MEMORIAL HOSPITAL ALBANY NY: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HOSPITAL ALBANY NY (EIN 14-1338457)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349307821
- Schema version
- 2012v2.1
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:35:08-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 MARKET STREET 25TH FLOOR | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 191033984 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141338457 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Albany Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALBA | NameControl |
| Phone | 5184713135 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Northern Boulevard | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 12204 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lori Santos | Name |
| Title | CFO-Acute Care Albany | Title |
| Phone | 5184713135 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | William J Homer | Name |
| PTIN | P00994519 | PTIN |
| Phone | 2152462300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Ann Errichetti MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Northern Boulevard | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 12204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 86464139 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nehealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1868 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Albany Memorial Hospital's mission is to improve the health of the community by providing high quality, cost effective, inpatient, outpatient, primary care and community outreach services with an emphasis on patient safety and satisfaction. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 40 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 32 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1045 | TotalNbrEmployees |
| Total Nbr Volunteers | 142 | TotalNbrVolunteers |
| Total Gross UBI | 1020126 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 175624 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 315861 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 102375 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 88499006 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 80937534 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -90755 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1602903 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1797942 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3821223 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 90522054 | TotalRevenuePriorYear |
| Total Revenue Current Year | 86464035 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41169785 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43438261 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 46764284 | OtherExpensePriorYear |
| Other Expenses Current Year | 40455039 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 87934069 | TotalExpensesPriorYear |
| Total Expenses Current Year | 83893300 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2587985 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2570735 | RevenuesLessExpensesCY |
| Total Assets BOY | 62247220 | TotalAssetsBOY |
| Total Assets EOY | 60976995 | TotalAssetsEOY |
| Total Liabilities BOY | 24879043 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21579581 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 37368177 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39397414 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide a high-quality, accessible continuum of healthcare, supportive housing and community services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16772117 | Expense |
| Revenue | 21423622 | Revenue |
| Description | 165 (certified) bed acute facility providing inpatient services including medical, surgical, progressive care, intensive care and coronary care. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 18324535 | Expense |
| Revenue | 9779312 | Revenue |
| Description | Diagnostic treatment and ancillary services including laboratory, blood bank, diagnostic imaging, nuclear medicine, pharmacy, respiratory, physical medicine, audiology and speech. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14864306 | Expense |
| Revenue | 33206247 | Revenue |
| Description | Surgical services including operating room, anesthesiology and post anesthesia care are provided to patients on both an inpatient and outpatient basis. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11184042 | Expense |
| Revenue | 18911763 | Revenue |
| Description | Outpatient and community outreach services including emergency room, women's health, heart program, cardiovascular, wound care, primary care, preventive health care, and diabetes services. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 11184042 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 18911763 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 61145000 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 1 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1045 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 40 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 32 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lori Santos | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5184713135 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Northern Boulevard | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 12204 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (54 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Altes Jane PHD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Boyle Steven | ||||||||
| Trustee, CEO | 1.00 | 36.50 | X | 0 | 960353 | 14641 | X | |
| Bylancik Robert J | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 50000 | 0 | ||
| Cartwright Mark | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Cortell Barbara | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Dake Susan | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| DiSarro Ann | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Doyle Rev Kenneth | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Filippone John MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Foley William J PHD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Fortune Robert | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Goldberg Alan | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Gordon Harold Esq | ||||||||
| 2nd Vice | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Guzior Ronald L | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Hearst George | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Herbert Sr Phyllis | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Johnson Robert W III Esq | ||||||||
| Co-Chair | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Jones Sydney Tucker III | ||||||||
| Co-Chair | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Karpiak Beverly | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Keegan Michael | ||||||||
| Treasurer | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Lang John M | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Massry Norman | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Natwin Sr Kathleen | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Nowak Thomas | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Opalka Chester | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Oster Russell | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Philip George | ||||||||
| 1st Vice Chair | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Powell Curtis | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Puleo James H MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Puleo James V MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Reed James K MD | ||||||||
| Trustee, President | 1.50 | 36.00 | X | 0 | 810287 | 37905 | X | |
| Robinson Harry Esq | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Rosenberg Stuart MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Sanders Alan MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Slavin James MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Somerville Sr Jane | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Tartaglia Anthony P MD | ||||||||
| Secretary | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Thorn Lisa MD | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Turley Sr Kathleen | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Tyrrell Thomas | ||||||||
| Trustee | 0.50 | 14.50 | X | 0 | 0 | 0 | ||
| Gavin James | ||||||||
| CFO | 1.00 | 36.50 | 0 | 387863 | 159110 | X | ||
| Schuhle Thomas | ||||||||
| CFO | 1.00 | 36.50 | 0 | 413459 | 27530 | X | ||
| Hannan Mary E | ||||||||
| CNO | 37.50 | 147168 | 0 | 6947 | X | |||
| Santos Lori | ||||||||
| CFO Acute Care Albany | 18.30 | 18.30 | 275585 | 0 | 10898 | X | ||
| Tassey Karen | ||||||||
| COO/CNO | 37.50 | 240544 | 0 | 8150 | X | |||
| Errichetti Ann MD | ||||||||
| Exec. VP, Acute Care Albany | 18.30 | 19.30 | 0 | 173328 | 45885 | X | ||
| Brodbeck Kathleen | ||||||||
| Executive ,VP, Chief Nursing Officer | 1.00 | 36.50 | 0 | 332151 | 116131 | X | ||
| Cella Robert | ||||||||
| Chief Medical Officer, Acute Care | 18.30 | 19.30 | 0 | 406430 | 139264 | X | ||
| Cooper Glen | ||||||||
| Executive Director-AMH | 37.50 | 0 | 153323 | 25008 | X | |||
| Pathirana Priyangika A | ||||||||
| Physician | 37.50 | 175822 | 0 | 18521 | X | |||
| Nair Amita | ||||||||
| Physician | 37.50 | 149022 | 0 | 10462 | X | |||
| Mahmod Naeem | ||||||||
