MERCY MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 11-1635088)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-15
IRS object ID: 201803199349315015
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-15T15:44:24-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	300 Madison Avenue	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	111635088	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CHS SERVICES INC	InCareOfNm
Business Name Control	MERC	BusinessNameControlTxt
Phone	5167052525	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 NORTH VILLAGE AVENUE	AddressLine1Txt
City	ROCKVILLE CENTRE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11570	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RON STEIMEL	PersonNm
Person Title	EXEC VP & CAO	PersonTitleTxt
Phone	5167052525	PhoneNum
Signature	2018-11-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA J PARELLO	PreparerPersonNm
PTIN	P01080295	PTIN
Phone	6464713000	PhoneNum
Preparation	2018-11-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	155.201.188.32	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	13049920183195000174	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	618ACE5A638F5610B23A87A01F7C418F45FC2D61	AtSubmissionCreationDeviceId
At Submission Filing Device Id	618ACE5A638F5610B23A87A01F7C418F45FC2D61	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ALAN D GUERCI MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 NORTH VILLAGE AVENUE	AddressLine1Txt
City	ROCKVILLE CENTRE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11570	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$246,165,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://MERCYMEDICALCENTER.CHSLI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	WE, AT CHS, HUMBLY JOIN TOGETHER TO BRING CHRIST'S HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	1792	TotalEmployeeCnt
Total Volunteers	132	TotalVolunteersCnt
Total Gross UBI	$194,916	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$111,360	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,178,924	PYContributionsGrantsAmt
CY Contributions Grants	$11,288,419	CYContributionsGrantsAmt
PY Program Service Revenue	$205,361,049	PYProgramServiceRevenueAmt
CY Program Service Revenue	$217,089,280	CYProgramServiceRevenueAmt
PY Investment Income	$203,031	PYInvestmentIncomeAmt
CY Investment Income	$218,597	CYInvestmentIncomeAmt
PY Other Revenue	$4,389,074	PYOtherRevenueAmt
CY Other Revenue	$5,370,568	CYOtherRevenueAmt
PY Total Revenue	$213,132,078	PYTotalRevenueAmt
CY Total Revenue	$233,966,864	CYTotalRevenueAmt
PY Grants And Similar Paid	$773,376	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$749,340	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$120,346,513	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$121,872,575	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$97,881,559	PYOtherExpensesAmt
CY Other Expenses	$110,685,671	CYOtherExpensesAmt
PY Total Expenses	$219,001,448	PYTotalExpensesAmt
CY Total Expenses	$233,307,586	CYTotalExpensesAmt
PY Revenues Less Expenses	-$5,869,370	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$659,278	CYRevenuesLessExpensesAmt
Total Assets BOY	$197,790,476	TotalAssetsBOYAmt
Total Assets EOY	$212,780,771	TotalAssetsEOYAmt
Total Liabilities BOY	$153,773,007	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$167,937,514	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$44,017,469	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$44,843,257	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$198,304,802	ExpenseAmt
Grant	$749,340	GrantAmt
Revenue	$218,469,105	RevenueAmt
Desc	MERCY MEDICAL CENTER IS A 375 BED, NOT-FOR-PROFIT ACUTE CARE HOSPITAL SERVING THE HEALTHCARE NEEDS OF NASSAU COUNTY AND ITS SURROUNDING AREA. FOUNDED IN 1913 BY THE NURSING SISTERS OF THE CONGREGATION OF THE INFANT JESUS, MERCY MEDICAL CENTER HAS GROWN FROM A THREE FLOOR WOODEN STRUCTURE TO AN EXTENSIVE INSTITUTION OCCUPYING A 42-ACRE CAMPUS THAT HOUSES SOME OF THE MOST ADVANCED MEDICAL TECHNOLOGIES. IN 2017, THE MEDICAL CENTER HAD 10,944 DISCHARGES AND PROVIDED CARE FOR 37,328 EMERGENCY ROOM VISITS. IN ACCORDANCE WITH ITS MISSION AND PHILOSOPHY, THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY.	Desc
Total Program Service Expenses	$198,304,802	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	226	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1792	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHS SERVICES INC	PersonNm
Phone	5167053700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	992 NORTH VILLAGE AVENUE	AddressLine1Txt
City	ROCKVILLE CENTRE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11570	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SALVATORE SODANO
CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN MCGUIRE
VICE CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JEROME POLLER
SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
CHRIS PASCUCCI
TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BARBARA ELLEN BLACK
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
VIRGINIA EWEN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
FRANK L KURRE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
REV MSGR ROBERT MORRISEY
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
DANIEL T ROWE
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOHN WAGNER
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
REV JAMES VLAUN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
KEVIN J CONWAY
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
PETER D'ANGELO
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
REV PETER DUGANDZIC
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
HON ANTHONY MARANO
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
STEPHEN F MCLOUGHLIN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
JOHN FRANCFORT MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ALEXANDER HAZELTON
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
WILLIAM WARD
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT ZUCCARO
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
PETER QUICK
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS CHRISTMAN
TRUSTEE	2.0	0.0	Yes (X)		$0	$0	$0
ALAN D GUERCI MD
PRESIDENT & CEO	50.0	0.0	Yes (X)	Yes (X)	$0	$3,776,985	$400,495
DANIEL DEBARBA
EVP & CFO	50.0	0.0		Yes (X)	$0	$1,024,580	$369,985
RONALD W STEIMEL
CAO	50.0	0.0		Yes (X)	$583,128	$0	$150,764
JOHN REILLY
CMO THRU 6/14/17	50.0	0.0			$219,500	$0	$29,268	Yes (X)
ALAN WONG MD
SECTION CHIEF ICU	50.0	0.0			$446,567	$0	$55,132		Yes (X)
ALEXANDER TELIS MD
CLINICAL ATTENDING CRIT CARE	50.0	0.0			$374,561	$0	$55,072		Yes (X)
ALEEM ALI MD
HOSPITALIST	50.0	0.0			$331,113	$0	$38,054		Yes (X)
SWARNA DEVARAJAN MD
DIR OF PEDIATRICS	50.0	0.0			$342,046	$0	$57,363		Yes (X)
SYED KAMAL MD
HOSPITALIST	50.0	0.0			$356,153	$0	$48,263		Yes (X)
WILLIAM C ARMSTRONG
SVP FINANCE	0.0	50.0			$0	$890,381	$227,844			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,653,068	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,691,946	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,432,240	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	258	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ENCOMPASS GROUP LLC
615 MACON STREET	MCDONOUGH	GA	30253	LAUNDRY SERVICES	$1,692,916
LI MINIMALLY INVASIVE SURG PC
3003 NEW HYDE PARK RD	NEW HYDE PARK	NY	11042	PHYSICIAN SERVICES	$732,389
REMI HOLDINGS LLC
11325 N COMMUNITY HOUSE RD	CHARLOTTE	NC	28277	EQUIPMENT SERVICES	$462,003
INTERBORO SURGICAL ASSOC
8318 4TH AVENUE	BROOKLYN	NY	11209	PHYSICIAN SERVICES	$225,833
PLOTNITSKIY MIKHAIL DO PC
2088 CENTRAL DRIVE NORTH	EAST MEADOW	NY	11554	PHYSICIAN SERVICES	$192,560

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Fundraising	$31,467	FundraisingAmt
Related Organizations	$7,500,000	RelatedOrganizationsAmt
Government Grants	$3,350,891	GovernmentGrantsAmt
All Other Contributions	$406,061	AllOtherContributionsAmt
Total Contributions	$11,288,419	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE - HOSPITAL	622110	$216,894,364	$216,894,364
NET PATIENT SERVICE REV-LAB PROCEDURES	621500	$194,916		$194,916

Field	Value	IRS element (for citing)
Total Program Service Revenue	$217,089,280	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$196,481	TotalRevenueColumnAmt
Exclusion	$196,481	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,310,598	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,310,598	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,310,598	TotalRevenueColumnAmt
Exclusion	$3,310,598	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,185,080	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,162,964	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$22,116	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,116	TotalRevenueColumnAmt
Exclusion	$22,116	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$50,538	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$31,467	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$35,996	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,542	TotalRevenueColumnAmt
Exclusion	$14,542	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & COFFEE SHOP	722514	$470,687	$470,687
MEANINGFUL USE EHR INCENTIVE	900099	$422,602		$422,602
PHYSICIAN SERVICES REVENUE	621110	$339,912		$339,912

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$812,227	TotalRevenueColumnAmt
Related Or Exempt Func Income	$812,227	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,045,428	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$233,966,864	TotalRevenueColumnAmt
Related Or Exempt Func Income	$218,469,105	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$194,916	UnrelatedBusinessRevenueAmt
Exclusion	$4,014,424	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$749,340	TotalAmt
Program Services	$749,340	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$982,660	TotalAmt
Program Services	$248,768	ProgramServicesAmt
Management And General	$733,892	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$92,408,218	TotalAmt
Program Services	$84,463,669	ProgramServicesAmt
Management And General	$7,944,549	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,330,202	TotalAmt
Program Services	$6,649,036	ProgramServicesAmt
Management And General	$681,166	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,974,930	TotalAmt
Program Services	$12,405,153	ProgramServicesAmt
Management And General	$1,569,777	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,176,565	TotalAmt
Program Services	$6,509,676	ProgramServicesAmt
Management And General	$666,889	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$133,495	TotalAmt
Program Services	$26,042	ProgramServicesAmt
Management And General	$107,453	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,964	TotalAmt
Management And General	$44,964	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,800	TotalAmt
Management And General	$3,800	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$62,666	TotalAmt
Management And General	$62,666	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,861,366	TotalAmt
Program Services	$11,608,965	ProgramServicesAmt
Management And General	$1,252,401	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$422,881	TotalAmt
Program Services	$133,907	ProgramServicesAmt
Management And General	$288,974	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,225,081	TotalAmt
Program Services	$1,604,387	ProgramServicesAmt
Management And General	$1,620,694	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,360,505	TotalAmt
Program Services	$3,307,066	ProgramServicesAmt
Management And General	$53,439	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$80,624	TotalAmt
Program Services	$76,006	ProgramServicesAmt
Management And General	$4,618	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$882,058	TotalAmt
Program Services	$778,158	ProgramServicesAmt
Management And General	$103,900	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$4,430,440	TotalAmt
Program Services	$4,430,440	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,013,217	TotalAmt
Program Services	$7,337,758	ProgramServicesAmt
Management And General	$1,675,459	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,065,693	TotalAmt
Program Services	$10,065,693	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$25,051,665	$25,051,665
CHS SERVICES	$19,712,119	$8,823,982	$10,888,137
EQUIPMENT SERVICE CONTRACTS	$2,388,131	$2,388,131
HOME OFFICE ALLOCATION	$3,170,096		$3,170,096

