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

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

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

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

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

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869 		INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA ST MARY MEDICAL CENTER
  		RENTAL -179,873 12,188,536   No     No 65.750 %
(38) ST AGNES LONG-TERM INTENSIVE CARE LLP

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

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861 		HEALTH CARE SERVICES ID N/A
                  
(40) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

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

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

680 SOUTH FORTH STREET
LOUISVILLE,KY40202
27-3938747 		HEALTH CARE SERVICES DE ST MARY MEDICAL CENTER
  		RELATED 5,126,689 7,161,182   No     No 59.000 %
(43) ST PETER'S AMBULATORY SURGERY CENTER LLC

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

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

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2871206 		OUTPATIENT SURGERY PA ST MARY MEDICAL CENTER
  		RELATED 1,476,925 3,437,467   No   Yes   51.000 %
(46) TRINITY HEALTH PARTNERS LLC

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

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959 		RADIOLOGY/ IMAGING MI N/A
                  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) AFFILIATED MANAGEMENT SERVICES CORPORATION INC

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

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

1233 MAIN STREET
HOLYOKE,MA01040
04-2938160 		BUILDING MANAGEMENT MA N/A
 C       Yes  
(4) CHESTNUT RISK SERVICES LTD

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

1233 MAIN STREET
HOLYOKE,MA01040
04-3128890 		MEDICAL SERVICES MA N/A
 C       Yes  
(6) FHS SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
27-2995699 		MEDICAL SERVICES NY N/A
 C       Yes  
(7) FRANCISCAN ASSOCIATES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
20-2991688 		MEDICAL SERVICES NY N/A
 C       Yes  
(8) FRANCISCAN HEALTH SUPPORT INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1236354 		MEDICAL SERVICES NY N/A
 C       Yes  
(9) FRANCISCAN MANAGEMENT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1351193 		MANAGEMENT SERVICES NY N/A
 C       Yes  
(10) FRANKLIN MEDICAL GROUP PC

56 FRANKLIN ST
WATERBURY,CT06706
06-1470493 		PHYSICIAN OFFICE CT N/A
 C       Yes  
(11) GOTTLIEB MANAGEMENT SERVICES INC

701 W NORTH AVE
MELROSE PARK,IL60160
36-3330529 		MANAGEMENT SERVICES IL N/A
 C       Yes  
(12) HEF INC

1820 44TH STREET SE
KENTWOOD,MI49508
38-3086401 		OFFICE STAFFING MI N/A
 C       Yes  
(13) HACKLEY HEALTH MANAGEMENT INC

1820 44TH STREET SE
KENTWOOD,MI49508
38-2961814 		WEIGHT MANAGEMENT MI N/A
 C       Yes  
(14) HACKLEY HEALTH VENTURES INC

1820 44TH STREET SE
KENTWOOD,MI49508
38-2589959 		OTHER MEDICAL SERVICES MI N/A
 C       Yes  
(15) HACKLEY HEALTHCARE EQUIPMENT CORP

1820 44TH STREET SE
KENTWOOD,MI49508
38-2578569 		HOME MEDICAL EQUIPMENT MI N/A
 C       Yes  
(16) HACKLEY PROFESSIONAL PHARMACY INC

1820 44TH STREET SE
KENTWOOD,MI49508
38-2447870 		PHARMACY MI N/A
 C       Yes  
(17) HEALTH CARE MANAGEMENT ADMINISTRATORS INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1450960 		HEALTH CARE MANAGEMENT NY N/A
 C       Yes  
(18) HEALTH MANAGEMENT SERVICES ORG INC

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3366580 		MEDICAL ADMINISTRATION NJ N/A
 C       Yes  
(19) HOLY CROSS PRIVATE HOME SERVICES CORP

1500 FOREST GLEN RD
SILVER SPRING,MD20910
52-1986562 		HOME CARE SERVICES MD N/A
 C       Yes  
(20) HURON ARBOR CORPORATION

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

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

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
25-3795549 		GENERAL PARTNER OF LMOB PARTNERS, II PA ST MARY MEDICAL CENTER
  		C -22,823 132,812 100.000 % Yes  
(23) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981 		GENERAL PARTNER OF LMOB PARTNERS PA ST MARY MEDICAL CENTER
  		C -10,447 321,425 100.000 % Yes  
(24) LIFECARE PHYSICIANS PC

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

500 GROVE STREET SUITE 100
HADDON HEIGHTS,NJ08035
22-3361862 		MEDICAL SERVICES NJ N/A
 C       Yes  
(26) LOURDES URGENT CARE SERVICES PC

1600 HADDON AVENUE
CAMDEN,NJ08103
46-4188202 		URGENT CARE CENTER NJ N/A
 C       Yes  
(27) MARYLAND CARE GROUP INC

1500 FOREST GLEN RD
SILVER SPRING,MD20910
52-1815313 		HEALTH CARE HOLDING MD N/A
 C       Yes  
(28) MCMC EASTWICK INC

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

1512 12TH AVENUE ROAD
NAMPA,ID83686
82-0389927 		MEDICAL SERVICES ID N/A
 C       Yes  
(30) MERCY HOME CARE INC

1233 MAIN STREET
HOLYOKE,MA01040
04-3317426 		HEALTH CARE SERVICES MA N/A
 C       Yes  
(31) MERCY INPATIENT MEDICAL ASSOCIATES INC