| Registered Ultrasonographee | 37.50 | 173891 | 0 | 18603 | X | |||
| Opar-Goslow Carolyn | ||||||||
| Physician Assistant | 37.50 | 139022 | 0 | 16381 | X | |||
| Fredericks George | ||||||||
| Pharmacy Operations Manager | 37.50 | 142853 | 0 | 2848 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1443907 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3687194 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 658284 | TotalOtherCompensation |
| Number Individuals GT100 K | 33 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HMP of Albany County PLLC | |||||
| PO Box 645037 | Cincinnati | OH | 452640000 | Medical Services | 753930 |
| LeChase Construction Services LLc | |||||
| 1473 Erie Blvd | Schenectady | NY | 123050000 | Construction Services | 719912 |
| Morrison Management Specialists | |||||
| PO Box 102289 | Atlanta | GA | 303680000 | Food Management Services | 585693 |
| Favorite Healthcare Staffing Inc | |||||
| PO Box 803356 | Kansas City | MO | 641800000 | Patient Services | 511088 |
| Accelecare Wound Centers Inc | |||||
| Skyline Tower 10900 NE 4th Street | Bellevue | WA | 980040000 | Management Services | 444271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 62375 | RelatedOrganizations |
| Government Grants | 40000 | GovernmentGrants |
| Total Contributions | 102375 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 80937534 | TotalRevenueColumn |
| Related Or Exempt Function Income | 79917408 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1020126 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 80937534 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1600744 | TotalRevenueColumn |
| Exclusion | $1,600,744 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2263 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 104 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 2159 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2159 | TotalRevenueColumn |
| Exclusion | $2,159 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EMR Conversion | 900099 | 2097062 | 2097062 | |
| School of Nursing | 623000 | 697403 | 697403 | |
| Consulting/Mgmt Food Service | 624200 | 417687 | $417,687 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 609071 | TotalRevenueColumn |
| Related Or Exempt Function Income | 609071 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3821223 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86464035 | TotalRevenueColumn |
| Related Or Exempt Function Income | 83320944 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1020126 | UnrelatedBusinessRevenue |
| Exclusion | $2,020,590 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1443847 | Total |
| Management And General | 1443847 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34427468 | Total |
| Program Services | 28760444 | ProgramServices |
| Management And General | 5667024 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 913413 | Total |
| Program Services | 732345 | ProgramServices |
| Management And General | 181068 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4028419 | Total |
| Program Services | 3229854 | ProgramServices |
| Management And General | 798565 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2625114 | Total |
| Program Services | 2104730 | ProgramServices |
| Management And General | 520384 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3666887 | Total |
| Program Services | -73537 | ProgramServices |
| Management And General | 3740424 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22054 | Total |
| Management And General | 22054 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5004 | Total |
| Management And General | 5004 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5160971 | Total |
| Program Services | 3113398 | ProgramServices |
| Management And General | 2047573 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79597 | Total |
| Program Services | 21212 | ProgramServices |
| Management And General | 58385 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21950956 | Total |
| Program Services | 19254431 | ProgramServices |
| Management And General | 2696525 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2326690 | Total |
| Program Services | 365280 | ProgramServices |
| Management And General | 1961410 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107041 | Total |
| Program Services | 79751 | ProgramServices |
| Management And General | 27290 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 275752 | Total |
| Program Services | 162694 | ProgramServices |
| Management And General | 113058 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5020812 | Total |
| Program Services | 2962279 | ProgramServices |
| Management And General | 2058533 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596405 | Total |
| Management And General | 596405 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Other Fees | 501012 | 4085 | 496927 | 0 |
| NYS Assessment | 277284 | 277284 | 0 | 0 |
| Licenses/Permits | 240020 | 46921 | 193099 | 0 |
| Books /Periodicals | 63411 | 4520 | 58891 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161143 | Total |
| Program Services | 99309 | ProgramServices |
| Management And General | 61834 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83893300 | Total |
| Program Services | 61145000 | ProgramServices |
| Management And General | 22748300 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1677644 | BOY |
| EOY | 1941604 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9956286 | BOY |
| EOY | 8313016 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1880030 | BOY |
| EOY | 1732681 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 772273 | BOY |
| EOY | 569696 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 121865888 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 91539906 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30935849 | BOY |
| EOY | 30325982 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11955771 | BOY |
| EOY | 11848086 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3342200 | BOY |
| EOY | 5088747 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1727167 | BOY |
| EOY | 1157183 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62247220 | BOY |
| EOY | 60976995 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5975369 | BOY |
| EOY | 6033064 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6688017 | BOY |
| EOY | 4748537 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279176 | BOY |
| EOY | 194440 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11936481 | BOY |
| EOY | 10603540 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24879043 | BOY |
| EOY | 21579581 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35589675 | BOY |
| EOY | 37416214 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 472935 | BOY |
| EOY | 675633 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1305567 | BOY |
| EOY | 1305567 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37368177 | BOY |
| EOY | 39397414 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62247220 | BOY |
| EOY | 60976995 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2570735 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 98085 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -639583 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1305569 | BeginningOfYearBalance |
| Contributions | 0 | Contributions |
| Investment Earnings Or Losses | 0 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| End Of Year Balance | 1305569 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1274435 | BeginningOfYearBalance |
| Contributions | 31134 | Contributions |
| End Of Year Balance | 1305569 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 932911 | BeginningOfYearBalance |
| Contributions | 250092 | Contributions |
| Investment Earnings Or Losses | 91432 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1274435 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 337685 | BeginningOfYearBalance |
| Contributions | 454349 | Contributions |
| Investment Earnings Or Losses | 140877 | InvestmentEarningsOrLosses |
| End Of Year Balance | 932911 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 565883 | BeginningOfYearBalance |
| Contributions | 10000 | Contributions |
| Investment Earnings Or Losses | -238198 | InvestmentEarningsOrLosses |
| End Of Year Balance | 337685 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 510116 | OtherCostOrOtherBasis |
| Book Value | 510116 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 62755949 | OtherCostOrOtherBasis |
| Depreciation | 42580908 | Depreciation |
| Book Value | 20175041 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1020353 | OtherCostOrOtherBasis |
| Depreciation | 743449 | Depreciation |
| Book Value | 276904 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 57084543 | OtherCostOrOtherBasis |
| Depreciation | 48215549 | Depreciation |
| Book Value | 8868994 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 494927 | OtherCostOrOtherBasis |
| Book Value | 494927 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30325982 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 5088747 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5088747 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension Liability | $1,934,217 |
| Asset Retirement Obligation | $1,004,483 |
| Due to/from Affiliates | $1,343,500 |
| Estimated 3rd Party Settlements | $3,128,481 |