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,776,870	TotalAmt
Program Services	$11,646,960	ProgramServicesAmt
Management And General	$4,129,910	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$233,307,586	TotalAmt
Program Services	$198,304,802	ProgramServicesAmt
Management And General	$35,002,784	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,925,353	BOYAmt
EOY	$2,088,780	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$238,501	BOYAmt
EOY	$238,310	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$35,620	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,812,508	BOYAmt
EOY	$25,625,094	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,982,630	BOYAmt
EOY	$2,831,103	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,623,158	BOYAmt
EOY	$2,741,891	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$318,828,536	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$216,017,610	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$97,460,178	BOYAmt
EOY	$102,810,926	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$9,661,279	BOYAmt
EOY	$8,558,768	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,608,462	BOYAmt
EOY	$4,681,931	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,478,407	BOYAmt
EOY	$63,168,348	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$197,790,476	BOYAmt
EOY	$212,780,771	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$18,087,270	BOYAmt
EOY	$22,269,014	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,459,425	BOYAmt
EOY	$27,530,677	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,468,354	BOYAmt
EOY	$2,487,387	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,757,958	BOYAmt
EOY	$115,650,436	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$153,773,007	BOYAmt
EOY	$167,937,514	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,492,448	BOYAmt
EOY	$42,760,601	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,525,021	BOYAmt
EOY	$2,082,656	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,017,469	BOYAmt
EOY	$44,843,257	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$197,790,476	BOYAmt
EOY	$212,780,771	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$659,278	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$111,510	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$55,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$62,666	OtherActivitiesAmt
Total Lobbying Expenditures	$62,666	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1 - LOBBYING ACTIVITIES	FormAndLineReferenceDesc
Explanation	AMOUNT REFLECTS PORTION OF TRADE ASSOCIATION DUES WHICH WERE USED FOR LEGISLATIVE LOBBYING ON BEHALF OF THE HEALTHCARE INDUSTRY THOSE TRADE ASSOCIATIONS REPRESENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$238,882	BeginningYearBalanceAmt
Contributions	$905	ContributionsAmt
Grants Or Scholarships	$6,300	GrantsOrScholarshipsAmt
Other Expenditures	$9,841	OtherExpendituresAmt
End Year Balance	$223,646	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$261,810	BeginningYearBalanceAmt
Contributions	$730	ContributionsAmt
Grants Or Scholarships	$16,614	GrantsOrScholarshipsAmt
Other Expenditures	$7,044	OtherExpendituresAmt
End Year Balance	$238,882	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$268,902	BeginningYearBalanceAmt
Contributions	$1,210	ContributionsAmt
Grants Or Scholarships	$5,300	GrantsOrScholarshipsAmt
Other Expenditures	$3,002	OtherExpendituresAmt
End Year Balance	$261,810	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$292,317	BeginningYearBalanceAmt
Contributions	$1,585	ContributionsAmt
Grants Or Scholarships	$6,150	GrantsOrScholarshipsAmt
Other Expenditures	$18,850	OtherExpendituresAmt
End Year Balance	$268,902	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$301,958	BeginningYearBalanceAmt
Contributions	$1,430	ContributionsAmt
Grants Or Scholarships	$2,650	GrantsOrScholarshipsAmt
Other Expenditures	$8,421	OtherExpendituresAmt
End Year Balance	$292,317	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,712,446	OtherCostOrOtherBasisAmt
Book Value	$7,712,446	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,848,001	OtherCostOrOtherBasisAmt
Depreciation	$110,552,174	DepreciationAmt
Book Value	$75,295,827	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$397,287	OtherCostOrOtherBasisAmt
Depreciation	$374,352	DepreciationAmt
Book Value	$22,935	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,987,162	OtherCostOrOtherBasisAmt
Depreciation	$99,794,554	DepreciationAmt
Book Value	$18,192,608	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,883,640	OtherCostOrOtherBasisAmt
Depreciation	$5,296,530	DepreciationAmt
Book Value	$1,587,110	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$102,810,926	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INSURANCE CLAIMS RECEIVABLE	$54,690,002
DUE FROM RELATED PARTIES	$6,131,000
OTHER RECEIVABLES - CURRENT	$2,285,017
457B FUNDS	$62,329

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$63,168,348	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED MALPRACTICE LIABILIT	$57,238,181
AMOUNTS DUE TO RELATED PARTIES	$34,699,115
OTHER SELF INSURANCE LIABILITY	$17,167,265
THIRD PARTY PAYOR LIABILITIES	$6,545,875

Field	Value	IRS element (for citing)
Total Liability	$115,650,436	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4 - ENDOWMENT FUNDS

MERCY MEDICAL CENTER'S MAGOVERN FUND IS RESTRICTED FOR THE PURPOSE OF FUNDING EXPENDITURES RELATING TO THE HOSPITAL'S SCHOOL OF RADIOLOGY.