1233 MAIN STREET
HOLYOKE,MA01040
04-3029929 		MEDICAL SERVICES MA N/A
 C       Yes  
(32) MERCY MEDICAL SERVICES

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

2525 SOUTH MICHIGAN AVENUE
CHICAGO,IL60616
36-3227348 		DORMANT IL N/A
 C       Yes  
(34) MOUNT CARMEL HEALTH PROVIDERS INC

6150 EAST BROAD STREET
COLUMBUS,OH43213
31-1382442 		MEDICAL SERVICES OH N/A
 C       Yes  
(35) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192 		MEDICAL SERVICES FL N/A
 C       Yes  
(36) SAINT ALPHONSUS HEALTH ALLIANCE INC

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

1055 NORTH CURTIS ROAD
BOISE,ID83706
33-1078261 		HEALTH CARE SERVICES (INACTIVE) ID N/A
 C       Yes  
(38) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC

114 WOODLAND STREET STE 4312
HARTFORD,CT06105
06-1384686 		MEDICAL SERVICES CT N/A
 C       Yes  
(39) SAINT FRANCIS CARE MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1432373 		MEDICAL SERVICES CT N/A
 C       Yes  
(40) SAMARITAN MEDICAL OFFICE BUILDING INC

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

411 CANISTEO STREET
HORNELL,NY14843
16-1294991 		PROPERTY HOLDINGS NY N/A
 C       Yes  
(42) SJPE PRACTICE MANAGEMENT SERVICES INC

301 PROSPECT AVE
SYRACUSE,NY13203
45-4164964 		MANAGEMENT SERVICES NY N/A
 C       Yes  
(43) SJRMC HOLDINGS INC

5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
47-4763735 		PROPERTY HOLDINGS IN N/A
 C       Yes  
(44) ST ELIZABETH HEALTH SUPPORT SERVICES INC

2209 GENESEE STREET
UTICA,NY13501
16-1540486 		MEDICAL SERVICES NY N/A
 C       Yes  
(45) ST MARY'S HIGHLAND HILLS VILLAGE INC

1230 BAXTER STREET
ATHENS,GA30606
58-2276801 		ASSISTED LIVING GA N/A
 C       Yes  
(46) SYSTEM COORDINATED SERVICES INC

1233 MAIN STREET
HOLYOKE,MA01040
04-2938161 		LAB SERVICES MA N/A
 C       Yes  
(47) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654 		REAL ESTATE BROKERAGE SERVICES MI N/A
 C       Yes  
(48) TRI-HOSPITAL MRI CENTER

4190 24TH AVENUE
FORT GRATIOT,MI48054
38-2884297 		HEALTH CARE SERVICES MI N/A
 C       Yes  
(49) TRINITY ASSURANCE LTD

PO BOX 1051 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602 		PROVISION OF INSURANCE COVERAGE CJ N/A
 C       Yes  
(50) TRINITY HEALTH ACO INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
47-3794666 		ACCOUNTABLE CARE ORGANIZATION DE N/A
 C       Yes  
(51) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377 		GRANTOR TRUST MI N/A
 T       Yes  
(52) TRINITY SENIOR SERVICES MANAGEMENT INC

PO BOX 9184
FARMINGTON HILLS,MI48333
37-1572595 		SENIOR SERVICES PA N/A
 C       Yes  
(53) WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM

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

1820 44TH STREET SE
KENTWOOD,MI49508
38-3112035 		OCCUPATIONAL HEALTH MI N/A
 C       Yes  
Schedule R (Form 990) 2016
Schedule R (Form 990) 2016
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ST MARY REHABILITATION HOSPITAL LLP

 C 4,548,380 PER TAX RETURN
(2) TRINITY HEALTH CORPORATION

 R 4,339,392 PER BOOKS
(3) TRINITY HEALTH CORPORATION

 B 6,530,802 PER BOOKS
(4) TRINITY HEALTH CORPORATION

 M 28,618,068 PER BOOKS
(5) TRINITY HEALTH CORPORATION

 Q 2,296,912 PER BOOKS
(6) TRINITY HEALTH CORPORATION

 P 14,937,062 PER BOOKS
(7) TRINITY HEALTH CORPORATION

 R 461,044 PER BOOKS
(8) LANGHORNE MOB PARTNERS II

 J 123,996 PER BOOKS
(9) LIFE ST MARY

 L 1,512,725 PER BOOKS
(10) MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA

 P 815,883 PER BOOKS
(11) SMMC MOB II LP

 K 667,319 PER BOOKS
(12) ST MARY BUILDING & DEVELOPMENT CORPORATION

 A 200,000 PER BOOKS
(13) LANGHORNE PHYSICIAN SERVICES INC

 L 590,104 PER BOOKS
(14) ST MARY REHABILITATION HOSPITAL LLP

 Q 427,641 PER BOOKS
(15) ST MARY MEDICAL CENTER FOUNDATION

 C 2,009,634 PER BOOKS
(16) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

 C 1,036,358 PER TAX RETURN
Schedule R (Form 990) 2016
Schedule R (Form 990) 2016
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2016
Schedule R (Form 990) 2016
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2016

Additional Data


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