| Other Current Liabilities | $3,192,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10603540 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The endowment funds are invested and the investment realized gains are used for the ongoing operations of the hospital or the specific purpose identified by the donor. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1053687 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1053687 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01260 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8402915 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6443556 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1959359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02340 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9456602 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6443556 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3013046 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03600 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2965 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2965 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1007765 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1009704 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -1939 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1010730 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1009704 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1026 | NetCommunityBenefitExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10467332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7453260 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3014072 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03600 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,772,366 | BadDebtExpenseAmount |
| Amount Attributable To | 207182 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15828023 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15652067 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 175956 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Albany Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 Northern Blvd | AddressLine1 |
| City | Albany | City |
| State | NY | State |
| ZIP Code | 12204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Albany Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 1 Internal Medicine Associates | ||||
| 63 Shaker Road Suite G02 | Albany | NY | 12204 | Primary care Center |
| Capital District Internal Medicine | ||||
| 1440 Western Avenue | Albany | NY | 12203 | Primary care Center |
| Northeast Health Imaging Center | ||||
| 279 Troy Road | Rensselaer | NY | 12180 | Imaging Center |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: The community benefit report, in the form of a document entitled "Community Service Plan - Comprehensive Three-Year Plan," was prepared by Northeast Health, Inc., a related organization that controls Albany Memorial Hospital. | ||
| Part I, Line 7: Albany Memorial Hospital utilized the same methodology required by the NYS Institutional Cost Report. This methodology requires the Hospital to use a cost-to-charge ratio (from the annual Medicare Cost Report) to calculate (at cost) uncollected amounts attributable to services provided to uninsured patients found to be eligible for financial aid as well as uncollected co-insurance and deductibles for insured patients found to be eligible for financial aid.Albany Memorial Hospital used the step-down costs as reported in our 2012 Medicare Cost Report to calculate the costs for the School of Nursing program costs reported on line 7f. | ||
| Part III, Line 2:In order to determine the Hospital's bad debt expense at cost for Part III, line 2, we first identified what portion of the bad debt was inpatient and what portion was outpatient. We then applied the appropriate cost-to-charge ratio (I/P or O/P) as reported in our 2012 Medicare Cost Report to the bad debt expense amounts (I/P and O/P) to determine bad debt expense at cost.Account balances on patient accounts are transferred to bad debt accounts receivable once they are determined to be uncollectible. The balances are net of discounts, adjustments and payments that have been applied to these accounts.Part III, Line 3:The Hospital's estimate of bad debt expense at cost attributable to patients that may have been eligible under organization's charity care policy, but for whom sufficient information was unable to be obtained in order to make a determination, is based on the following: - We took the accounts with incomplete applications for charity care and researched each account to see what amount, if any, was transferred to bad debt and multiplied that amount by the appropriate ratio of cost to charges (RCC) to calculate the bad debt at cost. - Accounts with incomplete applications that actually had balances transferred to bad debt were considered to have qualified for charity care because, had these patients completed the process, they would have qualified as, in all likelihood, they did not have the means to pay what was owed.Part III, Line 4:The combined financial statements for Northeast Health, Inc. and Affiliates (which includes Albany Memorial Hospital), contain the following note regarding bad debt expense:The Affiliates grant credit without collateral to patients, most of whom are local residents and are insured under third-party agreements. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental health care coverage and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts. | ||
| Part III, Line 8: Albany Memorial Hospital used its internal cost accounting system to calculate the amounts used in the table. The Hospital's cost accounting system includes all operations and service lines the hospital offers and includes all payor groups with detail for Medicare, Medicaid, Commercial Insurers, HMOs, Managed Care Plans, Private Insurance, Self-Pay, etc. The revenue and costs were obtained from the internal cost accounting system for the hospital. | ||
| Part III, Line 9b: If a patient qualifies for financial assistance, their account will not be subject to the usual collection practices during this process. If the patient does not submit the necessary documentation within 90 days, then their account could be forwarded to collections. | ||
| Part V, Section B, Line 14g: Billings to patient include information on the availability of financial assistance along with contact information for purpose of applying. | Albany Memorial Hospital | |
| Part V, Section B, Line 20d: The hospital used its negotiated commercial insurance rate negotiated with its highest volume commercial payer as allowed by NYS PBH Law section 2807-k(9). | Albany Memorial Hospital | |
| Part VI, Line 2: The organization, as a component of the Northeast Health system, has been a participant in the Healthy Capital District Initiative ("HCDI") since 1999. Other participants include all hospitals, county health departments and payers in the Albany, Rensselaer and Schenectady counties. Recently, HCDI undertook a three-pronged initiative to engage the public and assess community need. The three efforts consisted of:1. The collection and analysis of data in the Community Health Profile;2. The production of a Community Health Forum broadcast by the local PBS affiliate; and3. The collection of data using an online Community Health Survey to assess respondents' opinions on the health of the Capital District.Through the HCDI process, consideration of the New York State Commissioner of Health's ten public health priorities and through other local efforts to obtain additional community input, Northeast Health developed health services priorities contained in its Community Service Plan. | ||
| Part VI, Line 3: In addition to posting Albany Memorial Hospital's financial assistance policy on the hospital's website, Albany Memorial Hospital physically posts the policy at almost all inpatient and outpatient intake desks. All registration personnel are trained to know the procedures for assisting patients who have no insurance. Albany Memorial Hospital has also contracted with a firm that supplies the services of a Medicaid enroller "on-call to the hospital". | ||
| Part VI, Line 4: General DescriptionAlbany Memorial Hospital is part of the Northeast Health network, a regional, comprehensive, not-for-profit provider of health care and community services. Northeast Health was formed in 1995 by the merger of Samaritan Hospital and The Eddy, joined by Albany Memorial Hospital in 1997 and Sunnyview Rehabilitation Hospital in 2007. The components of Northeast Health are deeply rooted in their communities, each with a long tradition of providing high quality care and services.Serving 22 counties in the greater Capital Region of Upstate New York, Northeast Health cares for approximately 175,000 people each year and provides a vast array of senior care, hospital services, rehabilitation, specialty services and retirement living options. Our Primary Care Network offers a full range of medical, preventive and diagnostic services for people of all ages at nine locations throughout the region.Communities ServedAlbany Memorial Hospital (160 beds) serves primarily the population of Albany and Rensselaer counties, New York. These contiguous counties (separated north to south by the Hudson River) contain 458,764 persons. Their populations are concentrated along the Hudson River in the cities of Albany, Cohoes, Rensselaer and Troy, which accounts for about 40% of the population. The balance of the population is dispersed among smaller cities, villages, suburbs and rural areas.Albany and Rensselaer counties have a