PART X, OTHER LIABILITIES - LINE 2, FIN 48 FOOTNOTE

CHS AND MOST OF ITS SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CHS ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE ACCOUNTING STANDARDS CODIFICATION TOPIC 740, INCOME TAXES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS, USING A THRESHOLD OF MORE LIKELY THAN NOT OF BEING SUSTAINED.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	LADIES NIGHTOUT	Event1Nm
Gross Receipts Event1	$82,005	GrossReceiptsEvent1Amt
Charitable Contri Event1	$31,467	CharitableContriEvent1Amt
Gross Revenue Event1	$50,538	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$1,461	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$26,718	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$7,817	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$82,005	GrossReceiptsTotalAmt
Charitable Contributions Tot	$31,467	CharitableContributionsTotAmt
Gross Revenue Total Events	$50,538	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$1,461	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$26,718	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$7,817	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$35,996	DirectExpenseSummaryEventsAmt
Net Income Summary	$14,542	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,160,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,290,794	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$869,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,285,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,547,295	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,738,655	NetCommunityBenefitExpnsAmt
Total Expense	0.06750	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$357,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$189,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,353	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,803,570	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,027,349	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,776,221	NetCommunityBenefitExpnsAmt
Total Expense	0.07190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,071,101	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,071,101	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,478,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,027,817	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,695	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,695	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$94,598	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,683,094	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$450,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,232,211	NetCommunityBenefitExpnsAmt
Total Expense	0.00960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,486,664	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,478,232	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,008,432	NetCommunityBenefitExpnsAmt
Total Expense	0.08150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,595,410	BadDebtExpenseAmt
Reimbursed By Medicare	$60,564,379	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,785,980	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,221,601	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 NORTH VILLAGE AVENUE	AddressLine1Txt
City	ROCKVILLE CENTRE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11570	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://mercymedicalcenter.chsli.org	WebsiteAddressTxt
State License	2909000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PSYCHIATRIC UNIT / REHABILITATIVE SERVICES	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	mercymedicalcenter.chsli.org/	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www.chsli.org	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.chsli.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.chsli.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.chsli.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.chsli.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3E	IN 2016, MEMBERS OF THE LONG ISLAND HEALTH COLLABORATIVE REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM HEALTH NEEDS PRIORITIES FOR THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. DATA ANALYSIS EFFORTS WERE COORDINATED THROUGH THE LONG ISLAND POPULATION HEALTH IMPROVEMENT PROGRAM (PHIP), WITH THE PHIP SERVING AS THE CENTRALIZED DATA RETURN AND ANALYSIS HUB. AS DIRECTED BY THE DATA RESULTS, COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT FOR THE 2016-2018 CYCLE. THE GROUP ALSO AGREED THAT A STRONG EMPHASIS ON MENTAL HEALTH WITH INTEGRATION THROUGHOUT INTERVENTION STRATEGIES BE PERFORMED.
PART V, SECTION B, LINE 5	MERCY MEDICAL CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ASSOCIATION WITH LONG ISLAND HEALTH COLLABORATIVE (LIHC) MEMBERS. THE LIHC IS A PARTNERSHIP OF LONG ISLAND'S HOSPITALS, COUNTY HEALTH DEPARTMENTS, HEALTH PROVIDERS, COMMUNITY-BASED SOCIAL AND HUMAN SERVICE ORGANIZATIONS, ACADEMIC INSTITUTIONS, HEALTH PLANS, LOCAL GOVERNMENT, AND THE BUSINESS SECTOR, ALL ENGAGED IN IMPROVING THE HEALTH OF LONG ISLANDERS. THE LIHC IS THE MAIN WORKING GROUP ASSOCIATED WITH CARRYING OUT THE GOALS OF THE LONG ISLAND POPULATION HEALTH IMPROVEMENT PROGRAM. IN 2016, MEMBERS OF LIHC REVIEWED EXTENSIVE DATA SETS SELECTED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES TO IDENTIFY AND CONFIRM PREVENTION AGENDA PRIORITIES FOR THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. PRIMARY DATA SOURCES COLLECTED AND ANALYZED INCLUDE THE LONG ISLAND COMMUNITY HEALTH ASSESSMENT SURVEY, QUALITATIVE DATA FROM COMMUNITY-BASED ORGANIZATION SUMMIT EVENTS, AND THE LIHC WELLNESS SURVEY. THE BROAD COMMUNITY WAS ENGAGED IN ASSESSMENT EFFORTS THROUGH THE DISTRIBUTION AND COMPLETION OF THE PREVENTION AGENDA COMMUNITY MEMBER SURVEYS. THIS TOOL WAS DEVELOPED IN COLLABORATION WITH COMMUNITY PARTNERS FROM THE LIHC. DATA FROM THIS SURVEY WERE COLLECTED AUGUST 1, 2015 THROUGH APRIL 30, 2016 THROUGH DISTRIBUTION AND PROMOTION OF THIS SURVEY THROUGHOUT A WIDE RANGE OF SOCIAL SERVICE LOCATIONS, INCLUDING MERCY MEDICAL CENTER, DOCTOR'S OFFICES, HEALTH DEPARTMENTS, LIBRARIES, SCHOOLS, INSURANCE ENROLLMENT SITES AND COMMUNITY-BASED ORGANIZATIONS. THIS INCLUDES THE MEDICALLY UNDERSERVED COMMUNITIES OF VALLEY STREAM, HEMPSTEAD, ROOSEVELT, FREEPORT, AND UNIONDALE. MERCY MEDICAL CENTER PROMOTES THE SURVEY THROUGH SOCIAL MEDIA LINKS, ON ITS WEBSITE, AND BY DISTRIBUTING SURVEYS AT HEALTH FAIRS AND OTHER CONSUMER-ORIENTED EVENTS.
PART V, SECTION B, LINE 6A	ST. JOSEPH HOSPITAL, MERCY MEDICAL CENTER, NORTHWELL HEALTH SYSTEM (GLEN COVE HOSPITAL, LONG ISLAND JEWISH VALLEY STREAM, NORTH SHORE UNIVERSITY HOSPITAL, PLAINVIEW HOSPITAL, SOUTH OAKS HOSPITAL, SYOSSET HOSPITAL), NASSAU UNIVERSITY MEDICAL CENTER, SOUTH NASSAU COMMUNITIES HOSPITAL, AND WINTHROP-UNIVERSITY HOSPITAL.
PART V, SECTION B, LINE 6B	THE HOSPITAL'S CHNA WAS ALSO CONDUCTED WITH NASSAU AND SUFFOLK HEALTH DEPARTMENTS, STONY BROOK UNIVERSITY AND MORE THAN 40 COMMUNITY-BASED ORGANIZATIONS, COLLECTIVELY KNOWN AS THE LONG ISLAND HEALTH COLLABORATIVE (LIHC).
PART V, SECTION B, LINE 11	MERCY MEDICAL CENTER AND LIHC COMMUNITY PARTNERS SELECTED CHRONIC DISEASE AS THE PRIORITY AREA WITH A FOCUS ON (1) OBESITY AND (2) PREVENTIVE CARE AND MANAGEMENT FOR THE 2016-2018 CYCLE. MENTAL HEALTH WILL BE HIGHLIGHTED WITHIN ALL INTERVENTION STRATEGIES. PRIORITY 1: OBESITY MERCY MEDICAL CENTER IS WORKING TO REDUCE OBESITY IN ADULTS THROUGH COMMUNITY-BASED AWARENESS INITIATIVES SUCH AS FREE COMMUNITY LECTURES AND BMI SCREENINGS. IN 2017, MERCY'S DIABETES EDUCATOR DELIVERED 3 NUTRITION AND WEIGHT LOSS SESSIONS TO 58 PEOPLE FROM THE SURROUNDING UNDERSERVED COMMUNITIES: NOVEMBER 2017, SANDEL SENIOR CENTER WITH 38 ATTENDEES AND DECEMBER 2017 HISPANIC BROTHERHOOD WITH 40 ATTENDEES. THESE ORGANIZATIONS SERVE SENIOR CITIZENS AND THE HISPANIC COMMUNITY IN ROCKVILLE CENTRE AND THE NEARBY UNDERSERVED TOWNS OF HEMPSTEAD, LYNBROOK, LONG BEACH, ISLAND PARK AND FREEPORT. RESEARCH SHOWS THAT LOSING 5 TO 7 PERCENT OF BODY WEIGHT CAN PREVENT OR DELAY DIABETES. THE DIABETES EDUCATOR ALSO INTRODUCED FREE DIABETES COMMUNITY SUPPORT GROUPS DURING THIS PERIOD: YOGA TO 16 PEOPLE, NUTRITION SUPPORT AND LECTURE TO 6 PEOPLE, HEART HEALTH TO 5 PEOPLE, DIABETES AND EXERCISE TO 8 PEOPLE. MERCY MEDICAL CENTER OFFERS A BARIATRIC CLINIC FOR UNDERSERVED INDIVIDUALS WHO ARE OBESE AND AT-RISK FOR DEVELOPING RELATED HEALTH ISSUES. IN 2017, THE NY BARIATRIC GROUP DELIVERED MORE THAN 40 WEIGHT LOSS SESSIONS TO APPROXIMATELY 400 PATIENTS. MERCY MEDICAL CENTER PROMOTES THE LONG ISLAND HEALTH COLLABORATIVE'S (LIHC) ARE YOU READY FEET WALKING PROGRAM BY DISTRIBUTING PROMOTIONAL MATERIAL AT ITS 18 COMMUNITY EVENTS, 5 HEALTHY SUNDAYS PROGRAMS AND THROUGH SOCIAL MEDIA. THIS MATERIAL IS ALSO AVAILABLE IN THE HOSPITAL AND IS SHARED WITH CHS-AFFILIATED PHYSICIANS AND MID-LEVEL PRACTITIONERS TO ENCOURAGE MORE PEOPLE TO WALK AND CHOOSE A HEALTHIER LIFESTYLE. MERCY MEDICAL CENTER PARTICIPATES IN THE AMERICAN HEART ASSOCIATION HEART WALK, THE LONG ISLAND MARCUM WORKPLACE CHALLENGE - A 3.5-MILE RUN-WALK FOR CHARITY - AND THE AMERICAN CANCER SOCIETY'S MAKING STRIDES AGAINST BREAST CANCER WALK. SIXTY-ONE HOSPITAL EMPLOYEES PARTICIPATED IN THE THREE WALKS HELD IN 2017. THESE EVENTS ENCOURAGE WALKING FOR PHYSICAL ACTIVITY AND GOOD HEALTH FOR EMPLOYEES AND THE COMMUNITY. EDUCATIONAL MATERIALS ARE OFFERED TO PARTICIPANTS AT EACH EVENT. PRIORITY 2: PREVENTIVE CARE AND MANAGEMENT MERCY MEDICAL CENTER IS WORKING TO INCREASE ACCESS TO AND KNOWLEDGE OF PREVENTIVE CARE FOR HEART DISEASE AND DIABETES IN COMMUNITY SETTINGS. MERCY PARTICIPATES IN COMMUNITY PROGRAMS DESIGNED TO REACH PEOPLE OUTSIDE TRADITIONAL HEALTH CARE SETTINGS IN MEDICALLY-UNDERSERVED COMMUNITIES. IN 2017, MERCY MEDICAL CENTER HOSTED A FALL FESTIVAL WELLNESS DAY AND PROVIDED 85 FREE BLOOD PRESSURE SCREENINGS AND 62 FREE FLU VACCINATIONS. HEART HEALTH AND DIABETES EDUCATION MATERIAL WAS AVAILABLE FOR THE NEARLY 400 ATTENDEES, WHICH INCLUDED THOSE FROM THE UNDERSERVED COMMUNITIES OF HEMPSTEAD, ROOSEVELT, FREEPORT AND UNIONDALE. MERCY MEDICAL CENTER