fairly consistent demographic profile based on income, poverty and health insurance measures as illustrated below.Demographic Albany Rensselaer2010 Population 302,162 156,6022020 Population 307,201 158,579% Change 1.7% 1.3%2010 Households 125,729 62,3852020 Households 129,568 64,442% Change 3.1% 3.3% 2009 Median Household Income $53,317 $52,232Persons Below Poverty Level (2007 Estimate) 33,254 (11.7%) 15,898 (10.6%)Number of Medicaid Enrollees 2008 37,659 (12.5%) 21,767 (13.9%)Number of Uninsured (2007 Estimate) 33,550 (11.1%) 17,098 (10.9%)On a percentage basis the communities are very similar for median income, poverty, Medicaid enrollees and the uninsured.Other HospitalsThere are four other hospitals in the two county area. Albany Medical Center Hospital (Albany) is a 600-bed tertiary care facility. St. Peter's Hospital (Albany) is a 450-bed tertiary care facility. Samaritan (Troy), 238 beds, is an acute care general hospital, also part of the Northeast Health network. Seton Health System/St. Mary's Hospital (Troy), is a 190-bed acute care facility.Medically Underserved Areas / PopulationsEach of these counties has areas that are designated as medically underserved. In Rensselaer County, those parts of the City of Troy which border the Hudson River are designated as medically underserved populations (MUP). The City of Albany areas adjacent to the river are designated as a medically underserved area (MUA). Albany Memorial Hospital is located within the MUA and delivers services to that population through the Emergency Room and a Primary Care practice located in a building that adjoins the hospital. | ||
| Part VI, Line 5: In addition to its activities in delivering health care services to the community as described elsewhere in this filing, Albany Memorial Hospital furthers its exempt purposes through the following means:1. Albany Memorial Hospital is managed by a community board of directors, on which the substantial majority of directors are residents of the hospital's primary or secondary service area and who are neither employees nor contractors of the hospital;2. With certain departments which, in the interests of efficiency, quality and proper administration, are traditionally reserved to a single physician group having an exclusive arrangement with respect to the department (e.g., radiology, anesthesia, pathology, etc.), Albany Memorial Hospital maintains an open medical staff that extends privileges to all qualified physician applicants; and3. The organization generally applies all surplus funds to ensuring financially prudent availability of funds, capital maintenance and improvements, and the addition of services that benefit the community.In 2010 Northeast Health, the health system to which Albany Memorial Hospital belongs, entered into an affiliation agreement with St. Peter's Health Care Services, principally located in Albany, and Seton Health System, principally located in Troy, under which the parties formed a new not-for-profit entity that became the parent of the constituent systems. The parties consummated the affiliation transaction in the fall of 2011. The affiliation parties believe that by combining their complementary strengths, they can significantly improve their ability to meet the healthcare needs of the region through more coordination, improved efficiency, reduced fragmentation of care, and improved access for the poor and underserved people in the Capital Region and beyond. The parties recognize that change must occur in their organizations in light of emerging changes in health care delivery, and changes in public and private systems for paying for health care. The affiliation better positions the parties to address such challenges and to meet the needs of the community. | ||
| Part VI, Line 6: Albany Memorial Hospital is affiliated with Northeast Health, a network of healthcare, supportive housing and community services. The affiliation furthers Albany Memorial Hospital's ability to promote health care in many ways. Northeast Health affiliation helps ensure Albany Memorial Hospital's financial stability through reduced administrative overhead costs, access to capital and supply chain management, among other things. Albany Memorial Hospital's affiliation with Northeast Health also enables greater collaboration with affiliated hospitals and other providers of services. In addition to sharing policies and procedures and ideas for best operational and management practices, system affiliates participate jointly in quality improvement activities. The Northeast Health Board Quality Committee oversees quality improvement activities in the system's acute care hospitals, rehabilitation hospital, skilled nursing facilities, primary care network, visiting nurse and community service programs, adult housing and program for all-inclusive care for the elderly ("PACE" program). Through this committee and other joint activities, the system seeks to ensure collaboration on quality initiatives among varied provider types. For example, several quality initiatives commenced in 2012 are intended to lead to measurable improvements in patient care transitions between hospitals, nursing homes, home health and supportive housing. Northeast Health has also successfully deployed the Lean Thinking and Tools developed by the Toyota Production System, in its integrated health care delivery system. This sophisticated system of process improvement is used by Northeast Health affiliates to improve and optimize managerial, operational and clinical processes. Albany Memorial Hospital's affiliation with Northeast Health has enabled it to adopt Lean Thinking and Tools with a degree of success unlikely to have been attained but for the affiliation. Lean Thinking and Tools have enabled Albany Memorial Hospital to provide better care and services to the community. | ||
| NY | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boyle Steven | ||||||||||||||
| Trustee, CEO | 0 | 528964 | 0 | 342094 | 0 | 89295 | 0 | 11250 | 0 | 3391 | 0 | 974994 | 0 | 0 |
| Reed James K MD | ||||||||||||||
| Trustee, President | 0 | 566508 | 0 | 100394 | 0 | 143385 | 0 | 11250 | 0 | 26655 | 0 | 848192 | 0 | 0 |
| Gavin James | ||||||||||||||
| CFO | 0 | 178382 | 0 | 73799 | 0 | 135682 | 0 | 144226 | 0 | 14884 | 0 | 546973 | 0 | 0 |
| Schuhle Thomas | ||||||||||||||
| CFO | 0 | 329632 | 0 | 62253 | 0 | 21574 | 0 | 10369 | 0 | 17161 | 0 | 440989 | 0 | 0 |
| Hannan Mary E | ||||||||||||||
| CNO | 146394 | 0 | 0 | 0 | 774 | 0 | 4315 | 0 | 2632 | 0 | 154115 | 0 | 0 | 0 |
| Santos Lori | ||||||||||||||
| CFO Acute Care Albany | 230846 | 0 | 26617 | 0 | 18122 | 0 | 7842 | 0 | 3056 | 0 | 286483 | 0 | 0 | 0 |
| Tassey Karen | ||||||||||||||
| COO/CNO | 228238 | 0 | 11919 | 0 | 387 | 0 | 7309 | 0 | 841 | 0 | 248694 | 0 | 0 | 0 |
| Errichetti Ann MD | ||||||||||||||
| Exec. VP, Acute Care Albany | 0 | 148860 | 0 | 20000 | 0 | 4468 | 0 | 40127 | 0 | 5758 | 0 | 219213 | 0 | 0 |
| Brodbeck Kathleen | ||||||||||||||
| Executive ,VP, Chief Nursing Officer | 0 | 267964 | 0 | 62848 | 0 | 1339 | 0 | 100797 | 0 | 15334 | 0 | 448282 | 0 | 0 |
| Cella Robert | ||||||||||||||
| Chief Medical Officer, Acute Care | 0 | 307149 | 0 | 77524 | 0 | 21757 | 0 | 127123 | 0 | 12141 | 0 | 545694 | 0 | 0 |
| Cooper Glen | ||||||||||||||
| Executive Director-AMH | 0 | 147139 | 0 | 0 | 0 | 6184 | 0 | 5211 | 0 | 19797 | 0 | 178331 | 0 | 0 |
| Pathirana Priyangika A | ||||||||||||||
| Physician | 128481 | 0 | 47071 | 0 | 270 | 0 | 5141 | 0 | 13380 | 0 | 194343 | 0 | 0 | 0 |
| Nair Amita | ||||||||||||||
| Physician | 148842 | 0 | 0 | 0 | 180 | 0 | 4385 | 0 | 6077 | 0 | 159484 | 0 | 0 | 0 |
| Mahmod Naeem | ||||||||||||||
| Registered Ultrasonographee | 173891 | 0 | 0 | 0 | 0 | 0 | 5284 | 0 | 13319 | 0 | 192494 | 0 | 0 | 0 |
| Opar-Goslow Carolyn | ||||||||||||||
| Physician Assistant | 139022 | 0 | 0 | 0 | 0 | 0 | 2929 | 0 | 13452 | 0 | 155403 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | Compensation of the organization's top management officials: Steven Boyle and James Reed were compensated by CHE which used one or more of the following methods to establish compensation for these officials: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey - Approval by the board or compensation committee On an annual basis, the organization uses an independent compensation consultant to review the salaries for other executives and ensure such salaries are consistent with market salaries paid to similarly situated executives. In addition, a compensation committee reviews this information annually and it is then approved by the board or compensation committee. Finally, executives receive a written letter outlining the specifics of their compensation. |
| Part I, Lines 4a-b | Part I, Lines 4a-b: Line 4a: James Gavin received a severance payment in the amount of $118,268. Karen Tassey received a severance payment in the amount of $118,944. Line 4b: Supplemental Executive Retirement Plan is provided to certain key executive employees. Contributions made to the plan on their behalf are vested and reflected in their compensation at the time of the contribution. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Albany County Industrial D | |||||||
| A | 141663410 | 2006-06-29 | 5000000 | Qualified Hospital Bond | 0 | 0 | 0 |
| Albany County Industrial D | |||||||
| B | 141663410 | 2007-01-30 | 4000000 | Qualified Hospital Bond | 0 | 0 | 0 |
| Rensselaer County Industri | |||||||
| C | 141614433 | 2007-01-30 | 5798000 | Qualified Hospital Bond | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| A | 5000000 | 94887 | 4905113 | 0 | 0 | 1 | 1 |
| B | 4000000 | 10000 | 3990000 | 0 | 0 | 1 | 1 |
| C | 5798000 | 66440 | 5731560 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule K Part IV, Arbitrage, Line 2c | Date Rebate Computation Performed | Issuer Name: Albany County Industrial D Date the Rebate Computation was Performed: 09/15/2010 Issuer Name: Albany County Industrial D Date the Rebate Computation was Performed: 09/15/2010 |
| Schedule K, Part III, Column B, Line 3a: | The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part III Form990ScheduleLPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Interested Person | 1 unnamed individual | NameOfInterestedPerson |
| Relationship With Organization | Current or Former Director, Officer or Key Employee | RelationshipWithOrganization |
| Type Of Assistance | Courtesy Discount | TypeOfAssistance |
| Purpose Of Assistance | See Part V | PurposeOfAssistance |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Times Union | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | George Hearst is a board member | Relationship |
| Amount Of Transaction | 9666 | AmountOfTransaction |
| Description Of Transaction | Advertising Employment | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch L, Part III, Grants or Assistance Benefitting Interested Persons: | Identifier |
| Explanation | Items described in this part of Schedule L are courtesy discounts for hospital services provided by the organization to interested persons. The names of such persons are not provided in order to protect their health information privacy, consistent with the privacy provisions of the federal Health Insurance Portability and Accountability Act of 1996, and implementing regulations, popularly known as HIPAA. The courtesy discounts are provided under two established hospital policies, one that provides a hospital services discount benefit to all employees of the organization and their dependents, and one that provides the same discount benefit to all current and former board members of the organization, and their dependents. In 2012, 1 interested person listed on Form 990, Part VII received such benefits, that amount to no more than $600 in aggregate discounts. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Trustees James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship. | |
| Form 990, Part VI, Section A, line 6 | Northeast Health, Inc. is the sole member. | |
| Form 990, Part VI, Section A, line 7a | Northeast Health, Inc. approves the appointment of the members of the governing body. | |
| Form 990, Part VI, Section A, line 7b | St. Peter's Health Partners, its subsidiaries, and/or Catholic Health East may have limited reserve powers to approve decisions of the governing body. | |
| Form 990, Part VI, Section B, line 11 | Form 990 was made available on the board website for all board members to review. | |
| Form 990, Part VI, Section B, line 12c | The organization had adopted CHE's Policy 103 prior to 11/27/12 and followed its own policy (SPHP Conflict of Interest) at yearend which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and members of the board. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of dis- interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request. | |
| Form 990, Part VI, Section B, line 15 | The organization relies on CHE to determine compensation for the CEO and President of the organization. The CHE board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes. The compensation of other officers and key employees of the organization are reviewed by an independent compensation consultant who reviews the salaries to ensure they are within market and market competitive. This is done on an annual basis, reviewed by either the organization's or a related organization's compensation committee and communicated to the other officers and key employees. | |
| Form 990, Part VI, Section C, line 19 | Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy and IRS Form 990 are available upon request. | |
| Form 990, Part XI, line 9: | Contributions 274,542. Transfers for capital expenditures 270,793. Other Changes in Net Assets -197,068. Prepaid Pension Writedown -943,799. Net assest released for use in operations -44,051. | Changes in Net Assets or Fund Balances: |
| Disclosure Statement Related to Form 5471 Filed by Catholic Health East and Saint Michael's Medical Center Under the constructive ownership rule of Internal Revenue Code Sections 318(a) and 958(b), the organization is required to file Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations, as a Category 4 and/or Category 5 filer with respect to Stella Maris Insurance Company Limited and Chestnut Risk Services, LTD (collectively, the "foreign corporations"). This filing requirement is, or will be, satisfied through the filing of Forms 5471 with respect to the foreign corporations on the organization's behalf by the U.S. organizations identified below. Foreign Corporation: Stella Maris Insurance Company U.S. Organization: Catholic Health East Address: 3805 West Chester Pike, Suite 100, Newtown Square, Pennsylvania 19073 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 23-2929748 IRS Service Center Where U.S. Return Was Filed: Ogden, UT Foreign Corporation: Chestnut Risk Services, LTD U.S. Organization: Saint Michael's Medical Center Address: 111 Central Avenue, Newark, New Jersey 07102 Identifying Number of U.S. Tax Return with Which Form 5471 was filed: 26-2616046 IRS Service Center Where U.S. Return Was Filed: Ogden, UT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Real Estate Holdings | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 Massachusetts Avenue | AddressLine1 |
| City | Troy | City |
| State | NY | State |
| ZIP Code | 12180 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320393870 | EIN |
| Primary Activities | Management Real Estate | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Health System Inc | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (143 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Health East | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 232929748 | Management Services | PA | 501(c)(3) | Line 11c, III-FI | N/A | 1 | |
| Continuing Care Management Services Network | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 352336834 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| VNA Home Health & Hospice | |||||||||||
| 50 Foden Road | South Portland | ME | 04106 | 010246804 | Home Health & Hospice | ME | 501(c)(3) | Line 11a, I | 1 | Mercy Health System of Maine | |
| Mercy Hospital | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010211534 | Hospital | ME | 501(c)(3) | Line 3 | 1 | Mercy Health System of Maine | |
| Mercy Health System of Maine | |||||||||||
| 144 State Street | Portland | MA | 04101 | 010484074 | Management & Support Services | ME | 501(c)(3) | Line 11c, III-FI | 1 | Catholic Health East | |
| Sunnyview Hospital & Rehabilitation Center Foundation | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 222505127 | Supporting foundation | NY | 501(c)(3) | Line 11a, I | 1 | Sunnyview Hospital & Rehabilitation Ctr | |
| St Mary's Woodland Village Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141675183 | Discontinued Operations | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Mercy Care for Kids Inc | |||||||||||
| 310 South Manning Blvd | Albany | NY | 12208 | 141717564 | Day care center | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Our Lady of Mercy Life Center | |||||||||||
| 2 Mercycare Lane | Guilderland | NY | 12084 | 141743506 | Nursing Home Facility | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Auxiliary | |||||||||||
| 315 South Manning Blvd | Albany | NY | 01228 | 222843206 | Auxiliary | NY | 501(c)(3) | Line 11a, I | 1 | St Peter's Health Care Services | |
| St Peter's Health Care Services | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 222702507 | Management & Support Services | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Partners | |
| St Peter's Hospital | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 141348692 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| St Peter's Hospital Foundation Inc | |||||||||||
| 319 South Manning Blvd Suite 309 | Albany | NY | 12208 | 222262982 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | St Peter's Health Care Services | |
| Eddy Licensed Home Care Agency | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141818568 | Home Health | NY | 501(c)(3) | Line 3 | 1 | LTC(Eddy) Inc | |
| The Community Hospice Foundation Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 222692940 | Fundraising & Public Relations | NY | 501(c)(3) | Line 7 | 1 | The Community Hospice Inc | |
| The Community Hospice Inc | |||||||||||
| 295 Valley View Blvd | Rensselaer | NY | 12144 | 141608921 | Serving seriously ill people & their families | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Care Services | |
| Villa Mary Immaculate | |||||||||||
| 301 Hackett Blvd | Albany | NY | 12208 | 141438749 | Nursing Home & Physical Rehab | NY | 501(c)(3) | Line 3 | 1 | St Peter's Hospital | |
| Warde Service Corporation Inc | |||||||||||
| 159 Wolf Road 3rd Floor | Albany | NY | 12205 | 141732097 | Supporting & strengthing the ministries of rel. sr. mercy | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Care Services | |
| Northeast Health Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 042450756 | Supporting Organization | NY | 501(c)(3) | Line 11b, II | 1 | St Peter's Health Partners | |
| Samaritan Hospital of Troy New York | |||||||||||