PROVIDED FREE SCREENINGS FOR BLOOD PRESSURE AND BMI WITHIN SELECT UNDERSERVED COMMUNITIES. MERCY PROVIDED 45 SCREENINGS AT 2 COMMUNITY EVENTS: MAY 8, 2017 AT THE HEMPSTEAD SENIOR CENTER TO 21 PEOPLE, AND SEPTEMBER 5, 2017 AT THE HEMPSTEAD SENIOR CENTER TO 24 PEOPLE, BOTH UNDERSERVED COMMUNITIES. MERCY'S SPEAKERS BUREAU PROVIDED FREE EDUCATION TO THE COMMUNITY ON VARIOUS HEALTH AND WELLNESS PROGRAMS AND PREVENTIVE CARE AND MANAGEMENT. MERCY HOSTED 21 FREE SESSIONS IN 2017. -SEVEN OSTOMY SUPPORT GROUP SESSIONS FOR 105 PEOPLE FROM THE SURROUNDING COMMUNITIES. -SIX PARKINSON'S SUPPORT GROUP SESSIONS WERE DELIVERED TO 55 PEOPLE FROM THE SURROUNDING COMMUNITY. A GUEST SPEAKER ATTENDED EACH SESSION TO DISCUSS A VARIETY OF TOPICS RELATED TO THE DISEASE. -FOUR STROKE PRESENTATIONS WERE HELD: MAY 17, 2017 AT THE HEMPSTEAD SENIOR CENTER WITH 29 ATTENDEES; MAY 24, 2017 AT THE MEN'S CLUB OF OCEANSIDE WITH 33 ATTENDEES; DECEMBER 3, 2017 HEMPSTEAD ASSEMBLY OF GOD WITH 20 ATTENDEES; DECEMBER 16, 2017 AT THE BETHEL BIBLE CHRISTIAN CHURCH IN NEW HYDE PARK WITH 15 ATTENDEES. HEMPSTEAD IS AN UNDERSERVED COMMUNITY, AND OCEANSIDE IS VERY CLOSE TO THE UNDERSERVED COMMUNITIES OF FREEPORT AND VALLEY STREAM. -A HEALTH INFORMATION SESSION WAS HELD ON JUNE 5, 2017 AT THE HISPANIC BROTHERHOOD OF ROCKVILLE CENTRE WITH 34 ATTENDEES. HEALTH EDUCATION MATERIAL WAS DISTRIBUTED IN BOTH SPANISH AND ENGLISH. -MERCY VOLUNTEER STAFF PROVIDED FREE BLOOD PRESSURE SCREENINGS AND SHARED HEALTH EDUCATION MATERIALS IN THE UNDERSERVED COMMUNITY OF HEMPSTEAD ON MAY 8, 2017 AT THE HEMPSTEAD SENIOR CENTER WITH 21 ATTENDEES AND SEPTEMBER 5, 2017 AT THE HEMPSTEAD SENIOR CENTER WITH 24 ATTENDEES. MERCY PARTICIPATED IN THE HEMPSTEAD SENIOR HEALTH FAIR AT LIDO BEACH IN JUNE 2017 AND SHARED HEALTH EDUCATION MATERIALS WITH MORE THAN 200 INDIVIDUALS. MERCY PROMOTES CULTURALLY RELEVANT CHRONIC DISEASE SELF-MANAGEMENT EDUCATION THROUGH FREE MONTHLY DIABETES EDUCATION SESSIONS. IN 2017, 3 FREE DIABETES EDUCATION SESSIONS WERE DELIVERED TO 58 INDIVIDUALS FROM SURROUNDING UNDERSERVED COMMUNITIES. MERCY OFFERED A FREE WOUND CARE SCREENING AT THE HEMPSTEAD SENIOR CENTER, AN UNDERSERVED COMMUNITY, ON OCTOBER 18, 2017. THERE WERE 25 SCREENINGS CONDUCTED WITH NO INDIVIDUALS REQUIRING FOLLOW UP CARE. MERCY MEDICAL CENTER STAFF VOLUNTEER AT CHS HEALTHY SUNDAYS COMMUNITY OUTREACH EVENTS HELD IN CHURCHES IN UNDERSERVED COMMUNITIES, OFFERING FREE HEALTH SCREENINGS AND FREE EDUCATIONAL MATERIALS ON OBESITY, HEART HEALTH, AND DIABETES. IN 2017, STAFF FROM MERCY MEDICAL CENTER PROVIDED SCREENINGS AT 4 HEALTHY SUNDAY EVENTS WITH 195 PARTICIPANTS IN THE UNDERSERVED COMMUNITIES OF UNIONDALE, FREEPORT AND LONG BEACH. BLOOD PRESSURE SCREENINGS WERE PROVIDED TO 81 INDIVIDUALS, BMI SCREENINGS PROVIDED TO 20, AND 45 RECEIVED FLU VACCINATIONS. THERE WAS ONE REFERRAL FOR FREE FOLLOW-UP CARE TO CHS'S BISHOP MCHUGH HEALTH CENTER IN HICKSVILLE. MERCY OFFERS THE FREE, SEVEN-WEEK STEPPING ON PROGRAM WHICH IS AN EVIDENCE BASED FALL PREVENTION PROGRAM DESIGNED TO REDUCE FALLS AND BUILD CONFIDENCE IN OLDER ADULTS. TWO CLASSES WERE HELD IN 2017 WITH 40 TOTAL PARTICIPANTS. MERCY PROVIDED FREE MAMMOGRAPHY SCREENINGS AT THE HOSPITAL FOR MOTHER'S DAY ON MAY 6, 9 AND 10, 2017. DUE TO THE HIGH DEMAND, AN ADDITIONAL SESSION WAS ADDED ON MAY 23, 2017. THIRTY WOMEN FROM UNDERSERVED COMMUNITIES WERE PROVIDED FREE SCREENINGS WITH SIX INDIVIDUALS REFERRED FOR FOLLOW-UP CARE. MERCY HELD A WOMEN'S HEALTH SYMPOSIUM ON JUNE 17, 2017 AT THE HAYES THEATER IN MOLLOY COLLEGE. MORE THAN 100 PEOPLE FROM THE SURROUNDING COMMUNITY ATTENDED. THIS SYMPOSIUM FEATURED HEALTH CARE PROVIDERS SHOWCASING MULTIDISCIPLINARY APPROACHES TO WOMEN'S HEALTH. PRIORITY 3: MENTAL HEALTH DELMONT MEDICAL CARE, ADJACENT TO MERCY'S EMERGENCY DEPARTMENT (ED), OPENED IN 2017. THIS IS A MULTISITE, MULTISPECIALTY, NCQA LEVEL 3 MEDICAL HOME PRACTICE THAT DELIVERS CULTURALLY SENSITIVE, EFFICIENT AND HIGH-QUALITY CARE TO THOUSANDS OF LOW-INCOME, UNINSURED AND UNDERINSURED PATIENTS. MERCY ED PATIENTS WITHOUT A PRIMARY CARE PHYSICIAN ARE NOW REFERRED TO DELMONT MEDICAL CARE, WHICH ALSO PROVIDES INTERNAL MEDICINE FOR THE HOSPITAL'S FAMILY CARE CENTER. UNDER THE DIRECTION OF JACQUELINE DELMONT, MD, THE FACILITY HELPS PATIENTS WHO ARRIVE AT THE ED WITH NON-EMERGENCY CONDITIONS TO RECEIVE APPROPRIATE MEDICAL ATTENTION. MERCY MEDICAL CENTER'S DIRECTOR OF THE OUTPATIENT MENTAL HEALTH CLINIC PARTICIPATED IN THE FOLLOWING EVENTS DURING THIS TIME PERIOD: -PARTICIPATED ON A NEW YORK STATE DEPARTMENT OF HEALTH COMMITTEE FOR THE REGULATORY MODERNIZATION INITIATIVE COMMITTEE ON INTEGRATED LICENSING IN ALBANY, NEW YORK. -BEHAVIORAL HEALTH PRESENTATIONS AT FRIENDS OF MERCY FOUNDATION EVENTS ON: 9/12/17, 9/15/17, 10/22/17 AND 11/4/17 (OPIOID CRISIS PUBLIC PRESENTATION). WITH THE SUPPORT OF THE FRIENDS OF MERCY, THE HOSPITAL HELD AN OPIOID SYMPOSIUM AT MOLLOY COLLEGE IN ROCKVILLE CENTRE ON OCTOBER 7, 2017. MORE THAN 190 PEOPLE FROM THE SURROUNDING COMMUNITIES ATTENDED THIS DAY LONG SYMPOSIUM. GUEST SPEAKERS FROM THE NASSAU COUNTY DEPARTMENT OF HEALTH, POLICE DEPARTMENT, AND MERCY PARTICIPATED IN THE EVENT. THE FREE CHS MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES GUIDE IS AVAILABLE THROUGHOUT THE HOSPITAL AND AT ALL COMMUNITY OUTREACH EVENTS.
PART V, SECTION B, LINE 20E	MERCY MEDICAL CENTER HAS POSTED MULTILINGUAL NOTICES ABOUT ITS CHARITY CARE POLICIES IN SEVERAL PROMINENT LOCATIONS WITHIN MERCY MEDICAL CENTER, INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, WAITING ROOMS FOR PURPOSES OF ADMISSIONS, AND THE INPATIENT AND OUTPATIENT REGISTRATION AREA. SAID NOTICES ARE PUBLISHED IN ENGLISH AND SPANISH AND ARE CLEARLY VISIBLE TO THE PUBLIC. MERCY MEDICAL CENTER HAS POSTED ITS CHARITY CARE POLICY SUMMARY ON ITS WEBSITE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7 - RATIO OF PATIENT CARE COST TO CHARGES WORKSHEET	(WORKSHEET 2) AS PRESCRIBED BY THE IRS INSTRUCTIONS TO SCHEDULE H FORM 990 THE METHODOLOGY WAS USED TO CALCULATE THE AMOUNTS REPORTED IN PART I, LINE 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST LINES 7A, 7B AND 7C AND 7D. ALL OTHER LINES INCLUDE COSTS THAT WERE DERIVED BASED ON THE RCC METHODOLOGY OR ACTUAL COSTS FOR THE SERVICES AS TRACKED BY HOSPITAL PERSONNEL UTILIZING DIRECT HOURLY LABOR COSTS, FRINGES AND SUPPLY COSTS.
PART I, LINE 7A, COLUMN (D)	DIRECT OFFSETTING REVENUES REPRESENT DISTRIBUTIONS FROM THE NEW YORK STATE (NYS) INDIGENT CARE POOL (ICP) WHICH IS SHOWN NET OF HOSPITAL CONTRIBUTIONS TO THE STATEWIDE POOL. THE FORMULA EMPLOYED BY NYS TO DETERMINE DISTRIBUTIONS TO HOSPITALS FROM THE ICP IS COMPLEX AND IS DERIVED FROM A HOSPITAL'S "NEED" CALCULATION. THIS CALCULATION CONSIDERS 100% OF A HOSPITAL'S "NEED" BASED ON A "UNITS OF SERVICE" METHODOLOGY FOR UNINSURED PATIENTS. THE CALCULATION ALSO MAKES TREATED AT THE FACILITY. THE HOSPITAL HAS APPORTIONED THE ICP REVENUE BETWEEN BAD DEBT AND CHARITY CARE FOR REPORTING ON LINE 7A BASED ON THEPROPORTION OF EACH TO THE TOTAL OF ACTUAL BAD DEBT AND CHARITY CARE FOR 2017.
PART III, LINE 2,3 - BAD DEBT AS COMMUNITY BENEFIT	AS PART OF ITS TAX EXEMPT PURPOSE, MERCY MEDICAL CENTER PROVIDES ACCESS TO MEDICALLY NECESSARY CARE FOR EMERGENCY AND NON-ELECTIVE PATIENTS, REGARDLESS OF AGE, GENDER, GEOGRAPHIC LOCATION, OR CULTURAL BACKGROUND. MERCY TREATS EMERGENCY AND NON-ELECTIVE PATIENTS REGARDLESS OF WHETHER THEY HAVE THIRD-PARTY COVERAGE OR THE ABILITY TO PAY. BY PROVIDING HEALTH CARE TO ALL WHO REQUIRE EMERGENCY OR NON-ELECTIVE CARE IN A NON-DISCRIMINATORY MANNER, MERCY IS PROVIDING HEALTH CARE TO THE BROAD COMMUNITY IT SERVES. A PATIENT'S PORTION OF A BILL THAT REMAINS UNPAID FOR A CERTAIN STIPULATED TIME PERIOD IS WHOLLY OR PARTIALLY CLASSIFIED AS BAD DEBT. BAD DEBTS ASSOCIATED WITH PATIENTS WHO HAVE RECEIVED CARE FROM THE HOSPITAL SHOULD BE CONSIDERED TO BE COMMUNITY BENEFIT SINCE CHARITABLE HOSPITALS EXIST TO PROVIDE SUCH CARE IN PURSUIT OF THEIR TAX EXEMPT PURPOSE, WHICH IS MEETING THE NEED FOR EMERGENCY AND NON-ELECTIVE MEDICAL CARE SERVICES IN THE COMMUNITY.
PART III, LINES 2 AND 4 - TEXT OF FOOTNOTE DISCUSSING BAD DEBT	THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THIS ALLOWANCE BASED UPON HISTORICAL COLLECTION AND WRITE- OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, CHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CHS POLICY. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR RECOVERY IS CONSIDERED REMOTE. CHS DOES NOT HAVE ANY OFF-BALANCE-SHEET CREDIT EXPOSURE RELATED TO ITS PATIENT ACCOUNTS RECEIVABLE.
PART III, LINE 8 - COSTING METHODOLOGY	THE MEDICARE REVENUE AND ALLOWABLE COSTS SHOWN ON PART III, SECTION B LINE 5 WERE DERIVED FROM THE AS FILED 2017 CMS-2552 (MEDICARE COST REPORT). MEDICARE REVENUE IS BASED ON THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT REPORT AND MEDICARE COSTS ARE DEVELOPED UTILIZING A RATIO OF MEDICARE ALLOWABLE COSTS TO CHARGES METHODOLOGY. AMOUNTS SHOWN FOR TOTAL REVENUE RECEIVED AND MEDICARE ALLOWABLE COSTS ARE NET OF ANY AMOUNTS ALREADY INCLUDED WITHIN PART I, LINE 7, PRIMARILY IN SUBSIDIZED HEALTH SERVICES.
PART III, LINE 8 - MEDICARE SHORTFALL AS COMMUNITY BENEFIT	LOSSES ON TREATING MEDICARE BENEFICIARIES SHOULD BE INCLUDED AS A COMMUNITY BENEFIT IN THEIR ENTIRETY. THIS REPRESENTS THE AMOUNT BY WHICH COSTS TO DELIVER CARE TO MEDICARE RECIPIENTS EXCEEDS THE LEVEL OF PAYMENT. MERCY MEDICAL CENTER BEARS THE BURDEN OF NOT ONLY PROVIDING THE BEST AND MOST ADVANCED MEDICAL CARE POSSIBLE TO THE COMMUNITY BUT ALSO DOING SO WITH NO RECOURSE IN OBTAINING PAYMENT FOR THE COST OF PROVIDING CARE IN EXCESS OF THE MEDICARE PAYMENT. AS MEDICARE REVENUE DECLINES AND THE COST TO PROVIDE CUTTING-EDGE CARE TO THE COMMUNITY INCREASES, THE HOSPITAL WILL CARRY THE BURDEN. AS A PARTICIPATING PROVIDER AND A CHARITABLE ORGANIZATION, MEDICARE PATIENTS, THE MAJORITY OF WHOM ARE ELDERLY AND DISABLED, ARE NOT TURNED AWAY. MERCY MEDICAL CENTER WILL CONTINUE TO BEAR THE LOSS IN PROVIDING THE BEST CARE POSSIBLE TO THE LOCAL COMMUNITY.