| 2215 Burdett Ave | Troy | NY | 12180 | 141338544 | General hospital | NY | 501(c)(3) | Line 3 | 1 | Northeast Health Inc | |
| The Northeast Health Foundation Inc | |||||||||||
| 2224 Burdett Ave | Troy | NY | 12180 | 222743478 | Supporting foundation | NY | 501(c)(3) | Line 7 | 1 | Northeast Health Inc | |
| Samaritan Child Care Center Inc | |||||||||||
| 2213 Burdett Ave | Troy | NY | 12180 | 141710225 | Child day care | NY | 501(c)(3) | Line 9 | 1 | Northeast Health Inc | |
| Shaker Properties Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 223119822 | Real Estate holding | NY | 501(c)(2) | N/A | 1 | Northeast Health Inc | |
| Sunnyview Hospital & Rehabilitation Ctr | |||||||||||
| 1270 Belmont Ave | Schenectady | NY | 12308 | 141338386 | Rehabilitation hospital | NY | 501(c)(3) | Line 3 | 1 | LTC (Eddy) Inc | |
| James A Eddy Memorial Geriatric Center Inc | |||||||||||
| 2256 Burdett Ave | Troy | NY | 12180 | 222570478 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Capital Region Geriatric Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141701597 | Nursing Home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Heritage House Nursing Center Inc | |||||||||||
| 2920 Tibbits Ave | Troy | NY | 12180 | 141725101 | Nursing home | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| The Marjorie Doyle Rockwell Center Inc | |||||||||||
| 421 West Columbia St | Cohoes | NY | 12047 | 141793885 | Adult Home/Alzheimers | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beverwyck Inc | |||||||||||
| 40 Autumn Drive | Slingerlands | NY | 12159 | 141717028 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Hawthorne Ridge Inc | |||||||||||
| 30 Community Way | East Greenbush | NY | 12061 | 800102840 | Independent/Assisted Living Retirement Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Glen Eddy Inc | |||||||||||
| One Glen Eddy Drive | Niskayuna | NY | 12309 | 141794150 | Independent/Assisted Living Community | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Beechwood Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 141651563 | Real estate holding | NY | 501(c)(2) | N/A | 1 | LTC (Eddy) Inc | |
| Senior Care Connection Inc | |||||||||||
| 504 State St | Schenectady | NY | 12305 | 141708754 | PACE Program | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Home Aid Service of Eastern New York Inc | |||||||||||
| 433 River St Suite 3000 | Troy | NY | 12180 | 141514867 | Home care | NY | 501(c)(3) | Line 9 | 1 | LTC (Eddy) Inc | |
| Seton Health System Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141776186 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St Peter's Health Partners | |
| Seton Health at Schuyler Ridge Residential Healthcare | |||||||||||
| 1 Abele Blvd | Clifton Park | NY | 12065 | 141756230 | Skilled Nursing | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Health Foundation | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 222345416 | Supporting Organization | NY | 501(c)(3) | Line 11a, I | 1 | Seton Health System Inc | |
| Seton Auxiliary Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141505031 | Supporting Organization | NY | 501(c)(3) | Line 9 | 1 | Seton Health System Inc | |
| Seton Licensed Home Care Inc | |||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141809134 | Licensed Home Health Agency | NY | 501(c)(3) | Line 3 | 1 | Seton Health System Inc | |
| Empire Home Infusion Service Inc | |||||||||||
| 10 Blacksmith Drive | Malta | NY | 12020 | 141795732 | Home care | NY | 501(c)(3) | Line 9 | 1 | Home Aid Service of Eastern New York Inc | |
| LTC (Eddy) Inc | |||||||||||
| 2212 Burdett Ave | Troy | NY | 12180 | 222564710 | Elderly health/housing supporting org | NY | 501(c)(3) | Line 11a, I | 1 | Northeast Health Inc | |
| St Peter's Health Partners | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 453570715 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Peter's Health Partners Medical Associates PC | |||||||||||
| 315 South Manning Blvd | Albany | NY | 12208 | 461177336 | Physicians Practice | NY | 501(c)(3) | Line 9 | 1 | St Peter's Health Partners | |
| Providence Place Inc | |||||||||||
| 5 Gamelin Street | Holyoke | MA | 01040 | 043404084 | Retirement Community | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Brightside Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042182395 | Behavioral Care | MA | 501(c)(3) | Line 9 | 1 | Sisters of Providence Health System Inc | |
| Farren Care Center Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 042501711 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Hospital Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398280 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Mercy Specialist Physicians Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 264033168 | Neurosurgery Medical Services | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Care Centers Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 222541103 | Long Term Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Sisters of Providence Health System Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 043398374 | Management & Support Services | MA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy LIFE Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 01040 | 453086711 | Acute Care | MA | 501(c)(3) | Line 3 | 1 | Sisters of Providence Health System Inc | |
| Pioneer Valley Cardiology Associates Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454208896 | Cardiology Services | MA | 501(c)(3) | Line 4 | 1 | Sisters of Providence Health System Inc | |
| Mercy Oncology Services Inc | |||||||||||
| c/o SPHS 1221 Main Street Suite 213 | Holyoke | MA | 01040 | 454884805 | Oncology Medical Services | MA | 501(c)(3) | N/A | 1 | Sisters of Providence Health System Inc | |
| McAuley Center Inc | |||||||||||
| 275 Steele Road | West Hartford | CT | 06117 | 061058086 | Independent Living | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Community Health Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061492707 | Management & Support Services | CT | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
| Mercy Community HomeCare Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061488137 | In Home Health Care | CT | 501(c)(3) | Line 9 | 1 | Mercy Community Health Inc | |
| Mercy Services | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061453323 | Support Services | CT | 501(c)(3) | Line 1 | 1 | Mercy Community Health Inc | |
| Mercyknoll Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060757380 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Saint Mary Home II Inc | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 061164104 | Elderly Care | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| St Mary Home Incorporated | |||||||||||
| 2021 Albany Avenue | West Hartford | CT | 06117 | 060646843 | Skilled Nursing | CT | 501(c)(3) | Line 3 | 1 | Mercy Community Health Inc | |
| Mercy Healthcare Center | |||||||||||
| 114 Wawbeek Avenue | Tupper Lake | NY | 12986 | 150532211 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Uihlein Health Corporation | |||||||||||
| 185 Old Military Road | Lake Placid | NY | 12946 | 161535133 | Mgt. & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Mercy Healthcare Center | |
| Uihlein Mercy Center | |||||||||||
| 185 Old Military Road | Tupper Lake | NY | 12986 | 150532190 | In Dissolution | NY | 501(c)(3) | Line 3 | 1 | Mercy Healthcare Center | |
| St James Mercy Foundation Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 161486437 | Foundation | NY | 501(c)(3) | Line 7 | 1 | St James Mercy Health System Inc | |
| St James Mercy Health System Inc | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 223127184 | Management & Support Services | NY | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St James Mercy Hospital | |||||||||||
| 411 Canisteo Street | Hornell | NY | 14843 | 160743310 | Hospital | NY | 501(c)(3) | Line 3 | 1 | St James Mercy Health System Inc | |
| Maxis Medical Services | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232577185 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 240711230 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Maxis Health System | |
| Marian Community Hospital Auxiliary | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 251874733 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Foundation | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232330090 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Maxis Health System | |||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 911940902 | Health Care System | PA | 501(c)(3) | Line 11b, II | 1 | Maxis Health System | |
| Tri-County Human Services Center Inc | |||||||||||
| PO BOX 517 | Carbondale | PA | 18407 | 231938528 | Behavioral Health Organization | PA | 501(c)(3) | Line 7 | 1 | Maxis Health System | |
| Columbus Acquisition Corp | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616342 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| Saint Michaels Medical Center | |||||||||||
| 111 Central Avenue | Newark | NJ | 07102 | 262616046 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St James Care Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 262616230 | Inactive Entity | NJ | 501(c)(3) | Line 9 | 1 | Saint Michaels Medical Center | |
| St Michael's Foundation Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223311976 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | Saint Michaels Medical Center | |
| University Heights Property Company Inc | |||||||||||
| 1160 Raymond Boulevard | Newark | NJ | 07102 | 223100162 | Medical Property Holding Company | NJ | 501(c)(2) | N/A | 1 | Saint Michaels Medical Center | |
| Life St Francis Corporation | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 222797282 | Health Services | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Foundation NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 521025476 | Foundation | NJ | 501(c)(3) | Line 11a, I | 1 | St Francis Medical Center Trenton NJ | |
| St Francis Medical Center Trenton NJ | |||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 08629 | 223431049 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Langhorne MRI Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232519529 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| Langhorne Physician Services Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232571699 | Physician Services | PA | 501(c)(3) | Line 9: 509(a)(2) | 1 | St Mary Medical Center | |
| LIFE St Mary | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 262976184 | Elderly Care | PA | 501(c)(3) | Line 9 | 1 | St Mary Medical Center | |
| St Mary Medical Center | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 231913910 | Hospital | PA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary Medical Center Foundation Inc | |||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232567468 | Foundation | PA | 501(c)(3) | Line 7 | 1 | St Mary Medical Center | |
| East Norriton Physician Services | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232515999 | Physician Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Catholic Medical Center of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231352191 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Family Support | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325059 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Foundation of Southeastern Pennsylvania | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 232829864 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health Plan | |||||||||||
| c/o One West Elm Street | Conshohocken | PA | 19428 | 222483605 | Health Plans | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Health System of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232212638 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Mercy Home Health | |||||||||||
| 1001 Baltimore Pike Suite 310 | Springfield | PA | 19064 | 231352099 | Home Health | PA | 501(c)(3) | Line 9 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Home Health Services | |||||||||||
| 1001 Baltimore Pike Suite 301 | Springfield | PA | 19064 | 232325058 | Home Health | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Management of Southeastern Pennsylvania | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232627944 | Physician Practices | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Mercy Suburban Hospital | |||||||||||
| One West Elm Street | Conshohocken | PA | 19428 | 231396763 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Health Care Foundation | |||||||||||
| 2701 Holme Avenue | Philadelphia | PA | 19152 | 232300951 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Hospital | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232794121 | Acute Care Hospital | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Nazareth Physician Services Inc | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 203261266 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| NE Physician Services | |||||||||||
| 2601 Holme Avenue | Philadelphia | PA | 19152 | 232497355 | Physician Practices | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232840137 | Continuing Care Services | PA | 501(c)(3) | Line 3 | 1 | Mercy Health System of Southeastern Pennsylvania | |
| St Agnes Continuing Care Center Foundation | |||||||||||
| 1900 S Broad Street | Philadelphia | PA | 19145 | 232415137 | Fundraising | PA | 501(c)(3) | Line 11b, II | 1 | Mercy Health System of Southeastern Pennsylvania | |
| Life at Lourdes Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 261854750 | Elderly Care | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Ancillary Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568525 | Supporting Organization | NJ | 501(c)(3) | Line 11b, II | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Dialysis at Innova Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 263237625 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Medical Center Burlington County | |||||||||||
| 218 Sunset Road | Willingboro | NJ | 08046 | 223612265 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Health Care Services | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222568528 | Management & Support Services | NJ | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Our Lady of Lourdes Health Foundation Inc | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 222351960 | Foundation | NJ | 501(c)(3) | Line 7 | 1 | Our Lady of Lourdes Health Care Services | |
| Our Lady of Lourdes Medical Center | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08103 | 210635001 | Hospital | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Lourdes Cardiology Services PC | |||||||||||
| 1600 Haddon Avenue | Camden | NJ | 08108 | 274357794 | Cardiology Services | NJ | 501(c)(3) | Line 3 | 1 | Our Lady of Lourdes Health Care Services | |
| Franciscan Eldercare Corporation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 223008680 | Eldercare | DE | 501(c)(3) | Line 9 | 1 | St Francis Hospital | |
| St Francis Foundation | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510374158 | Foundation | DE | 501(c)(3) | Line 11b, II | 1 | St Francis Hospital | |
| St Francis Hospital | |||||||||||
| PO Box 2500 | Wilmington | DE | 19805 | 510064326 | Hospital | DE | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| LIFE at St Francis Healthcare Inc | |||||||||||
| 7th Clayton Streets | Wilmington | DE | 19805 | 452569214 | Elderly Care | DE | 501(c)(3) | Line 3 | 1 | St Francis Hospital | |
| McAuley Ministries | |||||||||||
| McAuley Hall 3333 Fifth Avenue | Pittsburgh | PA | 15213 | 943436142 | Management & Support Services | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Jeannette Hospital | |||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251310602 | Inactive Entity | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Mercy Life Center Corporation | |||||||||||
| 1200 Reedsdale Street | Pittsburgh | PA | 15233 | 251604115 | Community Treatment | PA | 501(c)(3) | Line 9 | 1 | Pittsburgh Mercy Health System | |
| Pittsburgh Mercy Health System | |||||||||||
| 3333 5th Avenue | Pittsburgh | PA | 15213 | 251464211 | Management & Support Services | PA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Joseph's of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 560694200 | Hospital | NC | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Life St Joseph of the Pines Inc | |||||||||||
| 100 Gossman Drive Suite B | Southern Pines | NC | 28387 | 272159847 | Healthcare Services | NC | 501(c)(3) | Line 3 | 1 | St Joseph's of the Pines Inc | |
| Mercy Senior Care Inc | |||||||||||
| 300 Chatillon Road PO Box 866 | Rome | GA | 30162 | 581366508 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Health System Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581744848 | Management & Support Services | GA | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| Saint Joseph's Mercy Care Services Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581752700 | Community Outreach | GA | 501(c)(3) | Line 7 | 1 | Saint Joseph's Health System Inc | |
| Saint Joseph's Mercy Foundation Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 581448522 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| Mercy Services Downtown Inc | |||||||||||
| 424 Decatur Street | Atlanta | GA | 30312 | 272046353 | Real Estate Holding Company | GA | 501(c)(3) | Line 11b, II | 1 | Saint Joseph's Health System Inc | |
| St Mary's Health Care System Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 580566223 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| St Mary's Foundation Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 582544232 | Fundraising | GA | 501(c)(3) | Line 11b, II | 1 | St Mary's Health Care System Inc | |
| St Mary's Highland Hills Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 020576648 | Assisted Living & Retirement Community | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| St Mary's Medical Group Inc | |||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 261858563 | Hospital / Physician Services | GA | 501(c)(3) | Line 3 | 1 | St Mary's Health Care System Inc | |
| Good Samaritan Hospital Inc | |||||||||||
| 1201 Siloam Road | Greensboro | GA | 30462 | 261720984 | Hospital | GA | 501(c)(3) | Line 3 | 1 | Saint Joseph's Health System Inc | |
| Mercy Medical Corporation | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 636002215 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy LIFE of Alabama | |||||||||||
| PO Box 1090 101 Villa Drive | Daphne | AL | 36526 | 273163002 | Hospital | AL | 501(c)(3) | Line 3 | 1 | Mercy Medical Corporation | |
| Allegany Franciscan Ministries Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 581492325 | Management & Support Services | FL | 501(c)(3) | Line 11b, II | 1 | Catholic Health East | |
| St Francis Hospital Inc | |||||||||||
| 33920 US Highway 19 North Suite 269 | Palm Harbor | FL | 34684 | 590624442 | Grant-making Organization | FL | 501(c)(3) | Line 11a, I | 1 | Allegany Franciscan Ministries Inc | |