PART III, LINE 9B	THE HOSPITAL'S CHARITY CARE POLICY DESCRIBES THE POLICIES AND PROCEDURES RELATING TO THE PROVISION OF CHARITY CARE TO PERSONS WHO ARE UNABLE TO PAY FOR ALL OR A PORTION OF THEIR BILL. NO INDIVIDUAL WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED ON A DEMONSTRATED INABILITY TO PAY FOR THOSE SERVICES. IN ADDITION, UPON APPLYING FOR CHARITY CARE, EACH PATIENT AND PATIENT GUARANTOR'S ABILITY TO PAY WILL BE ASSESSED. ELIGIBILITY FOR ASSISTANCE: A REASONABLE REVIEW SHALL BE PERFORMED PRIOR TO TURNING AN ACCOUNT OVER TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (I.E. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE CHS CHARITY CARE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY ACCOUNT THAT SUBSEQUENTLY IS DETERMINED TO MEET THE CHARITY CARE CRITERIA SHALL BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT FOR APPROPRIATE FOLLOW-UP. THE THIRD-PARTY COLLECTION AGENT SHALL ADVISE THE PATIENT/GUARANTOR OF THE HOSPITAL'S CHARITY CARE POLICY AND RETURN THE ACCOUNT IMMEDIATELY IF IT IS DETERMINED THAT THE QUALIFICATIONS ARE MET.
PART VI, LINE 2 - ASSESSMENT OF COMMUNITY NEEDS AND GOALS	COMMUNITY HEALTH NEEDS ARE ASSESSED ON A CONTINUAL BASIS, DURING MEETINGS OF THE HOSPITAL'S BOARD OF TRUSTEES AND EXECUTIVE LEADERSHIP COUNCIL, COMMUNITY HEALTH AND EDUCATION DEPARTMENT MEETINGS, AT COLLABORATIVE SESSIONS WITH MEMBER HOSPITALS OF CATHOLIC HEALTH SERVICES OF LONG ISLAND (CHS), AND WITH PARTNERS AT COMMUNITY AGENCIES AND ORGANIZATIONS THAT ARE PART OF THE LONG ISLAND HEALTH COLLABORATIVE (LIHC). THE LIHC COMMUNITY HEALTH ASSESSMENT SURVEYS ARE OFFERED YEAR-ROUND AT MULTIPLE OUTREACH SITES IN THE COMMUNITY. BY DISTRIBUTING COMMUNITY NEEDS SURVEYS (AVAILABLE IN ENGLISH, SPANISH, POLISH, AND HAITAIN CREOLE) TO PARTICIPANTS AT SCREENING SITES, EVERY POINT OF CONTACT DOUBLES AS AN OPPORTUNITY TO REQUEST FEEDBACK ON HOW THE HOSPITAL CAN BETTER MEET THE NEEDS OF THE COMMUNITY. THESE EVENTS ARE PROMOTED IN THE COMMUNITY SURROUNDING THE OUTREACH SITE AND ON CHS'S WEBSITE. MERCY MEDICAL CENTER CONTINUES TO COLLABORATE WITH OTHER HOSPITALS, LOCAL HEALTH DEPARTMENTS, HEALTH CARE PROVIDERS, PUBLIC HEALTH SPECIALISTS FROM ACADEMIC INSTITUTIONS, AND COMMUNITY-BASED ORGANIZATIONS AT LIHC EVENTS. LIHC'S WEBSITE OFFERS COMPREHENSIVE INFORMATION TO PROMOTE GOOD HEALTH AND PREVENT CHRONIC DISEASE. IN ADDITION TO PROVIDING NUMEROUS RESOURCES SUCH AS HEALTH PROGRAM INVENTORIES, HEALTH INSURANCE INFORMATION AND EDUCATIONAL VIDEOS, LIHC AND ITS MEMBERS HAVE ORGANIZED WALKING PROGRAMS, AND DEVELOPED A UNIVERSAL SCREENING TOOL TO HELP MEASURE THE EFFECTIVENESS OF COMMUNITY HEALTH EFFORTS. MORE INFORMATION CAN BE FOUND AT WWW.LIHEALTHCOLLAB.ORG.
PART VI, LINE 3 - COMMUNICATION OF FINANCIAL ASSISTANCE POLICY	1. SINCE IT IS THE DUTY OF MERCY MEDICAL CENTER TO ENSURE THAT EVERY PATIENT IS AWARE OF THE EXISTENCE OF THE HOSPITAL'S CHARITY CARE POLICY, ALL EMPLOYEES IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENT HAVE BEEN FULLY VERSED IN MERCY MEDICAL CENTER'S CHARITY CARE POLICY. ALL HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVES. 2. MERCY MEDICAL CENTER HAS POSTED MULTILINGUAL NOTICES AS TO ANY POLICIES ON CHARITY CARE IN SEVERAL PROMINENT LOCATIONS WITHIN MERCY MEDICAL CENTER INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, WAITING ROOMS FOR PURPOSES OF ADMISSIONS, AND THE INPATIENT AND OUTPATIENT REGISTRATION AREA. SAID NOTICES ARE PUBLISHED IN ENGLISH AND SPANISH, AND ARE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. 3. MERCY MEDICAL CENTER PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS OF APPLYING FOR ASSISTANCE. THIS SUMMARY IS WRITTEN AT OR BELOW A SIXTH GRADE READING LEVEL. 4. MERCY MEDICAL CENTER HAS POSTED ITS CHARITY CARE POLICY SUMMARY ON ITS WEBSITE. 5. MERCY MEDICAL CENTER PROVIDES ALL PATIENTS ACCESS TO INTERPRETERS TO ASSIST THEM IN UNDERSTANDING MERCY MEDICAL CENTER'S CHARITY CARE PROGRAM IN THE LANGUAGE SPOKEN BY THE PATIENT DURING ANY PRE-ADMISSION, ADMISSION, AND DISCHARGE PROCESS. 6. ON ALL BILLS AND STATEMENTS SENT TO PATIENTS, A STATEMENT IS INCLUDED REGARDING THE AVAILABILITY OF VARIOUS FINANCIAL ASSISTANCE PROGRAMS, INCLUDING CHARITY CARE, AND A CONTACT NUMBER TO CALL TO OBTAIN FURTHER INFORMATION. THIS INFORMATION IS AVAILABLE AT OR BELOW A SIXTH GRADE READING LEVEL.
PART VI, LINE 4 - COMMUNITY INFORMATION	MERCY MEDICAL CENTER IS LOCATED ON THE SOUTH SHORE OF NASSAU COUNTY IN ROCKVILLE CENTRE. A NOT-FOR-PROFIT HOSPITAL WITH 375 BEDS, MERCY IS A MEMBER OF CATHOLIC HEALTH SERVICES SERVING THE HEALTH CARE NEEDS OF NASSAU COUNTY AND THE SURROUNDING AREA. THE POPULATION IN THE HOSPITAL'S PRIMARY SERVICE AREA IS ETHNICALLY DIVERSE WITH A POPULATION OF MORE THAN 500,000 RESIDENTS. MERCY'S SERVICE AREA CONSISTS OF SOME OF THE POOREST POPULATIONS IN NASSAU COUNTY, INCLUDING FOUR (HEMPSTEAD, ROOSEVELT, FREEPORT, AND UNIONDALE) OF THE EIGHT HIGHEST POVERTY ZIP CODES IN THE COUNTY. MERCY MEDICAL CENTER'S DISCHARGE DATA INDICATES THAT MERCY CONTINUES TO SERVE THE ECONOMICALLY CHALLENGED COMMUNITY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MERCY PARTICIPATED IN COMMUNITY HEALTH FAIRS ACROSS LONG ISLAND AT WHICH EDUCATIONAL MATERIALS WERE DISTRIBUTED, EMPHASIZING WELLNESS, NUTRITION, DIABETES PREVENTION, AND PREVENTIVE CARE SCREENINGS. FREE COMMUNITY LECTURES WERE CONDUCTED THROUGHOUT THE YEAR IN UNDERSERVED COMMUNITIES, INCLUDING CULTURAL CENTERS, FAIRS, LIBRARIES, AND SENIOR CENTERS. FREE SUPPORT GROUPS WERE OFFERED IN 2017, INCLUDING ALCOHOLICS ANONYMOUS, BARIATRIC SUPPORT, BREAST CANCER, AL-ANON FAMILY GROUP, GENERAL BEREAVEMENT, DIABETES, AND OSTOMY CARE. MERCY, IN CONJUNCTION WITH OTHER CHS HOSPITALS, PARTICIPATED IN THE HEALTHY SUNDAYS PROGRAM, A COMMUNITY OUTREACH PROGRAM HELD IN PARISHES AND OTHER COMMUNITY CENTERS. EVENTS OFFER SCREENINGS AND HEALTH EDUCATION ON TOPICS SUCH AS CANCER AWARENESS, DIABETES, BLOOD PRESSURE, NUTRITION AND HEALTHY EATING, FITNESS, AND SMOKING CESSATION. MERCY IS A SMOKE-FREE CAMPUS. ALL PATIENTS ARE SCREENED UPON ADMISSION AND THOSE IDENTIFIED AS SMOKERS ARE ENTERED INTO A DATABASE, SO NURSING STAFF CAN EDUCATE PATIENTS MOST IN NEED. THE HOSPITAL OFFERS SMOKING CESSATION INFORMATION, REFERRALS TO SMOKING CESSATION PROGRAMS AND THE NY-QUIT LINE CARDS AT ALL COMMUNITY OUTREACH EVENTS. MERCY OFFERS SMOKING CESSATION PROGRAMS TO EMPLOYEES THROUGH ITS EMPLOYEE ASSISTANCE PROGRAM AND TO PHYSICIANS THROUGH THE CENTER FOR TOBACCO CONTROL. MERCY MEDICAL CENTER PARTICIPATES IN THE COMPREHENSIVE CARE FOR JOINT REPLACEMENT (CJR) MODEL. THE CJR MODEL AIMS TO SUPPORT BETTER AND MORE EFFICIENT CARE FOR BENEFICIARIES UNDERGOING THE MOST COMMON INPATIENT SURGERIES FOR MEDICARE BENEFICIARIES: HIP AND KNEE REPLACEMENTS (ALSO CALLED LOWER EXTREMITY JOINT REPLACEMENTS OR LEJR).
PART VI, LINE 6 - AFFILIATED HEALTHCARE SYSTEM	ALONG WITH THE AFOREMENTIONED COMMUNITY PROGRAMS, MERCY MEDICAL CENTER THROUGH ITS DAILY OPERATIONS, PROVIDES ACUTE, EMERGENT, AND OUTPATIENT CARE. MERCY IS A MEMBER OF CATHOLIC HEALTH SYSTEM OF LONG ISLAND (D/B/A/ CATHOLIC HEALTH SERVICES OF LONG ISLAND)(CHS), A NEW YORK, NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF PROVIDERS SERVING NASSAU AND SUFFOLK COUNTIES. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTRE. AS OF DECEMBER 31, 2017, CHS COMPRISED SIX HOSPITALS (MERCY MEDICAL CENTER, ST. FRANCIS HOSPITAL AND ST. JOSEPH HOSPITAL IN NASSAU COUNTY, AND GOOD SAMARITAN HOSPITAL MEDICAL CENTER, ST. CHARLES HOSPITAL, AND ST. CATHERINE OF SIENA MEDICAL CENTER IN SUFFOLK COUNTY), AS WELL AS THREE NURSING HOMES (ST. CATHERINE OF SIENA NURSING AND REHABILITATION CARE CENTER, GOOD SAMARITAN NURSING HOME, AND OUR LADY OF CONSOLATION NURSING AND REHABILITATIVE CARE CENTER, ALL IN SUFFOLK COUNTY), A REGIONAL HOME CARE AND HOSPICE NETWORK, AND A COMMUNITY-BASED AGENCY FOR PERSONS WITH SPECIAL NEEDS. WITH MORE THAN 18,400 EMPLOYEES AND 4,600 MEDICAL STAFF WORKING THROUGHOUT THE SYSTEM, CHS PROVIDES THE REGION'S FINEST HEALTH AND HUMAN SERVICES. OUR MISSION STATES: WE, AT CATHOLIC HEALTH SERVICES, HUMBLY JOIN TOGETHER TO BRING CHRISTS HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES. MEMBER ORGANIZATIONS OF CHS OFFER VIRTUALLY EVERY MEDICAL SPECIALTY AND CLINICAL SERVICE, AND SHARE A DEDICATION TO CONTINUOUSLY UPGRADE THE SCOPE, QUALITY AND ACCESSIBILITY OF CARE. ALL OF CHS'S MEMBER ORGANIZATIONS HAVE RETAINED THEIR INDIVIDUAL LINKS TO THEIR HISTORY AND THEIR DISTINCTIVE PERSONALITIES, AS WELL AS THE SERVICE SPECIALTIES WHICH THEY ARE KNOWN FOR, THUS EMBEDDING THE ORGANIZATION IN THE COMMUNITY AND SERVING IT EFFECTIVELY. CHS ENTITIES PROVIDE AN ABUNDANCE OF EDUCATION AND SUPPORT GROUPS AS WELL AS FREE HEALTH SCREENINGS THROUGH ITS HEALTHY SUNDAYS PROGRAMS. SINCE 1907, CATHOLIC HEALTH SERVICES HAS BUILT A DISTINGUISHED TRADITION OF OPERATING COMMUNITY-BASED HOSPITALS AND HUMAN SERVICE ORGANIZATIONS WITH THE PRIMARY OBJECTIVE IMPROVING THE COMMUNITY'S HEALTH. TO FURTHER THE MISSION OF BRINGING CARE TO THE COMMUNITY, CHS AND ITS MEMBER HOSPITALS, TOGETHER WITH A NUMBER OF OTHER HEALTH CARE PROVIDERS ON LONG ISLAND, ENTERED INTO A PARTNERSHIP AGREEMENT WHICH OPERATES AS THE LONG ISLAND HEALTH NETWORK (LIHN). LIHN WAS CREATED TO ESTABLISH A COMPREHENSIVE AND EFFICIENT HOSPITAL NETWORK IN NASSAU AND SUFFOLK COUNTIES WORKING TO, AMONG OTHER THINGS, IMPROVE QUALITY OF CARE, FACILITATE CLINICAL INTEGRATION, BENCHMARK BEST PRACTICES AND REDUCE LENGTH OF STAY AND COSTS. MERCY MEDICAL CENTER, A RELATED ORGANIZATION, PROVIDES UNCOMPENSATED CARE THROUGH A BROAD RANGE OF COMMUNITY SERVICE PROGRAMS AND CHARITABLE ACTIVITIES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTH SERVICES OF LONG ISLAND	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	992 N VILLAGE AVEROCKVILLE CENTRE	AddressLine1Txt
City	ROCKVILLE CENTRE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11570	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	113403968	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$749,340	CashGrantAmt
Valuation Method Used	NONE	ValuationMethodUsedDesc
Non Cash Assistance	NONE	NonCashAssistanceDesc
Purpose Of Grant	OUTPATIENT CENTERS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 2 - PROCEDURE FOR MONITORING GRANT FUND USE

CHS SERVICES, A RELATED ENTITY, MAINTAINS THE BOOKS AND RECORDS FOR MERCY MEDICAL CENTER AND CATHOLIC HEALTH SERVICES OF LONG ISLAND AND IS THEREFORE ABLE TO MONITOR THAT CATHOLIC HEALTH SERVICES OF LONG ISLAND USES THE GRANT FUNDS FOR MISSION SPONSORSHIP, OUTPATIENT CENTERS, GRANTS TO UNDESERVED COMMUNITIES AND CAPITAL SUPPORT.

PART II, LINE 1, COLUMN (H)

NAME OF ORGANIZATION OR GOVERNMENT: CATHOLIC HEALTH SYSTEM OF LONG ISLAND (H) PURPOSE OF GRANT: 1) SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND AS A PASS THROUGH TO PROVIDE GENERAL SUPPORT TO THE CATHOLIC MINISTRIES OF THE DIOCESE OF ROCKVILLE CENTRE IN CONNECTION WITH THE FORMATION OF YOUTH AND ADULTS IN THE FAITH, PROMOTION OF THE DIGNITY OF LIFE, PROMOTION OF QUALITY EDUCATION FOR YOUNG PEOPLE, AND FOSTERING OF VOCATIONS FOR THE PRIESTHOOD; 2) PROVIDE SUPPORT TO CATHOLIC HEALTH SYSTEM OF LONG ISLAND TO FUND OUTPATIENT CENTERS THAT PROVIDE CHARITY CARE TO THOSE CENTERS COMMUNITIES; AND 3) TO FUND SUPPORT PROVIDED THROUGH THE CATHOLIC HEALTH SERVICES OF LONG ISLAND CAREGIVERS FUND. THE CATHOLIC HEALTH SERVICES OF LONG ISLAND CAREGIVERS FUND WAS FORMED WITH THE MISSION TO ASSIST OUR FELLOW CAREGIVERS ON THE FRONT LINES, HERE AND ABROAD, WHO STRUGGLE JUST TO OBTAIN BASIC RESOURCES TO PROVIDE CARE TO THOSE DESPERATELY IN NEED.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALAN D GUERCI MD
PRESIDENT & CEO	$0	$1,422,720	$0	$750,000	$0	$1,604,265	$0	$365,382	$0	$35,113	$0	$4,177,480	$0	$1,568,553
DANIEL DEBARBA
EVP & CFO	$0	$845,561	$0	$150,000	$0	$29,019	$0	$335,382	$0	$34,603	$0	$1,394,565	$0	$0
WILLIAM C ARMSTRONG
SVP FINANCE	$0	$698,726	$0	$170,000	$0	$21,655	$0	$195,382	$0	$32,462	$0	$1,118,225	$0	$0
RONALD W STEIMEL
CAO	$462,478	$0	$103,846	$0	$16,804	$0	$117,598	$0	$33,166	$0	$733,892	$0	$0	$0
JOHN REILLY
CMO THRU 6/14/17	$202,256	$0	$15,000	$0	$2,244	$0	$17,601	$0	$11,667	$0	$248,768	$0	$0	$0
ALAN WONG MD
SECTION CHIEF ICU	$446,260	$0	$0	$0	$307	$0	$23,598	$0	$31,534	$0	$501,699	$0	$0	$0
ALEXANDER TELIS MD
CLINICAL ATTENDING CRIT CARE	$374,344	$0	$0	$0	$217	$0	$23,598	$0	$31,474	$0	$429,633	$0	$0	$0
ALEEM ALI MD
HOSPITALIST	$325,168	$0	$5,775	$0	$170	$0	$16,718	$0	$21,336	$0	$369,167	$0	$0	$0
SWARNA DEVARAJAN MD
DIR OF PEDIATRICS	$339,892	$0	$0	$0	$2,154	$0	$23,598	$0	$33,765	$0	$399,409	$0	$0	$0
SYED KAMAL MD
HOSPITALIST	$201,511	$0	$154,475	$0	$167	$0	$16,625	$0	$31,638	$0	$404,416	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. ALAN D. GUERCI, MD $342,000 PARTICIPATION IN PLAN WILLIAM ARMSTRONG $172,000 PARTICIPATION IN PLAN DANIEL DEBARBA $312,000 PARTICIPATION IN PLAN RONALD STEIMEL $94,000 PARTICIPATION IN PLAN THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THESE INDIVIDUALS INCLUDES BOTH QUALIFIED AND NON-QUALIFIED RETIREMENT PLANS. THE FOLLOWING INDIVIDUALS VESTED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III). THESE AMOUNTS INCLUDE A TAX GROSS UP. ALAN GUERCI $1,568,553, VESTED IN PLAN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5 AS TAXABLE WAGES BECAUSE THEY ARE VESTED, BUT ARE NOT DISTRIBUTED UNTIL RETIREMENT.

PART II - REPORTING OF TOP FINANCIAL OFFICIAL

WILLIAM ARMSTRONG WAS REPORTED AS AN OFFICER IN 2015 AS THE TOP FINANCIAL OFFICIAL IN HIS ROLE AS INTERIM CFO. EFFECTIVE 2016, DANIEL DEBARBA BECAME THE TOP FINANCIAL OFFICER AS CFO, AND WILLIAM ARMSTRONG RESUMED HIS ROLE AS SVP OF FINANCE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LONG ISLAND EMERGENCY CARE PC
SEE PART V	$6,226,409	SUBSIDIZE EXPENSES	false
MERCY INTERNAL MEDICINE PC
SEE PART V	$533,148	PURCHASED SALARIES/CONTRACT MG	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE L, PART IV, LINE (1) COLUMN (B) - RELATIONSHIP	JOHN REILLY, A KEY EMPLOYEE OF MERCY MEDICAL CENTER, IS THE SOLE SHAREHOLDER OF LONG ISLAND EMERGENCY CARE, PC
SCHEDULE L, PART IV, LINE (2), COLUMN (B) - RELATIONSHIP	JOHN REILLY, A KEY EMPLOYEE OF MERCY MEDICAL CENTER, IS THE SOLE SHAREHOLDER OF MERCY INTERNAL MEDICINE, PC