| Holy Cross Hospital Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 590791028 | Hospital-Healthcare Provider | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Holy Cross Long-Term Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650787320 | Medical Services | FL | 501(c)(3) | Line 3 | 1 | Holy Cross Hospital Inc | |
| Holy Cross Medical Properties Inc | |||||||||||
| 4725 North Federal Highway | Ft Lauderdale | FL | 33308 | 650666283 | Medical Building Real Estate Management | FL | 501(c)(2) | N/A | 1 | Holy Cross Hospital Inc | |
| SSJ Health Foundation Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 591709438 | Fundraising | FL | 501(c)(3) | Line 7 | 1 | Mercy Hospital Inc | |
| Mercy Hospital Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 590791034 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Catholic Health East | |
| Mercy Medical Development Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 592789194 | Outpatient Services | FL | 501(c)(3) | Line 9 | 1 | Mercy Hospital Inc | |
| Mercy Mission Services Inc | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 650435764 | Health Care | FL | 501(c)(3) | Line 11a, I | 1 | Mercy Hospital Inc | |
| Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital | |||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 510461511 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Mercy Hospital Inc | |
| Global Health Ministry | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 233068656 | Health Care | PA | 501(c)(3) | Line 7 | 1 | Catholic Health East | |
| Intracoastal Health Systems | |||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 650556413 | Management & Support Services | PA | 501(c)(3) | Line 11a, I | 1 | Catholic Health East | |
Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| St Peter's Ambulatory Surgery Center LLC | |||||||
| 1375 Washington Avenue Ste 201 | Albany | NY | 12206 | 460463892 | Outpatient Surgery | NY | N/A |
| Catherine Horan Building Limited Partnership | |||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 042723429 | Property Management | MA | N/A |
| Western Massachusetts PETCT Imaging Center LLC | |||||||
| 100 Bayview Circle Ste 400 | Newport Beach | CA | 92660 | 204744663 | Outpatient Medical Services | DE | N/A |
| Central New Jersey Heart Services LLC | |||||||
| 29 E 29th Street 2nd Floor | Bayonne | NJ | 07002 | 208525458 | Cardiac Program | NJ | N/A |
| SMMC MOB II LP | |||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 364559869 | Investment and operation of a medical building | PA | N/A |
| The Ambulatory Surgery Center at St Mary LLC | |||||||
| 1203 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232871206 | Outpatient Surgery | PA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| East Norriton Medical Associates | |||||||
| One West Elm Street | Conshohocken | PA | 19428 | 232319531 | Medical Office Building | PA | N/A |
| Gateway Health Plan | |||||||
| 300 Grant Street | Pittsburgh | PA | 15219 | 251691945 | Medicaid & Medicare/Special Needs Managed Care Organization | PA | N/A |
| MercyManor Partnership | |||||||
| PO Box 10086 | Toledo | OH | 436990086 | 521931012 | Nursing Home | PA | N/A |
| St Agnes Long Term Intensive Care LLP | |||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| St Agnes Long Term Intensive Care LLP | |||||||
| c/o Mercy Health System One West El | Conshohocken | PA | 19428 | 200984882 | Long Term Intensive Care | PA | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| Nazareth Medical Office Building Associates LP | |||||||
| c/o Nazareth Hospital 2601 Holme Av | Philadelphia | PA | 19152 | 232388040 | Medical Office Building | PA | N/A |
| SJV Management LLC | |||||||
| 200 Century Pkwy Ste 200E | Mount Laurel | NJ | 08054 | 202273476 | Radiology | NJ | N/A |
| Physicians Outpatient Surgery Center LLC | |||||||
| 1000 NE 56th Street | Oakland Park | FL | 33334 | 352325646 | Ambulatory Surgery Center | FL | N/A |
| Center for Surgery & Digestive Orders | |||||||
| 3641 South Miami Avenue | Miami | FL | 33133 | 510438152 | Outpatient Medical Services | FL | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Province Or StateAddressForeign/ProvinceOrState | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Samaritan Medical Office Building Inc | |||||||||||||||
| 2212 Burdett Avenue | Troy | NY | 12180 | 141607244 | Real Estate | NY | N/A | C | 1 | ||||||
| Affiliated Management Services Corporation Inc | |||||||||||||||
| 1300 Massachusetts Avenue | Troy | NY | 12180 | 141668024 | Real Estate | NY | N/A | C | 1 | ||||||
| Catherine Horan Building Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938160 | Building Management | MA | N/A | C | 1 | ||||||
| Diversified Community Services Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043128890 | Medical Services | MA | N/A | C | 1 | ||||||
| Mercy Inpatient Medical Associates Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043029929 | Medical Services | MA | N/A | C | 1 | ||||||
| Providence Home Care Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 043317426 | Health Care Services | MA | N/A | C | 1 | ||||||
| System Coordinated Services Inc | |||||||||||||||
| c/o SPHS 1221 Main Street Suite 108 | Holyoke | MA | 010400000 | 042938181 | Lab Services | MA | N/A | C | 1 | ||||||
| Physicians Medical Office Building Condominium Trust | |||||||||||||||
| 1221 Main Street Room 108 | Holyoke | MA | 010400000 | 046608649 | Property Management | MA | N/A | C | 1 | ||||||
| SJM Properties Inc | |||||||||||||||
| 411 Canisteo Street | Hornell | NY | 148482101 | 161294991 | Property Holdings | NY | N/A | C | 1 | ||||||
| Carbondale Area Physicians' Association PC | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801677 | Medical Insurance Contracting | PA | N/A | C | 1 | ||||||
| Carbondale Area Physicians' PHO Inc | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232801676 | Inactive | PA | N/A | C | 1 | ||||||
| Carbondale Physicians' Services Inc | |||||||||||||||
| 100 Lincoln Ave | Carbondale | PA | 18407 | 232365077 | Pharmacy | PA | N/A | C | 1 | ||||||
| Chestnut Risk Services Ltd | |||||||||||||||
| Insurance | N/A | C | 1 | 11 Victoria Street | Hamilton | BD | BD | ||||||||
| LifeCare Physicians PC | |||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 261649038 | Health Care Services | NJ | N/A | C | 1 | ||||||
| Multicare Plus Inc | |||||||||||||||
| 601 Hamilton Avenue | Trenton | NJ | 086291986 | 223435844 | Inactive | NJ | N/A | C | 1 | ||||||
| Langhorne Services II Inc | |||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 253795549 | General Partner of LMOB Partners, II | PA | N/A | C | 1 | ||||||
| Langhorne Services Inc | |||||||||||||||
| 1201 Langhorne-Newtown Road | Langhorne | PA | 19047 | 232625981 | General Partner of LMOB Partners, | PA | N/A | C | 1 | ||||||
| Gateway Health Plan Inc | |||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 251505506 | Health Care | PA | N/A | C | 1 | ||||||
| Gateway Health Plan Inc of Ohio | |||||||||||||||
| 600 Grant Street | Pittsburgh | PA | 15219 | 300282076 | Health Care | PA | N/A | C | 1 | ||||||
| MCMC Eastwick Inc | |||||||||||||||
| c/o MHS One West Elm Street | Conshohocken | PA | 19428 | 232184261 | Medical Office Buildings | PA | N/A | C | 1 | ||||||
| Health Management Services Org Inc | |||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223366580 | Health Care Billing | NJ | N/A | C | 1 | ||||||
| Lourdes Medeical Associates PA | |||||||||||||||
| 500 Grove Street Suite 100 | Haddon Heights | NJ | 08035 | 223361862 | Medical Services | NJ | N/A | C | 1 | ||||||
| Jeannette Medical Providers | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 251787334 | Holding Company | PA | N/A | C | 1 | ||||||
| Jeannette OBGYN Group 1 Inc | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890748 | Holding Company | PA | N/A | C | 1 | ||||||
| Jeannette Primary Care Group 1 Inc | |||||||||||||||
| 3805 West Chester Pike | Newtown Square | PA | 19073 | 232890743 | Holding Company | PA | N/A | C | 1 | ||||||
| Georgia Health Enterprises LLC | |||||||||||||||
| 1230 Baxter Street | Athens | GA | 30606 | 541806329 | Healthcare | GA | N/A | C | 1 | ||||||
| St Mary's Highland Hills Village Inc | |||||||||||||||
| 1660 Jennings Mill Pkly | Bogart | GA | 30622 | 582276801 | Assisted Living | GA | N/A | C | 1 | ||||||
| GHE Physicians PC | |||||||||||||||
| 3500 Piedmont Road | Atlanta | GA | 30305 | 582277939 | Practice Management | GA | N/A | C | 1 | ||||||
| Nursing Network Inc | |||||||||||||||
| 4725 North Federal Highway | Fort Lauderdale Highwa | FL | 333080000 | 591145192 | Medical Services | FL | N/A | C | 1 | ||||||
| Mercy Physician Group Inc | |||||||||||||||
| 3663 South Miami Avenue | Miami | FL | 33133 | 202970015 | Health Care | FL | N/A | C | 1 | ||||||
| Stella Maris Insurance Company Limited | |||||||||||||||
| 980078266 | Insurance | N/A | C | 1 | PO Box 69 | Grand Cayman | CJ | CJ | Cayman Islands | KY1-1102 | |||||
| Catholic Health East Senior Services | |||||||||||||||
| 3805 West Chester Pike Suite 100 | Newtown Square | PA | 19073 | 371572595 | Senior Services | PA | N/A | C | 1 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Northeast Health Inc | ||
| J | 71432 | FMV |
| Northeast Health Inc | ||
| M | 4669537 | FMV |
| Shaker Properties | ||
| K | 75032 | Square Footage |
| Samaritan Hospital of Troy New York | ||
| O | 4500217 | FMV |
| The Community Hospice Inc | ||
| L | 190794 | FMV |
| Northeast Health Foundation | ||
| C | 678365 | FMV |
| Sunnyview Hospital & Rehabilitation | ||
| O | 53688 | FMV |