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6 - MEMBERS OF THE ORGANIZATION	THE SOLE MEMBER OF MERCY MEDICAL CENTER IS CATHOLIC HEALTH SYSTEM OF LONG ISLAND (D/B/A/ CATHOLIC HEALTH SERVICES OF LONG ISLAND) (CHS). CHS IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED TO SERVE AS THE COORDINATING BODY OF AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS. CHS IS SPONSORED BY THE ROMAN CATHOLIC DIOCESE OF ROCKVILLE CENTER (DIOCESE).
FORM 990, PART VI, LINE 7A - ELECTION OF THE GOVERNING BODY	CHS IS THE SOLE MEMBER AND ESTABLISHED CO-OPERATOR OF MERCY MEDICAL CENTER AND AS SUCH, HAS THE RIGHT TO APPOINT THE GOVERNING BODY OF MERCY MEDICAL CENTER.
FORM 990, PART VI, LINE 7B - DECISIONS OF THE GOVERNING BODY	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, CHS IS REQUIRED TO APPROVE CERTAIN DECISIONS MADE BY THE GOVERNING BODY OF MERCY MEDICAL CENTER. THE GOVERNING BODY OF MERCY MEDICAL CENTER IS THE SAME AS THAT OF CHS.
FORM 990, PART VI, LINE 11B - REVIEW PROCESS FOR FORM 990	THE FORM 990 AND RELATED SCHEDULES ARE COMPLETED BY OUTSIDE TAX ADVISORS AND REVIEWED INTERNALLY BY MANAGEMENT. THE FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD, AND PRESENTED TO THE COMPLIANCE AND AUDIT COMMITTEE (THE COMMITTEE) OF THE BOARD OF DIRECTORS OF CHS, WHICH HAS BEEN DELEGATED THE FORM 990 REVIEW FUNCTION BY THE BOARD. UPON REVIEW AND RECOMMENDATION OF THE COMMITTEE, THE FORM 990 IS THEN SENT TO THE BOARD FOR APPROVAL. UPON BOARD APPROVAL, THE FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, LINE 12C - CONFLICT OF INTEREST POLICY	DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY (THE POLICY) BY BOARD AND BOARD COMMITTEE MEMBERS, EMPLOYEES AND OTHERS THAT SATISFY THE CRITERIA TO BE CONSIDERED AN INTERESTED PERSON IS SUBMITTED UPON HIRE OR APPOINTMENT AND ANNUALLY THEREAFTER. SUCH INDIVIDUALS HAVE A CONTINUING OBLIGATION TO UPDATE THE INFORMATION PROVIDED DURING THE COURSE OF THE YEAR. A SUMMARY OF DISCLOSURES IS PROVIDED TO THE CHS COMPLIANCE AND AUDIT COMMITTEE BY CHS' COMPLIANCE OFFICER. ALL DISCLOSURES ARE INVESTIGATED AND INFORMATION RELATED TO THE DISCLOSURE IS GATHERED AND SUMMARIZED AND INCLUDED WITH THE SUMMARY OF DISCLOSURES. UPON REVIEW OF THE SUMMARY OF DISCLOSURES, THE CHS COMPLIANCE AND AUDIT COMMITTEE SHALL REPORT ITS FINDINGS TO THE CHS BOARD OF DIRECTORS. THE BOARD SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS BASED ON THE CRITERIA CONTAINED IN THE POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED AND A MAJORITY OF THE BOARD OR BOARD COMMITTEE AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS AND WISHES TO GO FORWARD WITH IT, THE CHAIR OF THE BOARD OF DIRECTORS SHALL PROVIDE A WRITTEN REQUEST TO THE CHAIR OF THE CHS COMPLIANCE AND AUDIT COMMITTEE, DELINEATING THE TRANSACTION AND CONFLICT AND PROVIDING REASONS WHY THE BOARD AGREES THAT THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF CHS, CERTIFIES THAT CHS CANNOT SECURE SIMILAR SERVICES FROM AN ORGANIZATION WITHOUT A CONFLICT, AND WISHES TO GO FORWARD WITH IT. THE PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST MUST RECUSE HIM/HERSELF FROM ANY DECISION MAKING OR VOTING ON THE INTEREST THAT GAVE RISE TO THE CONFLICT.
FORM 990, PART VI, LINE 15 - COMPENSATION POLICY	THE CHIEF ADMINISTRATIVE OFFICER SUBMITS FOR APPROVAL TO THE SYSTEM CEO RECOMMENDATIONS FOR BASE SALARY ADJUSTMENTS AND INCENTIVE AWARDS FOR "DISQUALIFIED PERSONS" AS DEFINED IN THE CHS EXECUTIVE COMPENSATION POLICY (COMPENSATION POLICY). THE COMPENSATION POLICY DEFINES A "DISQUALIFIED PERSON" AS A PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF CHS OR AN OPERATING ENTITY, AND IS EITHER A) A VOTING MEMBER OF THE BOARD OF DIRECTORS OR BOARD OF TRUSTEES; B) THE ENTITY'S PRESIDENT, CHIEF EXECUTIVE OFFICER (CEO), AND CHIEF OPERATING OFFICERS (COO) OR PERSONS HOLDING EQUIVALENT POSITIONS; C) THE ENTITY'S TREASURERS AND CHIEF FINANCIAL OFFICERS (CFO); D) THE PERSON'S COMPENSATION IS PRIMARILY BASED ON REVENUES DERIVED FROM ACTIVITIES OF CHS OR AN OPERATING ENTITY, OR OF A PARTICULAR DEPARTMENT OR FUNCTION OF CHS OR AN OPERATING ENTITY, THAT THE PERSON CONTROLS; E) THE PERSON HAS OR SHARES AUTHORITY TO CONTROL OR DETERMINE A SUBSTANTIAL PORTION OF CHS OR AN OPERATING ENTITY'S CAPITAL EXPENDITURES, OPERATING BUDGET, OR COMPENSATION FOR OTHER EMPLOYEES; F) THE PERSON MANAGES A DEPARTMENT OR ACTIVITY OF CHS OR AN OPERATING ENTITY THAT REPRESENTS A SUBSTANTIAL PORTION OF THE ACTIVITIES, ASSETS, INCOME, OR EXPENSES OF CHS OR AN OPERATING ENTITY, COMPARED TO THE ORGANIZATION AS A WHOLE; OR G) FAMILY MEMBERS OF ANY OF THOSE DESCRIBED IN THE PRECEDING D, E, OR F. ONCE APPROVED BY THE CHS CEO, THESE RECOMMENDATIONS ARE SENT TO THE EXECUTIVE COMPENSATION COMMITTEE OF THE CHS BOARD OF DIRECTORS FOR REVIEW. THE EXECUTIVE COMPENSATION COMMITTEE, WITH AN INDEPENDENT COMPENSATION CONSULTANT ENGAGED BY THE BOARD, WILL REVIEW PROPOSED SALARY ADJUSTMENTS AND INCENTIVE AWARDS TO ENSURE REASONABLENESS BY REVIEWING COMPARABLE TOTAL COMPENSATION DATA (INCLUDING INCENTIVES) PAID TO SIMILARLY SITUATED EXECUTIVES AT THE MEDIAN OF THE DEFINED MARKETPLACE WITH POSSIBLE ADJUSTMENT MADE FOR SPECIAL SKILL, EXPERIENCE, COMPETENCE AND PERFORMANCE, INCLUDING CONTRIBUTION TO THE SYSTEM AS A WHOLE. REVIEWS ARE PERFORMED ANNUALLY BY AN INDEPENDENT CONSULTANT. THE COMPENSATION COMMITTEE SETS STANDARDS TO ENSURE THAT THE CRITERIA USED TO DETERMINE INCENTIVE COMPENSATION ARE SPECIFIC, OBJECTIVE, MEASUREABLE AND RELATED TO INDICATORS OF PERFORMANCE. BASED ON THE INFORMATION PROVIDED, THE COMMITTEE WILL THEN MAKE ITS RECOMMENDATION TO THE CHS BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 19 - DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION	GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE; CHS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE AT DAC BOND.
FORM 990, PART VII, SECTION A - LINE 1A	HOURS FOR TRUSTEES ARE THE ESTIMATED WEEKLY HOURS (2.0) TRUSTEES CONTRIBUTE TO THIS AND ALL OTHER RELATED ORGANIZATIONS, NOT NECESSARILY EQUALLY BUT IN THE PROPORTION NECESSARY, FOR WHICH THEY RECEIVE NO COMPENSATION. ALAN GUERCI, M.D. PRESIDENT AND CEO - THE TOTAL HOURS WORKED REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: CHS SERVICES, INC. (11-3555766); GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE (11-2537396); CATHOLIC HEALTH SYSTEM OF LONG ISLAND (11-3403968); ST FRANCIS HOSPITAL (11-2050523); ST FRANCIS HOSPITAL RESEARCH & EDUCATION CORPORATION, INC. (11-3090867); RVC INSURANCE COMPANY INC. (20-8067039); ST FRANCIS HOSPITAL FOUNDATION (11-2916033); MERCY MEDICAL CENTER (11-1635088); WSNCHS NORTH, INC. (11-3438973); GOOD SAMARITAN HOSPITAL MEDICAL CENTER (11-1888924); ST. CATHERINE OF SIENA MEDICAL CENTER (06-1562701) ST. CHARLES HOSPITAL (11-1871039) AND ST. JOSEPH HOSPITAL FOUNDATION (47-2353387). RONALD W. STEIMEL, CAO - THE TOTAL HOURS WORKED REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: MERCY MEDICAL CENTER (11-1635088) AND WSNCHS NORTH, INC. (11-3438973). DANIEL DEBARBA, EVP & CFO - THE TOTAL HOURS WORKED REPORTED REFLECTS TIME WORKED AS AN OFFICER FOR ALL OF THE FOLLOWING RELATED ENTITIES: CHS SERVICES, INC. (11-3555766); ST FRANCIS HOSPITAL (11-2050523); ST FRANCIS HOSPITAL RESEARCH & EDUCATION CORPORATION, INC. (11-3090867); ST FRANCIS HOSPITAL FOUNDATION (11-2916033); MERCY MEDICAL CENTER (11-1635088); WSNCHS NORTH, INC. (11-3438973); GOOD SAMARITAN HOSPITAL MEDICAL CENTER (11-1888924); ST. CATHERINE OF SIENA MEDICAL CENTER (06-1562701); ST. CHARLES HOSPITAL (11-1871039); ST. CHARLES HOSPITAL FOUNDATION (41-2076312); GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE (11-2537396); GOOD SAMARITAN HOSPITAL FOUNDATION (77-0611240); ST. CATHERINE OF SIENA MEDICAL CENTER FDOUNDATION (27-1459941); CATHOLIC HEALTH SYSTEM OF LONG ISLAND (11-3403968) AND RVC INSURANCE COMPANY INC. (20-8067039)
FORM 990, PART X, LINE 20 - TAX-EXEMPT BOND LIABILITIES	THE TAX-EXEMPT BOND ISSUANCES REFLECTED ON PART X, LINE 20 ARE ISSUED ON BEHALF OF THE CATHOLIC HEALTH SERVICES OF LONG ISLAND OBLIGATED GROUP PROJECT WHICH INCLUDES THE FILING ENTITY AND RELATED ENTITIES. THREE BONDS WERE ISSUED TO THE OBLIGATED GROUP, SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION (SERIES 2011 SUFFOLK BONDS), NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE AND FINANCING CORPORATION (SERIES 2011 NASSAU BONDS) AND NASSAU COUNTY LOCAL ECONOMIC ASSISTANCE CORPORATION (SERIES 2014B BONDS). THE BONDS ARE REPORTED ON SCHEDULE K OF THE PARENT ORGANIZATION, CATHOLIC HEALTH SERVICES OF LONG ISLAND.
FORM 990, PART XI, LINE 9 - CHANGES IN NET ASSETS	CHANGE IN POST RETIREMENT BENEFIT: 55,000 TOTAL TO FORM 990, PART XI, LINE 9: 55,000
FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION	MERCY MEDICAL CENTER IS A MEMBER OF CATHOLIC HEALTH SERVICES OF LONG ISLAND. WE, AT CATHOLIC HEALTH SERVICES, HUMBLY JOIN TOGETHER TO BRING CHRISTS HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES. I-CARE VALUES INTEGRITY: WE ARE WHO WE SAY WE ARE AND ACT IN ACCORDANCE WITH THE SPLENDOR OF TRUTH OF OUR CATHOLIC MORAL TEACHING AND OUR CATHOLIC VALUES. COMPASSION: WE HAVE COMPASSION FOR OUR PATIENTS, SEE THE SUFFERING CHRIST IN THEM, STRIVE TO ALLEVIATE SUFFERING AND SERVE THE SPIRITUAL, PHYSICAL AND EMOTIONAL NEEDS OF OUR PATIENTS. ACCOUNTABILITY: WE TAKE RESPONSIBILITY FOR OUR ACTIONS AND THEIR CONSEQUENCES. RESPECT: WE HONOR THE SANCTITY OF LIFE AT EVERY STAGE OF LIFE AND THE DIGNITY OF EVERY PERSON, AND INCORPORATE ALL THE PRINCIPLES OF CATHOLIC SOCIAL TEACHING IN OUR RELATIONSHIPS AND ADVOCACY. EXCELLENCE: WE SEEK THE GLORY OF GOD IN THE COMPASSIONATE SERVICE OF OUR PATIENTS, AND WE STRIVE TO DO THE BEST THAT CAN BE DONE, WHATEVER OUR ROLE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CATHOLIC HEALTH SYSTEM OF LONG ISLAND
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	113403968	SUPPORT ORG	NY	501(C)(3)	12A-I	NA	false
CHS SERVICES INC
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	113555766	SUPPORT ORG	NY	501(C)(3)	12B-II	CHSLI	Yes (true)
CHS AMBULANCE SERVICES INC
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	141801961	DORMANT	NY	501(C)(3)	3	CHSLI	false
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	111888924	HOSPITAL	NY	501(C)(3)	3	CHSLI	Yes (true)
GOOD SAMARITAN SELF INSURANCE AGAINST
MALPRACTICE 1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	112537396	SELF INSURANC	NY	501(C)(3)	12A-I	GOOD SAMARTN	Yes (true)
MARYHAVEN TRANSPORTATION SERVICES
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	113434776	TRANSPORTATIO	NY	501(C)(3)	12A-I	MARYHAVENCTR	false
MARYHAVEN CENTER OF HOPE
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	112861698	Prgm-disabled	NY	501(C)(3)	10	CHSLI	false
MARYHAVEN SCHOOL CORPORATION
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	112861690	Schl-disabled	NY	501(C)(3)	2	MARYHAVENCTR	false
THE CENTER OF HOPE FOUNDATION
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	113638367	SUPPORT ORG	NY	501(C)(3)	12A-I	MARYHAVENCTR	false
CATHOLIC HOME CARE
110 Bi-County Blvd Suite 114	FARMINGDALE	NY	11735	112126736	HOME CARE	NY	501(C)(3)	10	CHSLI	false
OUR LADY OF CONSOLATION GERIATRIC CARE
111 BEACH DRIVE	WEST ISLIP	NY	11795	113284066	LT NURSE CARE	NY	501(C)(3)	10	CHSLI	false
RIVERHEAD HOSTEL HOLDING CORPORATION
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	112499790	RENTING	NY	501(C)(2)		MARYHAVENCTR	false
ST CATHERINE OF SIENA MEDICAL CENTER
50 ROUTE 25A	SMITHTOWN	NY	11787	061562701	HOSPITAL	NY	501(C)(3)	3	CHSLI	Yes (true)
ST CHARLES HOSPITAL
200 BELLE TERRE ROAD	PORT JEFFERSN ST	NY	11777	111871039	HOSPITAL	NY	501(C)(3)	3	CHSLI	Yes (true)
CHS HOME SUPPORT SERVICES INC
15 POWER DRIVE	HAUPPAUGE	NY	11788	113594561	RESP THERAPY	NY	501(C)(3)	10	CATHHOMECARE	false
ST FRANCIS HOSPITAL
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	112050523	HOSPITAL	NY	501(C)(3)	3	CHSLI	Yes (true)
ST FRANCIS HOSPITAL FOUNDATION
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	112916033	SUPPORT ORG	NY	501(C)(3)	12A-I	ST FRANCIS	false
ST FRANCIS HOSPITAL RESEARCH & EDUCATIO
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	113090867	RESEARCH ORG	NY	501(C)(3)	12A-I	ST FRANCIS	Yes (true)
WSNCHS NORTH INC
4295 HEMPSTEAD TURNPIKE	BETHPAGE	NY	11714	113438973	HOSPITAL	NY	501(C)(3)	3	CHSLI	Yes (true)
THE ST CHARLES CORPORATION
200 BELLE TERRE ROAD	PORT JEFFERSN ST	NY	11777	112983148	SUPPORT ORG	NY	501(C)(3)	12A-I	CHSLI	false
THE SAMARITAN CORPORATION
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	112716640	SUPPORT ORG	NY	501(C)(3)	12A-I	CHSLI	false
WISDOM GARDENS HOUSING DEVELOPMENT FUND
51 TERRYVILLE ROAD	PORT JEFFERSN ST	NY	11776	113559713	SR HOUSING	NY	501(C)(3)	10	MARYHAVENCTR	false
GOOD SHEPHERD HOSPICE
110 Bi-County Blvd Suite 114	FARMINGDALE	NY	11735	112958438	HOSPICE SVC	NY	501(C)(3)	10	CHSLI	false
ST CHARLES HOSPITAL FOUNDATION
200 BELLE TERRE ROAD	PORT JEFFERSON	NY	11777	412076312	SUPPORT ORG	NY	501(C)(3)	12A-I	ST CHARLES	false
GOOD SAMARITAN HOSPITAL FOUNDATION
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	770611240	SUPPORT ORG	NY	501(C)(3)	12A-I	GOOD SAMARTN	false
MERCY MEDICAL CENTER FOUNDATION
1000 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	550813603	SUPPORT ORG	NY	501(C)(3)	12A-I	MERCY MEDCTR	Yes (true)
ST CATHERINE OF SIENA MEDICAL CTR FDN
50 ROUTE 25A	SMITHTOWN	NY	11787	271459941	SUPPORT ORG	NY	501(C)(3)	12A-I	STCATHERINE	false
CHS HOME CARE AND HOSPICE FOUNDATION
110 Bi-County Blvd Suite 114	FARMINGDALE	NY	11735	452907761	SUPPORT ORG	NY	501(C)(3)	12A-I	CATHHOMECARE	false
GOOD SHEPHERD HOSPICE FOUNDATION
110 Bi-County Blvd Suite 114	FARMINGDALE	NY	11735	263169427	SUPPORT ORG	NY	501(C)(3)	12A-I	GOODSHEPHERD	false
OUR LADY OF CONSOLATION FOUNDATION
111 BEACH DRIVE	WEST ISLIP	NY	11795	450517566	SUPPORT ORG	NY	501(C)(3)	12A-I	OURLADYOFC	false
RVC SUPPORT
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	271531084	REAL ESTATE	NY	501(C)(3)	12A-I	CHSLI	false
ST FRANCIS CARDIOVASCULAR PHYSICIANS P
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	113613997	HEALTHCARESVC	NY	501(C)(3)	12A-I	ST FRANCIS	false
RVC INSURANCE COMPANYINC
992 NORTH VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	208067039	CAPTIVE INS	NY	501(C)(3)	12B-II	CHSLI	false
SAMARITAN EMERGENCY MEDICAL SERVICES PC
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	208243412	HEALTHCARESVC	NY	501(C)(4)		GOOD SAMARTN	false
ST JOSEPH HOSPITAL FOUNDATION
992 N VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	472353387	SUPPORT ORG	NY	501(C)(3)	12A-I	WSNCHS NORTH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
BIPO HOLDINGS LLC
992 N VILLAGE AVE ROCKVILLE CENTRE	ROCKVILLE CENTRE	NY	11570	464763720	PHYSICIAN ASSN	NY	NA	N/A
IDHC LLC
2500 YORK RDJAMISONPA 18929	JAMISON	PA	18929	452411095	HEALTH SERVICES	PA	NA	N/A
BEACON HEALTH PTNRS
992 N VILLAGE AVE ROCKVILLE CENTRE	ROCKVILLE CENTRE	NY	11570	454229842	HEALTHCARE	NY	NA	N/A
WISDOM GARDENS LP
51 TERRYVILLE RD	PORT JEFFERSON	NY	11776	113567947	SR HOUSING	NY	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
RADIOLOGY CONSULTING OF LONG ISLANDPLLC
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	421646134	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
SAMARITAN PEDIATRIC SERVICES PC
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	208180263	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
SAMARITAN MEDICAL SERVICES PC
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	208088453	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
SOUTHWEST SUFFOLK MEDICAL PC
580 UNION BOULEVARD	WEST ISLIP	NY	11795	061603195	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
CARDIAC EKG INTERPRETATION PC
992 N VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	112924518	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
LI REGIONAL ARTHRITIS & OSTEOPOROSIS CAR
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	208964140	HEALTHCARE SVC	NY	GOOD SAMARITAN	C-CORP	false
SAMARITAN MANAGEMENT SERVICES
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	112838185	HEALTHCARE SVC	NY	CHSLI	C-CORP	false
ADVANCED REHABILIATION MEDICINE PLLC
200 BELLE TERRE ROAD	PORT JEFFERSON	NY	11777	113640709	HEALTHCARE SVC	NY	STCHARLES HOSP	C-CORP	false
ST FRANCIS CARDIAC PREVENTION SERVICES
100 PORT WASHINGTON BLVD	ROSLYN	NY	11576	113224885	HEALTHCARE SVC	NY	STFRANCIS HOSP	C-CORP	false
SOUTH SHORE PRACTICE MANAGEMENT
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	113307977	HEALTHCARE SVC	NY	SAMARITAN MGMT	C-CORP	false
SAMARITAN HOME CARE AMERICA
1000 MONTAUK HIGHWAY	WEST ISLIP	NY	11795	113319259	HEALTHCARE SVC	NY	SAMARITAN MGMT	C-CORP	false
MERCY INTERNAL MEDICINE PC
992 N VILLAGE AVENUE	ROCKVILLE CENTRE	NY	11570	510639649	HEALTHCARE SVC	NY	MERCY MED CTR	C-CORP	false
LONG ISLAND EMERGENCY CARE PC
1000 N VILLAGE AVE	ROCKVILLE	NY	11571	113633515	PHYSICIAN SVC	NY	MERCY MED CTR	S-CORP	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHS SERVICES INC
LMPR	$2,007,771	COST
CHS SERVICES INC
A	$1,424,196	COST
ST FRANCIS HOSPITAL
LM	$907,558	COST
ST CHARLES HOSPITAL
LM	$172,080	COST
ST CATHERINE OF SIENA MEDICAL CENTER
LM	$269,601	COST
WSNCHS NORTH INC
LM	$226,699	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART IV	FormAndLineReferenceDesc
Explanation	FOR ALL PROFESSIONAL CORPORATIONS REPORTED ON SCHEDULE R, PART IV, THE PHYSICIAN IS THE SOLE SHAREHOLDER OF THE ENTITY AND THE DIRECT CONTROLLING ENTITY REPORTED IN COLUMN (D) IS THE BENEFICIAL OWNER. THIS STRUCTURE IS CONSISTENT WITH THE NEW YORK CORPORATE PRACTICE OF MEDICINE.	ExplanationTxt